OTSEGO PHYSICIAN SERVICES PC
NPI 1346054236
Internal Medicine in Gaylord, MI

Active since February 03, 2025
825 N CENTER AVE, GAYLORD, MI 49735(989) 731-2100(989) 731-2205 Get Directions Write a Review

NPPES record last updated: April 7, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 7, 2026, Feb 3, 2025 (2 updates tracked since 2025).

About Otsego Physician Services Pc NPPES

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

OTSEGO PHYSICIAN SERVICES PC (NPI 1346054236) is a healthcare organization registered as an internal medicine in Gaylord, Michigan and active in the NPI registry since February 2025. The organization lists Monique Buller, Owner/president, as its authorized official.

NPPES Registry Identity

NPI1346054236
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameOTSEGO PHYSICIAN SERVICES PC
Location Address825 N CENTER AVEGaylord, MI 49735-1592
Mailing Address200 Corporate BlvdLafayette, LA 70508-3870 · (800) 893-9698
Fax(989) 731-2205
Organization SubpartNo
Authorized OfficialMonique BullerOwner/president · (337) 609-1221
Enumeration DateFebruary 3, 2025
Last NPPES UpdateApril 7, 20262 updates tracked since enumeration
NPPES CertifiedApril 7, 2026
✔ NPI 1346054236 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedHospitalistTaxonomy 208M00000X
Also ListedPhysician AssistantTaxonomy 363A00000X
Also ListedNurse PractitionerTaxonomy 363L00000X
825 N CENTER AVE, Gaylord, MI 49735

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Otsego Physician Services Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

62

Medicare enrollment records show 62 clinicians reassign Medicare billing to Otsego Physician Services PC, which bills Medicare for the services they deliver. Of these, 2 practice at this address. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 4

Internal Medicine40
Nurse Practitioner12
Family Practice5
Hospitalist5

Nearest to this location (20)

See all 62
Internal Medicine
NPI 1396735791
825 N CENTER AVE
Gaylord, MI 49735
(989) 731-2100
✔ PECOS✔ Accepts MedicareSame address
Internal Medicine
NPI 1114958899
829 N CENTER AVE SUITE 140
Gaylord, MI 49735
(989) 731-7870
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1255750550
1100 E MICHIGAN AVE
Grayling, MI 49738
(989) 348-5461
✔ PECOS✔ Accepts Medicare25 mi
Nurse Practitioner
NPI 1346905031
1100 E MICHIGAN AVE
Grayling, MI 49738
(989) 348-0345
✔ PECOS✔ Accepts Medicare25 mi
Nurse Practitioner
NPI 1063889244
560 W MITCHELL ST STE 560
Petoskey, MI 49770
(231) 487-5400
✔ PECOS✔ Accepts Medicare27 mi
Internal Medicine
NPI 1568843704
419 S CORAL ST
Kalkaska, MI 49646
(231) 258-7777
✔ PECOS✔ Accepts Medicare32 mi
Internal Medicine
NPI 1205865177
1105 SIXTH ST
Traverse City, MI 49684
(231) 935-5000
✔ PECOS✔ Accepts Medicare51 mi
Family Practice
NPI 1740661982
1400 MEDICAL CAMPUS DR
Traverse City, MI 49684
(231) 935-8000
✔ PECOS✔ Accepts Medicare52 mi
Nurse Practitioner
NPI 1033480769
1105 SIXTH ST
Traverse City, MI 49684
(231) 935-7142
✔ PECOS✔ Accepts Medicare55 mi
Hospitalist
NPI 1457514325
400 HOBART ST
Cadillac, MI 49601
(231) 876-7200
✔ PECOS✔ Accepts Medicare65 mi
Hospitalist
NPI 1245292549
335 BRIDGE ST NW APT 2704
Grand Rapids, MI 49504
(616) 570-0951
✔ PECOS✔ Accepts Medicare151 mi
Nurse Practitioner
NPI 1518216308
5900 BYRON CENTER AVE SW
Wyoming, MI 49519
(616) 252-7200
✔ PECOS✔ Accepts Medicare159 mi
Internal Medicine
NPI 1043442585
5220 HIGHLAND RD STE 240
Waterford, MI 48327
(248) 237-6580
✔ PECOS176 mi
Nurse Practitioner
NPI 1902415193
1217 KEARNEY ST STE 1
Port Huron, MI 48060
(810) 982-2095
✔ PECOS✔ Accepts Medicare180 mi
Internal Medicine
NPI 1861756595
50505 SCHOENHERR RD STE 340
Shelby Township, MI 48315
(586) 731-8400
✔ PECOS✔ Accepts Medicare184 mi
Family Practice
NPI 1861182479
44250 DEQUINDRE RD
Sterling Heights, MI 48314
(248) 964-0400
✔ PECOS185 mi
Internal Medicine
NPI 1972725083
205 N EAST AVE
Jackson, MI 49201
(517) 205-4946
✔ PECOS✔ Accepts Medicare193 mi
Nurse Practitioner
NPI 1609259837
601 JOHN ST SUITE M510
Kalamazoo, MI 49007
(269) 341-7762
✔ PECOS✔ Accepts Medicare195 mi
Hospitalist
NPI 1235579954
22101 MOROSS RD
Detroit, MI 48236
(313) 343-7774
✔ PECOS✔ Accepts Medicare201 mi
Family Practice
NPI 1528268026
700 HIGH ST
Williamsport, PA 17701
(570) 321-2850
✔ PECOS✔ Accepts Medicare467 mi
See all 62 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Otsego Physician Services PC's NPI number?

The NPI number for Otsego Physician Services PC is 1346054236. It was assigned to this organization in the NPPES registry on February 3, 2025.

Where is Otsego Physician Services PC located?

Otsego Physician Services PC is located at 825 N Center Ave, Gaylord, MI 49735. The listed phone number is (989) 731-2100.

What is Otsego Physician Services PC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Otsego Physician Services PC enrolled in Medicare?

Yes. Otsego Physician Services PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Otsego Physician Services PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 62 clinicians in 4 Medicare specialties reassign their Medicare billing to Otsego Physician Services PC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Internal Medicine (40), Nurse Practitioner (12) and Family Practice (5). Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Otsego Physician Services PC accept?

Health plans from Blue Cross Blue Shield of Michigan Mutual Insurance Company list Otsego Physician Services PC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Otsego Physician Services PC was last updated on April 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.