GREAT LAKES ORTHOPAEDIC CENTER, P.C.
NPI 1952323453
Orthopaedic Surgery in Traverse City, MI
About Great Lakes Orthopaedic Center, P.c. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
GREAT LAKES ORTHOPAEDIC CENTER, P.C. (NPI 1952323453) is a healthcare organization registered as an orthopaedic surgery in Traverse City, Michigan and active in the NPI registry since July 2006. The organization lists Chrissy Durga, Administrator, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 3
Other Identifiers 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)
Great Lakes Orthopaedic Center, P.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date 2
Next revalidation due by December 31, 2026
This provider holds 2 Medicare enrollments with upcoming revalidation dates. 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
28Medicare enrollment records show 28 clinicians reassign Medicare billing to Great Lakes Orthopaedic Center, P.C., which bills Medicare for the services they deliver. Of these, 13 practice at this address and 16 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 4
Nearest to this location (20)
See all 28Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Great Lakes Orthopaedic Center, P.C.'s NPI number?
The NPI number for Great Lakes Orthopaedic Center, P.C. is 1952323453. It was assigned to this organization in the NPPES registry on July 24, 2006.
Where is Great Lakes Orthopaedic Center, P.C. located?
Great Lakes Orthopaedic Center, P.C. is located at 4045 W Royal Dr, Traverse City, MI 49684. The listed phone number is (231) 935-0900.
What is Great Lakes Orthopaedic Center, P.C.'s specialty?
The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.
Is Great Lakes Orthopaedic Center, P.C. enrolled in Medicare?
Yes. Great Lakes Orthopaedic Center, P.C. is registered in the Medicare PECOS enrollment system.
When is Great Lakes Orthopaedic Center, P.C.'s Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), Great Lakes Orthopaedic Center, P.C. holds 2 Medicare enrollments with upcoming revalidation dates. The next is due by December 31, 2026 (Non-DME Part B, Michigan, Clinic/Group Practice). 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 Great Lakes Orthopaedic Center, P.C.?
According to the CMS Revalidation Reassignment List (October 2026 release), 28 clinicians in 4 Medicare specialties reassign their Medicare billing to Great Lakes Orthopaedic Center, 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 Orthopedic Surgery (14), Physical Therapist in Private Practice (9) and Nurse Practitioner (4). Of these, 13 practice at this address and 16 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Great Lakes Orthopaedic Center, P.C. accept?
Health plans from Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Great Lakes Orthopaedic Center, 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 Great Lakes Orthopaedic Center, P.C. was last updated on October 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Great Lakes Orthopaedic Center, P.c. · NPI 1952323453
Orthopaedic Surgery organization in Traverse City, Michigan. Organization record, active in the CMS NPPES registry since July 24, 2006.
## Identity
- **NPI:** 1952323453 (Entity type: Organization)
- **Enumerated:** July 24, 2006
- **Primary specialty:** Orthopaedic Surgery · taxonomy 207X00000X
- **Organization subpart:** No
- **Authorized official:** Chrissy Durga, ADMINISTRATOR
## Practice location
- **Address:** 4045 W ROYAL DR, Traverse City, MI 49684-8965
- **Phone:** (231) 935-0900 · **Fax:** (231) 935-0308
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** December 31, 2026 (Non-DME Part B, Michigan, Clinic/Group Practice), next of 2 enrollments with upcoming dates · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 28 clinicians in 4 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Orthopedic Surgery (14), Physical Therapist in Private Practice (9), Nurse Practitioner (4); 13 practice at this address and 16 within 10 miles; [full list](https://npiprofile.com/npi/1952323453/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 22, 2020
- **Other identifiers:** Other 200B811700 (MI)
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Source: [NPI Profile](https://npiprofile.com/npi/1952323453) · Data from the CMS NPPES public registry.