LISA MARIE WARACK PA-C
NPI 1740303205
Physician Assistant in West Branch, MI


Quality Rating: 80.84 out of 100 score

NPI Status: Active since April 09, 2007

Contact Information

2463 S M 30
WEST BRANCH, MI
ZIP 48661
Phone: (989) 343-3261

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  • Individual
  • Female
  • Years of Experience 23
  • Physician Assistant
  • Accepts Insurance
  • Accepts Medicare Approved Payment
  • PECOS Enrolled

About LISA WARACK

This page provides the complete NPI Profile along with additional information for Lisa Warack, a primary care provider established in West Branch, Michigan with a medical specialization in Physician Assistant and more than 23 years of experience. The healthcare provider is registered in the NPI registry with number 1740303205 assigned on April 2007. The practitioner's primary taxonomy code is 363A00000X with license number 5601004189 (MI). The provider is registered as an individual and her NPI record was last updated 13 years ago.

NPI
1740303205
Provider Name
LISA MARIE WARACK PA-C
Gender
Female
Entity Type
Individual
Location Address
2463 S M 30 WEST BRANCH, MI 48661
Location Phone
(989) 343-3261
Mailing Address
4790 W M 76 WEST BRANCH, MI 48661
Mailing Phone
(989) 345-2791
Medical School Name
OTHER
Graduation Year
2003
Is Sole Proprietor?
Yes
Enumeration Date
04-09-2007
Last Update Date
02-13-2013
Code Navigator

A primary care provider (PCP) like Lisa Warack sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, 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

Physician Assistant

Taxonomy Code
363A00000X
Type
Physician Assistants & Advanced Practice Nursing Providers
License No.
5601004189
License State
MI
Taxonomy Description
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

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� 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
  • Bronze First - HMO
  • Bronze First Adult Vision & Fitness - HMO
  • Diabetes Gold - HMO
  • Diabetes Gold Adult Vision & Fitness - HMO
  • Diabetes Silver - HMO
  • Diabetes Silver Adult Vision & Fitness - HMO
  • Gold - HMO
  • Gold Adult Vision & Fitness - HMO
  • HDHP Preventive Silver - HMO
  • Healthy Heart Gold - HMO
  • MyPriority Balanced Silver - HMO
  • MyPriority Premier Silver - HMO
  • MyPriority Standard Bronze - HMO
  • MyPriority Standard Bronze - Travel - HMO
  • MyPriority Standard Gold - HMO
  • MyPriority Standard Silver - HMO
  • MyPriority Standard Silver - Travel - HMO
  • MyPriority Value Bronze - HMO
  • MyPriority Value Bronze HSA - 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
Q37966MEDICARE UPIN (02) 
N852400005MEDICARE PIN (08)MI 

Medicare Participation & PECOS Enrollment Status

Lisa Warack 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.

Lisa Warack 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

  • PECOS PAC ID: 6608821426

    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: I20050315000436

    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.

  • 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

Provider Referred Orders for Durable Medical Equipment, Devices & Supplies

The following list reflects the services, supplies or durable medical equipment ordered by this provider to a DME supplier on behalf of patients. The information below is derived from Medicare claims data and reflects the BETOS category, HCPCS code information and the number times each service was submitted under the Medicare fee-for-service program.

Durable Medical Equipment

  • DME-Medical/Surgical Supplies (DA000N)

    Tape, non-waterproof, per 18 square inches (HCPCS:A4450)

    1 DME suppliers used 17 Medicare Claims 1252 Services Paid

  • DME-Medical/Surgical Supplies (DA023N)

    Gauze, non-impregnated, non-sterile, pad size 16 sq. in. or less, without adhesive border, each dressing (HCPCS:A6216)

    1 DME suppliers used 15 Medicare Claims 3600 Services Paid

  • DME-Medical/Surgical Supplies (DA023N)

    Gauze, impregnated with other than water, normal saline, or hydrogel, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing (HCPCS:A6222)

    1 DME suppliers used 11 Medicare Claims 122 Services Paid

  • DME-Medical/Surgical Supplies (DA023N)

    Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing (HCPCS:A6402)

    1 DME suppliers used 24 Medicare Claims 669 Services Paid

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

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 154 times for 68 patients

Established patient office or other outpatient visit, 10-19 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 48 times for 32 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 20 times for 19 patients

New patient office or other outpatient visit, 15-29 minutes

This 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 18 times for 18 patients

New patient office or other outpatient visit, 30-44 minutes

This 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 21 times for 21 patients

Removal of bone, 20.0 sq cm or less

The procedure involves the surgical removal of a section of bone, up to 20.0 square cm in size. This may be necessary due to various reasons such as injury, infection, or to treat a disease. The process aims to alleviate pain, enhance mobility, or prevent the spread of disease.

