DR. NICHOLAS TYLER BARJAKTAROVICH D.O.
NPI 1265826804
Family Medicine in Roseville, MI

Q: What is Nicholas Barjaktarovich's NPI number?

The NPI number for Nicholas Barjaktarovich is 1265826804. It was assigned to this individual provider in the NPPES registry on March 21, 2015.

Q: What is Nicholas Barjaktarovich's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Active since March 21, 2015PECOS EnrolledAccepts Medicare Assignment

30550 UTICA RD, ROSEVILLE, MI 48066(586) 771-0290(586) 771-5450 Get Directions Write a Review

NPPES record last updated: January 7, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 7, 2021, Sep 16, 2020, Jul 16, 2018 (3 updates tracked since 2018).

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About Dr. Nicholas Tyler Barjaktarovich D.o. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. NICHOLAS TYLER BARJAKTAROVICH D.O. (NPI 1265826804) is an individual family medicine provider in Roseville, Michigan, licensed in Michigan (5101021847) and active in the NPI registry since March 2015. He is enrolled in Medicare PECOS, is affiliated with Mclaren Macomb, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1265826804

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameDR. NICHOLAS TYLER BARJAKTAROVICHCredential: D.O.

Location Address30550 UTICA RDRoseville, MI 48066-1528

Mailing Address30550 Utica RdRoseville, MI 48066-1528 · (586) 771-0290 · Fax (586) 771-5450

Phone(586) 771-0290

Fax(586) 771-5450

Sole ProprietorNo

Medical School CMSLake Erie College Of Osteopathic Medicine, ErieGraduated 2015

Enumeration DateMarch 21, 2015

Last NPPES UpdateJanuary 7, 20213 updates tracked since enumeration

NPPES CertifiedOctober 22, 2020

✔ NPI 1265826804 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in MI · 5101021847

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

30550 UTICA RD, Roseville, MI 48066

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Secondary Practice Locations 2

Location 150 N Perry StPontiac, MI 48342-2217 · Phone (248) 338-5392 · Fax (248) 338-5567

Location 23003 S Baldwin RdLake Orion, MI 48359 · Phone (248) 391-9090 · Fax (248) 391-9210

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Nicholas Tyler Barjaktarovich D.o. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4688987985

PECOS Enrollment IDI20180720002362

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

223 services113 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

85 services70 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

52 services52 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Mclaren Macomb

Acute Care Hospitals · Mount Clemens, MI

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number230227

Location1000 Harrington StMount Clemens, MI 48043 · Macomb County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48066 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$90.76 typical visit price

range $58.04 – $177.36

Typical copayment $22.69 (range $14.51 – $44.34)

Most-billed visit code 99203

Established Patient

$102.35 typical visit price

range $18.32 – $143.49

Typical copayment $25.58 (range $4.58 – $35.87)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 4

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

8 suppliers15 claims46 services$6.11 avg. paid by Medicare

Nebulizer, with compressor E0570

DME-Other DME · category DE000N

2 suppliers11 claims14 services$4.88 avg. paid by Medicare

Standard wheelchair K0001

DME-Wheelchairs · category DD000N

2 suppliers11 claims11 services$14.22 avg. paid by Medicare

Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds K0823

DME-Wheelchairs · category DD009N

1 supplier11 claims11 services$128.97 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. CHRISTIE ANN SCHUNEMANN FNP

Nurse Practitioner (Family)