ETHAN COUCKE DO
NPI 1487188710
Internal Medicine in Petoskey, MI
About Ethan Coucke Do NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ETHAN COUCKE DO (NPI 1487188710) is an individual internal medicine provider in Petoskey, Michigan, licensed in Michigan (5101023447) and active in the NPI registry since April 2017. He is enrolled in Medicare PECOS, is affiliated with Mclaren Northern Michigan, and is a graduate of Michigan State University College Of Osteopathic Medicine (2017).
NPPES Registry Identity
Specialties & Licenses
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
Ethan Coucke Do 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
2Medicare enrollment records show Ethan Coucke reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Flint, MI 48532
- Reassigned Medicare billing, Michigan enrollment
- 444 clinicians in this Medicare group
Scottsdale, AZ 85254
- Reassigned Medicare billing, Michigan enrollment
- 143 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 3
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
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Mclaren Northern Michigan
Acute Care Hospitals · Petoskey, MIPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 49770 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Referred Medical Equipment & Supplies CMS DME claims 2
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
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.
PETOSKEY, MI 49770
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 Ethan Coucke's NPI number?
The NPI number for Ethan Coucke is 1487188710. It was assigned to this individual provider in the NPPES registry on April 13, 2017.
Where is Ethan Coucke located?
Ethan Coucke practices at 416 Connable Ave, Petoskey, MI 49770. The listed phone number is (231) 487-7969.
What is Ethan Coucke's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Ethan Coucke enrolled in Medicare?
Yes. Ethan Coucke 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 Ethan Coucke's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Ethan Coucke reassigns Medicare benefits to 2 organizations: Mclaren Hospital Group (Flint, MI) and Apogee Medical Group, Michigan, PC (Scottsdale, AZ). 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 Ethan Coucke's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Ethan Coucke accept?
Health plans from Priority Health list Ethan Coucke 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 Ethan Coucke affiliated with any hospitals?
According to CMS data, Ethan Coucke is affiliated with Mclaren Northern Michigan.
When was this NPI record last updated?
The NPPES record for Ethan Coucke was last updated on November 29, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.
# Ethan Coucke, DO · NPI 1487188710
Internal Medicine physician in Petoskey, Michigan. Individual provider, active in the CMS NPPES registry since April 13, 2017.
## Identity
- **NPI:** 1487188710 (Entity type: Individual)
- **Enumerated:** April 13, 2017
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **State license:** 5101023447 (Michigan)
- **Sole proprietor:** No
## Practice location
- **Address:** 416 CONNABLE AVE, Petoskey, MI 49770-2212
- **Phone:** (231) 487-7969
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Mclaren Hospital Group (NPI 1942026174, Flint, MI); Apogee Medical Group, Michigan, PC (NPI 1053655134, Scottsdale, AZ) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Michigan State University College Of Osteopathic Medicine, class of 2017
## Record status
- **NPPES last updated:** November 29, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1487188710) · Data from the CMS NPPES public registry.