2026 NPPES data Plastic Surgery within the Head & Neck (Otolaryngology) Physician NPI 1114019627 MD
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MICHAEL FOZO, MD

Plastic Surgery within the Head & Neck (Otolaryngology) Physician in SAINT CLAIR SHORES, Michigan. CMS National Plan and Provider Enumeration System profile including specialty classification, practice address, and Medicare prescribing data when reported.

Federal data — no proprietary rating. PlainDoctor publishes the actual CMS NPPES and Medicare records — NPI registration, specialty, practice location, and prescribing data — without a composite score or editorial opinion on top. Every field traces to a federal source.
Prescribing volume
461
Medicare Part D claims · 177 beneficiaries · Plastic Surgery within the Head & Neck (Otolaryngology) Physician avg: 379
MIPS score
83.357/100
▲ 0 pts above national avg 83.1 · [object Object]
Industry payments
$266.24
2 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

MICHAEL FOZO, MD reported a CMS MIPS final score of 83.357/100 — above the 83.1 national average — and filed 461 Medicare Part D claims in 2023.

83.357/100
MIPS score · +0 vs avg
461
Part D claims, 2023
Likely
board-certified (heuristic)

Every figure on this page comes straight from federal CMS records (NPPES, Medicare Part D, MIPS, Open Payments) — no proprietary rating or editorial opinion is applied.

MICHAEL FOZO, MD's MIPS score vs every scored U.S. clinician

CMS Merit-based Incentive Payment System (MIPS) final score, 2023 — the federal quality measure

83 42nd percentile higher than 42% of 477,587 scored providers

0–10: 8,684 scored providers (2%). Below this entry. 10–20: 3,008 scored providers (1%). Below this entry. 20–30: 3,069 scored providers (1%). Below this entry. 30–40: 2,746 scored providers (1%). Below this entry. 40–50: 2,928 scored providers (1%). Below this entry. 50–60: 5,882 scored providers (1%). Below this entry. 60–70: 13,906 scored providers (3%). Below this entry. 70–80: 118,074 scored providers (25%). Below this entry. 80–90: 129,887 scored providers (27%). This entry sits in this band. 90–100: 189,403 scored providers (40%). Above this entry. This provider 0 100 every MIPS-scored clinician, bucketed by value

Each bar is a band; taller bars hold more scored providers. The dashed line + filled bar mark this entry. Hover or tap any bar for its full count, share, and where it sits relative to this entry.

Source CMS Merit-based Incentive Payment System (MIPS) · 2023

Board certification likely (heuristic — not verified)

MICHAEL FOZO, MD practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 2 hospital affiliations — signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).

What does the federal data show about MICHAEL FOZO, MD?

Near national average

NPI registry status

Active

Issued 09/29/2006

NPI 1114019627

Primary specialty

Plastic Surgery within the Head & Neck (Otolaryngology) Physician

Niche

608 US NPIs in this specialty

Medicare Part D claims

461 22% vs specialty avg

2023 prescription claims

Specialty avg: 379

MIPS final score

83.357/100 0.257000000000005% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in Michigan

How Plastic Surgery within the Head & Neck (Otolaryngology) Physician compares to other specialties among Michigan providers

Michigan providers

Plastic Surgery within the Head & Neck (Otolaryngology) Physician share within Michigan

1. Plastic Surgery within the Head & Neck (Otolaryngology) Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Plastic Surgery within the Head & Neck (Otolaryngology) Physician share within Michigan

Medicare quality performance — MIPS

MICHAEL FOZO, MD's 2023 MIPS final score plotted against the Plastic Surgery within the Head & Neck (Otolaryngology) Physician national average

Near national average
MIPS Final Score
83.357/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Plastic Surgery within the Head & Neck (Otolaryngology) Physician) — 83.357/100 vs national avg 83.1

0%100%National avg83%83.4%
MIPS final score (Plastic Surgery within the Head & Neck (Otolaryngology) Physician) — 83.357/100 vs national avg 83.1

The Merit-based Incentive Payment System (MIPS) scores providers 0–100 across four performance categories: Quality, Cost, Promoting Interoperability, and Improvement Activities, weighted under 42 CFR §414.1380. Reporting is voluntary for many small practices, so absence of a MIPS score is not a quality signal.

Board certification through an ABMS or AOA member board signals voluntary post-licensure examination plus continuous Maintenance of Certification cycles. Verify any individual provider's status through certificationmatters.org (ABMS) or osteopathic.org (AOA).

