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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. MICHAEL E HALLIGAN MD
NPI 1366413353
Thoracic Surgery (Cardiothoracic Vascular Surgery) in New Bern, NC

Active since January 30, 2006PECOS EnrolledAccepts Medicare Assignment
47.59/100
CMS Quality Rating
960 NEWMAN ROAD, NEW BERN, NC 28562(252) 633-6730(252) 633-6740 Get Directions Write a Review

NPPES record last updated: June 18, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 6, 2026, Mar 9, 2026, Mar 1, 2023 and 1 more (4 updates tracked since 2017).

About Dr. Michael E Halligan Md NPPES

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

DR. MICHAEL E HALLIGAN MD (NPI 1366413353) is an individual thoracic surgery (cardiothoracic vascular surgery) provider in New Bern, North Carolina, licensed in Kansas (0447334) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS, is affiliated with Lee Memorial Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1366413353
Entity TypeIndividualMale
Primary Taxonomy208G00000X
Provider Legal NameDR. MICHAEL E HALLIGANCredential: MD
Location Address960 NEWMAN ROADNew Bern, NC 28562-5200
Mailing AddressPo Box 896206Charlotte, NC 28289-6206 · (252) 633-6730 · Fax (252) 633-6740
Phone(252) 633-6730
Fax(252) 633-6740
Sole ProprietorNo
Medical School CMSUniversity Of Pittsburgh School Of MedicineGraduated 1985
Enumeration DateJanuary 30, 2006
Last NPPES UpdateJune 18, 20264 updates tracked since enumeration
NPPES CertifiedJune 18, 2026
✔ NPI 1366413353 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyThoracic Surgery (Cardiothoracic Vascular Surgery)Allopathic & Osteopathic Physicians
Taxonomy Code208G00000X
Licenses✔ Licensed in KS · 0447334✔ Licensed in FL · ME179216✔ Licensed in ND · 18434
Definition
A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty.
Also ListedSpecialistTaxonomy 174400000X · License 9700577 (NC)
Also ListedSurgeryTaxonomy 208600000X · License 9700577 (NC)
Also ListedHospitalistTaxonomy 208M00000X · License ME179216 (FL)
960 NEWMAN ROAD, New Bern, NC 28562
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Secondary Practice Locations 2

Location 12220 Canterbury DrHays, KS 67601-2370 · Phone (785) 625-4699
Location 29981 S Healthpark Dr Ste 156Fort Myers, FL 33908-3618 · Phone (239) 343-6341 · Fax (239) 343-6342

Other Identifiers 1

Medicaid130177000FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC, BlueCross BlueShield of South Carolina, InStil Health.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

Dr. Michael E Halligan 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 ID5092727446
PECOS Enrollment IDI20060629000090, I20260211004173
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 6

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.
102 services79 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
28 services28 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
26 services25 patients
Coronary artery bypass using artery graft, 1 graft 33533
A coronary artery bypass with one artery graft is a surgical procedure to improve blood flow to your heart. An artery from another part of your body is used to bypass a blocked or narrowed coronary artery. This can help reduce chest pain and risk of heart attack.
20 services20 patients
Harvest of vein using an endoscope 33508
Harvesting a vein using an endoscope is a procedure where a small camera is used to help surgeons remove a vein from your body. This vein is often used to bypass a blocked artery, improving blood flow to your heart.
14 services14 patients
Ultrasound study of one arm or leg veins with compression and maneuvers 93971
This is a non-invasive procedure using sound waves to visualize veins in an arm or leg. It involves applying gentle pressure and performing certain movements. It helps identify any abnormal blood flow or clots, ensuring vascular health.
11 services11 patients

Hospital Affiliations CMS Care Compare 4

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

Lee Memorial Hospital

Acute Care Hospitals · Fort Myers, FL
5/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number100012
Location2776 Cleveland AveFort Myers, FL 33901 · Lee County
Emergency services Birthing friendly

Carolina East Medical Center

Acute Care Hospitals · New Bern, NC
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number340131
Location2000 Neuse BlvdNew Bern, NC 28560 · Craven County
Emergency services Birthing friendly

Carteret General Hospital

Acute Care Hospitals · Morehead City, NC
3/5 CMS rating
OwnershipProprietary
CMS Certification Number340142
Location3500 Arendell StMorehead City, NC 28557 · Carteret County
Emergency services Birthing friendly

Akron General Medical Center

Acute Care Hospitals · Akron, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360027
Location1 Akron General AvenueAkron, OH 44307 · Summit County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28562 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
$165.09 typical visit price
range $54.12 – $165.09
Typical copayment $41.27 (range $13.53 – $41.27)
Most-billed visit code 99205
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
Most-billed visit code 99213
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.

47.59/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality43.48
Promoting Interoperability0
Improvement Activities40
Cost65.16

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 Halligan's NPI number?

The NPI number for Michael Halligan is 1366413353. It was assigned to this individual provider in the NPPES registry on January 30, 2006.

Where is Michael Halligan located?

Michael Halligan practices at 960 Newman Road, New Bern, NC 28562. The listed phone number is (252) 633-6730.

What is Michael Halligan's specialty?

The primary specialty registered for this NPI is Thoracic Surgery (Cardiothoracic Vascular Surgery) with taxonomy code 208G00000X.

Is Michael Halligan enrolled in Medicare?

Yes. Michael Halligan 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 Halligan accept?

Health plans from Blue Cross and Blue Shield of NC, BlueCross BlueShield of South Carolina and InStil Health list Michael Halligan 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 Halligan affiliated with any hospitals?

According to CMS data, Michael Halligan is affiliated with Lee Memorial Hospital, Carolina East Medical Center, Carteret General Hospital and Akron General Medical Center.

When was this NPI record last updated?

The NPPES record for Michael Halligan was last updated on June 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 51 days 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.