FREDERICK P MICHAEL DO
NPI 1255324802
Internal Medicine in Grosse Pointe Woods, MI


Quality Rating: 85.07 out of 100 score

NPI Status: Active since August 30, 2005

Contact Information

19251 MACK AVE
GROSSE POINTE WOODS, MI
ZIP 48236
Phone: (313) 343-3749
Fax: (313) 343-7921

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  • Individual
  • Male
  • Internal Medicine
  • Accepts Insurance
  • Medicare Quality Reporting

About FREDERICK MICHAEL

This page provides the complete NPI Profile along with additional information for Frederick Michael, an internist established in Grosse Pointe Woods, Michigan with a medical specialization in Internal Medicine. The healthcare provider is registered in the NPI registry with number 1255324802 assigned on August 2005. The practitioner's primary taxonomy code is 207R00000X with license number 5101008128 (MI). The provider is registered as an individual and his NPI record was last updated 15 years ago.

NPI
1255324802
Provider Name
FREDERICK P MICHAEL DO
Gender
Male
Entity Type
Individual
Location Address
19251 MACK AVE GROSSE POINTE WOODS, MI 48236
Location Phone
(313) 343-3749
Location Fax
(313) 343-7921
Mailing Address
19251 MACK AVE GROSSE POINTE WOODS, MI 48236
Mailing Phone
(313) 343-7280
Mailing Fax
(313) 343-7921
Is Sole Proprietor?
No
Enumeration Date
08-30-2005
Last Update Date
02-17-2011
Code Navigator

An internist like Frederick Michael is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Internal Medicine

Taxonomy Code
207R00000X
Type
Allopathic & Osteopathic Physicians
License No.
5101008128
License State
MI
Taxonomy Description
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Gold 1 - HMO
  • Gold 1 with Adult Vision Services - HMO
  • Gold 8 - HMO
  • Silver 1 - HMO
  • Silver 1 with Adult Vision Services - HMO
  • Silver 12 with First 4 Primary Care Visits Free - HMO
  • Silver 8 - HMO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
3368642MEDICAID (05)MI 
M71670067MEDICARE ID-TYPE UNSPECIFIED (04) 
A78690MEDICARE UPIN (02) 

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

This service was performed 11 times for 11 patients

Established patient office or other outpatient visit, 20-29 minutes

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

This service was performed 60 times for 52 patients

Established patient office or other outpatient visit, 30-39 minutes

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

This service was performed 19 times for 19 patients

Overall MIPS Quality Performance

The provider participated in CMS Quality Payment Program under the Merit-based Incentive Payment System (MIPS) and has an overall final score of 85.07, based on four performance areas: quality, improvement activities, promoting interoperability, and cost. The purpose of this information is to help people with Medicare make informed decisions and incentivize doctors and clinicians to maximize performance. The provider also has detailed performance information the following quality measures: .

The Merit-based Incentive Payment System (MIPS) is a way providers could use to participate in CMS Quality Payment Program (QPP). The MIPS program affects clinician reimbursement for Part B covered professional services and also rewards them for improving the quality of patient care and outcomes.

  • Final Score: 85.07 out of 100

    The MIPS program evaluates providers across multiple categories with a specific weight for each category resulting a in a MIPS final score that ranges from 0 to 100 points. The MIPS Final Score determines whether providers receive a negative, neutral or positive MIPS payment adjustment.

  • Quality Score: 61.4

    The Quality category assesses providers performance on clinical practices and patient outcomes under the traditional MIPS program. The quality measures help identify the quality of healthcare processes, outcomes, and patient experiences. The Quality measure category compromises 40% providers final MPIS scores.

    There are six collection types for MIPS quality measures: Electronic Clinical Quality Measures (eCQMs), MIPS Clinical Quality Measures (CQMs), Qualified Clinical Data Registry (QCDR) Measures, Medicare Part B claims measures, CMS Web Interface measures and The Consumer Assessment of Healthcare Providers and Systems (CAHPS) for MIPS Survey.

  • Promoting Interoperability Score: 100

    The Interoperability category measures the providers ability to use technology to exchange and make use of healthcare information in a way that is less burdensome and improves outcomes. The Interoperability measure category compromises 25% providers final MPIS scores.

    The MIPS Interoperability measure focuses on the use of certified electronic health record technology (CEHRT) to improve patient access health information, the exchange of information between clinicians and pharmacies and the systematic collection, analysis, and interpretation of healthcare data.

  • Improvement Activities Score: 40

    The Improvement Activities performance category evaluates the providers participation in clinical activities that support the improvement of clinical practice, care delivery, and outcomes. Providers have the option to choose 2 to 4 activities from an inventory of over 100 improvement activities. Providers typically choose the activities that best fit their needs. The improvement activities measure category compromises 15% providers final MPIS scores.

    The Improvement measures aim to better patient engagement, patient safety and other areas of patient care. The Improvement Activities category compromises 15% of providers final MPIS scores.

  • Cost Score: 71.83

    The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.

    Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores.

  • Cost Score: 71.83

    The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.

    Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores.

MIPS Quality Measures

The following performance measures were reported under the Merit-Based Incentive Payment System (MIPS) and Qualified Clinical Data Registry (QCDR) quality measures program.

