NORTHWEST MICHIGAN SURGICAL GROUP, P.C.
NPI 1386659043
Surgery in Traverse City, MI
About Northwest Michigan Surgical Group, P.c. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
NORTHWEST MICHIGAN SURGICAL GROUP, P.C. (NPI 1386659043) is a healthcare organization registered as a surgery in Traverse City, Michigan and active in the NPI registry since July 2006. The organization lists James R. Mcdonnell, President/owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Northwest Michigan Surgical Group, P.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by December 31, 2026
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Northwest Michigan Surgical Group, P.C., which bills Medicare for the services this clinician delivers.
Clinician (1)
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 Northwest Michigan Surgical Group, P.C.'s NPI number?
The NPI number for Northwest Michigan Surgical Group, P.C. is 1386659043. It was assigned to this organization in the NPPES registry on July 30, 2006. The provider is also known as Professional Corporation.
Where is Northwest Michigan Surgical Group, P.C. located?
Northwest Michigan Surgical Group, P.C. is located at 872 Munson Ave Ste C, Traverse City, MI 49686. The listed phone number is (231) 935-8346.
What is Northwest Michigan Surgical Group, P.C.'s specialty?
The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.
Is Northwest Michigan Surgical Group, P.C. enrolled in Medicare?
Yes. Northwest Michigan Surgical Group, P.C. is registered in the Medicare PECOS enrollment system.
When is Northwest Michigan Surgical Group, P.C.'s Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Michigan, Clinic/Group Practice) is due for revalidation by December 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Northwest Michigan Surgical Group, P.C.?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (General Surgery) reassigns their Medicare billing to Northwest Michigan Surgical Group, P.C.. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Northwest Michigan Surgical Group, P.C. accept?
Health plans from Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Northwest Michigan Surgical Group, P.C. 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 Northwest Michigan Surgical Group, P.C. was last updated on July 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.
# Northwest Michigan Surgical Group, P.c. · NPI 1386659043
Surgery organization in Traverse City, Michigan. Organization record, active in the CMS NPPES registry since July 30, 2006.
## Identity
- **NPI:** 1386659043 (Entity type: Organization)
- **Enumerated:** July 30, 2006
- **Primary specialty:** Surgery · taxonomy 208600000X
- **Also known as:** Professional Corporation (Other Name)
- **Organization subpart:** No
- **Authorized official:** James Mcdonnell, PRESIDENT/OWNER
## Practice location
- **Address:** 872 MUNSON AVE STE C, Traverse City, MI 49686-3638
- **Phone:** (231) 935-8346 · **Fax:** (231) 935-2850
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** December 31, 2026 (Non-DME Part B, Michigan, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 1 clinician (General Surgery) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 25, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1386659043) · Data from the CMS NPPES public registry.