Michael J Pelletier, MD

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

26818 Issued in TN

Practice address

1203 Trotwood Avenue
Columbia, TN 38401

Phone

(931) 490-1295

Fax

(931) 490-1298

NPI assigned

Jun 17, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TN

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

Obstetrics/Gynecology

Education

University of Tennessee, HSC, College of Medicine, 1991

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Maury Regional Medical Group, IncGroup PAC ID 7911810742, 119 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Maury Regional Hospital Hospital, Columbia, TN, CCN 440073
• Marshall Medical Center Hospital, Lewisburg, TN, CCN 441309

Merit-based Incentive Payment System (MIPS)

Final score

69.45 of 100Reported as group

Quality

42.88

Promoting interoperability

77

Improvement activities

40

Cost

74.45

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Maury Regional Medical Group, Inc

  • Family Medicine Physician
  • Columbia, TN
  • NPI 1205886264
  Medicare reassignment Care Compare group NPD
• Maury Regional Hospital

  dba Maury Regional Medical Center

  • General Acute Care Hospital
  • Columbia, TN
  • NPI 1861479545
  Medicare reassignment NPD
• Family Health Group Inc

  • Anesthesiology Physician
  • Columbia, TN
  • NPI 1134553878
  NPD
• Maury Regional Hospital

  dba Lewis Ambulatory Care Center

  • Clinic/Center
  • Hohenwald, TN
  • NPI 1023038122
  NPD
• Maury Regional Hospital

  dba Lewis Health Center

  • Federally Qualified Health Center (FQHC)
  • Hohenwald, TN
  • NPI 1790108934
  NPD
• Maury Regional Hospital

  dba MRMG Collinwood Primary Care

  • Federally Qualified Health Center (FQHC)
  • Collinwood, TN
  • NPI 1962117713
  NPD
• Maury Regional Hospital Marshall Medical Center

  dba MRMG Spring HIll

  • Rural Health Clinic/Center
  • Spring Hill, TN
  • NPI 1548889850
  NPD
• Maury Regional Hospital Marshall Medical Center

  dba Maury Regional Urgent Care Columbia

  • Rural Health Clinic/Center
  • Columbia, TN
  • NPI 1700406881
  NPD (past)

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

• Maury Regional Hospital

  dba Lewis Ambulatory Care Center

  • Clinic/Center
  • Hohenwald, TN
  • NPI 1023038122

  Hospital

  Care Compare affiliation
• Maury Regional Hospital

  dba Maury Regional Medical Center

  • General Acute Care Hospital
  • Columbia, TN
  • NPI 1861479545
  Care Compare affiliation
• Maury Regional Hospital Marshall Medical Center

  dba Marshall Medical Center

  • Critical Access Hospital
  • Lewisburg, TN
  • NPI 1578591756
  Care Compare affiliation

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

{
    "created_epoch": "1118966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1205280000000",
    "number": "1841295672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1203 TROTWOOD AVENUE",
            "city": "COLUMBIA",
            "state": "TN",
            "postal_code": "38401",
            "telephone_number": "931-490-1295",
            "fax_number": "931-490-1298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1203 TROTWOOD AVENUE",
            "city": "COLUMBIA",
            "state": "TN",
            "postal_code": "38401",
            "telephone_number": "931-490-1295",
            "fax_number": "931-490-1298"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PELLETIER",
        "first_name": "MICHAEL",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-17",
        "last_updated": "2008-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "TN",
            "license": "26818",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30942941",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Pearl Wellness and Consulting, LLC
• Derrick Pearson, RBT
• Jack T Pearson, MD
• Lisa Diann Peden, B.S.
• Jaime Pelletier, OTD
• People's Choice Clinic, LLC
• Ashley Nicole Perez, AU.D.
• Christian David Perez
• Deanna Kathleen Perkins
• David Perry

• Obstetrics & Gynecology Physician in Columbia, TN
• Providers in Columbia, TN by specialty
• Obstetrics & Gynecology Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2008; 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.