DR. MICHELLE RENAE BRADLEY DO NPI 1003015314
Family Medicine in Fargo, ND
About DR. MICHELLE RENAE BRADLEY DO
Michelle Bradley is a primary care provider established in Fargo, North Dakota and her medical specialization is Family Medicine with more than 19 years of experience. She graduated from Lake Erie College Of Osteopathic Medicine, Erie in 2004. The NPI number of this provider is 1003015314 and was assigned on July 2007. The practitioner's primary taxonomy code is 207Q00000X with license number 14577 (ND). The provider is registered as an individual and her NPI record was last updated one year ago.
| NPI | 1003015314 |
| Provider Name | DR. MICHELLE RENAE BRADLEY DO |
| Location Address | 4110 51ST AVE S FARGO, ND 58104 |
| Location Phone | (701) 364-3100 |
| Mailing Address | 1702 SOUTH UNIVERSITY DRIVE FARGO, ND 58103 |
| Gender | Female |
| NPI Entity Type | Individual |
| Medical School Name | LAKE ERIE COLLEGE OF OSTEOPATHIC MEDICINE, ERIE |
| Graduation Year | 2004 |
| Is Sole Proprietor? | No |
| Enumeration Date | 07-16-2007 |
| Last Update Date | 07-21-2022 |
A primary care provider (PCP) like Michelle Bradley sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc Michelle Bradley is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
Michelle Bradley is registered with Medicare and accepts claims assignment, this means the provider accepts Medicare's approved amount for the cost of rendered services as full payment. Participating providers may not charge Medicare beneficiaries more than Medicare's approved amount for their services. Medicare beneficiaries still have to pay a coinsurance or copayment amount for a visit or service. According to Medicare claims data she has hospital affiliations with Essentia Health.
The typical physician office visit costs for Medicare beneficiaries in this area are: $22.15 for a new patient copayment and $25.68 for an established patient copayment.
Primary Taxonomy
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
| Taxonomy Code | 207Q00000X |
| Classification | Family Medicine |
| Type | Allopathic & Osteopathic Physicians |
| License No. | 14577 |
| License State | ND |
| Taxonomy Description | Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
Accepted Insurance
The NPI profile data indicates this provider might be enrolled and accepting health plans from the following insurance companies or healthcare programs:
- Medicaid
- Medicare
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Business Address
4110 51ST AVE S
FARGO, ND
ZIP 58104
Phone: (701) 364-3100
Mailing Address
1702 SOUTH UNIVERSITY DRIVE
FARGO, ND
ZIP 58103
Phone: (701) 364-3100
Fax: (320) 202-0756
Location Map
PECOS Enrollment and Medicare Participation Status
What is PECOS?
PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.
| Registered in PECOS? | Yes |
| PECOS PAC ID | 3678619020 |
| PECOS Enrollment ID | I20170706002896 |
| Accepts Medicare Assignment? | Yes "What does it mean "accepts medicare assignment"? When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts. A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer. |
| Eligible order / refer Part B Clinical Laboratory and Imaging | Yes |
| Eligible order / refer Durable Medical Equipment | Yes |
| Eligible order / refer Home Health Agency (HHA) | Yes |
| Eligible order / refer Power Mobility Devices | Yes |
Physician Office Visit Costs
The provider accepts as payment the Medicare approved amount. Medicare beneficiaries should not be billed for more than the Medicare deductible and coinsurance amounts. Medicare pricing is usually a reference point for private insurance covered patients. The prices below reflect the costs for new and established patients in the 58104 ZIP code area.
| New Patients Office Visits Costs * | ||
|---|---|---|
| Most Utilized Procedure Code for new patients office visits: 99203 | ||
| Minimum New Patient Pricing | Maximum New Patient Pricing | Typical New Patient Pricing |
| $57.75 | $174.56 | $88.61 |
| Minimum New Patient Copayment | Maximum New Patient Copayment | Typical New Patient Copayment |
| $14.43 | $43.64 | $22.15 |
| Established Patients Office Visits Costs * | ||
|---|---|---|
| Most Utilized Procedure Code for established patients office visits: 99214 | ||
| Minimum Established Patient Pricing | Maximum Established Patient Pricing | Typical Established Patient Pricing |
| $18.26 | $143.21 | $102.73 |
| Minimum Established Patient Copayment | Maximum Established Patient Copayment | Typical Established Patient Copayment |
| $4.56 | $35.8 | $25.68 |
* The physician office visit costs information is obtained by Medicare's statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
Clinician Utilization
The following Healthcare Common Procedure Coding System (HCPCS) codes were publicly reported as the top services rendered by this provider under the Medicare program for the year 2017. The reported codes are based on the top 5 codes for each available Medicare specialty, excluding evaluation and management codes.
