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MICHAEL T HAPPEL MD
NPI 1215935275
Psychiatry & Neurology - Neurology in Metairie, LA

Active since July 13, 2005PECOS EnrolledAccepts Medicare Assignment
55.98/100
CMS Quality Rating
110 VETERANS MEMORIAL BLVD STE 325, METAIRIE, LA 70005(504) 831-6760(504) 831-6964 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 21, 2022, Mar 17, 2018, Aug 15, 2017 (3 updates tracked since 2017).

About Michael T Happel Md NPPES

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

MICHAEL T HAPPEL MD (NPI 1215935275) is an individual neurology provider in Metairie, Louisiana, licensed in Louisiana (022273) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS, is affiliated with West Jefferson Medical Center, and maintains a secondary practice location in Lacombe.

NPPES Registry Identity

NPI1215935275
Entity TypeIndividualMale
Primary Taxonomy2084N0400X
Provider Legal NameMICHAEL T HAPPELCredential: MD
Location Address110 VETERANS MEMORIAL BLVD STE 325Metairie, LA 70005-4961
Mailing Address64301 Hwy 434Lacombe, LA 70445 · (985) 882-4500 · Fax (985) 882-4501
Phone(504) 831-6760
Fax(504) 831-6964
Sole ProprietorNo
Medical School CMSLouisiana State University School Of Medicine In New OrleansGraduated 1994
Enumeration DateJuly 13, 2005
Last NPPES UpdateJuly 21, 20223 updates tracked since enumeration
✔ NPI 1215935275 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
License✔ Licensed in LA · 022273
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
110 VETERANS MEMORIAL BLVD STE 325, Metairie, LA 70005
Open in Google Maps ↗

Secondary Practice Location 1

Location 164301 Highway 434LaCombe, LA 70445-5411 · Phone (985) 882-4500 · Fax (985) 882-4501

Other Identifiers 1

Medicaid1669156LA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Louisiana, HMO Louisiana, UnitedHealthcare.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

Michael T Happel Md 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 ID3476583923
PECOS Enrollment IDI20050816000055
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 5

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.

Injection, onabotulinumtoxina, 1 unit J0585
Onabotulinumtoxina, also known as Botox, is a medication injected into muscles. It's used to treat various conditions by blocking nerve activity in the muscles, causing a temporary reduction in muscle activity. The units refer to the dosage.
11,800 services14 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.
485 services224 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.
58 services58 patients
Needle measurement of electrical activity in arm or leg muscles, complete study 95886
This procedure, known as an electromyography (EMG), involves inserting a small needle into your arm or leg muscles to measure their electrical activity. This complete study helps diagnose issues with nerves or muscles, providing valuable data for your treatment plan.
36 services20 patients
Nerve conduction, 7-8 studies 95910
Nerve conduction studies involve testing the speed and strength of signals traveling through your nerves. This helps doctors identify nerve damage. In a 7-8 study procedure, 7-8 specific nerves are tested. You may feel a mild, brief tingling or shock during the test.
12 services12 patients

Hospital Affiliations CMS Care Compare 4

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

West Jefferson Medical Center

Acute Care Hospitals · Marrero, LA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number190039
Location1101 Medical Center BlvdMarrero, LA 70072 · Jefferson County
Emergency services Birthing friendly

Touro Infirmary

Acute Care Hospitals · New Orleans, LA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number190046
Location1401 Foucher StreetNew Orleans, LA 70115 · Orleans County
Emergency services Birthing friendly

East Jefferson General Hospital

Acute Care Hospitals · Metairie, LA
3/5 CMS rating
OwnershipProprietary
CMS Certification Number190176
Location4200 Houma BlvdMetairie, LA 70006 · Jefferson County
Emergency services Birthing friendly

Sterling Surgical Hospital

Acute Care Hospitals · Slidell, LA
OwnershipProprietary
CMS Certification Number190256
Location989 Robert BlvdSlidell, LA 70458 · St. Tammany County

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 70005 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
$128.88 typical visit price
range $55.50 – $170.30
Typical copayment $32.22 (range $13.87 – $42.57)
Most-billed visit code 99204
Established Patient
$98.35 typical visit price
range $17.42 – $138.03
Typical copayment $24.58 (range $4.35 – $34.50)
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.

55.98/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality26.51
Promoting Interoperability88
Improvement Activities40

Reported Quality Measures

Closing the Referral Loop: Receipt of Specialist Report
41%168 patients2/55-star benchmark: 87%
Dementia: Cognitive Assessment
0%29 patients
Documentation of Current Medications in the Medical Record
67%2,367 patients3/55-star benchmark: 100%
e-Prescribing
96%750 patients3/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
6%1,094 patients1/55-star benchmark: 98%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
1%2,298 patients1/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients screened: 1% · 680 patients
0%680 patients
Provide Patients Electronic Access to Their Health Information
65%585 patients3/55-star benchmark: 100%
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
67%58 patients3/55-star benchmark: 91%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 6% · 603 patients
Patients totalRate: 15% · 606 patients
10%606 patients4/55-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.

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 Happel's NPI number?

The NPI number for Michael Happel is 1215935275. It was assigned to this individual provider in the NPPES registry on July 13, 2005.

Where is Michael Happel located?

Michael Happel practices at 110 Veterans Memorial Blvd Ste 325, Metairie, LA 70005. The listed phone number is (504) 831-6760.

What is Michael Happel's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is Michael Happel enrolled in Medicare?

Yes. Michael Happel 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 Michael Happel accept?

Health plans from Blue Cross and Blue Shield of Louisiana, HMO Louisiana and UnitedHealthcare list Michael Happel 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 Michael Happel affiliated with any hospitals?

According to CMS data, Michael Happel is affiliated with West Jefferson Medical Center, Touro Infirmary, East Jefferson General Hospital and Sterling Surgical Hospital.

When was this NPI record last updated?

The NPPES record for Michael Happel was last updated on July 21, 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.