DR. BRET C BIELAWSKI DO
NPI 1437149671
Internal Medicine in Rochester Hills, MI
NPI Status: Active since October 27, 2005
Contact Information
1701 SOUTH BLVD E
STE 290
ROCHESTER HILLS, MI
ZIP 48307
Phone: (248) 997-7900
Fax: (248) 997-7918
- Individual
- Male
- Internal Medicine
- Accepts Insurance
- PECOS Enrolled
- Medicare Quality Reporting
About BRET BIELAWSKI
This page provides the complete NPI Profile along with additional information for Bret Bielawski, an internist established in Rochester Hills, Michigan with a medical specialization in Internal Medicine. The healthcare provider is registered in the NPI registry with number 1437149671 assigned on October 2005. The practitioner's primary taxonomy code is 207R00000X with license number 5101013936 (MI). The provider is registered as an individual and his NPI record was last updated 18 years ago.
- NPI
- 1437149671
- Provider Name
- DR. BRET C BIELAWSKI DO
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 1701 SOUTH BLVD E STE 290 ROCHESTER HILLS, MI 48307
- Location Phone
- (248) 997-7900
- Location Fax
- (248) 997-7918
- Mailing Address
- 1701 SOUTH BLVD E STE 290 ROCHESTER HILLS, MI 48307
- Mailing Phone
- (248) 997-7900
- Mailing Fax
- (248) 997-7918
- Is Sole Proprietor?
- No
- Enumeration Date
- 10-27-2005
- Last Update Date
- 07-08-2007
- Code Navigator
An internist like Bret Bielawski is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Internal Medicine
- Taxonomy Code
- 207R00000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 5101013936
- License State
- MI
- Taxonomy Description
- 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.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- UHC Bronze Copay Focus (No Referrals) - HMO
- UHC Bronze Standard (No Referrals) - HMO
- UHC Bronze Value (No Referrals) - HMO
- UHC Bronze Value+ (Dental + Vision, No Referrals) - HMO
- UHC Gold Advantage (No Referrals) - HMO
- UHC Gold Advantage+ (Dental + Vision, No Referrals) - HMO
- UHC Gold Copay Focus (No Referrals) - HMO
- UHC Gold Standard (No Referrals) - HMO
- UHC Silver Advantage (No Referrals) - HMO
- UHC Silver Advantage+ (Dental + Vision, No Referrals) - HMO
- UHC Silver Standard (No Referrals) - HMO
- UHC Silver Value (No Referrals) - HMO
- UHC Silver Value+ (Dental + Vision, No Referrals) - HMO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 13707 | OTHER (01) | MI | MCARE |
| H60519 | MEDICARE UPIN (02) | ||
| ON37740005 | MEDICARE ID-TYPE UNSPECIFIED (04) | MI |
Medicare Participation & PECOS Enrollment Status
Bret Bielawski is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Durable Medical Equipment (DME) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: No
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): No
Eligible to Order or Refer Power Mobility Devices: Yes
Provider Referred Orders for Durable Medical Equipment, Devices & Supplies
The following list reflects the services, supplies or durable medical equipment ordered by this provider to a DME supplier on behalf of patients. The information below is derived from Medicare claims data and reflects the BETOS category, HCPCS code information and the number times each service was submitted under the Medicare fee-for-service program.
Durable Medical Equipment
DME-Other DME (DE017N)
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips (HCPCS:A4253)
6 DME suppliers used 21 Medicare Claims 90 Services Paid
DME-Medical/Surgical Supplies (DA000N)
Lancets, per box of 100 (HCPCS:A4259)
6 DME suppliers used 18 Medicare Claims 33 Services Paid
Areas of Expertise
The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.
