MICHAEL K. PFLEGER M.D.
NPI 1356393722
Emergency Medicine in Scottsdale, AZ

NPI Status: Active since May 16, 2006

Contact Information

7400 E OSBORN RD
EMERGENCY DEPARTMENT
SCOTTSDALE, AZ
ZIP 85251
Phone: (480) 882-6359
Fax: (480) 882-4389

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  • Individual
  • Male
  • Emergency Medicine
  • Accepts Insurance
  • PECOS Enrolled

About MICHAEL PFLEGER

This page provides the complete NPI Profile along with additional information for Michael Pfleger, a provider established in Scottsdale, Arizona with a medical specialization in Emergency Medicine. The healthcare provider is registered in the NPI registry with number 1356393722 assigned on May 2006. The practitioner's primary taxonomy code is 207P00000X with license number 27777 (AZ). The provider is registered as an individual and his NPI record was last updated 5 years ago.

NPI
1356393722
Provider Name
MICHAEL K. PFLEGER M.D.
Gender
Male
Entity Type
Individual
Location Address
7400 E OSBORN RD EMERGENCY DEPARTMENT SCOTTSDALE, AZ 85251
Location Phone
(480) 882-6359
Location Fax
(480) 882-4389
Mailing Address
7400 E OSBORN RD SCOTTSDALE, AZ 85251
Mailing Phone
(480) 882-4809
Mailing Fax
(480) 882-4389
Is Sole Proprietor?
No
Enumeration Date
05-16-2006
Last Update Date
12-27-2021
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Emergency Medicine

Taxonomy Code
207P00000X
Type
Allopathic & Osteopathic Physicians
License No.
27777
License State
AZ
Taxonomy Description
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Bronze Classic Standard - HMO
  • Bronze Elite + PCP Saver Plus - HMO
  • Bronze Simple - HMO
  • Bronze Simple Breathe Easy with Enhanced COPD Benefits - HMO
  • Bronze Simple Chronic Care CKM - HMO
  • Buena Salud Bronce Simple Para Diabetes - HMO
  • Gold Classic - HMO
  • Gold Classic Standard - HMO
  • Gold Simple - HMO
  • Gold Simple Diabetes - HMO
  • Silver Classic Standard - HMO
  • Silver Elite Saver Plus - HMO
  • Silver Simple Chronic Care CKM - HMO
  • Silver Simple Diabetes - HMO
  • Silver Simple PCP Saver - HMO
  • Silver Simple Specialist Saver with COPD - HMO
  • Silver Simple Women's Health with Menopause Benefits - HMO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Medicare Participation & PECOS Enrollment Status

Michael Pfleger is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Critical care, first 30-74 minutes

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.

This service was performed 56 times for 56 patients

Emergency department visit for life threatening or functioning severity

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.

This service was performed 232 times for 227 patients

Emergency department visit for problem of high severity

An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.

This service was performed 48 times for 48 patients

Emergency department visit for problem of moderate severity

An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.

This service was performed 29 times for 29 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only

A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.

This service was performed 135 times for 124 patients

X-ray of chest, 1 view

A chest X-ray, 1 view, is a quick, painless test that produces images of the structures within your chest, such as your heart, lungs, and blood vessels. It helps in diagnosing conditions like pneumonia, heart problems, or lung cancer. You'll stand in front of a machine that emits X-rays, which pass through your body to create the image.

This service was performed 103 times for 101 patients

Physician Visit Costs

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 85251 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99203

  • Average New Patient Price $85.89
  • Minimum New Patient Price $55.44
  • Maximum New Patient Price $168.6
  • Average New Patient Copayment $21.47
  • Minimum New Patient Copayment $13.86
  • Maximum New Patient Copayment $42.15

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99214

  • Average Established Patient Price $98
  • Minimum Established Patient Price $17.72
  • Maximum Established Patient Price $137.41
  • Average Established Patient Copayment $24.5
  • Minimum Established Patient Copayment $4.43
  • Maximum Established Patient Copayment $34.35

