ANTHONY JOSEPH AGRUSA D.O.
NPI 1528419199
Family Medicine in Clarkston, MI

Active since June 24, 2016PECOS EnrolledAccepts Medicare Assignment
5701 BOW POINTE DR STE 100, CLARKSTON, MI 48346(248) 625-2621(248) 625-2622 Get Directions Write a Review

NPPES record last updated: October 30, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Oct 30, 2019, Jun 24, 2016 (2 updates tracked since 2016).

About Anthony Joseph Agrusa D.o. NPPES

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

ANTHONY JOSEPH AGRUSA D.O. (NPI 1528419199) is an individual family medicine provider in Clarkston, Michigan, licensed in Michigan (5101022413) and active in the NPI registry since June 2016. He is enrolled in Medicare PECOS, is affiliated with Trinity Health Oakland Hospital, and maintains a secondary practice location in Lansing.

NPPES Registry Identity

NPI1528419199
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameANTHONY JOSEPH AGRUSACredential: D.O.
Location Address5701 BOW POINTE DR STE 100Clarkston, MI 48346
Mailing Address5701 Bow Pointe Dr Ste 100Clarkston, MI 48346-3199 · (248) 625-2621 · Fax (248) 625-2622
Fax(248) 625-2622
Sole ProprietorYes
Medical School CMSMichigan State University College Of Osteopathic MedicineGraduated 2016
Enumeration DateJune 24, 2016
Last NPPES UpdateOctober 30, 20192 updates tracked since enumeration
NPI 1528419199 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in MI · 5101022413
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

5701 BOW POINTE DR STE 100, Clarkston, MI 48346

Secondary Practice Location 1

Location 11200 E Michigan AveLansing, MI 48912-1800 · Phone (517) 364-5772

Other Identifiers 1

Other5101022413MI · Medical License Number

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Anthony Joseph Agrusa 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.

PECOS PAC ID4587992011
PECOS Enrollment IDI20190822000508
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.

Areas of Expertise CMS Part B claims 25

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This 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.
333 services157 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This 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.
133 services93 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
114 services114 patients
Annual alcohol misuse screening, 5 to 15 minutes G0442
An annual alcohol misuse screening is a 15-minute check-up to assess your drinking habits. It helps identify if you're consuming alcohol in a way that could harm your health. This is not a judgment, but a tool to promote your wellbeing.
114 services114 patients
Insertion of needle into vein for collection of blood sample 36415
This 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.
101 services72 patients
Annual depression screening, 5 to 15 minutes G0444
An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.
92 services92 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Trinity Health Oakland Hospital

Acute Care Hospitals · Pontiac, MI
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230029
Location44405 Woodward AvePontiac, MI 48341 · Oakland County
Emergency services Birthing friendly

Mclaren Oakland

Acute Care Hospitals · Pontiac, MI
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230207
Location50 N Perry StPontiac, MI 48342 · Oakland County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48346 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
$102.35 typical visit price
range $18.32 – $143.49
Typical copayment $25.58 (range $4.58 – $35.87)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 4

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
5 suppliers20 claims65 services$5.92 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
3 suppliers17 claims18 services$83.53 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
2 suppliers12 claims12 services$31.21 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
3 suppliers22 claims22 services$200.46 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Family Medicine
5701 BOW POINTE DR STE 100
CLARKSTON, MI 48346
Internal Medicine
5701 BOW POINTE DR STE 100
CLARKSTON, MI 48346
Family Medicine
5701 BOW POINTE DR STE 100
CLARKSTON, MI 48346
Internal Medicine
5701 BOW POINTE DR STE 100
CLARKSTON, MI 48346
Physician Assistant
5701 BOW POINTE DR STE 100
CLARKSTON, MI 48346
Hospitalist
5701 BOW POINTE DR STE 100
CLARKSTON, MI 48346
Internal Medicine
5701 BOW POINTE DR STE 100
CLARKSTON, MI 48346
Physician Assistant
5701 BOW POINTE DR STE 100
CLARKSTON, MI 48346

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 Anthony Agrusa's NPI number?

The NPI number for Anthony Agrusa is 1528419199. It was assigned to this individual provider in the NPPES registry on June 24, 2016.

Where is Anthony Agrusa located?

Anthony Agrusa practices at 5701 Bow Pointe Dr Ste 100, Clarkston, MI 48346. The listed phone number is (248) 625-2621.

What is Anthony Agrusa's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Anthony Agrusa enrolled in Medicare?

Yes. Anthony Agrusa 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.

What insurance does Anthony Agrusa accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, McLaren Health Plan Community and Priority Health list Anthony Agrusa 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 Anthony Agrusa affiliated with any hospitals?

According to CMS data, Anthony Agrusa is affiliated with Trinity Health Oakland Hospital and Mclaren Oakland.

When was this NPI record last updated?

The NPPES record for Anthony Agrusa was last updated on October 30, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.