Quality Measure Performance Number of Patients
Breast Cancer Screening 72% 135
Cervical Cancer Screening 56% 122
Diabetes: Eye Exam 43% 129
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%) 19% "Inverse Quality Measure"
This is an inverse quality measure, a lower rate means the provider is rated better.
129
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan 81% 483
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented 40% 219

Reviews for FREDERICK P MICHAEL DO

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1255324802
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2210562880
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 1 + 0 + 5 + 6 + 2 + 8 + 8 + 0 + 24 = 58
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 58 = 22

The NPI number 1255324802 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1356334270 MOHAMMED K BEEAI MD
Individual
Internal Medicine19251 MACK AVE
GROSSE POINTE WOODS, MI 48236
(313) 343-3749
1891788865 LOUIS D SARAVOLATZ MD
Individual
Internal Medicine (Infectious Disease)19251 MACK AVE
GROSSE POINTE WOODS, MI 48236
(313) 343-7280
1992798771 MOHAMAD FAKIH MD
Individual
Internal Medicine19251 MACK AVE
GROSSE POINTE WOODS, MI 48236
(313) 343-3749
1689667453 RAYMOND C HILU MD
Individual
Internal Medicine19251 MACK AVE
GROSSE POINTE WOODS, MI 48236
(313) 343-7280
1982697645 LEONARD B JOHNSON MD
Individual
Internal Medicine (Infectious Disease)19251 MACK AVE 333
GROSSE POINTE WOODS, MI 48236
(313) 343-7280
1760475313 DONALD M ROZZELL MD
Individual
Internal Medicine19251 MACK AVE
GROSSE POINTE WOODS, MI 48236
(313) 343-3749
1013900570 MAMTA SHARMA MD
Individual
Internal Medicine (Infectious Disease)19251 MACK AVE
GROSSE POINTE WOODS, MI 48236
(313) 343-7280
1841284221 VIRGINIA ZACHARIAS MD
Individual
Internal Medicine19251 MACK AVE
GROSSE POINTE WOODS, MI 48236
(313) 343-3749
1396739769 MICHAEL F YACOUB MD
Individual
Internal Medicine19251 MACK AVE
GROSSE POINTE WOODS, MI 48236
(313) 343-7280
1588650899 SHARON ELIZABETH VALENTI NP
Individual
Registered Nurse (Infection Control)19251 MACK AVE #333
GROSSE POINTE WOODS, MI 48236
(313) 343-7280
1467430033DR. DAWN YUEN HARVEY DDS, MS
Individual
Dentist (Pediatric Dentistry)19251 MACK AVE SUITE 220
GROSSE POINTE WOODS, MI 48236
(313) 343-8790
1093765737BECKER ORTHOPEDIC APPLIANCE COMPANY
Organization
Prosthetic/Orthotic Supplier19251 MACK AVE SUITE 180
GROSSE POINTE WOODS, MI 48236
(313) 640-7750
1144492281 JEREMY LEE HENSON MD
Individual
Internal Medicine19251 MACK AVE STE 333
GROSSE POINTE WOODS, MI 48236
(313) 343-7280
1306008800TOOTHWORKS PC
Organization
Dentist (General Practice)19251 MACK AVE SUITE 220
GROSSE POINTE WOODS, MI 48236
(313) 343-8790
1083927511 PRANEIL DAVE MEHTA MD
Individual
Internal Medicine19251 MACK AVE SUITE 335
GROSSE POINTE WOODS, MI 48236
(313) 343-3329
1649263377 RIAD EL KHATIB MD
Individual
Internal Medicine (Infectious Disease)19251 MACK AVE 333
GROSSE POINTE WOODS, MI 48236
(313) 343-7280
1407224769 AMY STROS NP-C
Individual
Nurse Practitioner19251 MACK AVE SUITE 100
GROSSE POINTE WOODS, MI 48236
(313) 343-3740
1750301594 RICHARD K WESLEY DDS
Individual
Dentist19251 MACK AVE STE 70LL
GROSS POINTE WOODS, MI 48236
(313) 343-4087
1659501401 HIMA KATKURI MD
Individual
Internal Medicine19251 MACK AVE SUITE 335
GROSSE POINTE WOODS, MI 48236
(313) 343-3329
1407845621DR. JOEL T FISHBAIN M.D.
Individual
Internal Medicine (Infectious Disease)19251 MACK AVE SUITE 333, THIRD FLOOR
GROSSE POINTE WOODS, MI 48236
(313) 642-9882

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1255324802, enumerated in the NPI registry as an "individual" on August 30, 2005

The provider is located at 19251 Mack Ave Grosse Pointe Woods, Mi 48236 and the phone number is (313) 343-3749

The provider's speciality is Internal Medicine with taxonomy code 207R00000X

The provider might be accepting Accepts: Molina Healthcare, Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

The provider has an overall high rating in the following quality measures: uses technology to exchange and make use of healthcare information. The provider obtained a high score in the following performance measures: Breast Cancer Screening , Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan. The quality ratings are based on unbiased reviews and reported submissions to Medicare's Quality Payment Program.

The most common procedures or services performed by this practitioner are: Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit, Established patient office or other outpatient visit, 20-29 minutes and Established patient office or other outpatient visit, 30-39 minutes.

This NPI record was last updated on August 30, 2005. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.