- 207Insertion of needle into vein for collection of blood sample (HCPCS:36415)
- 111Complete blood cell count (red cells, white blood cell, platelets), automated test (HCPCS:85025)
- 51Automated urinalysis test (HCPCS:81003)
- 44Hemoglobin A1C level (HCPCS:83036)
- 40Pneumococcal vaccine for injection into muscle (HCPCS:90670)
- 40Administration of pneumococcal vaccine (HCPCS:G0009)
- 37Administration of influenza virus vaccine (HCPCS:G0008)
- 18Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit (HCPCS:G0439)
- 18Routine EKG using at least 12 leads including interpretation and report (HCPCS:93000)
- 14X-ray of chest, 2 views, front and side (HCPCS:71020)
Secondary Taxonomies
The secondary taxonomy codes define the provider type, classification, and specialization. For individual NPIs the license data is associated to each taxonomy code.
| No. | Taxonomy Code | Type | Classification | Specialization | License No. | State | Primary |
|---|---|---|---|---|---|---|---|
| 1 | 207Q00000X | Allopathic & Osteopathic Physicians | Family Medicine | 52168 | MN | No | |
Taxonomy Description: family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. | |||||||
| 2 | 207Q00000X | Allopathic & Osteopathic Physicians | Family Medicine | PT14577 | ND | No | |
Taxonomy Description: family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. | |||||||
Additional Identifiers
Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State |
|---|---|---|
| 036940100 | MEDICAID (05) | MN |
NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 0 | 0 | 3 | 0 | 1 | 5 | 3 | 1 | 4 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 0 | 0 | 3 | 0 | 1 | 10 | 3 | 2 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 0 + 0 + 3 + 0 + 1 + 1 + 0 + 3 + 2 + 24 = 36 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 40 - 36 = 4 | 4 | ||||||||
The NPI number 1003015314 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 13 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1114048378 | KATIE MARIE BRADSHAW PT Individual | Physical Therapist | 4110 51ST AVE S FARGO, ND 58104 (701) 364-4222 |
| 1225576739 | PATRICK FAHEY PA-C Individual | Physician Assistant | 4110 51ST AVE S FARGO, ND 58104 (701) 364-3100 |
| 1619407327 | KRISTY RATTI DPT Individual | Physical Therapist | 4110 51ST AVE S FARGO, ND 58104 (701) 364-3100 |
| 1144710658 | INNOVIS HEALTH, LLC Organization | Non-Pharmacy Dispensing Site | 4110 51ST AVE S FARGO, ND 58104 (952) 653-2565 |
| 1154809267 | BRITTNEY L BENSON PA-C Individual | Physician Assistant | 4110 51ST AVE S FARGO, ND 58104 (701) 364-8000 |
| 1861044562 | SARAH B HANSON APRN, CNP Individual | Nurse Practitioner (Family) | 4110 51ST AVE S FARGO, ND 58104 (701) 364-3100 |
| 1467985291 | DR. JORDAN I AMATUEGWU M.D. Individual | Family Medicine | 4110 51ST AVE S FARGO, ND 58104 (701) 364-3100 |
| 1992275671 | TIFFANY AMBER PICKARD APRN, CNP Individual | Nurse Practitioner | 4110 51ST AVE S FARGO, ND 58104 (701) 364-3100 |
| 1790372712 | KIMBERLY MAE NAPLIN NP Individual | Nurse Practitioner (Family) | 4110 51ST AVE S FARGO, ND 58104 (701) 364-3100 |
| 1780043257 | INNOVIS HEALTH LLC Organization | Clinic/Center (Multi-Specialty) | 4110 51ST AVE S FARGO, ND 58104 (701) 364-3100 |
| 1720566847 | LYDIA CHARDEL BRUENJES PA Individual | Physician Assistant | 4110 51ST AVE S FARGO, ND 58104 (017) 364-3100 |
| 1740915115 | KYLIE ENGEBRETSON PA-C Individual | Physician Assistant | 4110 51ST AVE S FARGO, ND 58104 (701) 364-3100 |
| 1891421178 | STEVEN LIN CONDON FNP Individual | Nurse Practitioner (Family) | 4110 51ST AVE S FARGO, ND 58104 (701) 364-3100 |
Frequently Asked Questions
What is Dr. Michelle Bradley DO NPI number?
The NPI number assigned to this healthcare provider is 1003015314, registered as an "individual" on July 16, 2007
Where is Dr. Michelle Bradley DO located?
The provider is located at 4110 51st Ave S Fargo, Nd 58104 and the phone number is (701) 364-3100
Which is Dr. Michelle Bradley DO specialty?
The provider's speciality is Family Medicine
How many years of experience does Dr. Michelle Bradley DO have?
The provider has more than 19 years of experience. She graduated from Lake Erie College Of Osteopathic Medicine, Erie in 2004.
What insurance does Dr. Michelle Bradley DO accept?
The provider might be accepting Medicaid and Medicare. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Is Dr. Michelle Bradley DO registered in PECOS?
Yes, as of March 13, 2023 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a Medicare beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
How much is a visit to Dr. Michelle Bradley DO?
Medicare beneficiaries should expect a typical cost of $88.61 with an average copayment of $22.15 for new patient appointments. Established patients should expect a typical charge of $102.73 and an average copayment of 25.68. Please review your insurance plan or contact the provider directly to determine your specific costs.
What are some of the services provided by Dr. Michelle Bradley DO?
The most common procedures or services performed by this practitioner are: Insertion of needle into vein for collection of blood sample, Complete blood cell count (red cells, white blood cell, platelets), automated test, Automated urinalysis test, Hemoglobin A1C level, Pneumococcal vaccine for injection into muscle, Administration of pneumococcal vaccine, Administration of influenza virus vaccine, Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit, Routine EKG using at least 12 leads including interpretation and report and X-ray of chest, 2 views, front and side.
How do I update my NPI information?
The NPI record of Dr. Michelle Bradley DO was last updated on July 16, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected]
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