Administration of influenza virus vaccine
Administration of pneumococcal vaccine
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit
Blood glucose (sugar) level
Blood test, basic group of blood chemicals (calcium, total)
Blood test, comprehensive group of blood chemicals
Blood test, lipids (cholesterol and triglycerides)
Blood test, thyroid stimulating hormone (tsh)
Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count
Cyanocobalamin (vitamin b-12) level
Established patient office or other outpatient visit, 10-19 minutes
Established patient office or other outpatient visit, 20-29 minutes
Established patient office or other outpatient visit, 30-39 minutes
Hemoglobin a1c level
Influenza vaccine split virus, preservative free
Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment
Injection of drug or substance under skin or into muscle
Insertion of needle into vein for collection of blood sample
Osteopathic manipulative treatment, 1-2 body regions
Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and
Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use
Prostate cancer screening; prostate specific antigen test (psa)
Removal of impacted ear wax
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report
Transitional care management services for problem of moderate complexity
Ultrasound of both sides of head and neck blood flow
Vitamin d-3 level
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
This service was performed 44 times for 44 patientsThe pneumococcal vaccine helps protect against pneumococcal bacteria, which can cause severe infections like pneumonia and meningitis. The vaccine is given as an injection, typically in the arm. It's recommended for infants, older adults, and those with certain health conditions.
This service was performed 32 times for 32 patientsAn 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.
This service was performed 153 times for 153 patientsAn annual wellness visit is a yearly appointment with your doctor to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's an opportunity to discuss your health status and goals and get a plan tailored for you.
This service was performed 16 times for 16 patientsA blood glucose level test measures the amount of sugar in your blood. It's often used to monitor and manage conditions like diabetes. High or low levels can indicate a health issue. The test is usually done by pricking your finger for a small blood sample.
This service was performed 28 times for 26 patientsA basic group blood test measures the levels of certain chemicals in your blood, including calcium. This helps assess your overall health and detect potential problems. The procedure involves drawing a small amount of blood from your arm, which is then analyzed in a lab.
This service was performed 34 times for 31 patientsA comprehensive group of blood chemicals test, also known as a comprehensive metabolic panel, is a blood test that measures your sugar level, electrolyte and fluid balance, kidney function, and liver function. This helps to check your body's overall health.
This service was performed 138 times for 130 patientsA lipid panel is a blood test that measures fats and fatty substances, such as cholesterol and triglycerides. These substances are used by your body as a source of energy. High levels can lead to health issues, including heart disease.
This service was performed 196 times for 151 patientsA TSH blood test measures the level of thyroid stimulating hormone in your body. This hormone is produced by the pituitary gland and regulates how your thyroid works. It's a simple procedure where a small amount of blood is drawn from your arm for analysis.
This service was performed 26 times for 23 patientsA Complete Blood Cell Count is a common test that measures various components of the blood, including red cells (carry oxygen), white cells (fight infection), and platelets (help blood clot). An automated test ensures accuracy. The differential count provides detailed information about white cell types.
This service was performed 153 times for 140 patientsA Cyanocobalamin (Vitamin B-12) level test is a blood test that checks the amount of Vitamin B-12 in your body. This vitamin is vital for nerve function and the creation of red blood cells. Low or high levels could indicate a potential health issue.
This service was performed 20 times for 18 patientsThis is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
This service was performed 15 times for 14 patientsThis 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.
This service was performed 158 times for 121 patientsThis 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.
This service was performed 208 times for 156 patientsHemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
This service was performed 173 times for 124 patientsThe Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
This service was performed 42 times for 42 patientsAn Initial Preventive Physical Examination, also known as a "Welcome to Medicare" visit, is a one-time, face-to-face visit during your first 12 months of Medicare enrollment. It includes a review of your health, as well as education and counseling about preventive services and further screenings.
This service was performed 12 times for 12 patientsThis procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.
This service was performed 12 times for 11 patientsThis procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
This service was performed 365 times for 203 patientsOsteopathic Manipulative Treatment (OMT) is a hands-on method where doctors use their hands to diagnose and treat illnesses. For 1-2 body regions, the doctor focuses on specific areas like your back or neck, using techniques to alleviate pain, restore function, and promote healing.
This service was performed 20 times for 19 patientsThis is a service where a doctor or authorized practitioner certifies that you require Medicare-covered home health services. They will communicate with the home health agency and review reports on your health status to ensure you receive appropriate care. This does not involve an in-person visit.
This service was performed 16 times for 13 patientsThe Pneumococcal Conjugate Vaccine (PCV20) is a shot given to protect against 20 types of bacteria that can cause serious infections like pneumonia and meningitis. It's administered through a muscle, usually in the arm. It's important for overall health.
