AARON TISACK
NPI 1376121350
Dermatology in Novi, MI

Q: What is Aaron Tisack's NPI number?

The NPI number for Aaron Tisack is 1376121350. It was assigned to this individual provider in the NPPES registry on March 31, 2021.

Q: What is Aaron Tisack's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Q: When was this NPI record last updated?

The NPPES record for Aaron Tisack was last updated on June 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since March 31, 2021PECOS EnrolledAccepts Medicare Assignment

39450 W TWELVE MILE RD, NOVI, MI 48377(248) 344-6688 Get Directions Write a Review

NPPES record last updated: June 22, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 15, 2025, Mar 31, 2021 (2 updates tracked since 2021).

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About Aaron Tisack NPPES

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

AARON TISACK (NPI 1376121350) is an individual dermatology provider in Novi, Michigan, licensed in Michigan (4301518000) and active in the NPI registry since March 2021. He is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1376121350

Entity TypeIndividualMale

Primary Taxonomy207N00000X

Provider Legal NameAARON TISACK

Location Address39450 W TWELVE MILE RDNovi, MI 48377-3600

Mailing Address1 Ford Pl Ste 3aDetroit, MI 48202-3450 · (313) 874-4806

Phone(248) 344-6688

Sole ProprietorNo

Medical School CMSOtherGraduated 2021

Enumeration DateMarch 31, 2021

Last NPPES UpdateJune 22, 20262 updates tracked since enumeration

NPPES CertifiedJune 22, 2026

✔ NPI 1376121350 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians

Taxonomy Code207N00000X

License✔ Licensed in MI · 4301518000

Definition

A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.

39450 W TWELVE MILE RD, Novi, MI 48377

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Aaron Tisack 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 ID8628474897

PECOS Enrollment IDI20260627000312

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.

Medicare Billing Reassignment

Medicare enrollment records show Aaron Tisack reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Henry Ford Health System

19 mi

Dermatology

2799 W GRAND BLVD
Detroit, MI 48202

Reassigned Medicare billing, Michigan enrollment
33 clinicians in this Medicare group

NPI 1730252339 (313) 916-2600

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48377 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

$72.38 typical visit price

range $18.32 – $143.49

Typical copayment $18.09 (range $4.58 – $35.87)

Most-billed visit code 99213

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

Other Providers at the Same Location NPPES 16

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

CHRISTINA ROSEMARIE BYK

Physician Assistant