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MICHELLE J BRANDHORST M.D.
NPI 1083694178
Family Medicine in Pensacola, FL

Active since January 17, 2006PECOS EnrolledAccepts Medicare Assignment
90.84/100
CMS Quality Rating
4501 N DAVIS HWY, SUITE A, PENSACOLA, FL 32503(850) 476-9000(850) 478-2332 Get Directions Write a Review

NPPES record last updated: June 24, 2010. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Michelle J Brandhorst M.d. NPPES

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

MICHELLE J BRANDHORST M.D. (NPI 1083694178) is an individual family medicine provider in Pensacola, Florida, licensed in Florida (ME 80781) and active in the NPI registry since January 2006. She is enrolled in Medicare PECOS, is affiliated with Sacred Heart Hospital, and is a graduate of Rush Medical College Of Rush University (1997).

NPPES Registry Identity

NPI1083694178
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameMICHELLE J BRANDHORSTCredential: M.D.
Location Address4501 N DAVIS HWY, SUITE APensacola, FL 32503-2724
Mailing AddressPo Box 2699Pensacola, FL 32513-2699
Phone(850) 476-9000
Fax(850) 478-2332
Sole ProprietorNo
Medical School CMSRush Medical College Of Rush UniversityGraduated 1997
Enumeration DateJanuary 17, 2006
Last NPPES UpdateJune 24, 2010
✔ NPI 1083694178 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in FL · ME 80781
Definition
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.
4501 N DAVIS HWY, Pensacola, FL 32503
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Other Identifiers 5

OtherA979FL · Health First Network
OtherP00200580FL · Rail Road Medicare
Medicare ID-Type Unspecified35738YFL
Other35738FL · Blue Cross Blue Shield Fl
Medicare UPINH26055FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Molina Healthcare 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

Michelle J Brandhorst 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 ID9032102793
PECOS Enrollment IDI20040407000816
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.
494 services292 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
327 services327 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.
255 services178 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
38 services38 patients

Hospital Affiliations CMS Care Compare 3

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

Sacred Heart Hospital

Acute Care Hospitals · Pensacola, FL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100025
Location5151 N 9th AvePensacola, FL 32504 · Escambia County
Emergency services Birthing friendly

Baptist Hospital

Acute Care Hospitals · Pensacola, FL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100093
Location123 Baptist WayPensacola, FL 32503 · Escambia County
Emergency services Birthing friendly

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 32503 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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.

90.84/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality81.68
Promoting Interoperability100
Improvement Activities40

Reported Quality Measures

Appropriate Treatment for Upper Respiratory Infection (URI)
95%20 patients4/55-star benchmark: 100%
Breast Cancer Screening
69%944 patients3/55-star benchmark: 93%
Cervical Cancer Screening
52%722 patients3/55-star benchmark: 98%
Chlamydia Screening for Women
10%40 patients
Closing the Referral Loop: Receipt of Specialist Report
48%812 patients3/55-star benchmark: 87%
Colorectal Cancer Screening
60%1,659 patients3/55-star benchmark: 88%
Controlling High Blood Pressure
56%1,272 patients3/55-star benchmark: 91%
Diabetes: Eye Exam
13%483 patients1/55-star benchmark: 100%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
34%483 patients3/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
100%4,838 patients5/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
91%1,285 patients4/55-star benchmark: 100%
HIV Screening
8%1,472 patients1/55-star benchmark: 60%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
59%2,631 patients3/55-star benchmark: 98%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
88%1,868 patients4/55-star benchmark: 97%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
28%2,190 patients2/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 83% · 2,621 patients
Patients screened: 93% · 2,621 patients
27%355 patients2/55-star benchmark: 100%
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
85%885 patients4/55-star benchmark: 91%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 2% · 1,276 patients
Patients totalRate: 15% · 1,346 patients
16%1,346 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 8

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
12 suppliers43 claims119 services$6.06 avg. paid by Medicare
Normal, low and high calibrator solution / chips A4256
DME-Other DME · category DE000N
2 suppliers14 claims14 services$2.94 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
6 suppliers21 claims33 services$1.11 avg. paid by Medicare
Tubing used with positive airway pressure device A7037
DME-Other DME · category DE001N
4 suppliers15 claims15 services$14.36 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
4 suppliers15 claims90 services$2.35 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
4 suppliers32 claims32 services$16.00 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 4

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

DR. ERIC HAZBUN MD
Hospitalist
4501 N DAVIS HWY, SUITE A
PENSACOLA, FL 32503
Escambia County (850) 476-9000
ROBERT R STOCK M.D.
Family Medicine
4501 N DAVIS HWY
PENSACOLA, FL 32503
Escambia County (508) 476-9000
INEX THERAPEUTIC & REHABILITATION
Physical Therapist
4501 N DAVIS HWY, SUITE B
PENSACOLA, FL 32503
Escambia County (850) 476-4774
DR. THOMAS RUSSELL SCHNEIDER MD, FACS
Specialist
4501 N DAVIS HWY, SUITE C
PENSACOLA, FL 32503
Escambia County (850) 477-8500

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Michelle Brandhorst's NPI number?

The NPI number for Michelle Brandhorst is 1083694178. It was assigned to this individual provider in the NPPES registry on January 17, 2006.

Where is Michelle Brandhorst located?

Michelle Brandhorst practices at 4501 N Davis Hwy Suite A, Pensacola, FL 32503. The listed phone number is (850) 476-9000.

What is Michelle Brandhorst's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Michelle Brandhorst enrolled in Medicare?

Yes. Michelle Brandhorst is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Michelle Brandhorst accept?

Health plans from Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Molina Healthcare and Oscar Health Maintenance Organization of Florida list Michelle Brandhorst as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Michelle Brandhorst affiliated with any hospitals?

According to CMS data, Michelle Brandhorst is affiliated with Sacred Heart Hospital, Baptist Hospital and Gulf Breeze Hospital.

When was this NPI record last updated?

The NPPES record for Michelle Brandhorst was last updated on June 24, 2010. NPI Profile syncs with the weekly NPPES data releases published by CMS.