DR. MICHAEL ANTHONY CASEY DO
NPI 1346506409
Neurological Surgery in Pleasant Prairie, WI
NPI Status: Active since April 03, 2012
Contact Information
9555 76TH ST
PLEASANT PRAIRIE, WI
ZIP 53158
Phone: (262) 577-8000
Fax: (262) 577-8869
- Individual
- Male
- Neurological Surgery
- Accepts Insurance
- PECOS Enrolled
About MICHAEL CASEY
This page provides the complete NPI Profile along with additional information for Michael Casey, a provider established in Pleasant Prairie, Wisconsin with a medical specialization in Neurological Surgery. The healthcare provider is registered in the NPI registry with number 1346506409 assigned on April 2012. The practitioner's primary taxonomy code is 207T00000X with license number 3100 (WI). The provider is registered as an individual and his NPI record was last updated one year ago.
- NPI
- 1346506409
- Provider Name
- DR. MICHAEL ANTHONY CASEY DO
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 9555 76TH ST PLEASANT PRAIRIE, WI 53158
- Location Phone
- (262) 577-8000
- Location Fax
- (262) 577-8869
- Mailing Address
- 9555 76TH ST PLEASANT PRAIRIE, WI 53158
- Mailing Phone
- (262) 577-8000
- Mailing Fax
- (262) 577-8869
- Is Sole Proprietor?
- No
- Enumeration Date
- 04-03-2012
- Last Update Date
- 01-08-2025
- Code Navigator
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
Neurological Surgery
- Taxonomy Code
- 207T00000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 3100
- License State
- WI
- Taxonomy Description
- A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 207T00000X | Allopathic & Osteopathic Physicians | Neurological Surgery | 036140434 (IL) |
| 2 | 207T00000X | Allopathic & Osteopathic Physicians | Neurological Surgery | FC8081642 (PA) |
| 3 | 207T00000X | Allopathic & Osteopathic Physicians | Neurological Surgery | OS020618 (PA) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Gold S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care + Rx Copay - PPO
- Silver S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - PPO
- Complete Gold - EPO
- Complete Gold + Vision + Adult Dental - EPO
- Complete Silver - EPO
- Complete Silver + Vision + Adult Dental - EPO
- Elite Bronze - EPO
- Elite Bronze + Vision + Adult Dental - EPO
- Everyday Bronze - EPO
- Everyday Bronze + Vision + Adult Dental - EPO
- Everyday Gold - EPO
- Everyday Gold + Vision + Adult Dental - EPO
- Premier Silver - EPO
- Premier Silver + Vision + Adult Dental - EPO
- Standard Expanded Bronze - EPO
- Standard Expanded Bronze + Vision + Adult Dental - EPO
- Standard Gold - EPO
- Standard Gold + Vision + Adult Dental - EPO
- Standard Silver - EPO
- Choice Bronze HSA - HMO
- Choice Bronze HSA + Vision + Adult Dental - HMO
- Clear Silver - HMO
- Complete Gold - HMO
- Complete Gold + Vision + Adult Dental - HMO
- Elite Bronze - HMO
- Elite Bronze + Vision + Adult Dental - HMO
- Elite Gold - HMO
- Elite Gold + Vision + Adult Dental - HMO
- Elite Silver - HMO
- Elite Silver + Vision + Adult Dental - HMO
- Everyday Bronze - HMO
- Everyday Bronze + Vision + Adult Dental - HMO
- Everyday Gold - HMO
- Everyday Gold + Vision + Adult Dental - HMO
- Focused Silver - HMO
- Focused Silver + Vision + Adult Dental - HMO
- Standard Expanded Bronze - HMO
- Standard Expanded Bronze + Vision + Adult Dental - HMO
- Standard Gold - HMO
- Clear Gold - EPO
- Clear Gold + Vision + Adult Dental - EPO
- Complete Gold - EPO
- Complete Gold + Vision + Adult Dental - EPO
- Elite Silver - EPO
- Elite Silver + Vision + Adult Dental - EPO
- Everyday Bronze - EPO
- Everyday Bronze + Vision + Adult Dental - EPO
- Focused Silver - EPO