MICHAEL FOZO, MD appears in the CMS NPPES registry as a Plastic Surgery within the Head & Neck (Otolaryngology) Physician provider holding MD credentials at 21000 E 12 MILE RD, SAINT CLAIR SHORES, MI, 48081, with a listed phone of (586) 779-7610. NPI 1114019627 was issued on 09/29/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what FOZO most recently submitted to CMS rather than a vetted directory listing, which is why patients should always confirm the practice is still at this location before scheduling.

Medicare Part D records for calendar year 2023 show 461 prescription claims written by this provider, covering 177 Medicare beneficiaries and totaling roughly $8K in drug spend, with an opioid prescribing rate of 6.9%. These figures capture only Medicare Part D — commercial insurance, Medicaid, and cash-pay prescriptions are not included, and any drug-beneficiary cell under 11 is suppressed by CMS for patient privacy. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 83.357/100 for the 2023 performance year (Quality 68.0602, Cost 60.6155), compared with the national average of 83.1.

Plastic Surgery within the Head & Neck (Otolaryngology) Physician is a narrow specialty nationwide, with 608 enrolled providers across 48 states and an average of 379 Part D claims per prescriber, so the context for interpreting these metrics differs meaningfully from a primary-care baseline. Important: PlainDoctor is a directory of publicly available government data, not medical advice, a malpractice database, or a quality rating. Inclusion here does not imply a recommendation, and absence of complaints or sanctions on this page does not mean none exist — always verify credentials through the NPPES NPI Registry, your state medical board, and the ABMS or AOA before making healthcare decisions.

Practice Address

21000 E 12 MILE RD
SAINT CLAIR SHORES, MI 48081

Provider Details

NPI 1114019627
Specialty Plastic Surgery within the Head & Neck (Otolaryngology) Physician
Credentials MD
Gender Male
NPI Issued 09/29/2006

CMS Quality Score (MIPS)

Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.

83.357
Final Score
Avg: 83.1
68.0602
Quality
60.6155
Cost
100
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where MICHAEL FOZO, MD bills Medicare from. Star ratings (1-5) are CMS Hospital Compare's "Hospital overall rating" — a composite of mortality, readmission, patient experience, safety, timely care, and efficient use of medical imaging measures. Source: CMS Care Compare.

HENRY FORD HEALTH ST JOHN HOSPITAL
★☆☆☆☆ 1/5
GROSSE POINTE, MI
Acute Care Hospitals
CMS CCN: 230165
LAKESHORE EAR NOSE AND THROAT CENTER PC
MACOMB, MI

Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).

Industry payments received (2024) — CMS Open Payments transparency data

The federal Physician Payments Sunshine Act (part of the Affordable Care Act) requires drug and medical-device manufacturers + group purchasing organizations to publicly report payments and other transfers of value to physicians and teaching hospitals. The data below covers 2024 for MICHAEL FOZO, MD. Source: openpaymentsdata.cms.gov.

Total received

$266

Largest payer

Medtronic, Inc.

Most common payment type

Food and Beverage

Industry payments are not necessarily indicators of bias — they include research funding, consulting fees for evidence-based work, royalties for inventions, food at conferences, and similar items. The disclosure exists for transparency. Read our methodology for how we interpret this data.

License & disciplinary context — Michigan MI-BOM 2023 annual report

Aggregate state board data only — NOT a determination of any individual provider's status. The figures below describe statewide disciplinary activity across all ~41K Michigan medical licensees in 2023 — they are NOT specific to MICHAEL FOZO, MD. To verify MICHAEL FOZO, MD's current license status, search the MI-BOM public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

123
Total board actions, Michigan 2023
Across 120 cases
3.00
Actions per 1,000 licensees
Michigan statewide rate
probation
Most common action type
44 cases

MI-BOM publishes annual disciplinary statistics as part of public-record reporting under each state's Administrative Procedure Act. See the full breakdown by action type and year on the Michigan disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2023.

461
Total Claims
$8K
Total Drug Cost
177
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
721
Total Day Supply
18,856
Generic Drug Cost
$8K
Opioid Claims
32 (6.9% rate)
Antibiotic Claims
58

Patient Demographics

Average Patient Age
72.1 years
Avg HCC Risk Score
1.30
Gender Split
52% female / 48% male
Age Distribution
<65: 17, 65-74: 90, 75-84: 57, 85+: 13

Top Prescribed Drugs (Medicare Part D)

Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.