This service was performed 26 times for 26 patientsProstate cancer screening involves a simple blood test known as the Prostate Specific Antigen (PSA) test. This test measures the level of PSA in your blood. Higher than normal levels can be an early indication of prostate issues, including cancer. It's a key tool in early detection.
This service was performed 38 times for 38 patientsImpacted ear wax removal is a safe procedure to clear blockages in the ear canal caused by hardened ear wax. A healthcare professional uses specialized tools or a gentle irrigation method to loosen and remove the wax, improving hearing and alleviating discomfort.
This service was performed 33 times for 30 patientsAn electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
This service was performed 90 times for 86 patientsTransitional care management services focus on coordinating and managing your care after you leave the hospital. For moderate complexity problems, this involves managing your medications, arranging further treatments, and ensuring you have the necessary follow-ups.
This service was performed 18 times for 18 patientsAn ultrasound of the head and neck blood flow is a safe, non-invasive procedure that uses sound waves to create images of blood vessels. It helps detect abnormalities like blockages or clots, ensuring optimal blood flow.
This service was performed 11 times for 11 patientsA Vitamin D-3 level test measures the amount of Vitamin D-3, a crucial nutrient, in your body. This test helps identify if your levels are too low or too high. Low levels may lead to bone weakness, while high levels could harm your kidneys. It's a simple blood test.
This service was performed 50 times for 48 patientsPhysician Visit Costs
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 48307 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99204
- Average New Patient Price $134.28
- Minimum New Patient Price $58.04
- Maximum New Patient Price $177.36
- Average New Patient Copayment $33.57
- Minimum New Patient Copayment $14.51
- Maximum New Patient Copayment $44.34
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99214
- Average Established Patient Price $102.35
- Minimum Established Patient Price $18.32
- Maximum Established Patient Price $143.49
- Average Established Patient Copayment $25.58
- Minimum Established Patient Copayment $4.58
- Maximum Established Patient Copayment $35.87
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
MIPS Quality Measures
The following performance measures were reported under the Merit-Based Incentive Payment System (MIPS) and Qualified Clinical Data Registry (QCDR) quality measures program.
| Quality Measure | Performance | Number of Patients |
|---|---|---|
| Adult Major Depressive Disorder (MDD): Suicide Risk Assessment | 0% | 50 |
| Appropriate Treatment for Upper Respiratory Infection (URI) | 98% | 699 |
| Breast Cancer Screening | 79% | 272 |
| Cervical Cancer Screening | 80% | 231 |
| Closing the Referral Loop: Receipt of Specialist Report | 3% | 245 |
| Diabetes: Eye Exam | 34% | 133 |
| Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%) | 20% "Inverse Quality Measure" This is an inverse quality measure, a lower rate means the provider is rated better. | 133 |
| Diabetes: Medical Attention for Nephropathy | 94% | 133 |
| Documentation of Current Medications in the Medical Record | 97% | 2580 |
| Falls: Screening for Future Fall Risk | 75% | 536 |
| Functional Status Assessments for Heart Failure | 0% | 33 |
| HIV Screening | 11% | 819 |
| Pneumococcal Vaccination Status for Older Adults | 89% | 502 |
| Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan | 27% | 1303 |
| Preventive Care and Screening: Influenza Immunization | 44% | 979 |
| Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented | 55% | 1061 |
| Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | 32% | 97 |
| Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | 86% | 1261 |
| Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | 81% | 1261 |
| Primary Caries Prevention Intervention as Offered by Primary Care Providers, including Dentists | 0% | 22 |
| Use of High-Risk Medications in Older Adults | 2% "Inverse Quality Measure" This is an inverse quality measure, a lower rate means the provider is rated better. | 534 |
| Use of High-Risk Medications in Older Adults | 7% "Inverse Quality Measure" This is an inverse quality measure, a lower rate means the provider is rated better. | 534 |
| Use of High-Risk Medications in Older Adults | 4% "Inverse Quality Measure" This is an inverse quality measure, a lower rate means the provider is rated better. | 534 |
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 4 | 3 | 7 | 1 | 4 | 9 | 6 | 7 | 1 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 4 | 6 | 7 | 2 | 4 | 18 | 6 | 14 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 4 + 6 + 7 + 2 + 4 + 1 + 8 + 6 + 1 + 4 + 24 = 69 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 69 = 1 | 1 | ||||||||
The NPI number 1437149671 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
MICHEL MOUSSA HANNA M.D.
