MICHELLE R PORTER DPT
NPI 1548427354
Physical Therapist in Brighton, MI
Quality Rating: 98.73 out of 100 score
NPI Status: Active since May 20, 2008
Contact Information
10415 GRAND RIVER RD
SUITE 300
BRIGHTON, MI
ZIP 48116
Phone: (810) 229-6140
Fax: (810) 229-6145
- Individual
- Female
- Years of Experience 24
- Physical Therapist
- Accepts Insurance
- Accepts Medicare Approved Payment
About MICHELLE PORTER
This page provides the complete NPI Profile along with additional information for Michelle Porter, a provider established in Brighton, Michigan with a medical specialization in Physical Therapist and more than 24 years of experience. The healthcare provider is registered in the NPI registry with number 1548427354 assigned on May 2008. The practitioner's primary taxonomy code is 225100000X with license number 5501011445 (MI). The provider is registered as an individual and her NPI record was last updated 11 years ago.
- NPI
- 1548427354
- Provider Name
- MICHELLE R PORTER DPT
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 10415 GRAND RIVER RD SUITE 300 BRIGHTON, MI 48116
- Location Phone
- (810) 229-6140
- Location Fax
- (810) 229-6145
- Mailing Address
- 790 REMINGTON BLVD BOLINGBROOK, IL 60440
- Mailing Phone
- (630) 296-2223
- Medical School Name
- OTHER
- Graduation Year
- 2002
- Is Sole Proprietor?
- No
- Enumeration Date
- 05-20-2008
- Last Update Date
- 01-21-2015
- 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
Physical Therapist
- Taxonomy Code
- 225100000X
- Type
- Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- License No.
- 5501011445
- License State
- MI
- Taxonomy Description
- Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:
- Diagnose and manage movement dysfunction and enhance physical and functional abilities.
- Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
- Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
- Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
- Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Blue Cross� Preferred HMO Bronze Extra - HMO
- Blue Cross� Preferred HMO Bronze Saver HSA - HMO
- Blue Cross� Preferred HMO Bronze Secure - HMO
- Blue Cross� Preferred HMO Gold - HMO
- Blue Cross� Preferred HMO Gold Extra - HMO
- Blue Cross� Preferred HMO Silver - HMO
- Blue Cross� Preferred HMO Silver Extra - HMO
- Blue Cross� Preferred HMO Silver Saver - HMO
- Blue Cross� Preferred HMO Value - HMO
- Blue Cross� Select HMO Bronze Extra - HMO
- Blue Cross� Select HMO Bronze Saver HSA - HMO
- Blue Cross� Select HMO Bronze Secure - HMO
- Blue Cross� Select HMO Silver - HMO
- Blue Cross� Select HMO Silver Extra - HMO
- Blue Cross� Select HMO Silver Saver - HMO
- Blue Cross� Select HMO Value - HMO
- Blue Cross� Premier PPO Bronze Extra - PPO
- Blue Cross� Premier PPO Bronze HSA - PPO
- Blue Cross� Premier PPO Bronze Secure - PPO
- Blue Cross� Premier PPO Gold - PPO
- Blue Cross� Premier PPO Gold Extra - PPO
- Blue Cross� Premier PPO Silver - PPO
- Blue Cross� Premier PPO Silver Extra - PPO
- Blue Cross� Premier PPO Silver Saver HSA - PPO
- Blue Cross� Premier PPO Value - PPO
- 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 |
|---|---|---|---|
| N69750032 | MEDICARE PIN (08) | MI | |
| MI6211110 | MEDICARE PIN (08) | MI |
Medicare Participation & PECOS Enrollment Status
Michelle Porter is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.
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.
PECOS PAC ID: 6901095371
What is the PECOS Associate Control ID?
A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.PECOS Enrollment ID: I20110117000162
What is the Provider Enrollment ID?
The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.Accepts Medicare Assignment? Yes
What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.
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.
Evaluation for physical therapy, typically 30 minutes
Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes
Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes
Therapy procedure using functional activities
Therapy procedure using manual technique, each 15 minutes
An evaluation for physical therapy is a 30-minute session where a physical therapist assesses your current physical condition. They'll examine your strength, flexibility, balance, and mobility to identify areas needing improvement. This helps tailor a therapy plan to your specific needs.
This service was performed 30 times for 30 patientsThis therapy helps retrain your brain, nerves, and muscles to work together. Through targeted exercises, your body learns to regain lost functions or improve current abilities. Each session lasts 15 minutes.
This service was performed 557 times for 50 patientsThis therapy involves exercises to boost strength, endurance, flexibility, and range of motion. Each session lasts 15 minutes. The goal is to improve physical function and overall health. It's a safe, beneficial method for enhancing well-being and fitness.
This service was performed 544 times for 55 patientsA therapy procedure using functional activities encourages you to use your own body movements in day-to-day tasks to aid recovery. It aims to improve your mobility, strength, and overall health by incorporating therapeutic exercises into your routine.
This service was performed 250 times for 43 patientsThis therapy involves using hands-on techniques to help improve your body's movement and function. These techniques may include stretching, resistance exercises, or gentle pressure. Each session lasts 15 minutes and aims to relieve pain, promote healing, and improve your overall health.