This service was performed 19 times for 12 patients

Removal of skin and tissue, 20.0 sq cm or less

This procedure involves the surgical removal of skin and tissue, up to 20.0 square cm in size. It's often performed to treat conditions like skin cancer or to remove moles, warts, and other skin lesions. The area is numbed and the unwanted tissue is carefully cut out.

This service was performed 101 times for 56 patients

Removal of tissue from wound, 20.0 sq cm or less

This procedure involves the careful removal of damaged or infected tissue from a wound that's 20.0 square cm or less. It's done to promote healing and prevent further infection. The process is carried out under local anesthesia, ensuring minimal discomfort.

This service was performed 264 times for 78 patients

Removal of tissue from wound, 20.0 sq cm or less

This procedure involves the careful removal of damaged or infected tissue from a wound that's 20.0 square cm or less. It's done to promote healing and prevent further infection. The process is carried out under local anesthesia, ensuring minimal discomfort.

This service was performed 67 times for 28 patients

Removal of tissue from wound, each additional 20.0 sq cm

This procedure involves the careful removal of damaged tissue from a wound, typically beyond an initial 20.0 sq cm. This is done to promote healing, prevent infection, and improve the function and appearance of the area surrounding the wound.

This service was performed 67 times for 23 patients

Physician 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 48661 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 80.84, 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.

  • Final Score: 80.84 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: 81.72

    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: 44.78

    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: 44.78

    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.

Find Provider Hospital Affiliations - Privileges

Doctors and physicians must apply for hospital privileges to treat patients at hospitals. Find out if your doctor has privileges to practice at your preferred hospital by using the hospital affiliation information below based on recent medical claims.

Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Lisa Warack is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type Overall Rating
MYMICHIGAN MEDICAL CENTER ALPENA1501 W CHISHOLM ST
ALPENA, MI 49707
(989) 356-7390Acute Care Hospitals
MCLAREN BAY REGION1900 COLUMBUS AVE
BAY CITY, MI 48708
(989) 894-3000Acute Care Hospitals
MYMICHIGAN MEDICAL CENTER WEST BRANCH2463 SOUTH M-30
WEST BRANCH, MI 48661
(989) 345-6366Acute Care Hospitals
MYMICHIGAN MEDICAL CENTER MIDLAND4000 WELLNESS DRIVE
MIDLAND, MI 48670
(989) 839-3000Acute Care Hospitals
MYMICHIGAN MEDICAL CENTER GLADWIN515 QUARTER STREET
GLADWIN, MI 48624
(989) 426-9286Critical Access Hospitals

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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.
1740303205
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
278060620
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 8 + 0 + 6 + 0 + 6 + 2 + 0 + 24 = 55
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 55 = 55

