Victory Clinical Services IV, LLC
NPI 1922249440 · Methadone Clinic · Saginaw, MI
Enrolled with Medicare as Part B Supplier - Opioid Treatment Program (otp) · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Victory Clinical Services IV, LLC is a Methadone Clinic organization in Saginaw, MI (NPI 1922249440).
Provider details
- NPI number
- 1922249440
- Entity type
- Organization
- Primary specialty
- Methadone ClinicAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- David Blankenship, Program Director(989) 754-7867
- License
- 730208 (MI)
Specialties & taxonomies
Ambulatory Health Care Facilities
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
17 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
1,020 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. 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.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Medication Assisted Treatment, Methadone; Weekly Bundle Including Dispensing And/Or Administration, Substance Use Counseling, Individual and Group Therapy, and Toxicology Testing, If Performed (provision of the Services By a Medicare-Enrolled Opioid TreatmG2067 | 692 | $248 |
| Take-Home Supply of Methadone; Up to 7 Additional Day Supply (provision of the Services By a Medicare-Enrolled Opioid Treatment Program); List Separately in Addition to Code for Primary ProcedureG2078 | 312 | $40 |
| Periodic Assessment; Assessing Periodically By Qualified Personnel to Determine the Most Appropriate Combination of Services and Treatment (provision of the Services By a Medicare-Enrolled Opioid Treatment Program); List Separately in Addition to Code forG2077 | 16 | $117 |
Typical Medicare-allowed amounts for these services range $40–$248 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
Practice location
Mailing address
Other names (DBA / former)
- Other name
- Victory Clinic IV
Registry dates
- Enumerated
- 2009-03-12
- Last updated
- 2009-03-12
Frequently asked questions
- What is Victory Clinical Services IV, LLC's NPI number?
- Victory Clinical Services IV, LLC's National Provider Identifier (NPI) is 1922249440, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Victory Clinical Services IV, LLC?
- Victory Clinical Services IV, LLC is classified in the NPPES registry as Methadone Clinic (Ambulatory Health Care Facilities).
- Where is Victory Clinical Services IV, LLC located?
- Victory Clinical Services IV, LLC's practice location on file with NPPES is 508 Shattuck Rd, Saginaw, MI 48604-2329.
- What is Victory Clinical Services IV, LLC's phone number?
- The practice phone number listed in the NPPES registry for Victory Clinical Services IV, LLC is (989) 754-7867.
- Does Victory Clinical Services IV, LLC accept Medicare?
- Victory Clinical Services IV, LLC 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 Victory Clinical Services IV, LLC?
- The authorized official listed on Victory Clinical Services IV, LLC's NPPES record is David Blankenship, Program Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Victory Clinical Services IV, LLC's NPI active?
- Yes — Victory Clinical Services IV, LLC's NPI (1922249440) is active in the NPPES registry as of the last update on 2009-03-12.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.