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DR. KATIE HILL MACFARLANE D.O.
NPI 1548491129
Internal Medicine in Farmington Hills, MI

Active since July 30, 2009PECOS EnrolledAccepts Medicare Assignment
95.78/100
CMS Quality Rating
23133 ORCHARD LAKE RD STE 200, FARMINGTON HILLS, MI 48336(248) 579-9220(248) 471-9978 Get Directions Write a Review

NPPES record last updated: March 6, 2026. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Mar 6, 2026, Sep 24, 2018, Feb 8, 2016 (3 updates tracked since 2016).

About Dr. Katie Hill Macfarlane D.o. NPPES

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

DR. KATIE HILL MACFARLANE D.O. (NPI 1548491129) is an individual internal medicine provider in Farmington Hills, Michigan, licensed in Michigan (5101018100) and active in the NPI registry since July 2009. She is enrolled in Medicare PECOS, is affiliated with Beaumont Hospital - Dearborn, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1548491129
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameDR. KATIE HILL MACFARLANECredential: D.O.
Location Address23133 ORCHARD LAKE RD STE 200Farmington Hills, MI 48336-3268
Mailing Address23133 Orchard Lake Rd Ste 200Farmington, MI 48336-3279 · (734) 462-0340 · Fax (734) 462-0344
Phone(248) 579-9220
Fax(248) 471-9978
Sole ProprietorNo
Medical School CMSUniversity Of New England, College Of Osteo MedicineGraduated 2008
Enumeration DateJuly 30, 2009
Last NPPES UpdateMarch 6, 20263 updates tracked since enumeration
NPPES CertifiedMarch 6, 2026
✔ NPI 1548491129 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in MI · 5101018100
Definition
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.
23133 ORCHARD LAKE RD STE 200, Farmington Hills, MI 48336
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Other Names 1

Former Name (1)Dr. Katie Hill Sumnicht D.o.

Secondary Practice Locations 2

Location 127301 Dequindre Rd Ste 314Madison Heights, MI 48071-3459 · Phone (248) 579-9220 · Fax (248) 426-7350
Location 21 William Carls Dr Ste 220Commerce Twp, MI 48382-2201 · Phone (248) 579-9220 · Fax (248) 426-7350

Other Identifiers 1

Medicaid1548491129MI

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

Dr. Katie Hill Macfarlane 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 ID8325277601
PECOS Enrollment IDI20140827001515
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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
321 services174 patients
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.
236 services136 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
141 services137 patients
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
65 services65 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
56 services56 patients
Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385
This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.
55 services55 patients

Hospital Affiliations CMS Care Compare 5

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

Beaumont Hospital - Dearborn

Acute Care Hospitals · Dearborn, MI
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230020
Location18101 Oakwood BlvdDearborn, MI 48124 · Wayne County
Emergency services Birthing friendly

Beaumont Hospital Royal Oak

Acute Care Hospitals · Royal Oak, MI
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230130
Location3601 W Thirteen Mile RdRoyal Oak, MI 48073 · Oakland County
Emergency services Birthing friendly

Corewell Health Wayne Hospital

Acute Care Hospitals · Wayne, MI
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230142
Location33155 Annapolis AveWayne, MI 48184 · Wayne County
Emergency services Birthing friendly

Beaumont Hospital - Farmington Hills

Acute Care Hospitals · Farmington Hills, MI
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230151
Location28050 Grand River AvenueFarmington Hills, MI 48336 · Oakland County
Emergency services Birthing friendly

Huron Valley-Sinai Hospital

Acute Care Hospitals · Commerce Township, MI
3/5 CMS rating
OwnershipProprietary
CMS Certification Number230277
LocationOne William Carls DriveCommerce Township, MI 48382 · Oakland County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48336 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
$134.28 typical visit price
range $58.04 – $177.36
Typical copayment $33.57 (range $14.51 – $44.34)
Most-billed visit code 99204
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

95.78/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality96.37
Promoting Interoperability100
Improvement Activities40
Cost71.22

Reported Quality Measures

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
100%131 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

Parenteral nutrition solution, not otherwise specified, 10 grams lipids B4185
Other-Enteral and Parenteral · category OB005N
1 supplier25 claims380 services$11.20 avg. paid by Medicare
Parenteral nutrition solution; compounded amino acid and carbohydrates with electrolytes, trace elements and vitamins, including preparation, any strength, 74 to 100 grams of protein - premix B4197
Other-Enteral and Parenteral · category OB005N
1 supplier28 claims190 services$278.78 avg. paid by Medicare
Parenteral nutrition supply kit; premix, per day B4220
Other-Enteral and Parenteral · category OB005N
1 supplier28 claims190 services$7.98 avg. paid by Medicare
Parenteral nutrition administration kit, per day B4224
Other-Enteral and Parenteral · category OB005N
1 supplier28 claims190 services$24.92 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.

DR. JARED GRODMAN DO
Internal Medicine (Gastroenterology)
23133 ORCHARD LAKE RD STE 200
FARMINGTON HILLS, MI 48336
Oakland County (248) 579-9220
JOLIAN SAM KATHAWA D.O.
Internal Medicine (Gastroenterology)
23133 ORCHARD LAKE RD STE 200
FARMINGTON, MI 48336
Oakland County (248) 579-9220
BRUCE F ARNOLD M.D.
Pathology (Anatomic Pathology & Clinical Pathology)
23133 ORCHARD LAKE RD STE 200
FARMINGTON, MI 48336
Oakland County (248) 579-9220
OLGA BRUSHABER DO
Internal Medicine (Gastroenterology)
23133 ORCHARD LAKE RD STE 200
FARMINGTON HILLS, MI 48336
Oakland County (248) 471-8950
STEVEN R KLEIN D.O.
Internal Medicine (Gastroenterology)
23133 ORCHARD LAKE RD STE 200
FARMINGTON HILLS, MI 48336
Oakland County (248) 579-9220
SOUTH OAKLAND GASTROENTEROLOGY ASSOCIATES PC
Internal Medicine (Gastroenterology)
23133 ORCHARD LAKE RD STE 200
FARMINGTON, MI 48336
Oakland County (248) 579-9220
WILLIAM R RAMINICK D.O.
Internal Medicine (Gastroenterology)
23133 ORCHARD LAKE RD STE 200
FARMINGTON HILLS, MI 48336
Oakland County (248) 579-9220
MARIQUIT DUMAGUIN SENDELBACH D.O.
Internal Medicine (Gastroenterology)
23133 ORCHARD LAKE RD STE 200
FARMINGTON HILLS, MI 48336
Oakland County (248) 471-8982

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 Katie Macfarlane's NPI number?

The NPI number for Katie Macfarlane is 1548491129. It was assigned to this individual provider in the NPPES registry on July 30, 2009. The provider is also known as Dr. Katie Hill Sumnicht D.O..

Where is Katie Macfarlane located?

Katie Macfarlane practices at 23133 Orchard Lake Rd Ste 200, Farmington Hills, MI 48336. The listed phone number is (248) 579-9220.

What is Katie Macfarlane's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Katie Macfarlane enrolled in Medicare?

Yes. Katie Macfarlane 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 Katie Macfarlane 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 Katie Macfarlane 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 Katie Macfarlane affiliated with any hospitals?

According to CMS data, Katie Macfarlane is affiliated with Beaumont Hospital - Dearborn, Beaumont Hospital Royal Oak, Corewell Health Wayne Hospital, Beaumont Hospital - Farmington Hills and Huron Valley-Sinai Hospital.

When was this NPI record last updated?

The NPPES record for Katie Macfarlane was last updated on March 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.