Bayside Family & Sports Medicine PC
NPI 1629251129 · Family Medicine Physician · Petoskey, MI
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Bayside Family & Sports Medicine PC is a Family Medicine Physician organization in Petoskey, MI (NPI 1629251129).
Provider details
- NPI number
- 1629251129
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Todd Decker, Owner/President(231) 439-5100
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Other name
- Bayside Family & Sports Medicine PC
Registry dates
- Enumerated
- 2007-12-07
- Last updated
- 2012-04-10
Frequently asked questions
- What is Bayside Family & Sports Medicine PC's NPI number?
- Bayside Family & Sports Medicine PC's National Provider Identifier (NPI) is 1629251129, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Bayside Family & Sports Medicine PC?
- Bayside Family & Sports Medicine PC is classified in the NPPES registry as Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Bayside Family & Sports Medicine PC located?
- Bayside Family & Sports Medicine PC's practice location on file with NPPES is 2325 Summit Park Dr, Petoskey, MI 49770-8774.
- What is Bayside Family & Sports Medicine PC's phone number?
- The practice phone number listed in the NPPES registry for Bayside Family & Sports Medicine PC is (231) 439-5100.
- Does Bayside Family & Sports Medicine PC accept Medicare?
- Bayside Family & Sports Medicine PC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Bayside Family & Sports Medicine PC?
- The authorized official listed on Bayside Family & Sports Medicine PC's NPPES record is Todd Decker, Owner/President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Bayside Family & Sports Medicine PC's NPI active?
- Yes — Bayside Family & Sports Medicine PC's NPI (1629251129) is active in the NPPES registry as of the last update on 2012-04-10.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.