MICHAEL THOMAS AVERY DO
NPI 1255568069
Internal Medicine - Rheumatology in Green Bay, WI

Active since June 18, 2009PECOS EnrolledAccepts Medicare Assignment
2223 LIME KILN RD STE 1, GREEN BAY, WI 54311(920) 430-8113 Get Directions Write a Review

NPPES record last updated: May 28, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 28, 2025, Jan 9, 2023 (2 updates tracked since 2023).

About Michael Thomas Avery Do NPPES

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

MICHAEL THOMAS AVERY DO (NPI 1255568069) is an individual rheumatology provider in Green Bay, Wisconsin, licensed in Wisconsin (67513) and active in the NPI registry since June 2009. He is enrolled in Medicare PECOS, is affiliated with Uphs Marquette Dlp Hospital, and is a graduate of Other (2009).

NPPES Registry Identity

NPI1255568069
Entity TypeIndividualMale
Primary Taxonomy207RR0500X
Provider Legal NameMICHAEL THOMAS AVERYCredential: DO
Location Address2223 LIME KILN RD STE 1Green Bay, WI 54311-6213
Mailing Address2223 Lime Kiln Rd Ste 1Green Bay, WI 54311-6213 · (920) 430-8113
Sole ProprietorNo
Medical School CMSOtherGraduated 2009
Enumeration DateJune 18, 2009
Last NPPES UpdateMay 28, 20252 updates tracked since enumeration
NPPES CertifiedMay 28, 2025
NPI 1255568069 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · RheumatologyAllopathic & Osteopathic Physicians
Taxonomy Code207RR0500X
License Licensed in WI · 67513
Definition
An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases.
2223 LIME KILN RD STE 1, Green Bay, WI 54311

Accepted 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 Thomas Avery Do 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 ID840422200
PECOS Enrollment IDI20170913000033
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 23

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, tocilizumab, 1 mg J3262
Tocilizumab is a medication administered via injection. It's used to treat certain conditions like rheumatoid arthritis by reducing inflammation in the body. It works by blocking a substance in the body that leads to inflammation.
36,761 services24 patients
Injection, infliximab, excludes biosimilar, 10 mg J1745
Infliximab is a medication given via injection to treat certain autoimmune conditions. It works by blocking the action of a substance in your body that causes inflammation. Each dose is based on your medical condition and response to treatment.
9,484 services76 patients
Injection, golimumab, 1 mg, for intravenous use J1602
Golimumab is a medication given through an IV (a small tube in your vein). It helps to reduce inflammation and pain by blocking a protein in your body that causes inflammation. It's often used to treat conditions like rheumatoid arthritis, psoriatic arthritis, and ankylosing spondylitis.
7,851 services29 patients
Injection, abatacept, 10 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered) J0129
Abatacept is a medication administered via injection under a doctor's supervision. It's used to treat conditions like rheumatoid arthritis by moderating the immune system. This code applies when the doctor administers the drug, not for self-administration.
4,001 services21 patients
Injection, rituximab, 10 mg J9312
Rituximab is a medication given via injection. It's used to treat certain types of cancer and autoimmune diseases. The 10 mg dosage refers to the amount of the drug in the injection. It works by targeting and destroying specific cells, helping your body's immune system.
1,600 services11 patients
Infusion, normal saline solution, 250 cc J7050
An infusion of normal saline solution, 250 cc, involves administering a sterile saltwater solution into your body through a vein, usually in your arm. This helps to replenish fluids, maintain hydration, and balance electrolytes in your body.
436 services169 patients

Hospital Affiliations CMS Care Compare 5

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

Uphs Marquette Dlp Hospital

Acute Care Hospitals · Marquette, MI
3/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number230054
Location850 W Baraga AveMarquette, MI 49855 · Marquette County
Emergency services Birthing friendly

Dickinson County Memorial Hospital

Acute Care Hospitals · Iron Mountain, MI
4/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number230055
Location1721 S Stephenson AveIron Mountain, MI 49801 · Dickinson County
Emergency services Birthing friendly

Bell Hospital

Critical Access Hospitals · Ishpeming, MI
OwnershipProprietary
CMS Certification Number231321
Location901 Lakeshore DriveIshpeming, MI 49849 · Marquette County
Emergency services Birthing friendly

Osf St Francis Hospital And Medical Group

Critical Access Hospitals · Escanaba, MI
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number231337
Location3401 Ludington StEscanaba, MI 49829 · Delta County
Emergency services Birthing friendly

Door County Medical Center

Critical Access Hospitals · Sturgeon Bay, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number521358
Location323 South 18th AvenueSturgeon Bay, WI 54235 · Door County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54311 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
$123.69 typical visit price
range $53.90 – $163.24
Typical copayment $30.92 (range $13.47 – $40.81)
Most-billed visit code 99204
Established Patient
$95.41 typical visit price
range $17.40 – $133.76
Typical copayment $23.85 (range $4.35 – $33.44)
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.

Other Providers at the Same Location NPPES 13

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

Orthopaedic Surgery
2223 LIME KILN RD STE 1
GREEN BAY, WI 54311
Orthopaedic Surgery
2223 LIME KILN RD STE 1
GREEN BAY, WI 54311
Orthopaedic Surgery
2223 LIME KILN RD STE 1
GREEN BAY, WI 54311
Orthopaedic Surgery
2223 LIME KILN RD STE 1
GREEN BAY, WI 54311
Anesthesiology
2223 LIME KILN RD STE 1
GREEN BAY, WI 54311
Internal Medicine (Rheumatology)
2223 LIME KILN RD STE 1
GREEN BAY, WI 54311
Orthopaedic Surgery
2223 LIME KILN RD STE 1
GREEN BAY, WI 54311
Orthopaedic Surgery
2223 LIME KILN RD STE 1
GREEN BAY, WI 54311

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 Avery's NPI number?

The NPI number for Michael Avery is 1255568069. It was assigned to this individual provider in the NPPES registry on June 18, 2009.

Where is Michael Avery located?

Michael Avery practices at 2223 Lime Kiln Rd Ste 1, Green Bay, WI 54311. The listed phone number is (920) 430-8113.

What is Michael Avery's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Rheumatology, with taxonomy code 207RR0500X.

Is Michael Avery enrolled in Medicare?

Yes. Michael Avery 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 Avery accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource (Common Ground Healthcare), Network Health and Security Health Plan list Michael Avery 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 Avery affiliated with any hospitals?

According to CMS data, Michael Avery is affiliated with Uphs Marquette Dlp Hospital, Dickinson County Memorial Hospital, Bell Hospital, Osf St Francis Hospital And Medical Group and Door County Medical Center.

When was this NPI record last updated?

The NPPES record for Michael Avery was last updated on May 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.