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GLORIA M KLAASSEN WITT M.D.
NPI 1851715536
Family Medicine in Central Lake, MI

Active since February 14, 2014Opted out of Medicare · through Jan 5, 2028
493 N DERENZY RD, CENTRAL LAKE, MI 49622(231) 544-7001(231) 600-7054 Get Directions Write a Review

NPPES record last updated: October 28, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Gloria M Klaassen Witt M.d. NPPES

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

GLORIA M KLAASSEN WITT M.D. (NPI 1851715536) is an individual family medicine provider in Central Lake, Michigan, licensed in Michigan (4301053535) and active in the NPI registry since February 2014. She has opted out of Medicare through January 5, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1851715536
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameGLORIA M KLAASSEN WITTCredential: M.D.
Location Address493 N DERENZY RDCentral Lake, MI 49622-9566
Mailing Address493 N Derenzy RdCentral Lake, MI 49622-9566 · (231) 544-7001 · Fax (231) 600-7054
Phone(231) 544-7001
Fax(231) 600-7054
Sole ProprietorNo
Enumeration DateFebruary 14, 2014
Last NPPES UpdateOctober 28, 2022
NPPES CertifiedOctober 28, 2022
✔ NPI 1851715536 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in MI · 4301053535
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
493 N DERENZY RD, Central Lake, MI 49622
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

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Opted out of Medicare

Gloria M Klaassen Witt M.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 5, 2022 through January 5, 2028.

Opt-Out Effective DateJanuary 5, 2022
Opt-Out In Effect ThroughJanuary 5, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49622 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
$84.74 typical visit price
range $54.34 – $166.68
Typical copayment $21.18 (range $13.58 – $41.67)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.09 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

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.

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier39 claims39 services$102.40 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

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SECRET FOREST COUNTRY DOCTOR
Family Medicine
493 N DERENZY RD
CENTRAL LAKE, MI 49622
Antrim County (231) 544-7001

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 Gloria Witt's NPI number?

The NPI number for Gloria Witt is 1851715536. It was assigned to this individual provider in the NPPES registry on February 14, 2014.

Where is Gloria Witt located?

Gloria Witt practices at 493 N Derenzy Rd, Central Lake, MI 49622. The listed phone number is (231) 544-7001.

What is Gloria Witt's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Gloria Witt enrolled in Medicare?

No. Gloria Witt has opted out of Medicare through January 5, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Gloria Witt was last updated on October 28, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.