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JOSEPH GREGORY PROTACIO D.O.
NPI 1710324496
Emergency Medicine in Madison Heights, MI

Active since June 04, 2013PECOS EnrolledAccepts Medicare Assignment
79.22/100
CMS Quality Rating
27351 DEQUINDRE RD, MADISON HEIGHTS, MI 48071(248) 967-7795(248) 967-7794 Get Directions Write a Review

NPPES record last updated: June 4, 2013. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Joseph Gregory Protacio D.o. NPPES

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

JOSEPH GREGORY PROTACIO D.O. (NPI 1710324496) is an individual emergency medicine provider in Madison Heights, Michigan, licensed in Michigan (5101020620) and active in the NPI registry since June 2013. He is enrolled in Medicare PECOS and is a graduate of Other (2013).

NPPES Registry Identity

NPI1710324496
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameJOSEPH GREGORY PROTACIOCredential: D.O.
Location Address27351 DEQUINDRE RDMadison Heights, MI 48071-3487
Mailing Address27351 Dequindre RdMadison Heights, MI 48071-3487 · (248) 967-7795 · Fax (248) 967-7794
Phone(248) 967-7795
Fax(248) 967-7794
Sole ProprietorYes
Medical School CMSOtherGraduated 2013
Enumeration DateJune 4, 2013
✔ NPI 1710324496 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in MI · 5101020620
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
27351 DEQUINDRE RD, Madison Heights, MI 48071
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include WellSense Health Plan.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Joseph Gregory Protacio 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 ID4284931643
PECOS Enrollment IDI20170901000801
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

3

Medicare enrollment records show Joseph Protacio reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Adventist Health Physicians Network
1,953 mi
Family Medicine
2559 W ROSAMOND BLVD STE D
Rosamond, CA 93560
  • Reassigned Medicare billing, California enrollment
  • 678 clinicians in this Medicare group
NPI 1609633973 (661) 241-6700
Sonora Community Hospital
1,976 mi
Family Medicine
18661 HIGHWAY 120
Groveland, CA 95321
  • Reassigned Medicare billing, California enrollment
  • 172 clinicians in this Medicare group
NPI 1356332274 (209) 962-7121
Sierra Emergency Medical Group Inc.
1,980 mi
Emergency Medicine
1000 GREENLEY RD
Sonora, CA 95370
  • Reassigned Medicare billing, California enrollment
  • 36 clinicians in this Medicare group
NPI 1871732933 (209) 263-0803

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 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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
441 services415 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
329 services278 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
165 services160 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
124 services123 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.
16 services16 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
13 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48071 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.

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.

79.22/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality86.14
Promoting Interoperability97
Improvement Activities40
Cost47.11

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.

Nebulizer, with compressor E0570
DME-Other DME · category DE000N
1 supplier13 claims13 services$8.96 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.

DR. LISA MARIE WARGO DNP
Nurse Practitioner (Acute Care)
27351 DEQUINDRE RD
MADISON HEIGHTS, MI 48071
Oakland County (248) 967-7000
LAURIE DAVENPORT PT
Physical Therapist
27351 DEQUINDRE RD
MADISON HEIGHTS, MI 48071
Oakland County (248) 967-7312
SANTOSH K RASTOGI MD
Psychiatry & Neurology (Psychiatry)
27351 DEQUINDRE RD
MADISON HEIGHTS, MI 48071
Oakland County (248) 967-7480
MRS. JEVONA N MANIEX EFDA, EFODA, MBA
Dental Assistant
27351 DEQUINDRE RD
MADISON HEIGHTS, MI 48071
Oakland County (586) 753-1323
SHAYNAH GOLDFINE D.P.M.
Podiatrist (Foot & Ankle Surgery)
27351 DEQUINDRE RD
MADISON HEIGHTS, MI 48071
Oakland County (248) 967-7607
ALEXANDER ORMAN DO
Emergency Medicine
27351 DEQUINDRE RD
MADISON HEIGHTS, MI 48071
Oakland County (248) 967-7425
YELENA FAYNZILBERT DO
General Practice
27351 DEQUINDRE RD
MADISON HTS, MI 48071
Oakland County (248) 967-7795
MRS. LINDA BUBENKO
Pharmacist
27351 DEQUINDRE RD
MADISON HEIGHTS, MI 48071
Oakland County (248) 967-7041

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 Joseph Protacio's NPI number?

The NPI number for Joseph Protacio is 1710324496. It was assigned to this individual provider in the NPPES registry on June 4, 2013.

Where is Joseph Protacio located?

Joseph Protacio practices at 27351 Dequindre Rd, Madison Heights, MI 48071. The listed phone number is (248) 967-7795.

What is Joseph Protacio's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Joseph Protacio enrolled in Medicare?

Yes. Joseph Protacio 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.

Which organizations bill Medicare for Joseph Protacio's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Joseph Protacio reassigns Medicare benefits to 3 organizations: Adventist Health Physicians Network (Rosamond, CA), Sonora Community Hospital (Groveland, CA) and Sierra Emergency Medical Group Inc. (Sonora, CA). Each 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 Joseph Protacio's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Joseph Protacio accept?

Health plans from WellSense Health Plan list Joseph Protacio 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 Joseph Protacio was last updated on June 4, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.