The NPI number 1740303205 is valid because the calculated check digit 5 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
1023006822MEDICAL ARTS CENTER
Organization
Internal Medicine (Cardiovascular Disease)2463 S M 30
WEST BRANCH, MI 48661
(989) 345-0807
1619992088 LEONIDES DIZON M.D.
Individual
Emergency Medicine2463 S M 30
WEST BRANCH, MI 48661
(989) 345-3660
1528083292NORTHERN MICHIGAN EMERGENCY PHYSICIANS, LLP
Organization
Emergency Medicine2463 S M 30
WEST BRANCH, MI 48661
(989) 345-3660
1841478393MICHIGAN ANESTHESIA PRACTITIONERS
Organization
Anesthesiology2463 S M 30
WEST BRANCH, MI 48661
(734) 241-3891
1669739728OGEMAW ANESTHESIA STAFFING SERVICES LLC
Organization
Nurse Anesthetist, Certified Registered2463 S M 30
WEST BRANCH, MI 48661
(989) 345-3660
1487096954 JANET E WICHERT RD
Individual
Dietitian, Registered2463 S M 30
WEST BRANCH, MI 48661
(989) 343-3224
1396732103WEST BRANCH REGIONAL MEDICAL CENTER
Organization
General Acute Care Hospital (Rural)2463 S M 30
WEST BRANCH, MI 48661
(989) 345-3660
1235599051MS. JESSICA SOVA
Individual
Dietitian, Registered2463 S M 30
WEST BRANCH, MI 48661
(989) 343-3171
1114333481PENINSULA HOSPITALIST PHYSICIANS, LLP
Organization
Hospitalist2463 S M 30
WEST BRANCH, MI 48661
(989) 345-3660
1851891394MS. CARLENE GRACE DARDAS COTAL
Individual
Occupational Therapy Assistant2463 S M 30
WEST BRANCH, MI 48661
(989) 345-3660
1336634864 KAYLA V WILCZYNSKI FNP
Individual
Nurse Practitioner2463 S M 30
WEST BRANCH, MI 48661
(989) 802-5000
1164918447MS. JULIE ANNE STEINKA NP-C
Individual
Nurse Practitioner (Family)2463 S M 30
WEST BRANCH, MI 48661
(989) 345-3660
1659419596MICHIGAN ANESTHESIA PRACTITIONERS PC
Organization
Nurse Anesthetist, Certified Registered2463 S M 30
WEST BRANCH, MI 48661
(734) 241-3891
1477921047 TAYLOR ERIN SINDA PA-C
Individual
Physician Assistant2463 S M 30
WEST BRANCH, MI 48661
(989) 345-3660
1295201408 ALISSA GRACY
Individual
Nurse Practitioner (Acute Care)2463 S M 30
WEST BRANCH, MI 48661
(989) 345-3660
1942756325 ASHLEY LYNN MATHEW NP
Individual
Nurse Practitioner2463 S M 30
WEST BRANCH, MI 48661
(989) 839-1644
1205444866 ANTHONY GRIFFIN AGACNP-C
Individual
Nurse Practitioner (Acute Care)2463 S M 30
WEST BRANCH, MI 48661
(989) 839-1644
1932429883 WALKER FOLAND DO
Individual
Emergency Medicine2463 S M 30
WEST BRANCH, MI 48661
(989) 345-3660
1194354035MYMICHIGAN MEDICAL CENTER WEST BRANCH
Organization
Pharmacy (Community/Retail Pharmacy)2463 S M 30
WEST BRANCH, MI 48661
(989) 343-3181
1518418292MYMICHIGAN MEDICAL CENTER WEST BRANCH
Organization
Family Medicine2463 S M 30
WEST BRANCH, MI 48661
(989) 345-3660

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1740303205, enumerated in the NPI registry as an "individual" on April 09, 2007

The provider is located at 2463 S M 30 West Branch, Mi 48661 and the phone number is (989) 343-3261

The provider's speciality is Physician Assistant with taxonomy code 363A00000X

The provider has more than 23 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.

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.

The provider has an overall high rating in the following quality measures: quality clinical practices and patient outcomes and experiences , uses technology to exchange and make use of healthcare information.

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: Established patient office or other outpatient visit, 10-19 minutes, Established patient office or other outpatient visit, 10-19 minutes, Established patient office or other outpatient visit, 20-29 minutes, New patient office or other outpatient visit, 15-29 minutes, New patient office or other outpatient visit, 30-44 minutes, Removal of bone, 20.0 sq cm or less, Removal of skin and tissue, 20.0 sq cm or less, Removal of tissue from wound, 20.0 sq cm or less, Removal of tissue from wound, 20.0 sq cm or less and Removal of tissue from wound, each additional 20.0 sq cm.

The practitioner is affiliated to the following hospital(s): MYMICHIGAN MEDICAL CENTER ALPENA, MCLAREN BAY REGION, MYMICHIGAN MEDICAL CENTER WEST BRANCH, MYMICHIGAN MEDICAL CENTER MIDLAND and MYMICHIGAN MEDICAL CENTER GLADWIN. Hospital affiliations are identified through self-reporting data and service claims based on the place of service.

This NPI record was last updated on April 09, 2007. 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.