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MARY THERESE PORTA PA-C
NPI 1174783005
Physician Assistant in Troy, MI

Active since June 13, 2008PECOS Enrolled
84.72/100
CMS Quality Rating
44201 DEQUINDRE RD, SUITE EC, TROY, MI 48085(248) 964-5111(248) 964-5068 Get Directions Write a Review

NPPES record last updated: July 28, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mary Therese Porta Pa-c NPPES

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

MARY THERESE PORTA PA-C (NPI 1174783005) is an individual physician assistant in Troy, Michigan, licensed in Michigan (5601005244) and active in the NPI registry since June 2008. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1174783005
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMARY THERESE PORTACredential: PA-C
Location Address44201 DEQUINDRE RD, SUITE ECTroy, MI 48085-1117
Mailing Address26901 Beaumont Blvd Ste 3dSouthfield, MI 48033-3849 · (947) 522-1865 · Fax (947) 522-0307
Phone(248) 964-5111
Fax(248) 964-5068
Sole ProprietorNo
Enumeration DateJune 13, 2008
Last NPPES UpdateJuly 28, 2022
NPPES CertifiedJuly 28, 2022
✔ NPI 1174783005 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in MI · 5601005244
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
44201 DEQUINDRE RD, Troy, MI 48085
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Other Names 1

Former Name (1)Mary Therese Green Pa-c

Other Identifiers 1

Other110F376980MI · Bcbsm

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health 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 (PECOS)

Mary Therese Porta Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 2

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.

Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
34 services33 patients
Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
20 services20 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48085 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
$90.76 typical visit price
range $58.04 – $177.36
Typical copayment $22.69 (range $14.51 – $44.34)
Most-billed visit code 99203
Established Patient
$72.38 typical visit price
range $18.32 – $143.49
Typical copayment $18.09 (range $4.58 – $35.87)
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.

84.72/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality80.68
Promoting Interoperability100
Improvement Activities40
Cost68.39

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.

HARINI ERUPAKA REDDY M.D.
Pediatrics
44201 DEQUINDRE RD
TROY, MI 48085
Oakland County (248) 964-1007
JOSLEEN ALBISHARA
Pharmacist
44201 DEQUINDRE RD
TROY, MI 48085
Oakland County (248) 964-5000
STEPHANIE ANNE DAVENPORT PAC
Physician Assistant
44201 DEQUINDRE RD
TROY, MI 48085
Oakland County (248) 964-4866
KRISTEN M LIGHT DNP, RN, AGPCNP-BC
Nurse Practitioner (Primary Care)
44201 DEQUINDRE RD
TROY, MI 48085
Oakland County (248) 964-5000
ELLEN O MCGUIRE
Physician Assistant
44201 DEQUINDRE RD
TROY, MI 48085
Oakland County (248) 964-4866
SAMANTHA GRACE HENDERSON PA-C
Physician Assistant
44201 DEQUINDRE RD
TROY, MI 48085
Oakland County (248) 964-5000
DAVID DONALDSON
Emergency Medicine
44201 DEQUINDRE RD, EC
TROY, MI 48085
Oakland County (248) 964-8787
SHARON LINDOW
Speech-Language Pathologist
44201 DEQUINDRE RD
TROY, MI 48085
Oakland County (248) 964-5000

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 Mary Porta's NPI number?

The NPI number for Mary Porta is 1174783005. It was assigned to this individual provider in the NPPES registry on June 13, 2008. The provider is also known as Mary Therese Green Pa-C.

Where is Mary Porta located?

Mary Porta practices at 44201 Dequindre Rd Suite Ec, Troy, MI 48085. The listed phone number is (248) 964-5111.

What is Mary Porta's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Mary Porta enrolled in Medicare?

Yes. Mary Porta is registered in the Medicare PECOS enrollment system.

What insurance does Mary Porta accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and Priority Health list Mary Porta 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.

When was this NPI record last updated?

The NPPES record for Mary Porta was last updated on July 28, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.