What MICHAEL FOZO, MD prescribes most

Top Medicare Part D drugs by claim count, 2023

claims
Source CMS Medicare Part D Prescriber Public Use File As of 2023
Drug Claims
Fluticasone Propionate
175
Azelastine Hcl
66
Montelukast Sodium
41
Hydrocodone-Acetaminophen
Hydrocodone/Acetaminophen
27
Omeprazole
26
Mupirocin
20
Ipratropium Bromide
18
Amoxicillin-Clavulanate Potass
Amoxicillin/Potassium Clav
17
Doxycycline Hyclate
17

* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.

Plastic Surgery within the Head & Neck (Otolaryngology) Physician Overview

How MICHAEL FOZO, MD fits within the Plastic Surgery within the Head & Neck (Otolaryngology) Physician landscape nationally.

608
Plastic Surgery within the Head & Neck (Otolaryngology) Physician Providers in US
48
States with Plastic Surgery within the Head & Neck (Otolaryngology) Physician
379
Avg Claims per Provider

MICHAEL FOZO, MD's 461 claims are above the specialty average of 379.

Nearby Plastic Surgery within the Head & Neck (Otolaryngology) Physician Providers in Michigan

Other clinicians with the same primary specialty enrolled in Michigan, drawn from the same CMS NPPES roster as FOZO.

Compare Plastic Surgery within the Head & Neck (Otolaryngology) Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is MICHAEL FOZO, MD's specialty?
MICHAEL FOZO, MD specializes in Plastic Surgery within the Head & Neck (Otolaryngology) Physician and practices in SAINT CLAIR SHORES, Michigan. Credentials: MD.
How much does MICHAEL FOZO, MD prescribe under Medicare Part D?
In 2023, MICHAEL FOZO, MD wrote 461 Medicare Part D claims totaling $8K in drug costs for 177 beneficiaries.
What is MICHAEL FOZO, MD's Medicare quality score?
MICHAEL FOZO, MD has a CMS MIPS Final Score of 83.357/100 (Quality: 68.0602, Cost: 60.6155). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is MICHAEL FOZO, MD located?
MICHAEL FOZO, MD is located at 21000 E 12 MILE RD, SAINT CLAIR SHORES, MI, 48081. Phone: (586) 779-7610.
What is MICHAEL FOZO, MD's NPI number?
MICHAEL FOZO, MD's National Provider Identifier (NPI) is 1114019627, issued on 09/29/2006.
Does MICHAEL FOZO, MD prescribe opioids?
Yes, MICHAEL FOZO, MD had 32 opioid claims in 2023 with an opioid prescribing rate of 6.9%.
How many Plastic Surgery within the Head & Neck (Otolaryngology) Physician providers are there in the US?
There are 608 Plastic Surgery within the Head & Neck (Otolaryngology) Physician providers across 48 states in the US. The average Plastic Surgery within the Head & Neck (Otolaryngology) Physician provider writes 379 Medicare Part D claims per year.
What drugs does MICHAEL FOZO, MD prescribe most often?
Based on 2023 Medicare Part D data, MICHAEL FOZO, MD's most frequently prescribed drugs include Fluticasone Propionate, Azelastine Hcl, Montelukast Sodium. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does MICHAEL FOZO, MD accept Medicare?
MICHAEL FOZO, MD appears in CMS Medicare data with 461 Part D claims and 177 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify MICHAEL FOZO, MD's credentials?
MICHAEL FOZO, MD's NPI is 1114019627 with credentials MD. You can verify this through the NPPES NPI Registry, check state medical board records, and confirm board certification through the ABMS or AOA.

Data Sources

Provider Directory
CMS National Plan and Provider Enumeration System (NPPES), download.cms.gov/nppes, updated monthly. Contains NPI, specialty, credentials, and practice location.
Specialty Classification
NUCC Health Care Provider Taxonomy (nucc.org), the industry standard for classifying provider specialties in Medicare and Medicaid billing.
Prescribing Data
CMS Medicare Part D Prescriber Public Use File (2023). Includes claims, drug costs, beneficiaries, and opioid prescribing rates.
Quality Performance
CMS Merit-based Incentive Payment System (MIPS) — 2023 performance year.
Limitations
Provider data is self-reported to CMS. Prescribing data reflects Medicare Part D only and does not include commercial insurance, Medicaid, or cash prescriptions. Claims below 11 beneficiaries are suppressed by CMS for privacy.

See our complete data methodology for details on how we collect and process government data.

Data as of April 2026 (NPPES) / 2023 (Medicare Part D). Source: Centers for Medicare & Medicaid Services (CMS).

Disclaimer: Data from CMS NPPES and Medicare Part D. PlainDoctor does not rate or rank providers. Provider information is self-reported and may not be current. Always verify information directly with the provider. About · Methodology