Internal Medicine
(Infectious Disease)
1701 SOUTH BLVD E
SUITE 160
ROCHESTER HILLS, MI
ZIP 48307
DR. TODD M HACHIGIAN MD
Internal Medicine
1701 SOUTH BLVD E
STE 290
ROCHESTER HILLS, MI
ZIP 48307
DR. MARA L GEIGER MD
Internal Medicine
1701 SOUTH BLVD E
STE 290
ROCHESTER HILLS, MI
ZIP 48307
DR. ANNA V KULCZYCKI-MITTAG MD
Internal Medicine
1701 SOUTH BLVD E
STE 290
ROCHESTER HILLS, MI
ZIP 48307
DR. MICHAEL W NICHOLS MD
Family Medicine
1701 SOUTH BLVD E
STE 240
ROCHESTER HILLS, MI
ZIP 48307
DR. KELLY Z ORTWINE MD
Family Medicine
1701 SOUTH BLVD E
STE 240
ROCHESTER HILLS, MI
ZIP 48307
DR. JOEL E BUCHANAN MD
Family Medicine
1701 SOUTH BLVD E
STE 240
ROCHESTER HILLS, MI
ZIP 48307
DR. MICHAEL J LUCAS MD
Surgery
1701 SOUTH BLVD E
STE 270
ROCHESTER HILLS, MI
ZIP 48307
DR. MARK A HERMAN MD
Surgery
1701 SOUTH BLVD E
STE 270
ROCHESTER HILLS, MI
ZIP 48307
DR. BRUCE B MCINTOSH MD
Surgery
1701 SOUTH BLVD E
STE 270
ROCHESTER HILLS, MI
ZIP 48307
DR. PREETHAM Y REDDY MD
Internal Medicine
(Nephrology)
1701 SOUTH BLVD E
SUITE 320
ROCHESTER HILLS, MI
ZIP 48307
ACADEMIC CARDIOLOGY ASSOCIATES, PC
Internal Medicine
(Cardiovascular Disease)
1701 SOUTH BLVD E
SUITE 390
ROCHESTER HILLS, MI
ZIP 48307
DOCNOW URGENT CARE, PC
Family Medicine
1701 SOUTH BLVD E
STE 150
ROCHESTER HILLS, MI
ZIP 48307
MICHEL HANNA MD PC
Internal Medicine
(Infectious Disease)
1701 SOUTH BLVD E
ROCHESTER HILLS, MI
ZIP 48307
MACOMB OAKLAND ADULT MEDICINE PC
Internal Medicine
1701 SOUTH BLVD E
SUITE 290
ROCHESTER HILLS, MI
ZIP 48307
HEATHER S LOWRY NP
Nurse Practitioner
(Women's Health)
1701 SOUTH BLVD E
SUITE 200
ROCHESTER HILLS, MI
ZIP 48307
KATRINA LYN PARMELEE-PETERS M.D.
Family Medicine
1701 SOUTH BLVD E
STE 150
ROCHESTER HILLS, MI
ZIP 48307
EDGAR ABUYAN ALTARES M.D.
Family Medicine
1701 SOUTH BLVD E
STE 150
ROCHESTER HILLS, MI
ZIP 48307
DR. JANICE DAY SUHAJDA M.D.
Family Medicine
1701 SOUTH BLVD E
SUITE 150
ROCHESTER HILLS, MI
ZIP 48307
ZHENG WU M.D.
Family Medicine
1701 SOUTH BLVD E
SUITE 150
ROCHESTER HILLS, MI
ZIP 48307
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1437149671, enumerated as an "individual" on October 27, 2005.
The provider is located at 1701 SOUTH BLVD E STE 290 ROCHESTER HILLS, MI 48307 and the phone number is (248) 997-7900.
Internal Medicine with taxonomy code 207R00000X.
The provider might be accepting Accepts: UnitedHealthcare, Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
