Susan Therese Fedewa, DO
NPI 1750336004ActiveIndividual· Emergency Medicine· Jackson, MI
Emergency Medicine (DO) with Legacy Physician Group PC, practicing in Jackson, Michigan. 171 Medicare patients in 2024, $24,916 paid; nearly all of their 682 Part D prescriptions were generic (93%). Lists Edward W Sparrow Hospital and 2 other hospitals as hospital affiliations.
Overview
| NPI | 1750336004 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | DO |
| Sole proprietor | No |
| NPI issued | May 24, 2006 |
| Last updated in NPPES | Nov 23, 2007 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Emergency Medicine Primary | 207P00000X | 5101010021 | MI |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Emergency Medicine (MI) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 171 |
|---|---|
| Services billed | 1,240 across 56 procedure codes |
| Paid by Medicare | $24,916 |
Part D prescriptions in 2024
| Prescriptions (claims) | 682 · 685 30-day fills |
|---|---|
| Patients | 430 |
| Total drug cost | $8,132 |
| Generic share | 93% of claims |
Education and affiliations
| Graduation year | 1987 |
|---|---|
| Medicare specialty | Emergency Medicine |
Medical group
- Legacy Physician Group PCLansing, MI · 11 clinicians
Hospital affiliations
- Edward W Sparrow HospitalLansing, MI
- McLaren Greater LansingLansing, MI
- University of Michigan Health- Sparrow ClintonSaint Johns, MI
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
Other emergency medicine physicians in Jackson
- 1053400812
- 1063463552
- 1073141024
- 1073141966
- 1285690230
- 1346691581
- 1598250946
- 1669791760
- 1801232434
- 1922364496
- 1417442666
- 1891081352
All 61 emergency medicine physicians in Jackson · All emergency medicine physicians in Michigan