Michael Richard Evankovich, MD

Primary specialty

Urology PhysicianTaxonomy code 208800000X

License

MD060400L Issued in PA

Practice address

311 W 24TH St
Suite 101
Erie, PA 16502-2665

Phone

(814) 452-4214

Fax

(814) 459-7823

NPI assigned

May 31, 2006

Last updated

Oct 1, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in PA

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

Specialty

Urology

Education

Pennsylvania State University College of Medicine, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

St Vincent Medical Education and Research Institute IncGroup PAC ID 3870405137, 297 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Saint Vincent Hospital Hospital, Erie, PA, CCN 390009
• Titusville Area Hospital Hospital, Titusville, PA, CCN 391314
• Lecom Health Corry Memorial Hospital Hospital, Corry, PA, CCN 391308

Merit-based Incentive Payment System (MIPS)

Final score

93.9 of 100Reported as apm

Quality

85.02

Promoting interoperability

100

Improvement activities

40

Merit-based Incentive Payment System (MIPS)

Final score

91.9 of 100Reported as group

Quality

81.62

Promoting interoperability

100

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mevankovich148775@direct.ahn.org

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.

• St Vincent Medical Education and Research Institute Inc

  • Internal Medicine Physician
  • Erie, PA
  • NPI 1902881477
  Medicare reassignment Care Compare group NPD
• Regional Health Services Inc

  • Family Medicine Physician
  • Erie, PA
  • NPI 1174520654

  Urology

  Medicare reassignment NPD
• Saint Vincent Medical Education and Research Institute

  dba Albion Family Practice

  • Family Medicine Physician
  • Albion, PA
  • NPI 1558462259
  NPD (past)

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

• Corry Memorial Hospital Association

  dba Corry Memorial Hospital

  • Critical Access Hospital
  • Corry, PA
  • NPI 1841268877
  Care Compare affiliation
• Saint Vincent Health Center

  • General Acute Care Hospital
  • Erie, PA
  • NPI 1861435042
  Care Compare affiliation
• Titusville Area Hospital

  • Critical Access Hospital
  • Titusville, PA
  • NPI 1891899332
  Care Compare affiliation

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

{
    "created_epoch": "1149033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601510400000",
    "number": "1689621898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311 W 24TH ST STE 101",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165022668",
            "telephone_number": "814-452-4214",
            "fax_number": "814-459-7823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 W 24TH ST",
            "address_2": "SUITE 101",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165022665",
            "telephone_number": "814-452-4214",
            "fax_number": "814-459-7823"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EVANKOVICH",
        "first_name": "MICHAEL",
        "middle_name": "RICHARD",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-31",
        "last_updated": "2020-10-01",
        "certification_date": "2020-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "PA",
            "license": "MD060400L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mevankovich148775@direct.ahn.org",
            "affiliation": "N",
            "address_1": "311 W 24th St",
            "address_2": "Suite 101",
            "city": "Erie",
            "state": "PA",
            "country_code": "US",
            "postal_code": "165022665",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Robert Patrick Esser, DDS
• Jason K Estrada, MD
• Aubree Maria Etling
• Kirsten Marie Etnoyer, LPC
• Chloe Mae Eubank
• Marguerite Evanoff-Jurkovic, D.O.
• Trinita Evans
• William Charles Evans III, ATC
• Kristen Everetts
• Everkind Home Care LLC

• Urology Physician in Erie, PA
• Providers in Erie, PA by specialty
• Urology Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.