Doctor profile · Federal record

Dr. Tara Deters, PA-C

Physician Assistant · Brockway, MI

  • NPI 1245330521
  • 20 yrs on file
  • Female
  • Group practice
  • No sanctions

Practice & contact

NPPES Updated May 11, 2026
Primary practice
7470 Brockway RD
Brockway, MI 480973458
(810) 387-3211
fax (810) 387-2279
Mailing address
36591 Crimson Ln
New Baltimore, MI 480475588

Credentials & registration

NPPES · NUCC
NPI registered
September 2006 — 20 yrs on file
Profile last updated
July 8, 2007
Specialty taxonomy
363A00000X — NUCC code
State license (1)
Michigan #5601004579

Federal sanctions & exclusions

OIG LEIE Updated May 11, 2026

No sanctions, exclusions or revocations on file

Checked against OIG LEIE on NPI 1245330521. Last verified May 11, 2026.

Open Payments

Industry payments received

CMS Open Payments
All-time total
$15
Transactions
1
Manufacturers
1
Payer (manufacturer) Industry Txns Amount
Tactile Systems Technology Inc 1 $15.39

By nature of payment

Food and Beverage
$15

Medicare Part D · 2023

Top prescriptions

CMS Part D Prescriber
Total claims
12
Patients
0
Total drug cost
$233
Drug Type Claims Patients Total cost
Atorvastatin Calcium Generic 12 0 $233

Frequently asked questions

Auto-generated from federal data
What is Dr. Tara Deters's medical specialty?
Dr. Tara Deters practices Physician Assistant in Brockway, MI.
Where does Dr. Tara Deters practice?
Dr. Tara Deters practices at 7470 Brockway RD, Brockway, MI 480973458. Office phone: 8103873211.
What is Dr. Tara Deters's NPI?
Dr. Tara Deters's National Provider Identifier (NPI) is 1245330521, issued by NPPES.