- Focused Silver + Vision + Adult Dental - EPO
- Premier Bronze HSA - EPO
- Premier Bronze HSA + Vision + Adult Dental - EPO
- Standard Expanded Bronze - EPO
- Standard Expanded Bronze + Vision + Adult Dental - EPO
- Standard Gold - EPO
- Standard Gold + Vision + Adult Dental - EPO
- Standard Silver - EPO
- Central Bronze - HMO
- Central Bronze + Vision + Adult Dental - HMO
- Central Gold - HMO
- Central Gold + Vision + Adult Dental - HMO
- Clear Silver - HMO
- Everyday Bronze - HMO
- Everyday Bronze + Vision + Adult Dental - HMO
- Everyday Gold - HMO
- Everyday Gold + Vision + Adult Dental - HMO
- Focused Silver - HMO
- Focused Silver + Vision + Adult Dental - HMO
- Standard Expanded Bronze - HMO
- Standard Expanded Bronze + Vision + Adult Dental - HMO
- Standard Gold - HMO
- Standard Gold + Vision + Adult Dental - HMO
- Standard Silver - HMO
- Standard Silver + Vision + Adult Dental - HMO
- Blue Choice Preferred Bronze PPO? 201 - PPO
- Blue Choice Preferred Bronze PPO? 701 - PPO
- Blue Choice Preferred Bronze PPO? Standard - Select Rx Copays - PPO
- Blue Choice Preferred Gold PPO? 204 - PPO
- Blue Choice Preferred Gold PPO? 901 - PPO
- Blue Choice Preferred Gold PPO? Standard - Rx Copays - PPO
- Blue Choice Preferred Security PPO? 200 - PPO
- Blue Choice Preferred Silver PPO? 203 - PPO
- Blue Choice Preferred Silver PPO? 801 - PPO
- Blue Choice Preferred Silver PPO? Standard - Select Rx Copays - PPO
- Blue Precision Bronze HMO? 205 - HMO
- Blue Precision Bronze HMO? 701 - HMO
- Blue Precision Bronze HMO? Standard - Select Rx Copays - HMO
- Blue Precision Gold HMO? 207 - HMO
- Blue Precision Gold HMO? 703 - HMO
- Blue Precision Gold HMO? Standard - Rx Copays - HMO
- Blue Precision Silver HMO? 206 - HMO
- Blue Precision Silver HMO? 704 - HMO
- Blue Precision Silver HMO? Standard - Select Rx Copays - HMO
- BlueCare Direct Bronze? Standard - Select Rx Copays with Advocate - HMO
- Gold 1 - HMO
- Gold 1 with Adult Vision Services - HMO
- Gold 8 with Rx Copay - HMO
- Silver 1 - HMO
- Silver 1 with Rx Copay and Adult Vision Services - HMO
- Silver 12 with first 4 free PCP or MH visits - HMO
- Silver 8 - HMO
- Bronze Classic 4700 (Select) - HMO
- Bronze Classic PCP Saver Plus Rx Copay (Select) - HMO
- Bronze Classic Standard (Choice) - HMO
- Bronze Classic Standard (Select) - HMO
- Gold Classic Standard (Choice) - HMO
- Gold Classic Standard (Select) - HMO
- Secure (Choice) - HMO
- Silver Classic Standard (Choice) - HMO
- Silver Classic Standard (Select) - HMO
- Silver Elite Saver Plus Rx Copay (Select) - HMO
- Silver Simple Diabetes (Choice) - HMO
- Silver Simple Diabetes (Select) - HMO
- Silver Simple PCP Saver (Select) - HMO
- UHC Bronze Copay Focus (No Referrals) - HMO
- UHC Bronze Standard (No Referrals) - HMO
- UHC Bronze Value (Rx Copay, No Referrals) - HMO
- UHC Bronze Value+ (Rx Copay, Dental + Vision, No Referrals) - HMO
- UHC Gold Advantage (No Referrals) - HMO
- UHC Gold Advantage+ (Dental + Vision, No Referrals) - HMO
- UHC Gold Copay Focus (No Referrals) - HMO
- UHC Gold Standard (Rx Copay, No Referrals) - HMO
- UHC Silver Advantage (Rx Copay, No Referrals) - HMO
- UHC Silver Advantage+ (Rx Copay, Dental + Vision, No Referrals) - HMO
- UHC Silver Copay Focus (No Referrals) - HMO
- UHC Silver Standard (No Referrals) - HMO
- UHC Silver Standard+ (Dental + Vision, No Referrals) - 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 |
|---|---|---|---|
| 1346506409 | MEDICAID (05) | WI |
Medicare Participation & PECOS Enrollment Status
Michael Casey is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
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.
