DR. MICHAEL A. HENNIGAN M.D.
NPI 1003971839
Internal Medicine - Endocrinology, Diabetes & Metabolism in Fairhope, AL

Q: What is Michael Hennigan's NPI number?

The NPI number for Michael Hennigan is 1003971839. It was assigned to this individual provider in the NPPES registry on December 22, 2006.

Q: What is Michael Hennigan's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.

Q: When was this NPI record last updated?

The NPPES record for Michael Hennigan was last updated on March 11, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since December 22, 2006PECOS EnrolledAccepts Medicare Assignment

65.45/100

CMS Quality Rating

3 MEDICAL PARK, FAIRHOPE, AL 36532(251) 929-3424(251) 279-3931 Get Directions Write a Review

NPPES record last updated: March 11, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 11, 2021, Sep 24, 2018, Mar 17, 2018 and 1 more (4 updates tracked since 2017).

On this page

About Dr. Michael A. Hennigan M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. MICHAEL A. HENNIGAN M.D. (NPI 1003971839) is an individual endocrinology, diabetes & metabolism provider in Fairhope, Alabama, licensed in Alabama (00014952) and active in the NPI registry since December 2006. He is enrolled in Medicare PECOS, is affiliated with Gulf Breeze Hospital, and is a graduate of University Of South Alabama College Of Medicine (1982).

NPPES Registry Identity

NPI1003971839

Entity TypeIndividualMale

Primary Taxonomy207RE0101X

Provider Legal NameDR. MICHAEL A. HENNIGANCredential: M.D.

Location Address3 MEDICAL PARKFairhope, AL 36532-1804

Mailing Address3 Medical ParkFairhope, AL 36532-1804 · (251) 929-4324 · Fax (251) 279-3931

Phone(251) 929-3424

Fax(251) 279-3931

Sole ProprietorNo

Medical School CMSUniversity Of South Alabama College Of MedicineGraduated 1982

Enumeration DateDecember 22, 2006

Last NPPES UpdateMarch 11, 20244 updates tracked since enumeration

NPPES CertifiedMarch 11, 2024

✔ NPI 1003971839 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Endocrinology, Diabetes & MetabolismAllopathic & Osteopathic Physicians

Taxonomy Code207RE0101X

Licenses✔ Licensed in AL · 00014952✔ Licensed in FL · ME133406✔ Licensed in AK · 173573

Definition

An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.

3 MEDICAL PARK, Fairhope, AL 36532

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Other Identifiers 4

Other000081181AL · Bcbs Of Al Provider Numbe

Medicaid022091600FL

Medicaid000081181AL

Medicaid529910470AL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Magnolia Health, Ambetter Health, Ambetter of Alabama and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Michael A. Hennigan M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3971405135

PECOS Enrollment IDI20101020000078

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

220 services98 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

81 services52 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

39 services39 patients

New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205

This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.

23 services23 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Gulf Breeze Hospital

Acute Care Hospitals · Gulf Breeze, FL

5/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number100266

Location1110 Gulf Breeze PkwyGulf Breeze, FL 32561 · Santa Rosa County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 36532 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$122.31 typical visit price

range $52.65 – $161.63

Typical copayment $30.57 (range $13.16 – $40.40)

Most-billed visit code 99204

Established Patient

$93.72 typical visit price

range $16.56 – $131.65

Typical copayment $23.43 (range $4.14 – $32.91)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

65.45/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

74.83

Promoting Interoperability

100

Improvement Activities

Cost

Reported Quality Measures

Breast Cancer Screening

55%107 patients3/55-star benchmark: 93%

Cervical Cancer Screening

25%79 patients2/55-star benchmark: 98%

Colorectal Cancer Screening

51%169 patients3/55-star benchmark: 88%

Controlling High Blood Pressure

57%72 patients3/55-star benchmark: 91%

Diabetes: Eye Exam

15%61 patients1/55-star benchmark: 100%

Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)

Lower rates are better for this measure.

41%61 patients3/55-star benchmark: 91%

Documentation of Current Medications in the Medical Record

97%773 patients4/55-star benchmark: 100%

Falls: Screening for Future Fall Risk

36%129 patients2/55-star benchmark: 100%

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan

39%202 patients2/55-star benchmark: 98%

Preventive Care and Screening: Screening for Depression and Follow-Up Plan

23%206 patients1/55-star benchmark: 97%

Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented

24%291 patients2/55-star benchmark: 61%

Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention

Patients screened: 74% · 259 patients

71%259 patients

Statin Therapy for the Prevention and Treatment of Cardiovascular Disease

80%108 patients4/55-star benchmark: 91%

Use of High-Risk Medications in Older Adults

Lower rates are better for this measure.

Patients appropriateDiagnosis: 3% · 130 patients

Patients totalRate: 19% · 135 patients

18%135 patients3/55-star benchmark: 100%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 4

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Supplies for maintenance of insulin infusion catheter, per week A4224

DME-Other DME · category DE017N

6 suppliers16 claims207 services$18.10 avg. paid by Medicare

Supplies for external insulin infusion pump, syringe type cartridge, sterile, each A4225

DME-Other DME · category DE017N

6 suppliers16 claims490 services$2.33 avg. paid by Medicare

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

10 suppliers16 claims34 services$6.97 avg. paid by Medicare

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553

DME-Other DME · category DE017N

17 suppliers337 claims348 services$185.04 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. SARAH MCLAUGHLIN GONZALEZ CRNP

Nurse Practitioner (Family)