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MR. MICHAEL LYNN NUSSBAUM M.D.
NPI 1164409678
Surgery in Abington, PA

Active since December 27, 2005PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
1245 HIGHLAND AVE, SUITE 600, ABINGTON, PA 19001(215) 887-3990(215) 887-1140 Get Directions Write a Review

NPPES record last updated: August 15, 2014. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mr. Michael Lynn Nussbaum M.d. NPPES

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

MR. MICHAEL LYNN NUSSBAUM M.D. (NPI 1164409678) is an individual surgery provider in Abington, Pennsylvania, licensed in Pennsylvania (MD-038733E) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS, is affiliated with Lansdale Hospital, and is a graduate of Indiana University School Of Medicine (1982).

NPPES Registry Identity

NPI1164409678
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameMR. MICHAEL LYNN NUSSBAUMCredential: M.D.
Location Address1245 HIGHLAND AVE, SUITE 600Abington, PA 19001-3714
Mailing Address1245 Highland Ave, Suite 600Abington, PA 19001-3714 · (215) 887-3990 · Fax (215) 887-1140
Phone(215) 887-3990
Fax(215) 887-1140
Sole ProprietorNo
Medical School CMSIndiana University School Of MedicineGraduated 1982
Enumeration DateDecember 27, 2005
Last NPPES UpdateAugust 15, 2014
✔ NPI 1164409678 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in PA · MD-038733E
Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

1245 HIGHLAND AVE, Abington, PA 19001
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Other Identifiers 8

Medicare UPINC27974PA
Other7290859004PW · Cigna
Medicaid0012574100008PA
Other0072656000PA · Keystone
Other020054344PA · Railroad Medicare
Medicare ID-Type UnspecifiedNU031130PA
Other1002111PA · Aetna
Other265028PA · Blue Cross Blue Shield

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

Mr. Michael Lynn Nussbaum 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 ID244123388
PECOS Enrollment IDI20090121000233
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 9

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
134 services52 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.
112 services100 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
98 services94 patients
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.
29 services28 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.
25 services25 patients
Removal of gallbladder using an endoscope 47562
This procedure, known as endoscopic gallbladder removal, involves a surgeon using a special tool called an endoscope to remove your gallbladder through small incisions. It's typically done to treat gallstones and related complications. It's a less invasive method, often leading to quicker recovery.
23 services23 patients

Hospital Affiliations CMS Care Compare 3

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

Lansdale Hospital

Acute Care Hospitals · Lansdale, PA
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390012
Location100 Medical Campus DriveLansdale, PA 19446 · Montgomery County
Emergency services

Holy Redeemer Hospital And Medical Center

Acute Care Hospitals · Meadowbrook, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number390097
Location1648 Huntingdon PikeMeadowbrook, PA 19046 · Montgomery County
Emergency services Birthing friendly

Abington Memorial Hospital

Acute Care Hospitals · Abington, PA
2/5 CMS rating
OwnershipProprietary
CMS Certification Number390231
Location1200 Old York RoadAbington, PA 19001 · Montgomery County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19001 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
$92.69 typical visit price
range $59.88 – $180.99
Typical copayment $23.17 (range $14.97 – $45.24)
Most-billed visit code 99203
Established Patient
$74.47 typical visit price
range $19.30 – $147.29
Typical copayment $18.61 (range $4.82 – $36.82)
Most-billed visit code 99213
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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Promoting Interoperability95
Improvement Activities40

Other Providers at the Same Location NPPES 20

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

NANCY DEANGELIS CRNP
Nurse Practitioner (Psychiatric/Mental Health)
1245 HIGHLAND AVE, SUITE #308
ABINGTON, PA 19001
Montgomery County (215) 481-5450
ABINGTON MEMORIAL HOSPITAL
Surgery (Pediatric Surgery)
1245 HIGHLAND AVE, SUITE 105
ABINGTON, PA 19001
Montgomery County (215) 481-6300
MRS. BETH ANNE KELLY PA-C
Physician Assistant
1245 HIGHLAND AVE, SUITE 401
ABINGTON, PA 19001
Montgomery County (215) 481-6070
DR. THEODORE ROBERT SULLIVAN M.D.
Surgery (Vascular Surgery)
1245 HIGHLAND AVE, SUITE 600
ABINGTON, PA 19001
Montgomery County (215) 887-3990
DR. WALTER J. SCOTT M.D.
Thoracic Surgery (Cardiothoracic Vascular Surgery)
1245 HIGHLAND AVE, SUITE 401
ABINGTON, PA 19001
Montgomery County (215) 481-6070
KENNETH H EINHORN M.D.
Otolaryngology
1245 HIGHLAND AVE, SUITE 502
ABINGTON, PA 19001
Montgomery County (215) 886-1482
DR. STEPHEN GEORGE WHITTAKER O.T., CLVT
Occupational Therapist (Low Vision)
1245 HIGHLAND AVE
ABINGTON, PA 19001
Montgomery County (610) 544-0500
ALLIANCE PHARMACY COMPANY
Pharmacy (Community/Retail Pharmacy)
1245 HIGHLAND AVE
ABINGTON, PA 19001
Montgomery County (215) 481-4318

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 Michael Nussbaum's NPI number?

The NPI number for Michael Nussbaum is 1164409678. It was assigned to this individual provider in the NPPES registry on December 27, 2005.

Where is Michael Nussbaum located?

Michael Nussbaum practices at 1245 Highland Ave Suite 600, Abington, PA 19001. The listed phone number is (215) 887-3990.

What is Michael Nussbaum's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Michael Nussbaum enrolled in Medicare?

Yes. Michael Nussbaum 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.

Is Michael Nussbaum affiliated with any hospitals?

According to CMS data, Michael Nussbaum is affiliated with Lansdale Hospital, Holy Redeemer Hospital And Medical Center and Abington Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Michael Nussbaum was last updated on August 15, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.