Established patient office or other outpatient visit, 10-19 minutes
Established patient office or other outpatient visit, 20-29 minutes
Established patient office or other outpatient visit, 30-39 minutes
Imaging of blood vessel
Insertion of tube into brain artery for diagnosis or treatment with review by radiologist
Insertion of tube into chest artery for diagnosis or treatment with review by radiologist
Insertion of tube into external neck artery for diagnosis or treatment with review by radiologist
Insertion of tube into internal neck artery for diagnosis or treatment with review by radiologist
Insertion of tube into intracranial artery for diagnosis or treatment with review by radiologist
Laminectomy or laminotomy (partial removal of spine bones)
New patient office or other outpatient visit, 15-29 minutes
New patient office or other outpatient visit, 30-44 minutes
Occlusion of central nervous system or spinal cord artery
Removal of blood clot and injection to dissolve blood clot from head artery using fluoroscopic guidance
Review by radiologist of image for insertion of material to block blood flow
Spinal fusion
Ultrasonic guidance for blood vessel access
Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
This service was performed 19 times for 17 patientsThis 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 58 times for 47 patientsThis 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 23 times for 22 patientsImaging of blood vessels, also known as vascular imaging, is a non-invasive procedure that allows doctors to view the condition of your blood vessels. It employs techniques like ultrasound, CT scan, or MRI to capture images, enabling the detection of blockages or abnormalities.
This service was performed 26 times for 12 patientsThis procedure involves inserting a thin tube into a brain artery. It aids in diagnosing or treating brain conditions. A radiologist reviews the process to ensure accuracy and safety. It's a critical step in managing brain health effectively.
This service was performed 46 times for 41 patientsThis procedure involves placing a small tube into a chest artery. It helps diagnose or treat certain heart conditions. A radiologist, a doctor specialized in imaging techniques, will review the results to ensure accuracy and effectiveness.
This service was performed 14 times for 14 patientsThis procedure involves placing a small tube into an artery in your neck. This is done to diagnose or treat certain conditions. A radiologist, a doctor who specializes in medical imaging, will review the procedure to ensure everything is done correctly.
This service was performed 21 times for 18 patientsThis procedure involves placing a small tube into your neck artery. It helps diagnose or treat certain conditions. A radiologist, a doctor specializing in medical imaging, reviews the process to ensure accuracy and safety.
This service was performed 31 times for 26 patientsThis procedure involves placing a tube into an artery in the brain. It's typically done for diagnostic purposes or treatment. A radiologist, a doctor specializing in imaging, reviews the process to ensure accuracy and safety.
This service was performed 36 times for 34 patientsA laminectomy or laminotomy is a surgical procedure that involves removing part of the bone in your spine, specifically the lamina, to alleviate pressure on your spinal cord or nerves. This can help reduce pain and improve mobility if you're suffering from conditions like herniated discs or spinal stenosis.
This service was performed for 1-10 patientsThis service involves an initial visit to the doctor's office or other outpatient setting. It typically lasts between 15-29 minutes. The doctor will review your medical history, conduct a physical examination, and discuss your health concerns. It's a chance to establish your health baseline and address any immediate medical issues.
This service was performed 11 times for 11 patientsThis service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
This service was performed 31 times for 31 patientsThis procedure involves blocking a central nervous system or spinal cord artery to prevent blood flow. It's typically done to treat conditions like aneurysms or vascular malformations. It can help prevent strokes, bleeding, or other serious issues.
This service was performed 14 times for 12 patientsThis procedure involves removing a blood clot from a head artery. A special imaging technique called fluoroscopy is used for guidance. Additionally, an injection is given to help dissolve any remaining clot. This helps restore normal blood flow to the brain.
