NPIMap

Crystal Lake Clinic PC

A Medicare group practice based in Traverse City, MI: 14 NPIs enrolled under one PECOS associate control ID (PAC ID 0648259010), with 40 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
0648259010The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part B Supplier - Clinic/Group Practice
Enrolled in
MI
Enrollments
1
Group size
14 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
11In 10 places

Enrollment records 1

Enrollment IDStateProvider typeNPI
O20040802000634 MI Part B Supplier - Clinic/Group Practice 1134491731

NPIs in this group 14

NPPES NPI Registry

These NPI records belong to the same enrolled organization. Each has its own page.

Practice locations

Locations on the Medicare enrollment

Merit-based Incentive Payment System (MIPS)

Medicare Care Compare
Final score
92.41 of 100Reported as group, on the record of 6 clinicians in this group
Quality
98.82
Improvement activities
40
Cost
71.86

Clinicians 40

Clinicians who reassign their Medicare benefits to this group (39) or whom Care Compare lists as members (14).

Sources for this page