DR. JEFFREY L WILLIAMS MD
NPI 1710993217
Plastic Surgery in St Clair Shores, MI
About Dr. Jeffrey L Williams Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. JEFFREY L WILLIAMS MD (NPI 1710993217) is an individual plastic surgery provider in St Clair Shores, Michigan, licensed in Michigan (4301059797) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with Ascension St John Hospital, and is a graduate of Indiana University School Of Medicine (1992).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 2
Accepted 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
Dr. Jeffrey L Williams Md 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.
Medicare Billing Reassignment
Medicare enrollment records show Jeffrey Williams reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Troy, MI 48083
- Reassigned Medicare billing, Michigan enrollment
- 3 clinicians in this Medicare group
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 2
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.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Ascension St John Hospital
Acute Care Hospitals · Detroit, MIBeaumont Hospital, Troy
Acute Care Hospitals · Troy, MIPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 48081 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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 Jeffrey Williams's NPI number?
The NPI number for Jeffrey Williams is 1710993217. It was assigned to this individual provider in the NPPES registry on August 1, 2006.
Where is Jeffrey Williams located?
Jeffrey Williams practices at 21000 12 Mile Rd Ste 105, St Clair Shores, MI 48081. The listed phone number is (586) 779-3030.
What is Jeffrey Williams's specialty?
The primary specialty registered for this NPI is Plastic Surgery with taxonomy code 208200000X.
Is Jeffrey Williams enrolled in Medicare?
Yes. Jeffrey Williams 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 organization bills Medicare for Jeffrey Williams's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jeffrey Williams reassigns Medicare benefits to Renaissance Plastic Surgery P.C. (Troy, MI). 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 Jeffrey Williams's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Jeffrey Williams accept?
Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company and Priority Health list Jeffrey Williams 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 Jeffrey Williams affiliated with any hospitals?
According to CMS data, Jeffrey Williams is affiliated with Ascension St John Hospital and Beaumont Hospital, Troy.
When was this NPI record last updated?
The NPPES record for Jeffrey Williams was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.
# Dr. Jeffrey L Williams, MD · NPI 1710993217
Plastic Surgery physician in St Clair Shores, Michigan. Individual provider, active in the CMS NPPES registry since August 1, 2006.
## Identity
- **NPI:** 1710993217 (Entity type: Individual)
- **Enumerated:** August 1, 2006
- **Primary specialty:** Plastic Surgery · taxonomy 208200000X
- **State license:** 4301059797 (Michigan)
- **Sole proprietor:** No
## Practice location
- **Address:** 21000 12 MILE RD, STE 105, St Clair Shores, MI 48081
- **Phone:** (586) 779-3030 · **Fax:** (586) 779-6733
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Renaissance Plastic Surgery P.C. (NPI 1134278401, Troy, MI), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Indiana University School Of Medicine, class of 1992
## Record status
- **NPPES last updated:** July 8, 2007
- **Other identifiers:** Medicare UPIN H04834; Medicare ID-Type Unspecified OM03670
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Source: [NPI Profile](https://npiprofile.com/npi/1710993217) · Data from the CMS NPPES public registry.