Individual provider Active NPI

Michael G McCauley, MD

  • Dermatology Physician
  • Ardmore, OK
National Provider Identifier
1497791578
Registry record updated Sep 24, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
13050 Issued in OK
Practice address
2410 N Commerce
Ardmore, OK 73401
Phone
(580) 276-0812
Fax
(580) 226-0820
NPI assigned
Jun 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 13050 OK Primary

Addresses

Primary practice location

2410 N Commerce
Ardmore, OK 73401

Mailing address

2410 N Commerce
Ardmore, OK 73401
Phone (580) 276-0812

Other identifiers 1

IdentifierTypeStateIssuer
100163880AMedicaidOK

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
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
I20100520000516 OK Practitioner - Dermatology 2860392594 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Texas Tech University Health Science Center School of Medicine, 1976
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Michael G. McCauley M.D. Inc.Group PAC ID 3870554645, 9 clinicians

Practice addresses (Care Compare)

2410 N Commerce St
Ardmore, OK 73401-1356
Phone (580) 226-0812

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
Melanoma (skin cancer) excision131
Removal of skin lesions383
Removal of skin cancer73
Removal of nail tissue1-10
Skin biopsy99

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Michael G. McCauley M.D. Inc. Dermatology CurrentSince May 5, 1981 Accepting new patients

Locations

413 N Monte Vista St
Ada, OK 74820
Phone (580) 436-2156

2410 N Commerce St
Ardmore, OK 73401
Phone (580) 226-0812

1606 W Jones Ave
#B
Duncan, OK 73533
Phone (580) 255-7546

307 Radio Rd
Durant, OK 74701
Phone (580) 931-9977

Interoperability endpoints

  • Direct secure messaging: michael@skinclinic.emadirect.md

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1150761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1348444800000",
    "number": "1497791578",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2410 N COMMERCE",
            "city": "ARDMORE",
            "state": "OK",
            "postal_code": "73401",
            "telephone_number": "580-276-0812",
            "fax_number": "580-226-0820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2410 N COMMERCE",
            "city": "ARDMORE",
            "state": "OK",
            "postal_code": "73401",
            "telephone_number": "580-276-0812",
            "fax_number": "580-226-0820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCAULEY",
        "first_name": "MICHAEL",
        "middle_name": "G",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-20",
        "last_updated": "2012-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "OK",
            "license": "13050",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100163880A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ardmore, OK

Sources for this page

Verify at the official NPI Registry.