Provider Profile
Unclaimed ProfileAbout
practices community / retail pharmacy in Traverse City, MI. According to Medicare claims data, This provider cared for 186 Medicare patients across 187 services. The services billed most often include administration of influenza virus vaccine, influenza vaccine, inactivated, and sarscv2 vac 30mcg trs-suc im. The provider's National Provider Identifier (NPI) is 1972558104.
Factual summary compiled by Guide.md from public records; not written by this provider.
Specialty
Credentials & Licensing
Contact Information
- (231) 947-6921
- Email not available
Practice Locations
4000 EASTERN SKY DR SUITE 1
Traverse City, MI 49684
Procedures Most Often Billed to Medicare
187 services · 186 patients · 5 distinct codes
| Procedure | Type | Code | Services |
|---|---|---|---|
| Influenza vaccine, inactivated | Treatment | 90653 |
44 |
| Sarscv2 vac 30mcg trs-suc im | Treatment | 91320 |
36 |
| Admn sarscov2 vacc 1 dose | Treatment | 90480 |
36 |
| Administration of influenza virus vaccine | Billing code | G0008 |
48 |
| Administration of pneumococcal, influenza, hepatitis b, and/or covid-19 vaccine inside a patient's home; reported only once per individual home per date of service when such vaccine administration(s) are performed at the patient's home | Billing code | M0201 |
23 |
Source: CMS Medicare public data. Shows how often procedures were billed — not quality of care or patient satisfaction.
Related providers
Connections drawn from the registry and from what providers have told us. A link here is not a referral or an endorsement.
Also at Hometown Pharmacy INC 8
Providers listing the same practice in the NPI registry.
Also at this address 4
Providers at the same street address. Each files their own registry entry, so a shared practice often appears under several different names.
Also performs Influenza vaccine, inactivated 8
Providers in MI who bill this service to Medicare most often.
Common questions
What is 's specialty?
is a community / retail pharmacy in Traverse City, MI. That is the designation recorded for this NPI in the federal registry.
NPI registry
Where can I find ?
is listed at 4000 Eastern Sky Dr Suite 1, Traverse City, MI 49684. Addresses come from the NPI registry and can lag a move, so confirm before travelling.
NPI registry
How do I contact ?
The number on file is (231) 947-6921. Contact the office directly to confirm availability and scheduling.
NPI registry
What is 's NPI number?
's National Provider Identifier is 1972558104. It is issued by the Centers for Medicare & Medicaid Services and is unique and permanent — it does not change if they move practice.
NPI registry
How long has been practicing?
has 20+ years experience. Registered with an NPI since 2006. National Provider Identifiers only began in 2005, so a provider who qualified earlier may have practiced for longer than this.
NPI registry
What is known for?
According to Medicare billing data, provides treatments such as influenza vaccine, inactivated and sarscv2 vac 30mcg trs-suc im. This reflects Medicare patients only and is billing volume, not a measure of quality.
Medicare claims
What practice does work for?
files under Hometown Pharmacy INC, a mid-sized group with 23 providers registered at it. A practice that size usually means you will see the same faces each visit.
NPI registry
Has confirmed this information?
Not yet. This profile is built from public federal data and has not been confirmed by . If this is you, claiming it is free.
Guide.md
Guide.md listings do not constitute medical advice or an endorsement.