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DR. MAISEE KATELYN LOR D.O.
NPI 1639551229
Family Medicine in Southfield, MI

Active since June 19, 2015PECOS Enrolled
22250 PROVIDENCE DR STE 500, SOUTHFIELD, MI 48075(248) 849-3341 Get Directions Write a Review

NPPES record last updated: June 19, 2015. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Maisee Katelyn Lor D.o. NPPES

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

DR. MAISEE KATELYN LOR D.O. (NPI 1639551229) is an individual family medicine provider in Southfield, Michigan, licensed in Michigan (5101021939) and active in the NPI registry since June 2015. She is enrolled in Medicare PECOS, is affiliated with St Cloud Hospital, and is a graduate of Oklahoma State University College Of Osteopathic Medicine (2015).

NPPES Registry Identity

NPI1639551229
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. MAISEE KATELYN LORCredential: D.O.
Location Address22250 PROVIDENCE DR STE 500Southfield, MI 48075-6213
Mailing Address22250 Providence Dr Ste 500Southfield, MI 48075-6213 · (248) 849-3441
Phone(248) 849-3341
Sole ProprietorNo
Medical School CMSOklahoma State University College Of Osteopathic MedicineGraduated 2015
Enumeration DateJune 19, 2015
✔ NPI 1639551229 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 · 5101021939
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.
22250 PROVIDENCE DR STE 500, Southfield, MI 48075
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Maisee Katelyn Lor D.o. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5890091102
PECOS Enrollment IDI20181009000273
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 Reassignment

Medicare enrollment records show Maisee Lor reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Centracare Clinic
560 mi
Multi-Specialty
16830 198TH AVE NW, CENTRACARE CLINIC - BIG LAKE
Big Lake, MN 55309
  • Reassigned Medicare billing, Minnesota enrollment
  • 1,051 clinicians in this Medicare group
NPI 1013104348 (763) 263-7300

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 9

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.

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.
194 services100 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.
179 services101 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.
67 services67 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.
36 services33 patients
X-ray of chest, 2 views 71046
A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.
26 services13 patients
Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count 85025
A Complete Blood Cell Count is a common test that measures various components of the blood, including red cells (carry oxygen), white cells (fight infection), and platelets (help blood clot). An automated test ensures accuracy. The differential count provides detailed information about white cell types.
20 services19 patients

Hospital Affiliations CMS Care Compare

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

St Cloud Hospital

Acute Care Hospitals · Saint Cloud, MN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240036
Location1406 6th Ave NorthSaint Cloud, MN 56303 · Stearns County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48075 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

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
4 suppliers17 claims19 services$6.57 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.

SHAHED KHALEFIH
Family Medicine
22250 PROVIDENCE DR STE 500
SOUTHFIELD, MI 48075
Oakland County (248) 849-2203
BRANDON B ANTON DO
Family Medicine
22250 PROVIDENCE DR STE 500
SOUTHFIELD, MI 48075
Oakland County (248) 849-3441
JEFFREY MICHAEL EICHENLAUB MSN. APRN, FNP-C
Nurse Practitioner
22250 PROVIDENCE DR STE 500
SOUTHFIELD, MI 48075
Oakland County (248) 849-3441
MEGHAN GATWARD KEMP DO
Family Medicine
22250 PROVIDENCE DR STE 500
SOUTHFIELD, MI 48075
Oakland County (248) 849-3441
AKSHAY BANSAL DO
Student in an Organized Health Care Education/Training Program
22250 PROVIDENCE DR STE 500
SOUTHFIELD, MI 48075
Oakland County (248) 849-3441
MORGAN ALANNA LOCKWOOD DO
Student in an Organized Health Care Education/Training Program
22250 PROVIDENCE DR STE 500
SOUTHFIELD, MI 48075
Oakland County (248) 849-3441
ANTHONY SALEM
Family Medicine
22250 PROVIDENCE DR STE 500
SOUTHFIELD, MI 48075
Oakland County (248) 849-3441
DR. NICOLA CHAUNTAY OKAFOR D.O.
Family Medicine
22250 PROVIDENCE DR STE 500
SOUTHFIELD, MI 48075
Oakland County (248) 849-3441

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 Maisee Lor's NPI number?

The NPI number for Maisee Lor is 1639551229. It was assigned to this individual provider in the NPPES registry on June 19, 2015.

Where is Maisee Lor located?

Maisee Lor practices at 22250 Providence Dr Ste 500, Southfield, MI 48075. The listed phone number is (248) 849-3341.

What is Maisee Lor's specialty?

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

Is Maisee Lor enrolled in Medicare?

Yes. Maisee Lor is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Maisee Lor's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Maisee Lor reassigns Medicare benefits to Centracare Clinic (Big Lake, MN). The 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 Maisee Lor's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Maisee Lor affiliated with any hospitals?

According to CMS data, Maisee Lor is affiliated with St Cloud Hospital.

When was this NPI record last updated?

The NPPES record for Maisee Lor was last updated on June 19, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.