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MR. MICHAEL AUGUSTINE GILHEANY FNP
NPI 1245462597
Nurse Practitioner - Family in Round Rock, TX

Active since August 20, 2009PECOS EnrolledAccepts Medicare Assignment
72.52/100
CMS Quality Rating
301 SETON PKWY, SUITE 302, ROUND ROCK, TX 78665(512) 324-4812(512) 324-4728 Get Directions Write a Review

NPPES record last updated: November 19, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mr. Michael Augustine Gilheany Fnp NPPES

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

MR. MICHAEL AUGUSTINE GILHEANY FNP (NPI 1245462597) is an individual family provider in Round Rock, Texas, licensed in Texas (718996) and active in the NPI registry since August 2009. He is enrolled in Medicare PECOS and is a graduate of Other (2009).

NPPES Registry Identity

NPI1245462597
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameMR. MICHAEL AUGUSTINE GILHEANYCredential: FNP
Location Address301 SETON PKWY, SUITE 302Round Rock, TX 78665-8002
Mailing Address4616 W Howard LnAustin, TX 78728-6300 · (512) 324-8960 · Fax (512) 324-8906
Phone(512) 324-4812
Fax(512) 324-4728
Sole ProprietorNo
Medical School CMSOtherGraduated 2009
Enumeration DateAugust 20, 2009
Last NPPES UpdateNovember 19, 2015
✔ NPI 1245462597 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in TX · 718996
301 SETON PKWY, Round Rock, TX 78665
Open in Google Maps ↗

Other Identifiers 10

Medicaid209825304TX
Medicare PINTXB117123TX
Other8216NQTX · Bcbs
Medicaid209825306TX
Medicare PINTXB117630TX
Medicaid209825307TX
Medicaid209825305TX
Medicare PIN329669YL9XTX
Other832N40TX · Bcbs
Medicare PIN329669YMGJTX

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections 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

Mr. Michael Augustine Gilheany Fnp 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 ID6709911738
PECOS Enrollment IDI20100316000967
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.

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
51 services48 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.
51 services48 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78665 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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.

72.52/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality61.27
Promoting Interoperability100
Improvement Activities40
Cost47.12

Reported Quality Measures

Breast Cancer Screening
24%38 patients2/55-star benchmark: 93%
Colorectal Cancer Screening
25%110 patients2/55-star benchmark: 88%
Controlling High Blood Pressure
64%98 patients3/55-star benchmark: 91%
Diabetes: Eye Exam
0%22 patients1/55-star benchmark: 100%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
59%22 patients2/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
96%189 patients4/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
20%108 patients1/55-star benchmark: 100%
HIV Screening
6%68 patients1/55-star benchmark: 60%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
30%148 patients2/55-star benchmark: 98%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
93%147 patients4/55-star benchmark: 97%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
22%69 patients2/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients screened: 99% · 165 patients
93%165 patients
Provide Patients Electronic Access to Their Health Information
90%93 patients4/55-star benchmark: 100%
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
84%93 patients4/55-star benchmark: 91%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 0% · 113 patients
Patients totalRate: 3% · 115 patients
3%115 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.

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.

DR. VIVIAN CLINE MD
Internal Medicine (Medical Oncology)
301 SETON PKWY, SUITE 104
ROUND ROCK, TX 78665
Williamson County (512) 687-2300
KRISTIN LEIGH HART PAC
Physician Assistant
301 SETON PKWY, SUITE 102
ROUND ROCK, TX 78665
Williamson County (512) 334-1885
AUSTIN AND ROUND ROCK TRAVEL AND INFECTIOUS DISEASES LLC
Internal Medicine (Infectious Disease)
301 SETON PKWY, SUITE 402
ROUND ROCK, TX 78665
Williamson County (512) 324-4818
TESS GORDING
Student in an Organized Health Care Education/Training Program
301 SETON PKWY
ROUND ROCK, TX 78665
Williamson County (512) 481-4010
TANNON DAJUAN CARROLL MD
Internal Medicine (Interventional Cardiology)
301 SETON PKWY, SUITE 302
ROUND ROCK, TX 78665
Williamson County (512) 324-4812
DR. RAJU Z KURUNTHOTTICAL D.O.
Family Medicine
301 SETON PKWY, SUITE 401
ROUND ROCK, TX 78665
Williamson County (512) 324-4813
CHERYL BISCOCHO PT
Physical Therapist
301 SETON PKWY, STE 301
ROUND ROCK, TX 78665
Williamson County (512) 324-4807
DR. MICHAEL FERNANDO LENIS M.D.
Internal Medicine (Interventional Cardiology)
301 SETON PKWY, SUITE 302
ROUND ROCK, TX 78665
Williamson County (512) 324-4812

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 Gilheany's NPI number?

The NPI number for Michael Gilheany is 1245462597. It was assigned to this individual provider in the NPPES registry on August 20, 2009.

Where is Michael Gilheany located?

Michael Gilheany practices at 301 Seton Pkwy Suite 302, Round Rock, TX 78665. The listed phone number is (512) 324-4812.

What is Michael Gilheany's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Michael Gilheany enrolled in Medicare?

Yes. Michael Gilheany 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 Gilheany accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 3 other insurers list Michael Gilheany 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 Michael Gilheany was last updated on November 19, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.