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MICHAEL JAMES GERMAIN MD
NPI 1245592922
Internal Medicine in Scottsdale, AZ

Active since June 08, 2012Opted out of Medicare · through Jan 17, 2027
6565 E GREENWAY PKWY STE 102, SCOTTSDALE, AZ 85254(480) 900-7595(480) 739-0262 Get Directions Write a Review

NPPES record last updated: January 4, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Michael James Germain Md NPPES

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

MICHAEL JAMES GERMAIN MD (NPI 1245592922) is an individual internal medicine provider in Scottsdale, Arizona, licensed in Arizona (50352) and active in the NPI registry since June 2012. He has opted out of Medicare through January 17, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1245592922
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameMICHAEL JAMES GERMAINCredential: MD
Location Address6565 E GREENWAY PKWY STE 102Scottsdale, AZ 85254-2056
Mailing Address6565 E Greenway Pkwy Ste 102Scottsdale, AZ 85254-2056 · (480) 900-7595 · Fax (480) 739-0262
Phone(480) 900-7595
Fax(480) 739-0262
Sole ProprietorYes
Enumeration DateJune 8, 2012
Last NPPES UpdateJanuary 4, 2025
NPPES CertifiedJanuary 4, 2025
✔ NPI 1245592922 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses✔ Licensed in AZ · 50352✔ Licensed in AZ · R73371
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
6565 E GREENWAY PKWY STE 102, Scottsdale, AZ 85254
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Michael James Germain Md has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 17, 2025 through January 17, 2027.

Opt-Out Effective DateJanuary 17, 2025
Opt-Out In Effect ThroughJanuary 17, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

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.

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.
284 services178 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.
211 services211 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
128 services97 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.
38 services38 patients
Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or G2212
This service refers to extended doctor visits where your healthcare provider spends additional time evaluating and managing your health beyond the primary procedure's required time. This includes each extra 15 minutes spent by the physician on the same day as the primary service.
19 services13 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
15 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85254 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
$127.71 typical visit price
range $55.44 – $168.60
Typical copayment $31.92 (range $13.86 – $42.15)
Most-billed visit code 99204
Established Patient
$98.00 typical visit price
range $17.72 – $137.41
Typical copayment $24.50 (range $4.43 – $34.35)
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.

Referred Medical Equipment & Supplies CMS DME claims 4

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
17 suppliers26 claims72 services$6.29 avg. paid by Medicare
Levalbuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 0.5 mg J7614
DME-Drugs Administered Through DME · category DG006N
1 supplier13 claims4,875 services$0.05 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
2 suppliers28 claims28 services$202.81 avg. paid by Medicare
Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513
DME-Other DME · category DE000N
3 suppliers18 claims18 services$26.08 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 2

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

ARIZONA INTERNISTS PLLC
Internal Medicine
6565 E GREENWAY PKWY STE 102
SCOTTSDALE, AZ 85254
Maricopa County (480) 900-7595
COREBELLA HEALTH AND WELLNESS LLC
Internal Medicine (Addiction Medicine)
6565 E GREENWAY PKWY STE 102
SCOTTSDALE, AZ 85254
Maricopa County (602) 649-0677

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 Germain's NPI number?

The NPI number for Michael Germain is 1245592922. It was assigned to this individual provider in the NPPES registry on June 8, 2012.

Where is Michael Germain located?

Michael Germain practices at 6565 E Greenway Pkwy Ste 102, Scottsdale, AZ 85254. The listed phone number is (480) 900-7595.

What is Michael Germain's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Michael Germain enrolled in Medicare?

No. Michael Germain has opted out of Medicare through January 17, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Michael Germain was last updated on January 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months 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.