DR. THOMAS PETER MICHAEL M.D.
NPI 1386627438
Family Medicine in Beaver, PA

Q: What is Thomas Michael's NPI number?

The NPI number for Thomas Michael is 1386627438. It was assigned to this individual provider in the NPPES registry on November 22, 2005.

Q: What is Thomas Michael's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Thomas Michael was last updated on May 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since November 22, 2005PECOS EnrolledAccepts Medicare Assignment

1000 DUTCH RIDGE RD, BEAVER, PA 15009(724) 770-7998 Get Directions Write a Review

NPPES record last updated: May 4, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 4, 2026, Nov 29, 2017, Mar 18, 2016 (3 updates tracked since 2016).

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About Dr. Thomas Peter Michael M.d. NPPES

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

DR. THOMAS PETER MICHAEL M.D. (NPI 1386627438) is an individual family medicine provider in Beaver, Pennsylvania, licensed in Florida (ME72295) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS, is affiliated with Harrison Community Hospital, and maintains a secondary practice location in Naples.

NPPES Registry Identity

NPI1386627438

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameDR. THOMAS PETER MICHAELCredential: M.D.

Location Address1000 DUTCH RIDGE RDBeaver, PA 15009-9727

Mailing Address1000 Dutch Ridge RdBeaver, PA 15009-9727 · (724) 770-7998

Phone(724) 770-7998

Sole ProprietorNo

Medical School CMSOtherGraduated 1985

Enumeration DateNovember 22, 2005

Last NPPES UpdateMay 4, 20263 updates tracked since enumeration

NPPES CertifiedMay 4, 2026

✔ NPI 1386627438 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Licenses✔ Licensed in FL · ME72295✔ Licensed in PA · MD036482E

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

1000 DUTCH RIDGE RD, Beaver, PA 15009

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Secondary Practice Location 1

Location 11285 Creekside Blvd E Unit 104Naples, FL 34109-0595 · Phone (236) 624-0630 ext. 60630 · Fax (239) 624-0631

Other Identifiers 1

Medicaid001144408PA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.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

Dr. Thomas Peter Michael 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 ID4082742663

PECOS Enrollment IDI20100504000014

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

Medicare enrollment records show Thomas Michael reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Valley Medical Facilities, Inc.

Same address

Recovery Care

1000 DUTCH RIDGE RD
Beaver, PA 15009

Reassigned Medicare billing, Pennsylvania enrollment
3 clinicians in this Medicare group

NPI 1023374923 (724) 770-7998

Heritage Valley Multispecialty Group, Inc

0.2 mi

Orthopaedic Surgery

1030 BEANER HOLLOW RD
Beaver, PA 15009

Reassigned Medicare billing, Pennsylvania enrollment
217 clinicians in this Medicare group

NPI 1073089918 (724) 775-4242

Harrison Community Hospital, Inc.

47 mi

Critical Access

951 E MARKET ST
Cadiz, OH 43907

Reassigned Medicare billing, Ohio enrollment
57 clinicians in this Medicare group

NPI 1134151137 (740) 942-4631

Barnesville Hospital Association, Inc.

67 mi

Critical Access

639 W. MAIN ST.
Barnesville, OH 43713

Reassigned Medicare billing, Ohio enrollment
78 clinicians in this Medicare group

NPI 1235135450 (740) 425-3941

Landmark Hospital Of Southwest Florida, LLC

975 mi

Long Term Care Hospital

1500 LEE BLVD FL 3
Lehigh Acres, FL 33936

Reassigned Medicare billing, Florida enrollment
Medicare enrollment name: Nchmd Inc
808 clinicians in this Medicare group

NPI 1932595659 (573) 331-8412

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 7

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.

Removal of skin and tissue, each additional 20.0 sq cm or less 11045

This procedure involves the removal of skin and tissue, typically due to disease, injury, or abnormal growth. Each session removes an area of 20.0 square cm or less. It's performed by a trained professional and may require multiple sessions for larger areas.

181 services11 patients

Removal of skin and tissue, 20.0 sq cm or less 11042

This procedure involves the surgical removal of skin and tissue, up to 20.0 square cm in size. It's often performed to treat conditions like skin cancer or to remove moles, warts, and other skin lesions. The area is numbed and the unwanted tissue is carefully cut out.

143 services34 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

41 services25 patients

Removal of tissue from wound, 20.0 sq cm or less 97597

This procedure involves the careful removal of damaged or infected tissue from a wound that's 20.0 square cm or less. It's done to promote healing and prevent further infection. The process is carried out under local anesthesia, ensuring minimal discomfort.

40 services24 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.

35 services28 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.

27 services22 patients

Hospital Affiliations CMS Care Compare 3

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

Harrison Community Hospital

Critical Access Hospitals · Cadiz, OH

OwnershipVoluntary non-profit - Private

CMS Certification Number361311

Location951 East Market StreetCadiz, OH 43907 · Harrison County

Emergency services

Heritage Valley Beaver

Acute Care Hospitals · Beaver, PA

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390036

Location1000 Dutch Ridge RoadBeaver, PA 15009 · Beaver County

Emergency services

Magee Womens Hospital Of Upmc Health System

Acute Care Hospitals · Pittsburgh, PA

3/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number390114

Location300 Halket StreetPittsburgh, PA 15213 · Allegheny County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 15009 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

$84.88 typical visit price

range $54.64 – $166.87

Typical copayment $21.22 (range $13.66 – $41.71)

Most-billed visit code 99203

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.

Referred Medical Equipment & Supplies CMS DME claims 3

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

Tape, waterproof, per 18 square inches A4452

DME-Medical/Surgical Supplies · category DA000N

4 suppliers17 claims1,070 services$0.36 avg. paid by Medicare

Collagen dressing, sterile, size 16 sq. in. or less, each A6021

DME-Medical/Surgical Supplies · category DA023N

2 suppliers14 claims215 services$20.26 avg. paid by Medicare

Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing A6209

DME-Medical/Surgical Supplies · category DA023N

3 suppliers11 claims120 services$7.21 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.

KATHLEEN MILLER CRNA

Nurse Anesthetist, Certified Registered