Individual provider Active NPI

Murray Adrian Cotter, M.D.,PH.D.

  • Dermatology Physician
  • Petoskey, MI
National Provider Identifier
1669598744
Registry record updated May 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
MC081921 Issued in MI
Practice address
4170 Cedar Bluff Dr.
Petoskey, MI 49770-9600
Phone
(231) 487-2230
Fax
(231) 487-6172
NPI assigned
Mar 21, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 29, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 575-8827-1205 UT
Dermatology Physician 207N00000X MC081921 MI Primary

Addresses

Primary practice location

4170 Cedar Bluff Dr.
Petoskey, MI 49770-9600

Mailing address

4170 Cedar Bluff Dr.
Petoskey, MI 49770-9600
Phone (231) 487-2230

Other practice location 1

16826 Newburgh Rd
Livonia, MI 48154-1600
Phone (734) 464-8400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, OH2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20080430000805 MI Practitioner - DermatologyPractitioner - Micrographic Dermatologic Surgery (MDS) 1355442062 Reassigns benefits to 1 organization
I20190219003167 OH Practitioner - DermatologyPractitioner - Micrographic Dermatologic Surgery (MDS) 1355442062 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
DermatologyAlso: Micrographic Dermatologic Surgery (MDS)
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced Dermatology of Michigan PCGroup PAC ID 0941511224, 40 clinicians

Practice addresses (Care Compare)

4170 Cedar Bluff Dr
Petoskey, MI 49770-7627
Phone (231) 487-2230

Merit-based Incentive Payment System (MIPS)

Final score
84.2 of 100Reported as group
Quality
81.43
Promoting interoperability
82
Improvement activities
40
Cost
80.91

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision35
Removal of skin lesions108
Removal of skin cancer1355
Removal of nail tissue1-10
Skin biopsy80

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine, Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
MC081921MIMDDermatology Physician
575-8827-1205UTMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Dermatology of Michigan PC Dermatology CurrentSince May 4, 2015 Accepting new patients
Advanced Dermatology of Ohio, Inc Dermatology CurrentSince Feb 1, 2019 Accepting new patients
Kalamazoo Dermatology, P.C. Dermatology Past Accepting new patients
Village Chiropractic Wellness Center, PLC PastSince May 23, 2008 Accepting new patients
U-U Pediatric Dermatology PastSince May 24, 2020 Accepting new patients
Mason Dermatology Center Inc Dermatology Past Accepting new patients

Locations

151 Southhall Ln
Ste 300
Maitland, FL 32751
Phone (407) 917-7293

105 Arbor Ln
Alpena, MI 49707
Phone (517) 356-3485

36700 Woodward Ave
Ste 203
Bloomfield Hills, MI 48304
Phone (248) 519-2959

810 S Main St
Ste 3
Cheboygan, MI 49721
Phone (231) 627-3169

1320 E M 32
Gaylord, MI 49735
Phone (231) 487-5400

798 W Mile Rd NW
Kalkaska, MI 49646
Phone (231) 258-4023

416 S Creyts Rd
Ste A
Lansing, MI 48917
Phone (517) 886-0333

16826 Newburgh Rd
Livonia, MI 48154
Phone (734) 464-8400

4170 Cedar Bluff Dr
Petoskey, MI 49770

6100 Newport Rd
Ste 100
Portage, MI 49002
Phone (269) 343-4679

1140 N State St
Saint Ignace, MI 49781
Phone (906) 643-0466

4020 Copper Vw
Ste 130
Traverse City, MI 49684
Phone (231) 941-4114

13450 E 12 Mile Rd
Warren, MI 48088
Phone (586) 759-5525

4834 Socialville Foster Rd
Ste 20
Mason, OH 45040
Phone (513) 459-1988

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1174435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748476800000",
    "number": "1669598744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4170 CEDAR BLUFF DR.",
            "city": "PETOSKEY",
            "state": "MI",
            "postal_code": "497709600",
            "telephone_number": "231-487-2230",
            "fax_number": "231-487-6172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4170 CEDAR BLUFF DR.",
            "city": "PETOSKEY",
            "state": "MI",
            "postal_code": "497709600",
            "telephone_number": "231-487-2230",
            "fax_number": "231-487-6172"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16826 Newburgh Rd",
            "address_purpose": "LOCATION",
            "city": "Livonia",
            "state": "MI",
            "postal_code": "481541600",
            "country_code": "US",
            "telephone_number": "734-464-8400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COTTER",
        "first_name": "MURRAY",
        "middle_name": "ADRIAN",
        "name_prefix": "Dr.",
        "credential": "M.D.,PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-21",
        "last_updated": "2025-05-29",
        "certification_date": "2025-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "UT",
            "license": "575-8827-1205",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "MI",
            "license": "MC081921",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Petoskey, MI

Sources for this page

Verify at the official NPI Registry.