DEARBORN ORTHOPEDICS & SPORTS MEDICINE P.C.
NPI 1669542247
Orthopaedic Surgery in Dearborn, MI

Active since November 09, 2006
23550 PARK, SUITE #100, DEARBORN, MI 48124(313) 730-0500(313) 730-0606 Get Directions Write a Review

NPPES record last updated: September 29, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 29, 2020, Aug 22, 2020 (2 updates tracked since 2020).

About Dearborn Orthopedics & Sports Medicine P.c. NPPES

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

DEARBORN ORTHOPEDICS & SPORTS MEDICINE P.C. (NPI 1669542247) is a healthcare organization registered as an orthopaedic surgery in Dearborn, Michigan and active in the NPI registry since November 2006. The organization lists Douglas G Plagens, M.d., as its authorized official.

NPPES Registry Identity

NPI1669542247
Entity TypeOrganization
Primary Taxonomy207X00000X
Legal Business NameDEARBORN ORTHOPEDICS & SPORTS MEDICINE P.C.
Location Address23550 PARK, SUITE #100Dearborn, MI 48124
Mailing Address23550 Park, Suite #100Dearborn, MI 48124 · (313) 730-0500 · Fax (313) 730-0606
Fax(313) 730-0606
Organization SubpartNo
Authorized OfficialDouglas G PlagensM.d. · (313) 730-0500
Enumeration DateNovember 9, 2006
Last NPPES UpdateSeptember 29, 20202 updates tracked since enumeration
NPPES CertifiedSeptember 29, 2020
✔ NPI 1669542247 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X
23550 PARK, Dearborn, MI 48124

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dearborn Orthopedics & Sports Medicine P.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by November 30, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateMichiganEnrollment IDO20070503000092Non-DME Part B · Clinic/Group PracticeDue dateNovember 30, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

5

Medicare enrollment records show 5 clinicians reassign Medicare billing to Dearborn Orthopedics & Sports Medicine P.C., which bills Medicare for the services they deliver. Of these, 5 practice at this address. They are listed nearest first.

Clinicians, nearest first (5)

Orthopedic Surgery
NPI 1346340684
23550 PARK ST STE. 100
Dearborn, MI 48124
(313) 730-0500
✔ PECOS✔ Accepts MedicareSame address
Sports Medicine
NPI 1336702216
23550 PARK ST STE 100
Dearborn, MI 48124
(313) 730-0500
✔ PECOS✔ Accepts MedicareSame address
Orthopedic Surgery
NPI 1336249689
23550 PARK ST STE. 100
Dearborn, MI 48124
(313) 730-0500
✔ PECOS✔ Accepts MedicareSame address
Orthopedic Surgery
NPI 1275633596
23550 PARK ST STE 100
Dearborn, MI 48124
(313) 730-0500
✔ PECOS✔ Accepts MedicareSame address
Orthopedic Surgery
NPI 1396845616
23550 PARK ST STE. 100
Dearborn, MI 48124
(313) 730-0500
✔ PECOS✔ Accepts MedicareSame address

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

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 Dearborn Orthopedics & Sports Medicine P.C.'s NPI number?

The NPI number for Dearborn Orthopedics & Sports Medicine P.C. is 1669542247. It was assigned to this organization in the NPPES registry on November 9, 2006.

Where is Dearborn Orthopedics & Sports Medicine P.C. located?

Dearborn Orthopedics & Sports Medicine P.C. is located at 23550 Park Suite #100, Dearborn, MI 48124. The listed phone number is (313) 730-0500.

What is Dearborn Orthopedics & Sports Medicine P.C.'s specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Dearborn Orthopedics & Sports Medicine P.C. enrolled in Medicare?

Yes. Dearborn Orthopedics & Sports Medicine P.C. is registered in the Medicare PECOS enrollment system.

When is Dearborn Orthopedics & Sports Medicine P.C.'s Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Michigan, Clinic/Group Practice) is due for revalidation by November 30, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Dearborn Orthopedics & Sports Medicine P.C.?

According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians in 2 Medicare specialties reassign their Medicare billing to Dearborn Orthopedics & Sports Medicine P.C.. A 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 the clinician's services. The largest specialties are Orthopedic Surgery (4) and Sports Medicine (1). Of these, 5 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Dearborn Orthopedics & Sports Medicine P.C. accept?

Health plans from Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Dearborn Orthopedics & Sports Medicine P.C. 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.

When was this NPI record last updated?

The NPPES record for Dearborn Orthopedics & Sports Medicine P.C. was last updated on September 29, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.