This service was performed 1,108 times for 54 patientsPhysician Visit Costs
The typical physician office visit costs for Medicare beneficiaries in this area are: $21.18 for a new patient copayment and $17.01 for an established patient copayment.
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 48116 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99203
- Average New Patient Price $84.74
- Minimum New Patient Price $54.34
- Maximum New Patient Price $166.68
- Average New Patient Copayment $21.18
- Minimum New Patient Copayment $13.58
- Maximum New Patient Copayment $41.67
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99213
- Average Established Patient Price $68.07
- Minimum Established Patient Price $17.09
- Maximum Established Patient Price $135.4
- Average Established Patient Copayment $17.01
- Minimum Established Patient Copayment $4.27
- Maximum Established Patient Copayment $33.85
* 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.
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 98.73, 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 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.
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Final Score: 98.73 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.
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Quality Score: 98.51
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.
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Promoting Interoperability Score: N/A
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: N/A
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: N/A
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.
Reviews for MICHELLE R PORTER DPT
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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. | |||||||||
| 1 | 5 | 4 | 8 | 4 | 2 | 7 | 3 | 5 | 4 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 5 | 8 | 8 | 8 | 2 | 14 | 3 | 10 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 5 + 8 + 8 + 8 + 2 + 1 + 4 + 3 + 1 + 0 + 24 = 66 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 66 = 4 | 4 | ||||||||
The NPI number 1548427354 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 13 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1730144643 | DR. BRUCE STANLEY ZAPOR DC Individual | Chiropractor | 10415 GRAND RIVER RD SUITE 450 BRIGHTON, MI 48116 (810) 229-1944 |
| 1184670564 | MIDWEST CENTER FOR SLEEP DISORDERS LLC Organization | Clinic/Center (Sleep Disorder Diagnostic) | 10415 GRAND RIVER RD STE 500 BRIGHTON, MI 48116 (810) 225-7595 |
| 1801829429 | ROBIN MIKA D.O. Individual | Family Medicine | 10415 GRAND RIVER RD STE 100 BRIGHTON, MI 48116 (810) 227-1020 |
| 1285659623 | DAVID EDWIN MIKA D.O. Individual | Family Medicine | 10415 GRAND RIVER RD STE 100 BRIGHTON, MI 48116 (810) 227-1020 |
| 1881735066 | ERICH A. DITTMAR, DDS, MSD, PC Organization | Dentist (Endodontics) | 10415 GRAND RIVER RD SUITE 400 BRIGHTON, MI 48116 (810) 225-9630 |
| 1205967361 | MIDWEST CENTER FOR SLEEP DISORDERS Organization | Durable Medical Equipment & Medical Supplies | 10415 GRAND RIVER RD STE 500 BRIGHTON, MI 48116 (810) 225-7595 |
| 1265619514 | DR. ERICH ALEXANDER DITTMAR DDS Individual | Dentist (Endodontics) | 10415 GRAND RIVER RD SUITE 400 BRIGHTON, MI 48116 (810) 225-9630 |
| 1437336575 | MIKA & MIKA PC Organization | Family Medicine | 10415 GRAND RIVER RD STE 100 BRIGHTON, MI 48116 (810) 227-1020 |
| 1295913861 | ELIZABETH S COPP PAC Individual | Physician Assistant | 10415 GRAND RIVER RD STE 100 BRIGHTON, MI 48116 (810) 227-1020 |
| 1245487446 | MICHIGAN REHABILITATION SPECIALISTS OF BRIGHTON LLC Organization | Physical Therapist | 10415 GRAND RIVER RD SUITE 300 BRIGHTON, MI 48116 (810) 229-6140 |
| 1427455146 | MARGET POWERS Individual | Massage Therapist | 10415 GRAND RIVER RD SUITE 450 BRIGHTON, MI 48116 (248) 495-9285 |
| 1548488141 | DR. ASHLEY NICOLE SCOTT BERNSTEIN DPT, ATC, CSCS Individual | Physical Therapist | 10415 GRAND RIVER RD SUITE 300 BRIGHTON, MI 48116 (810) 229-6140 |
| 1053684647 | ASCENSION PROVIDENCE HOSPTIAL Organization | Internal Medicine | 10415 GRAND RIVER RD 100 BRIGHTON, MI 48116 (810) 227-1020 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1548427354, enumerated in the NPI registry as an "individual" on May 20, 2008
The provider is located at 10415 Grand River Rd Suite 300 Brighton, Mi 48116 and the phone number is (810) 229-6140
The provider's speciality is Physical Therapist with taxonomy code 225100000X
The provider has more than 24 years of experience.
The provider might be accepting Accepts: Blue Care Network of Michigan, Blue Cross Blue. 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: quality clinical practices and patient outcomes and experiences.
Medicare beneficiaries should expect a typical cost of $84.74 with an average copayment of $21.18 for new patient appointments. Established patients should expect a typical charge of $68.07 and an average copayment of 17.01. 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: Evaluation for physical therapy, typically 30 minutes, Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes, Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes, Therapy procedure using functional activities and Therapy procedure using manual technique, each 15 minutes.
This NPI record was last updated on May 20, 2008. 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].
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