MICHAEL M HANSEN MD
NPI 1356399893
Internal Medicine - Critical Care Medicine in Erie, PA

Active since May 05, 2006PECOS EnrolledAccepts Medicare Assignment
93.78/100
CMS Quality Rating
UPMC-HAMOT 201 STATE STREET, ERIE, PA 16550(814) 877-4922 Get Directions Write a Review

NPPES record last updated: July 8, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 8, 2025, Jun 17, 2025, Oct 7, 2020 (3 updates tracked since 2020).

About Michael M Hansen Md NPPES

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

MICHAEL M HANSEN MD (NPI 1356399893) is an individual critical care medicine provider in Erie, Pennsylvania, licensed in West Virginia (34326) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Upmc Hamot, and maintains a secondary practice location in Morgantown.

NPPES Registry Identity

NPI1356399893
Entity TypeIndividualMale
Primary Taxonomy207RC0200X
Provider Legal NameMICHAEL M HANSENCredential: MD
Location AddressUPMC-HAMOT 201 STATE STREETErie, PA 16550-3494
Mailing Address1200 J D Anderson DrMorgantown, WV 26505-3494 · (304) 598-1200 · Fax (304) 598-1699
Sole ProprietorNo
Medical School CMSOtherGraduated 1984
Enumeration DateMay 5, 2006
Last NPPES UpdateJuly 8, 20253 updates tracked since enumeration
NPPES CertifiedJuly 7, 2025
✔ NPI 1356399893 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Critical Care MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RC0200X
Licenses✔ Licensed in WV · 34326✔ Licensed in PA · MD 042196 E
Definition
An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.
UPMC-HAMOT 201 STATE STREET, Erie, PA 16550

Secondary Practice Location 1

Location 11200 J D Anderson DrMorgantown, WV 26505-3494 · Phone (304) 598-1330

Other Identifiers 5

Medicaid0012337780019PA
Medicaid0903240OH
OtherP00402890PA · Railroad Medicare
Medicaid0012337780018PA
Medicaid75257000WV

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Michael M Hansen 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 ID2466437439
PECOS Enrollment IDI20040623000363, I20250423003859
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.

Medicare Billing Reassignments

4

Medicare enrollment records show Michael Hansen reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Family Medicine
201 STATE ST
Erie, PA 16550
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 962 clinicians in this Medicare group
Surgical Oncology
2508 MYRTLE ST STE 100
Erie, PA 16502
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 2,881 clinicians in this Medicare group
Critical Care Medicine
1000 BOWER HILL RD
Pittsburgh, PA 15243
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 133 clinicians in this Medicare group
General Acute Care Hospital
1200 JD ANDERSON DRIVE
Morgantown, WV 26505
  • Reassigned Medicare billing, West Virginia enrollment
  • 318 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims

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.

Critical care, first 30-74 minutes 99291
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.
42 services17 patients

Hospital Affiliations CMS Care Compare 3

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

Upmc Hamot

Acute Care Hospitals · Erie, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390063
Location201 State StreetErie, PA 16550 · Erie County
Emergency services Birthing friendly

St Clair Hospital

Acute Care Hospitals · Pittsburgh, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390228
Location1000 Bower Hill RoadPittsburgh, PA 15243 · Allegheny County
Emergency services Birthing friendly

Mon Health Medical Center

Acute Care Hospitals · Morgantown, WV
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number510024
Location1200 Jd Anderson DriveMorgantown, WV 26505 · Monongalia County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 16550 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
$126.34 typical visit price
range $54.64 – $166.87
Typical copayment $31.58 (range $13.66 – $41.71)
Most-billed visit code 99204
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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.

93.78/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality85.07
Promoting Interoperability100
Improvement Activities40

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 Hansen's NPI number?

The NPI number for Michael Hansen is 1356399893. It was assigned to this individual provider in the NPPES registry on May 5, 2006.

Where is Michael Hansen located?

Michael Hansen practices at Upmc-Hamot 201 State Street, Erie, PA 16550. The listed phone number is (814) 877-4922.

What is Michael Hansen's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Critical Care Medicine, with taxonomy code 207RC0200X.

Is Michael Hansen enrolled in Medicare?

Yes. Michael Hansen 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.

Which organizations bill Medicare for Michael Hansen's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Michael Hansen reassigns Medicare benefits to 4 organizations: Regional Health Services Inc (Erie, PA), Allegheny Clinic (Erie, PA), St Clair Professional Services Inc (Pittsburgh, PA) and Monongalia County General Hospital Company (Morgantown, WV). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Michael Hansen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Michael Hansen accept?

Health plans from CareSource list Michael Hansen 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 Hansen affiliated with any hospitals?

According to CMS data, Michael Hansen is affiliated with Upmc Hamot, St Clair Hospital and Mon Health Medical Center.

When was this NPI record last updated?

The NPPES record for Michael Hansen was last updated on July 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.