NPIMap

Individual provider Active NPI

Michael D Myers, MD

  • Urology Physician
  • Mineral Wells, TX
National Provider Identifier
1184823882
Registry record updated Aug 31, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
S6258 Issued in TX
Practice address
202 SW 25TH Ave Ste 1200
Mineral Wells, TX 76067-8461
Phone
(940) 463-7229
Fax
(940) 763-7232
NPI assigned
Jul 12, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X S6258 TX Primary

Addresses

Primary practice location

202 SW 25TH Ave Ste 1200
Mineral Wells, TX 76067-8461

Mailing address

400 SW 25TH Ave
Mineral Wells, TX 76067-8246
Phone (940) 328-6422

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200805002856 TX Practitioner - Urology 1951586452 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
University of Texas Medical School at San Antonio, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

202 SW 25TH Ave
1200 Palo Pinto Urology
Mineral Wells, TX 76067-8461
Phone (940) 463-7229

400 SW 25TH Ave
Mineral Wells, TX 76067-8246
Phone (940) 328-6404

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
69.4 of 100Reported as individual
Quality
44.36
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
S6258TXMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Palo Pinto County Hospital District Current Accepting new patients
Palo Pinto County Hospital District Current Accepting new patients
Palo Pinto County Hospital District CurrentSince Aug 17, 2020 Accepting new patients
Palo Pinto County Hospital District Urology CurrentSince Aug 17, 2020 Accepting new patients
West Georgia Health Physicians Inc Urology Past Accepting new patients
Huntsville Hospital Spine and Neuro Center PastSince Oct 1, 2018 Accepting new patients
Palo Pinto County Hospital District Past Accepting new patients

Locations

202 SW 25th Ave
Ste 1200
Mineral Wells, TX 76067
Phone (940) 325-3706

400 SW 25th Ave
Mineral Wells, TX 76067
Phone (940) 325-7891

Interoperability endpoints

  • Direct secure messaging: michael.myers@westgahealth.gadirect.net

Organizations & group practices 7

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 6

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": "1184198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598832000000",
    "number": "1184823882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 SW 25TH AVE",
            "city": "MINERAL WELLS",
            "state": "TX",
            "postal_code": "760678246",
            "telephone_number": "940-328-6422",
            "fax_number": "940-328-6523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 SW 25TH AVE STE 1200",
            "city": "MINERAL WELLS",
            "state": "TX",
            "postal_code": "760678461",
            "telephone_number": "940-463-7229",
            "fax_number": "940-763-7232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MYERS",
        "first_name": "MICHAEL",
        "middle_name": "D",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-12",
        "last_updated": "2020-08-31",
        "certification_date": "2020-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "TX",
            "license": "S6258",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mineral Wells, TX

Sources for this page

Verify at the official NPI Registry.