AMY SOMERSET M.D.
NPI 1790124303
Surgery in Royal Oak, MI

Active since June 17, 2013PECOS EnrolledAccepts Medicare Assignment
80.59/100
CMS Quality Rating
3601 W 13 MILE RD, ROYAL OAK, MI 48073(248) 898-0833 Get Directions Write a Review

NPPES record last updated: February 10, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Amy Somerset M.d. NPPES

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

AMY SOMERSET M.D. (NPI 1790124303) is an individual surgery provider in Royal Oak, Michigan, licensed in Michigan (4301103214) and active in the NPI registry since June 2013. She is enrolled in Medicare PECOS, is affiliated with Beaumont Hospital - Grosse Pointe, and is a graduate of Ohio State University College Of Medicine (2013).

NPPES Registry Identity

NPI1790124303
Entity TypeIndividualFemale
Primary Taxonomy208600000X
Provider Legal NameAMY SOMERSETCredential: M.D.
Location Address3601 W 13 MILE RDRoyal Oak, MI 48073-6712
Mailing Address26901 Beaumont Blvd Ste 3dSouthfield, MI 48033-3849
Sole ProprietorNo
Medical School CMSOhio State University College Of MedicineGraduated 2013
Enumeration DateJune 17, 2013
Last NPPES UpdateFebruary 10, 2021
NPPES CertifiedFebruary 10, 2021
NPI 1790124303 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License Licensed in MI · 4301103214
Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

3601 W 13 MILE RD, Royal Oak, MI 48073

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Amy Somerset M.d. 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 ID1557593548
PECOS Enrollment IDI20200825002318
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.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
13 services12 patients
New patient office or other outpatient visit, 60-74 minutes 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
11 services11 patients
Upper gastrointestinal (GI) endoscopy for acid reflux NAN12
An upper GI endoscopy is a procedure to examine your esophagus and stomach using a thin, flexible tube called an endoscope. It helps diagnose conditions like acid reflux by identifying any inflammation or damage. It's generally safe, performed under sedation, and takes about 15-30 minutes.
0 services53 patients
Colonoscopy NAN13
A colonoscopy is a medical procedure that allows your doctor to examine your colon (the large intestine). It utilizes a thin, flexible tube with a tiny camera on the end, which is inserted through the rectum. This procedure can help identify issues such as polyps, inflammation, or early signs of cancer. It's usually recommended for people over 50 or those with specific risk factors.
0 services1 patient

Hospital Affiliations CMS Care Compare 3

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

Beaumont Hospital - Grosse Pointe

Acute Care Hospitals · Grosse Pointe, MI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230089
Location468 Cadieux RdGrosse Pointe, MI 48230 · Wayne County
Emergency services Birthing friendly

Harper University Hospital

Acute Care Hospitals · Detroit, MI
1/5 CMS rating
OwnershipProprietary
CMS Certification Number230104
Location3990 John R StreetDetroit, MI 48201 · Wayne County
Emergency services Birthing friendly

Karmanos Cancer Center

Acute Care Hospitals · Detroit, MI
3/5 CMS rating
OwnershipProprietary
CMS Certification Number230297
Location4100 John RDetroit, MI 48201 · Wayne County

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48073 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
$72.38 typical visit price
range $18.32 – $143.49
Typical copayment $18.09 (range $4.58 – $35.87)
Most-billed visit code 99213
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.

80.59/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality53.55
Promoting Interoperability100
Improvement Activities40
Cost52.03

MIPS Quality Measures

The following performance measures were reported under the Merit-Based Incentive Payment System (MIPS) and Qualified Clinical Data Registry (QCDR) quality measures program.

Quality Measure Performance Number of Patients
Closing the Referral Loop: Receipt of Specialist Report 5% 316
Controlling High Blood Pressure 51% 313
Documentation of Current Medications in the Medical Record 94% 951
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan 95% 790
Preventive Care and Screening: Screening for Depression and Follow-Up Plan 58% 631
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented 24% 638
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 86% 570
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 88% 48
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 87% 570
Provide Patients Electronic Access to Their Health Information 93% 458

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.

Pathology (Chemical Pathology)
3601 W 13 MILE RD, WILLIAM BEAUMONT HOSPITAL, DEPT. OF CLINICAL PATHOLOGY
ROYAL OAK, MI 48073
Hospitalist
3601 W 13 MILE RD
ROYAL OAK, MI 48073
Anesthesiology (Pain Medicine)
3601 W 13 MILE RD, ANESTHESIOLOGY DEPT
ROYAL OAK, MI 48073
Nurse Practitioner (Family)
3601 W 13 MILE RD
ROYAL OAK, MI 48073
Medical Genetics, Ph.D. Medical Genetics
3601 W 13 MILE RD
ROYAL OAK, MI 48073
Anesthesiology
3601 W 13 MILE RD, ANESTHESIOLOGY DEPT
ROYAL OAK, MI 48073
Anesthesiology
3601 W 13 MILE RD, ANESTHESIOLOGY DEPT
ROYAL OAK, MI 48073
Anesthesiology
3601 W 13 MILE RD, ANESTHESIOLOGY DEPT
ROYAL OAK, MI 48073

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1790124303, enumerated as an "individual" on June 17, 2013.

The provider is located at 3601 W 13 MILE RD ROYAL OAK, MI 48073 and the phone number is (248) 898-0833.

Surgery with taxonomy code 208600000X.

The provider might be accepting Accepts: Ambetter from Buckeye Health Plan, Ambetter from. Please consult your insurance carrier or call the provider to verify.

Amy Somerset is affiliated with: BEAUMONT HOSPITAL - GROSSE POINTE, HARPER UNIVERSITY HOSPITAL and KARMANOS CANCER CENTER.