This service was performed 13 times for 13 patientsThis procedure involves a radiologist examining an image to plan the placement of a substance that will block blood flow in a specific area. This is usually done to prevent bleeding or to cut off the blood supply to a growth.
This service was performed 13 times for 12 patientsSpinal fusion is a surgical procedure aimed at connecting two or more vertebrae in your spine to reduce pain and improve stability. It involves using a bone graft to cause the vertebrae to grow together, limiting the movement between them. This procedure is often performed to treat conditions like herniated discs or spinal stenosis.
This service was performed for 1-10 patientsUltrasonic guidance for blood vessel access is a medical procedure where sound waves are used to create images of your blood vessels. This helps doctors to accurately locate and access the vessels for treatments or tests, ensuring safety and precision.
This service was performed 49 times for 37 patientsThis procedure involves a doctor administering a medication to reduce your consciousness during a procedure. This helps in managing discomfort and anxiety. The initial application lasts for 15 minutes and is for individuals aged 5 years or older.
This service was performed 63 times for 53 patientsPhysician Visit Costs
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 53158 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99204
- Average New Patient Price $123.69
- Minimum New Patient Price $53.9
- Maximum New Patient Price $163.24
- Average New Patient Copayment $30.92
- Minimum New Patient Copayment $13.47
- Maximum New Patient Copayment $40.81
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99213
- Average Established Patient Price $67.37
- Minimum Established Patient Price $17.4
- Maximum Established Patient Price $133.76
- Average Established Patient Copayment $16.84
- Minimum Established Patient Copayment $4.35
- Maximum Established Patient Copayment $33.44
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
Reviews for DR. MICHAEL ANTHONY CASEY DO
There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.
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. | |||||||||
| 1 | 3 | 4 | 6 | 5 | 0 | 6 | 4 | 0 | 9 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 3 | 8 | 6 | 10 | 0 | 12 | 4 | 0 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 3 + 8 + 6 + 1 + 0 + 0 + 1 + 2 + 4 + 0 + 24 = 51 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 51 = 9 | 9 | ||||||||
The NPI number 1346506409 is valid because the calculated check digit 9 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 |
|---|---|---|---|
| 1417904491 | ANGELINA M MONTEMURRO MD Individual | Family Medicine | 9555 76TH ST SUITE 2602 PLEASANT PRAIRIE, WI 53158 (262) 577-8400 |
| 1730235730 | MRS. SARA S. LIST PT Individual | Physical Therapist | 9555 76TH ST PLEASANT PRAIRIE, WI 53158 (262) 577-8989 |
| 1174679930 | MR. KEVIN MICHEAL CONTO M.P.T.,A.T.C. Individual | Physical Therapist | 9555 76TH ST SUITE 2620 PLEASANT PRAIRIE, WI 53158 (262) 577-8989 |
| 1760529903 | RONDA RAE HOENING PTA Individual | Physical Therapy Assistant | 9555 76TH ST PLEASANT PRAIRIE, WI 53158 (262) 577-8989 |
| 1891832291 | JENNIFER LEE LEIPZIG PTA Individual | Physical Therapy Assistant | 9555 76TH ST SUITE 2620 PLEASANT PRAIRIE, WI 53158 (262) 577-8989 |
| 1225251200 | MR. MITCHELL S. RUIZ PTA Individual | Physical Therapy Assistant | 9555 76TH ST PLEASANT PRAIRIE, WI 53158 (262) 577-8989 |
| 1265698690 | DR. KELLI LOUISE SASADA M.D. Individual | Obstetrics & Gynecology (Gynecology) | 9555 76TH ST SUITE 4105 PLEASANT PRAIRIE, WI 53158 (262) 577-8080 |
| 1831142686 | PAMELA S CAVA D.O. Individual | Pediatrics | 9555 76TH ST SUITE 4106 PLEASANT PRAIRIE, WI 53158 (262) 653-5437 |
| 1497066732 | MATTHEW ERIC STAUFFER MD Individual | Emergency Medicine | 9555 76TH ST PLEASANT PRAIRIE, WI 53158 (414) 290-6720 |
