DR. WILLIAM MICKA M.D.
NPI 1376689729
Allergy & Immunology in Springfield, MO

Active since January 30, 2007PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
1001 E PRIMROSE ST, SPRINGFIELD, MO 65807(417) 875-3000(417) 875-3383 Get Directions Write a Review

NPPES record last updated: December 27, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. William Micka M.d. NPPES

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

DR. WILLIAM MICKA M.D. (NPI 1376689729) is an individual allergy & immunology provider in Springfield, Missouri, licensed in Missouri (2006006314) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS, is affiliated with Cox Medical Centers, and is a graduate of Saint Louis University School Of Medicine (2003).

NPPES Registry Identity

NPI1376689729
Entity TypeIndividualMale
Primary Taxonomy207K00000X
Provider Legal NameDR. WILLIAM MICKACredential: M.D.
Location Address1001 E PRIMROSE STSpringfield, MO 65807-5155
Mailing Address1001 E Primrose StSpringfield, MO 65807-5155 · (417) 875-3000
Fax(417) 875-3383
Sole ProprietorNo
Medical School CMSSaint Louis University School Of MedicineGraduated 2003
Enumeration DateJanuary 30, 2007
Last NPPES UpdateDecember 27, 2018
NPI 1376689729 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyAllergy & ImmunologyAllopathic & Osteopathic Physicians
Taxonomy Code207K00000X
License Licensed in MO · 2006006314
Definition

An allergist-immunologist is trained in evaluation, physical and laboratory diagnosis, and management of disorders involving the immune system. Selected examples of such conditions include asthma, anaphylaxis, rhinitis, eczema, and adverse reactions to drugs, foods, and insect stings as well as immune deficiency diseases (both acquired and congenital), defects in host defense, and problems related to autoimmune disease, organ transplantation, or malignancies of the immune system.

Also ListedInternal MedicineTaxonomy 207R00000X · License 2006006314 (MO)
1001 E PRIMROSE ST, Springfield, MO 65807

Other Identifiers 2

Medicaid206426207MO
Other148380008MO · Missouri Medicare

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

Dr. William Micka M.d. 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 ID2163573999
PECOS Enrollment IDI20090707000640
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 10

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.

Test for allergy using allergenic extract 95004
An allergy test with allergenic extract is a diagnostic method to identify substances causing allergic reactions. Small amounts of common allergens are introduced to your body, usually through skin pricks or blood tests. Your body's response helps determine your allergies.
1,146 services26 patients
Professional service for preparation and provision of 1 or more antigens 95165
This service involves the creation and supply of antigens, substances that stimulate your immune system to fight diseases. These antigens can be used in vaccines or allergy tests to help your body build defenses against specific health threats.
520 services26 patients
Professional service for multiple injections of allergen 95117
The professional service for multiple injections of allergens involves administering small doses of specific allergens into your body. This is done to help your immune system become less sensitive to them, reducing your allergic reaction over time. It's a safe, effective way to manage allergies.
345 services25 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.
165 services137 patients
Injection of drug or substance under skin or into muscle 96372
This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.
71 services12 patients
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.
65 services56 patients

Hospital Affiliations CMS Care Compare

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

Cox Medical Centers

Acute Care Hospitals · Springfield, MO
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260040
Location3801 South National AvenueSpringfield, MO 65807 · Greene County
Emergency services Birthing friendly

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.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice

Referred Medical Equipment & Supplies CMS DME claims 9

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs separately) A4221
DME-Other DME · category DE017N
4 suppliers28 claims109 services$18.73 avg. paid by Medicare
Infusion supplies for external drug infusion pump, per cassette or bag (list drugs separately) A4222
DME-Medical/Surgical Supplies · category DA000N
1 supplier61 claims217 services$35.15 avg. paid by Medicare
Ambulatory infusion pump, mechanical, reusable, for infusion 8 hours or greater E0779
DME-Other DME · category DE000N
1 supplier11 claims11 services$10.94 avg. paid by Medicare
Injection, immune globulin (privigen), intravenous, non-lyophilized (e.g., liquid), 500 mg J1459
Treatment-Injections and Infusions (nononcologic) · category RI008N
1 supplier12 claims720 services$36.15 avg. paid by Medicare
Injection, immune globulin (cuvitru), 100 mg J1555
Treatment-Injections and Infusions (nononcologic) · category RI008N
1 supplier13 claims3,120 services$11.68 avg. paid by Medicare
Injection, immune globulin (hizentra), 100 mg J1559
Treatment-Injections and Infusions (nononcologic) · category RI008N
4 suppliers50 claims26,010 services$9.51 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 20

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

Physician Assistant
1001 E PRIMROSE ST
SPRINGFIELD, MO 65807
Otolaryngology
1001 E PRIMROSE ST
SPRINGFIELD, MO 65807
Urology
1001 E PRIMROSE ST
SPRINGFIELD, MO 65807
Nurse Practitioner (Family)
1001 E PRIMROSE ST
SPRINGFIELD, MO 65807
Urology
1001 E PRIMROSE ST
SPRINGFIELD, MO 65807
Internal Medicine
1001 E PRIMROSE ST
SPRINGFIELD, MO 65807
Nurse Practitioner
1001 E PRIMROSE ST
SPRINGFIELD, MO 65807
Surgery
1001 E PRIMROSE ST
SPRINGFIELD, MO 65807

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 William Micka's NPI number?

The NPI number for William Micka is 1376689729. It was assigned to this individual provider in the NPPES registry on January 30, 2007.

Where is William Micka located?

William Micka practices at 1001 E Primrose St, Springfield, MO 65807. The listed phone number is (417) 875-3000.

What is William Micka's specialty?

The primary specialty registered for this NPI is Allergy & Immunology with taxonomy code 207K00000X.

Is William Micka enrolled in Medicare?

Yes. William Micka 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 William Micka accept?

Health plans from Cox HealthPlans list William Micka 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 William Micka affiliated with any hospitals?

According to CMS data, William Micka is affiliated with Cox Medical Centers.

When was this NPI record last updated?

The NPPES record for William Micka was last updated on December 27, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.