Active NPI
Brian E Michael, MD
- Endocrinology, Diabetes & Metabolism Physician
- Gettysburg, PA
National Provider Identifier
1942237722
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endocrinology, Diabetes & Metabolism Physician
- License
- MD438989
- Practice address
- 20 Expedition TRL
Ste 201
Gettysburg, PA 17325-8599 - Phone
- (316) 644-0318
- NPI assigned
- Jun 27, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Endocrinology, Diabetes & Metabolism Physician | 207RE0101X | 30454 | KS | |
| Endocrinology, Diabetes & Metabolism Physician | 207RE0101X | MD438989 | PA | Primary |
Addresses
Primary practice location
20 Expedition TRL
Ste 201
Gettysburg, PA 17325-8599
Mailing address
20 Expedition TRL Ste 101
Gettysburg, PA 17325-8599
Phone (717) 287-0430
Other identifiers 13
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1213798 | Other | KS | MULTIPLAN |
| 200004480A | Medicaid | KS | |
| 30076507 | Other | PA | AMERIHEALTH MERCY-WMG |
| 296111 | Other | PA | UNISON-WMG |
| 415261 | Other | PA | UPMC-WMG |
| 1024256670001 | Medicaid | PA | |
| 207002 | Other | KS | HPK |
| 2154216 | Other | PA | HIGHMARK BCBS |
| 1589950 | Other | PA | GATEWAY-WMG |
| 7316 | Other | KS | PHS |
| 103403 | Other | KS | BCBS |
| 187660 | Other | KS | COVENTRY |
| 962225 | Other | MD | CAREFIRST MD BCBS |
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Endocrinology
- Education
- University of Connecticut School of Medicine, 1974
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
20 Expedition TRL
Suite 204
Gettysburg, PA 17325-8599
Phone (717) 287-0430
Hospital & facility affiliations
- Gettysburg Hospital
- Upmc Hanover
- Wellspan Waynesboro Hospital
- Wellspan York Hospital
- Wellspan Chambersburg Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 82.35 of 100
- Quality
- 78.09
- Promoting interoperability
- 93
- Improvement activities
- 40
- Cost
- 68.9
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 30454 | KS | MD | Endocrinology, Diabetes & Metabolism Physician |
| MD438989 | PA | MD | Endocrinology, Diabetes & Metabolism Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Adams Endocrinology Associates LLC | Endocrinology, Diabetes & Metabolism | Current | Accepting new patients |
| Frederick Health Hospital Inc | Past | Accepting new patients | |
| Upmc Hanover | Past | Accepting new patients |
Locations
20 Expedition Trl
Ste 201
Gettysburg, PA 17325
Phone (316) 644-0318
20 Expedition Trl
Ste 204
Gettysburg, PA 17325
Phone (717) 287-0430
20 Expedition Trl
Ste 101
Gettysburg, PA 17325
Phone (717) 334-4033
Interoperability endpoints
- brian.michael.1@18219.direct.athenahealth.com
- https://api.platform.athenahealth.com/18219/brand/1/csg/1/fhir/r4
Organizations & group practices 3
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.
-
- Endocrinology, Diabetes & Metabolism Physician
- Gettysburg, PA
- NPI 1871094623
-
- Clinic/Center
- Hanover, PA
- NPI 1700084944
-
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
Hospital & facility affiliations 15
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Chambersburg, PA
- NPI 1902804552
-
- General Acute Care Hospital
- Gettysburg, PA
- NPI 1265466957
-
- General Acute Care Hospital
- Hanover, PA
- NPI 1730158981
-
- General Acute Care Hospital
- Waynesboro, PA
- NPI 1821091059
-
- General Acute Care Hospital
- York, PA
- NPI 1326060492
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151366400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1557100800000",
"number": "1942237722",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20 EXPEDITION TRL STE 101",
"city": "GETTYSBURG",
"state": "PA",
"postal_code": "173258599",
"telephone_number": "717-287-0430"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20 EXPEDITION TRL",
"address_2": "STE 201",
"city": "GETTYSBURG",
"state": "PA",
"postal_code": "173258599",
"telephone_number": "316-644-0318"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MICHAEL",
"first_name": "BRIAN",
"middle_name": "E",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-06-27",
"last_updated": "2019-05-06",
"status": "A"
},
"taxonomies": [
{
"code": "207RE0101X",
"taxonomy_group": "",
"desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
"state": "KS",
"license": "30454",
"primary": false
},
{
"code": "207RE0101X",
"taxonomy_group": "",
"desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
"state": "PA",
"license": "MD438989",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MULTIPLAN",
"identifier": "1213798",
"state": "KS"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200004480A",
"state": "KS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERIHEALTH MERCY-WMG",
"identifier": "30076507",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNISON-WMG",
"identifier": "296111",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UPMC-WMG",
"identifier": "415261",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1024256670001",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HPK",
"identifier": "207002",
"state": "KS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIGHMARK BCBS",
"identifier": "2154216",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GATEWAY-WMG",
"identifier": "1589950",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHS",
"identifier": "7316",
"state": "KS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "103403",
"state": "KS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COVENTRY",
"identifier": "187660",
"state": "KS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAREFIRST MD BCBS",
"identifier": "962225",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}Other providers in Gettysburg, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2019; 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.