DR. MICHAEL C WILLOUGHBY D.O.
NPI 1457589582
Internal Medicine - Cardiovascular Disease in Mount Clemens, MI
About Dr. Michael C Willoughby D.o. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. MICHAEL C WILLOUGHBY D.O. (NPI 1457589582) is an individual cardiovascular disease provider in Mount Clemens, Michigan, licensed in Illinois (036137782) and active in the NPI registry since June 2009. He is enrolled in Medicare PECOS, is affiliated with Palos Community Hospital, and maintains a secondary practice location in Palos Heights.
NPPES Registry Identity
Specialties & Licenses 3
Secondary Practice Location 1
Accepted 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
Dr. Michael C Willoughby 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.
Medicare Billing Reassignments
4Medicare enrollment records show Michael Willoughby reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Mount Clemens, MI 48043
- Reassigned Medicare billing, Michigan enrollment
- 188 clinicians in this Medicare group
Shelby Township, MI 48315
- Reassigned Medicare billing, Michigan enrollment
- 10 clinicians in this Medicare group
Lapeer, MI 48446
- Reassigned Medicare billing, Michigan enrollment
- 416 clinicians in this Medicare group
Carol Stream, IL 60122
- Reassigned Medicare billing, Illinois enrollment
- 4,817 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 18
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.
Hospital Affiliations CMS Care Compare 3
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Palos Community Hospital
Acute Care Hospitals · Palos Heights, ILNorthwestern Medicine Central Dupage Hospital
Acute Care Hospitals · Winfield, ILNorthwestern Memorial Hospital
Acute Care Hospitals · Chicago, ILPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 48043 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
MOUNT CLEMENS, MI 48043
MOUNT CLEMENS, MI 48043
MOUNT CLEMENS, MI 48043
MOUNT CLEMENS, MI 48043
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 Michael Willoughby's NPI number?
The NPI number for Michael Willoughby is 1457589582. It was assigned to this individual provider in the NPPES registry on June 27, 2009.
Where is Michael Willoughby located?
Michael Willoughby practices at 1000 Harrington St, Mount Clemens, MI 48043. The listed phone number is (586) 493-8000.
What is Michael Willoughby's specialty?
The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.
Is Michael Willoughby enrolled in Medicare?
Yes. Michael Willoughby is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Michael Willoughby's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Michael Willoughby reassigns Medicare benefits to 4 organizations: Mclaren Macomb (Mount Clemens, MI), Cardiology Associates Of Michigan, P.C. (Shelby Township, MI), Mclaren Medical Group (Lapeer, MI) and Northwestern Medical Faculty Foundation (Carol Stream, IL). Each 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 Michael Willoughby's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Michael Willoughby accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and Priority Health list Michael Willoughby 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.
Is Michael Willoughby affiliated with any hospitals?
According to CMS data, Michael Willoughby is affiliated with Palos Community Hospital, Northwestern Medicine Central Dupage Hospital and Northwestern Memorial Hospital.
When was this NPI record last updated?
The NPPES record for Michael Willoughby was last updated on August 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.