Individual provider Active NPI

Michael Graham Livesey, MD

  • Student in an Organized Health Care Education/Training Program
  • Baltimore, MD
National Provider Identifier
1134623978
Registry record updated Mar 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
Practice address
110 S Paca St FL 6
Baltimore, MD 21201-1645
Phone
(410) 328-8915
NPI assigned
Mar 19, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X Primary

Addresses

Primary practice location

110 S Paca St FL 6
Baltimore, MD 21201-1645

Mailing address

110 S Paca St FL 6
Baltimore, MD 21201-1645
Phone (410) 328-8915

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20240919001612 MD Practitioner - Orthopedic Surgery 1456697861 Reassigns benefits to 2 organizations
I20241002003801 DC Practitioner - Orthopedic Surgery 1456697861 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Agape Physical Therapy and Sports Rehabilitation LPGroup PAC ID 3870741390, 684 clinicians
University of Maryland Orthopaedic Associates PAGroup PAC ID 0042108722, 68 clinicians

Practice addresses (Care Compare)

12 Newport Dr
Forest Hill, MD 21050-1758

22 S Green St
Baltimore, MD 21201-1544
Phone (410) 328-6704

Hospital & facility affiliations

  • Umd Upper Chesapeake Medical Center Hospital, Bel Air, MD, CCN 210049

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
99
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Upper limb (arm) arthroscopy (minimally invasive joint repair)1-10
Removal of tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
University of Maryland Orthopaedic Associates PA CurrentSince Sep 1, 2024 Accepting new patients
University of Maryland Orthopaedic Trauma Associates, PA CurrentSince Sep 1, 2024 Accepting new patients
University of Maryland Orthopaedic Associates P a CurrentSince Sep 1, 2024 Accepting new patients
University of Maryland Surgical Associates, PA Past Accepting new patients

Locations

650 McHenry Rd
Aberdeen, MD 21001
Phone (443) 843-6262

22 S Greene St
Baltimore, MD 21201
Phone (410) 328-5793

515 S Tollgate Rd
#301
Bel Air, MD 21014

515 S Tollgate Rd
Ste 101
Bel Air, MD 21014

515 S Tollgate Rd
Ste 301
Bel Air, MD 21014

515 S Tollgate Rd
Ste 200
Bel Air, MD 21014
Phone (443) 643-3130

255 Hospital Dr
Ste 207
Glen Burnie, MD 21061
Phone (410) 443-8170

226 Schilling Cir
Ste 170
Hunt Valley, MD 21031
Phone (240) 315-6800

Interoperability endpoints

  • Direct secure messaging: mlivesey483792@direct.umm.edu

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1521417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521417600000",
    "number": "1134623978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 S PACA ST FL 6",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212011645",
            "telephone_number": "410-328-8915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 S PACA ST FL 6",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212011645",
            "telephone_number": "410-328-8915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIVESEY",
        "first_name": "MICHAEL",
        "middle_name": "GRAHAM",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-03-19",
        "last_updated": "2018-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.