Individual provider Active NPI

Michael Fisher, DO

  • Gastroenterology Physician
  • Madisonville, KY
National Provider Identifier
1255329090
Registry record updated Oct 9, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
02199 Issued in KY
Practice address
44 McCoy Rd
Suite 103
Madisonville, KY 42431-2963
Phone
(270) 824-9222
Fax
(270) 824-8088
NPI assigned
Oct 6, 2005
Last updated
Oct 9, 2012By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 9, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 02199 KY Primary

Addresses

Primary practice location

44 McCoy Rd
Suite 103
Madisonville, KY 42431-2963

Mailing address

PO Box 469
Madisonville, KY 42431-0009
Phone (270) 824-9222

Other identifiers 2

IdentifierTypeStateIssuer
200377020MedicaidIN
64021991MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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 1

Enrollment IDStateProvider typePAC IDDetails
I20100113000681 KY Practitioner - Gastroenterology 8527073170 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
At Still University of Health Sciences, College of Osteo Med, Kirksville, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

44 McCoy Ave
Suite 103
Madisonville, KY 42431-2867
Phone (800) 467-2392

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.77 of 100Reported as individual
Quality
100
Promoting interoperability
100
Improvement activities
40
Cost
79.22

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy194
Upper gastrointestinal (GI) endoscopy for acid reflux204

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
02199KYMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Michael R Fisher DO, PSC Gastroenterology CurrentSince Oct 1, 2001 Accepting new patients

Locations

44 McCoy Ave
#103
Madisonville, KY 42431

44 McCoy Ave
Ste 103
Madisonville, KY 42431
Phone (270) 824-2222

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: michael.fisher.p1@direct.michaelfisherdo.nextgenshare.com

Organizations & group practices 1

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

Hospital & facility affiliations 5

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": "1128556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1349740800000",
    "number": "1255329090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 469",
            "city": "MADISONVILLE",
            "state": "KY",
            "postal_code": "424310009",
            "telephone_number": "270-824-9222",
            "fax_number": "270-824-8088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44 MCCOY RD",
            "address_2": "SUITE 103",
            "city": "MADISONVILLE",
            "state": "KY",
            "postal_code": "424312963",
            "telephone_number": "270-824-9222",
            "fax_number": "270-824-8088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FISHER",
        "first_name": "MICHAEL",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-06",
        "last_updated": "2012-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "KY",
            "license": "02199",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200377020",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64021991",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Madisonville, KY

Sources for this page

Verify at the official NPI Registry.