ETHAN GRAHAM ENGLERT MD
NPI 1548634330
Orthopaedic Surgery - Pediatric Orthopaedic Surgery in Royal Oak, MI

Q: What is Ethan Englert's NPI number?

The NPI number for Ethan Englert is 1548634330. It was assigned to this individual provider in the NPPES registry on November 17, 2015.

Q: What is Ethan Englert's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Pediatric Orthopaedic Surgery, with taxonomy code 207XP3100X.

Q: When was this NPI record last updated?

The NPPES record for Ethan Englert was last updated on March 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.

Active since November 17, 2015PECOS Enrolled

80.99/100

CMS Quality Rating

3601 W 13 MILE RD, ROYAL OAK, MI 48073(248) 551-3140(248) 551-5404 Get Directions Write a Review

NPPES record last updated: March 9, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 9, 2026, Jun 13, 2025, Aug 15, 2024 and 3 more (6 updates tracked since 2015).

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About Ethan Graham Englert Md NPPES

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

ETHAN GRAHAM ENGLERT MD (NPI 1548634330) is an individual pediatric orthopaedic surgery provider in Royal Oak, Michigan, licensed in Utah (14213758-1205) and active in the NPI registry since November 2015. He is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1548634330

Entity TypeIndividualMale

Primary Taxonomy207XP3100X

Provider Legal NameETHAN GRAHAM ENGLERTCredential: MD

Location Address3601 W 13 MILE RDRoyal Oak, MI 48073

Mailing Address26901 Beaumont Blvd Ste 3dSouthfield, MI 48033-3849

Phone(248) 551-3140

Fax(248) 551-5404

Sole ProprietorNo

Enumeration DateNovember 17, 2015

Last NPPES UpdateMarch 9, 20266 updates tracked since enumeration

NPPES CertifiedMarch 9, 2026

✔ NPI 1548634330 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOrthopaedic Surgery · Pediatric Orthopaedic SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code207XP3100X

License✔ Licensed in UT · 14213758-1205

Definition

An orthopedic surgeon who has additional training and experience in diagnosing, treating and managing musculoskeletal problems in infants, children and adolescents. These may include limb and spine deformities (such as club foot, scoliosis); gait abnormalities (limping); bone and joint infections; broken bones.

Also ListedOrthopaedic SurgeryTaxonomy 207X00000X · License 4351045178 (MI)

3601 W 13 MILE RD, Royal Oak, MI 48073

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Secondary Practice Locations 2

Location 13535 W 13 Mile Rd Ste 742Royal Oak, MI 48073-6770 · Phone (248) 551-9100

Location 210000 Telegraph Rd Ste 100Taylor, MI 48180-3330 · Phone (313) 889-6000

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Buckeye Health Plan and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ethan Graham Englert Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignments

Medicare enrollment records show Ethan Englert reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

University Of Utah Adult Services

1,475 mi

Orthopaedic Surgery

9385 S SNOWBIRD CENTER DR
Sandy, UT 84092

Reassigned Medicare billing, Utah enrollment
2,620 clinicians in this Medicare group

NPI 1851904247 (801) 587-7109

University Of Utah Pediatric Services

1,475 mi

Pediatric Orthopaedic Surgery

9385 S SNOWBIRD CENTER DR
Sandy, UT 84092

Reassigned Medicare billing, Utah enrollment
751 clinicians in this Medicare group

NPI 1386257152 (801) 587-7109

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

80.99/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

67.25

Promoting Interoperability

100

Improvement Activities

Cost

59.73

Referred Medical Equipment & Supplies CMS DME claims 8

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

Lumbar-sacral orthosis, sagittal-coronal control, with rigid anterior and posterior frame/panels, posterior extends from sacrococcygeal junction to t-9 vertebra, lateral strength provided by rigid lateral frame/panels, produces intracavitary pressure to reduce load on intervertebral discs, includes straps, closures, may include padding, shoulder straps, pendulous abdomen design, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise L0637

DME-Orthotic Devices · category DF007N

4 suppliers18 claims18 services$1,049.46 avg. paid by Medicare

Lumbar-sacral orthosis, sagittal-coronal control, with rigid anterior and posterior frame/panel(s), posterior extends from sacrococcygeal junction to t-9 vertebra, lateral strength provided by rigid lateral frame/panel(s), produces intracavitary pressure to reduce load on intervertebral discs, includes straps, closures, may include padding, shoulder straps, pendulous abdomen design, prefabricated, off-the-shelf L0650

DME-Orthotic Devices · category DF007N

11 suppliers32 claims32 services$757.02 avg. paid by Medicare

Knee orthosis, adjustable knee joints (unicentric or polycentric), positional orthosis, rigid support, prefabricated, off-the shelf L1833

DME-Orthotic Devices · category DF011N

4 suppliers11 claims13 services$476.45 avg. paid by Medicare

Knee orthosis (ko), single upright, thigh and calf, with adjustable flexion and extension joint (unicentric or polycentric), medial-lateral and rotation control, with or without varus/valgus adjustment, prefabricated, off-the-shelf L1851

DME-Orthotic Devices · category DF011N

8 suppliers31 claims42 services$596.96 avg. paid by Medicare

Ankle foot orthosis, plastic or other material with ankle joint, prefabricated, includes fitting and adjustment L1971

DME-Orthotic Devices · category DF003N

5 suppliers18 claims22 services$354.98 avg. paid by Medicare

Addition to lower extremity orthosis, suspension sleeve L2397

DME-Orthotic Devices · category DF000N

17 suppliers58 claims86 services$100.63 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.

AMIT BAHL MD, MPH

Emergency Medicine

3601 W 13 MILE RD, WILLIAM BEAUMONT HOSPITAL
ROYAL OAK, MI 48073

Oakland County (248) 898-0575

CATHERINE LEE PA

Physician Assistant