| 1871609677 | JOYCE E TURLEY M.D. Individual | Pediatrics (Neonatal-Perinatal Medicine) | 9555 76TH ST PLEASANT PRAIRIE, WI 53158 (262) 577-8005 |
| 1558804526 | LEONARDO MONTEMURRO SERVICE CORPORATION Organization | Clinic/Center (Primary Care) | 9555 76TH ST STE 2601 KENOSHA, WI 53158 (262) 945-7557 |
| 1669992004 | HEIDI CAPODARCO APNP Individual | Nurse Practitioner | 9555 76TH ST PLEASANT PRAIRIE, WI 53158 (262) 656-3313 |
| 1598969644 | DR. DAVID A. KNIGHT MD, PHD. Individual | Internal Medicine (Hematology & Oncology) | 9555 76TH ST SUITE 2630 PLEASANT PRAIRIE, WI 53158 (262) 671-7300 |
| 1134253867 | SALMAN AHMAD NOOR MD Individual | Internal Medicine (Infectious Disease) | 9555 76TH ST PLEASANT PRAIRIE, WI 53158 (262) 577-8300 |
| 1447746805 | JORDON W. THOMSEN PA-C Individual | Physician Assistant | 9555 76TH ST PLEASANT PRAIRIE, WI 53158 (414) 290-6720 |
| 1518915073 | UNITED OCCUPATIONAL MEDICINE AND WALK IN SERVICES, LLC Organization | Preventive Medicine (Occupational Medicine) | 9555 76TH ST PLEASANT PRAIRIE, WI 53158 (414) 290-6718 |
| 1396375762 | SHERRI LYNN O'SHEA RDN, CD Individual | Dietitian, Registered | 9555 76TH ST PLEASANT PRAIRIE, WI 53158 (262) 577-8105 |
| 1174938740 | DR. TRICIA LAUREN GRIFFITHS M.D. Individual | Internal Medicine (Pulmonary Disease) | 9555 76TH ST PLEASANT PRAIRIE, WI 53158 (262) 577-8300 |
| 1932727641 | AMY ANN GIESE RD, CD, CNSC Individual | Dietitian, Registered | 9555 76TH ST PLEASANT PRAIRIE, WI 53158 (262) 656-2371 |
| 1205041688 | GREAT LAKES DERMATOLOGY Organization | Dermatology (Procedural Dermatology) | 9555 76TH ST SUITE 2600 PLEASANT PRAIRIE, WI 53158 (800) 485-8640 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1346506409, enumerated in the NPI registry as an "individual" on April 03, 2012
The provider is located at 9555 76th St Pleasant Prairie, Wi 53158 and the phone number is (262) 577-8000
The provider's speciality is Neurological Surgery with taxonomy code 207T00000X
The provider might be accepting Accepts: Aetna CVS Health, Ambetter from Home State Health,. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
Medicare beneficiaries should expect a typical cost of $123.69 with an average copayment of $30.92 for new patient appointments. Established patients should expect a typical charge of $67.37 and an average copayment of 16.84. Please review your insurance plan or contact the provider directly to determine your specific costs.
The most common procedures or services performed by this practitioner are: Established patient office or other outpatient visit, 10-19 minutes, Established patient office or other outpatient visit, 20-29 minutes, Established patient office or other outpatient visit, 30-39 minutes, Imaging of blood vessel, Insertion of tube into brain artery for diagnosis or treatment with review by radiologist, Insertion of tube into chest artery for diagnosis or treatment with review by radiologist, Insertion of tube into external neck artery for diagnosis or treatment with review by radiologist, Insertion of tube into internal neck artery for diagnosis or treatment with review by radiologist, Insertion of tube into intracranial artery for diagnosis or treatment with review by radiologist, Laminectomy or laminotomy (partial removal of spine bones), New patient office or other outpatient visit, 15-29 minutes, New patient office or other outpatient visit, 30-44 minutes, Occlusion of central nervous system or spinal cord artery, Removal of blood clot and injection to dissolve blood clot from head artery using fluoroscopic guidance, Review by radiologist of image for insertion of material to block blood flow, Spinal fusion, Ultrasonic guidance for blood vessel access and Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes.
This NPI record was last updated on April 03, 2012. 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.