Michael Vito Brown, M.D.
Individual provider Active NPI Family Medicine Physician · Shavertown, PA
NPI 1386809283 · NPPES record last updated Oct 26, 2023
Key facts
- NPI
- 1386809283
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- MD454478 (PA)
- Practice address
- 176 N Main St
Shavertown, PA 18708-1121 - Phone
- (570) 675-0900
- NPI assigned
- Jul 21, 2008
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 6
Hospital & facility affiliations 38
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Commonwealth Physician Network LLC
Phoenix Rehabilitation and Health Services Inc
Practice addresses (Care Compare)
176 N Main St
Shavertown, PA 18708-1121
Phone (570) 675-0900
2000 Westinghouse Dr
Suite 200
Cranberry Township, PA 16066-5238
4 E Main St
Nanticoke, PA 18634-1602
Phone (570) 735-7474
Hospital & facility affiliations
- Homebound Health Services Inc
- Associated Family Home Care, Inc.
- Hospice of the Sacred Heart
- Wilkes-Barre General Hospital
- Geisinger Wyoming Valley Medical Center
- Geisinger-Community Medical Center
- Regional Hospital of Scranton
- Meadows Nursing and Rehabilitation Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 89.17 of 100
- Quality
- 78.34
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150831002930 | PA | Practitioner - Family Practice | 4284808742 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Scranton Quincy Clinic Company LLC | Current |
Accepting new patients | |
| Scranton Quincy Clinic Company LLC | Family Medicine | Current |
Accepting new patients |
| Commonwealth Physician Network LLC | Family Medicine | Current |
Accepting new patients |
| Wilkes-Barre Clinic Company LLC | Past | Accepting new patients |
Locations
150 Brooklyn St
Carbondale, PA 18407
Phone (570) 282-2031
610 Wyoming Ave
#2
Kingston, PA 18704
Phone (570) 714-1032
610 Wyoming Ave
Kingston, PA 18704
Phone (570) 288-5441
4 E Main St
Nanticoke, PA 18634
Phone (570) 258-3939
315 S Main St
Old Forge, PA 18518
Phone (570) 457-8364
176 N Main St
Shavertown, PA 18708
Phone (570) 552-7150
Interoperability endpoints
- michael.brown.1@21771.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | MD454478 | PA | Yes |
Addresses
Primary practice location
176 N Main St
Shavertown, PA 18708-1121
Mailing address
176 N Main St
Shavertown, PA 18708-1121
Phone (570) 675-0900
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | michael.brown.1@21771.direct.athenahealth.com |
NPI Registry JSON
{
"created_epoch": "1216598400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1698278400000",
"number": "1386809283",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "176 N MAIN ST",
"city": "SHAVERTOWN",
"state": "PA",
"postal_code": "187081121",
"telephone_number": "570-675-0900",
"fax_number": "570-674-8912"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "176 N MAIN ST",
"city": "SHAVERTOWN",
"state": "PA",
"postal_code": "187081121",
"telephone_number": "570-675-0900"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROWN",
"first_name": "MICHAEL",
"middle_name": "VITO",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-07-21",
"last_updated": "2023-10-26",
"certification_date": "2023-10-26",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "PA",
"license": "MD454478",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "michael.brown.1@21771.direct.athenahealth.com",
"affiliation": "N",
"endpointDescription": "AMR direct address",
"address_1": "176 N Main St",
"city": "Shavertown",
"state": "PA",
"country_code": "US",
"postal_code": "187081121",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Shavertown, PA
- Thomas Benesky III
- Alan Boonin
- Ronald Eugene Bost
- Charles T Brand
- Brighter Visions Counseling
- William Edward Burak
- Courtney Burgess-Michak
- Cam Consulting, LLC
- John Rexford Campbell
- Devin Carey
All providers in Shavertown, PA · Family Medicine Physician in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 26, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.