PETOSKEY SURGEONS, P.C.
NPI 1730145574
Surgery in Petoskey, MI
About Petoskey Surgeons, P.c. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PETOSKEY SURGEONS, P.C. (NPI 1730145574) is a healthcare organization registered as a surgery in Petoskey, Michigan and active in the NPI registry since April 2006. The organization holds a CLIA Waiver certificate valid through October 29, 2026 and lists Kevin M. Markham, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Other Identifiers 3
Group Practice 1
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)
Petoskey Surgeons, P.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by October 31, 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.
Clinicians Billing Medicare Through This Organization
17Medicare enrollment records show 17 clinicians reassign Medicare billing to Petoskey Surgeons, P.C., which bills Medicare for the services they deliver. Of these, 8 practice at this address and 12 within 10 miles. They are listed nearest first.
Clinicians by Medicare Specialty 5
Clinicians, nearest first (17)
Detroit, MI 48201
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 23D2157038
Petoskey Surgeons, PC · Petoskey, MIFrequently 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 Petoskey Surgeons, P.C.'s NPI number?
The NPI number for Petoskey Surgeons, P.C. is 1730145574. It was assigned to this organization in the NPPES registry on April 21, 2006.
Where is Petoskey Surgeons, P.C. located?
Petoskey Surgeons, P.C. is located at 521 Monroe St, Petoskey, MI 49770. The listed phone number is (231) 487-1900.
What is Petoskey Surgeons, P.C.'s specialty?
The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.
Is Petoskey Surgeons, P.C. enrolled in Medicare?
Yes. Petoskey Surgeons, P.C. is registered in the Medicare PECOS enrollment system.
When is Petoskey Surgeons, 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 October 31, 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 Petoskey Surgeons, P.C.?
According to the CMS Revalidation Reassignment List (October 2026 release), 17 clinicians in 5 Medicare specialties reassign their Medicare billing to Petoskey Surgeons, 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 General Surgery (7), Nurse Practitioner (4) and Vascular Surgery (4). Of these, 8 practice at this address and 12 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Petoskey Surgeons, P.C. hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 23D2157038) is associated with this NPI, valid through October 29, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Petoskey Surgeons, P.C. accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Petoskey Surgeons, 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 Petoskey Surgeons, P.C. was last updated on June 7, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.
# Petoskey Surgeons, P.c. · NPI 1730145574
Surgery organization in Petoskey, Michigan. Organization record, active in the CMS NPPES registry since April 21, 2006.
## Identity
- **NPI:** 1730145574 (Entity type: Organization)
- **Enumerated:** April 21, 2006
- **Primary specialty:** Surgery · taxonomy 208600000X
- **Organization subpart:** No
- **Authorized official:** Kevin Markham, PRESIDENT
## Practice location
- **Address:** 521 MONROE ST, Petoskey, MI 49770-2266
- **Phone:** (231) 487-1900 · **Fax:** (231) 348-0984
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** October 31, 2026 (Non-DME Part B, Michigan, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 17 clinicians in 5 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: General Surgery (7), Nurse Practitioner (4), Vascular Surgery (4); 8 practice at this address and 12 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 7, 2012
- **Other identifiers:** Other 020B41012 (MI); Medicare UPIN 0M75210; Other 020B41012 (MI)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1730145574) · Data from the CMS NPPES public registry.