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GLORIA CHANEY
NPI 1548252240
Family Medicine in Detroit, MI

Active since August 18, 2005PECOS EnrolledAccepts Medicare Assignment
12871 E JEFFERSON AVE, DETROIT, MI 48215(313) 821-3900(313) 821-1511 Get Directions Write a Review

NPPES record last updated: January 19, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Gloria Chaney NPPES

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

GLORIA CHANEY (NPI 1548252240) is an individual family medicine provider in Detroit, Michigan, licensed in Michigan (5101009530) and active in the NPI registry since August 2005. She is enrolled in Medicare PECOS, is affiliated with Beaumont Hospital - Grosse Pointe, and is a graduate of Michigan College Of Medicine And Surgery (1986).

NPPES Registry Identity

NPI1548252240
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameGLORIA CHANEY
Location Address12871 E JEFFERSON AVEDetroit, MI 48215-2754
Mailing Address27774 Franklin RdSouthfield, MI 48034-2352 · (248) 356-5555 · Fax (248) 356-5544
Phone(313) 821-3900
Fax(313) 821-1511
Sole ProprietorNo
Medical School CMSMichigan College Of Medicine And SurgeryGraduated 1986
Enumeration DateAugust 18, 2005
Last NPPES UpdateJanuary 19, 2012
✔ NPI 1548252240 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 · 5101009530
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.
12871 E JEFFERSON AVE, Detroit, MI 48215
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Other Identifiers 3

Medicare ID-Type UnspecifiedM06610013
Medicaid3221696-11MI
Medicare UPINE-25857

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.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

Gloria Chaney 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 ID6709916414
PECOS Enrollment IDI20100607000477
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 7

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.
146 services68 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.
144 services73 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.
76 services51 patients
Blood glucose (sugar) level 82947
A 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.
72 services36 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An 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.
58 services58 patients
Urinalysis, manual test 81002
A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.
43 services28 patients

Hospital Affiliations CMS Care Compare 2

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

Beaumont Hospital - Grosse Pointe

Acute Care Hospitals · Grosse Pointe, MI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230089
Location468 Cadieux RdGrosse Pointe, MI 48230 · Wayne County
Emergency services Birthing friendly

Harper University Hospital

Acute Care Hospitals · Detroit, MI
1/5 CMS rating
OwnershipProprietary
CMS Certification Number230104
Location3990 John R StreetDetroit, MI 48201 · Wayne County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48215 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 6

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
6 suppliers28 claims75 services$6.19 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
2 suppliers13 claims21 services$1.23 avg. paid by Medicare
Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, silicone elastomeric, or hydrophilic, etc.), each A4352
DME-Orthotic Devices · category DF008N
1 supplier91 claims143,200 services$5.25 avg. paid by Medicare
Ostomy skin barrier, with flange (solid, flexible or accordion), without built-in convexity, 4 x 4 inches or smaller, each A4414
DME-Orthotic Devices · category DF010N
1 supplier11 claims220 services$4.32 avg. paid by Medicare
Ostomy pouch, drainable; for use on barrier with flange (2 piece system), each A5063
DME-Orthotic Devices · category DF010N
1 supplier11 claims220 services$2.38 avg. paid by Medicare
Standard wheelchair K0001
DME-Wheelchairs · category DD000N
1 supplier14 claims14 services$12.78 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 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ABDUL GHANI FAHD MOHAMMED D.D.S.
Dentist
12871 E JEFFERSON AVE, STE. C
DETROIT, MI 48215
Wayne County (313) 822-4200
LENYIE NGBOGBARA
Pharmacist
12871 E JEFFERSON AVE
DETROIT, MI 48215
Wayne County (313) 331-8484
MACKENZIE NYMEYER PA
Physician Assistant
12871 E JEFFERSON AVE
DETROIT, MI 48215
Wayne County (313) 821-3900
PARK FAMILY HEALTH CARE, P.C.
Family Medicine
12871 E JEFFERSON AVE
DETROIT, MI 48215
Wayne County (313) 821-3900
BAIG DENTAL GROUP, P.C.
Dentist (General Practice)
12871 E JEFFERSON AVE, STE. C
DETROIT, MI 48215
Wayne County (313) 822-4200
SUNSHINE MENTAL HEALTH CARE
Nurse Practitioner (Psychiatric/Mental Health)
12871 E JEFFERSON AVE
DETROIT, MI 48215
Wayne County (313) 821-3900
KIDDS COMFORT TRANSPORTATION SERVICES,LLC
Driver
12871 E JEFFERSON AVE
DETROIT, MI 48215
Wayne County (313) 331-8484
DR. RICHARD M. BROWN D.O.
Family Medicine
12871 E JEFFERSON AVE
DETROIT, MI 48215
Wayne County (313) 821-3900

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 Gloria Chaney's NPI number?

The NPI number for Gloria Chaney is 1548252240. It was assigned to this individual provider in the NPPES registry on August 18, 2005.

Where is Gloria Chaney located?

Gloria Chaney practices at 12871 E Jefferson Ave, Detroit, MI 48215. The listed phone number is (313) 821-3900.

What is Gloria Chaney's specialty?

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

Is Gloria Chaney enrolled in Medicare?

Yes. Gloria Chaney 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 Gloria Chaney accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 3 other insurers list Gloria Chaney 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 Gloria Chaney affiliated with any hospitals?

According to CMS data, Gloria Chaney is affiliated with Beaumont Hospital - Grosse Pointe and Harper University Hospital.

When was this NPI record last updated?

The NPPES record for Gloria Chaney was last updated on January 19, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.