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Reviews for MICHAEL K. PFLEGER M.D.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1356393722, we treat the final digit (2) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 68. The final step is to find the difference between that total and the next multiple of ten (70 - 68 = 2).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
3
Unchanged
Pos 3
5
Doubled → 10 → 1 + 0
Pos 4
6
Unchanged
Pos 5
3
Doubled → 6
Pos 6
9
Unchanged
Pos 7
3
Doubled → 6
Pos 8
7
Unchanged
Pos 9
2
Doubled → 4
Check
2
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 5 → 10 → 1 3 → 6 3 → 6 2 → 4

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 3 + 1 + 0 + 6 + 6 + 9 + 6 + 7 + 4 + 24 = 68

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 68 is 70. The difference is the calculated check digit.

70 - 68 = 2
This NPI is valid
The calculated check digit is 2, which matches the last digit of 1356393722.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Nurse Practitioner (Family)
7400 E OSBORN RD
SCOTTSDALE, AZ 85251
Personal Emergency Response Attendant
7400 E OSBORN RD, EMERGENCY DEPARTMENT
SCOTTSDALE, AZ 85251
Personal Emergency Response Attendant
7400 E OSBORN RD, EMERGENCY DEPARTMENT
SCOTTSDALE, AZ 85251
Personal Emergency Response Attendant
7400 E OSBORN RD, EMERGENCY DEPARTMENT
SCOTTSDALE, AZ 85251
Personal Emergency Response Attendant
7400 E OSBORN RD, EMERGENCY DEPARTMENT
SCOTTSDALE, AZ 85251
Personal Emergency Response Attendant
7400 E OSBORN RD, EMERGENCY DEPARTMENT
SCOTTSDALE, AZ 85251
Personal Emergency Response Attendant
7400 E OSBORN RD, EMERGENCY DEPARTMENT
SCOTTSDALE, AZ 85251
Personal Emergency Response Attendant
7400 E OSBORN RD, EMERGENCY DEPARTMENT
SCOTTSDALE, AZ 85251
Personal Emergency Response Attendant
7400 E OSBORN RD, EMERGENCY DEPARTMENT
SCOTTSDALE, AZ 85251
Personal Emergency Response Attendant
7400 E OSBORN RD, EMERGENCY DEPARTMENT
SCOTTSDALE, AZ 85251
Personal Emergency Response Attendant
7400 E OSBORN RD, EMERGENCY DEPARTMENT
SCOTTSDALE, AZ 85251
Physician Assistant
7400 E OSBORN RD
SCOTTSDALE, AZ 85251
Physician Assistant (Medical)
7400 E OSBORN RD
SCOTTSDALE, AZ 85251
Personal Emergency Response Attendant
7400 E OSBORN RD, EMERGENCY DEPARTMENT
SCOTTSDALE, AZ 85251
Personal Emergency Response Attendant
7400 E OSBORN RD, EMERGENCY DEPARTMENT
SCOTTSDALE, AZ 85251
Personal Emergency Response Attendant
7400 E OSBORN RD, EMERGENCY DEPARTMENT
SCOTTSDALE, AZ 85251
Personal Emergency Response Attendant
7400 E OSBORN RD, EMERGENCY DEPARTMENT
SCOTTSDALE, AZ 85251
Personal Emergency Response Attendant
7400 E OSBORN RD, EMERGENCY DEPARTMENT
SCOTTSDALE, AZ 85251
Personal Emergency Response Attendant
7400 E OSBORN RD, EMERGENCY DEPARTMENT
SCOTTSDALE, AZ 85251
Personal Emergency Response Attendant
7400 E OSBORN RD, EMERGENCY DEPARTMENT
SCOTTSDALE, AZ 85251

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1356393722, enumerated as an "individual" on May 16, 2006.

The provider is located at 7400 E OSBORN RD EMERGENCY DEPARTMENT SCOTTSDALE, AZ 85251 and the phone number is (480) 882-6359.

Emergency Medicine with taxonomy code 207P00000X.

The provider might be accepting Accepts: Oscar Health Plan, Inc.. Please consult your insurance carrier or call the provider to verify.