KSS of Shelby LLC

A Medicare group practice based in Warren, MI: 2 NPIs enrolled under one PECOS associate control ID (PAC ID 9335218619), with 44 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
9335218619The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
DME Supplier - Independently-Practicing Occupational Therapist, Part B Supplier - Physical/Occupational Therapy Group in Private Practice
Enrolled in
MI
Enrollments
2
Group size
23 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
6In 3 places

Enrollment records 2

Enrollment IDStateProvider typeNPI
O20080625000057 MI Part B Supplier - Physical/Occupational Therapy Group in Private Practice 1770788739
O20250528000244 MI DME Supplier - Independently-Practicing Occupational Therapist 1902769029

NPIs in this group 2

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
70.77 of 100Reported as group, on the record of 18 clinicians in this group
Quality
66.1
Improvement activities
40
Cost
64.7

Clinicians 44

Clinicians who reassign their Medicare benefits to this group (44) or whom Care Compare lists as members (23).

Sources for this page