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DR. MICHAEL A ISTFAN MD
NPI 1386650760
Internal Medicine - Rheumatology in South Charleston, WV

Active since July 31, 2006PECOS EnrolledAccepts Medicare Assignment
90.11/100
CMS Quality Rating
4610 KANAWHA AVE SW, SUITE 301, SOUTH CHARLESTON, WV 25309(304) 720-8701(304) 720-8702 Get Directions Write a Review

NPPES record last updated: March 7, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Michael A Istfan Md NPPES

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

DR. MICHAEL A ISTFAN MD (NPI 1386650760) is an individual rheumatology provider in South Charleston, West Virginia, licensed in West Virginia (14366) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Charleston Area Medical Center, and is a graduate of Jc Edwards School Of Medicine, Marshall University (1984).

NPPES Registry Identity

NPI1386650760
Entity TypeIndividualMale
Primary Taxonomy207RR0500X
Provider Legal NameDR. MICHAEL A ISTFANCredential: MD
Location Address4610 KANAWHA AVE SW, SUITE 301South Charleston, WV 25309-1367
Mailing Address4610 Kanawha Ave Sw, Suite 301South Charleston, WV 25309-1367 · (304) 720-8701 · Fax (304) 720-8702
Phone(304) 720-8701
Fax(304) 720-8702
Sole ProprietorNo
Medical School CMSJc Edwards School Of Medicine, Marshall UniversityGraduated 1984
Enumeration DateJuly 31, 2006
Last NPPES UpdateMarch 7, 2017
✔ NPI 1386650760 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · RheumatologyAllopathic & Osteopathic Physicians
Taxonomy Code207RR0500X
License✔ Licensed in WV · 14366
Definition
An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases.
4610 KANAWHA AVE SW, South Charleston, WV 25309
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Other Identifiers 2

Medicaid3910000444WV
Medicare UPINWV3119C668WV

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, Highmark Blue Cross Blue Shield West Virginia.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 A Istfan 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 ID6709079221
PECOS Enrollment IDI20101018000011
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 8

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.
387 services276 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.
178 services144 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
131 services80 patients
Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
45 services12 patients
Injection into tendon or ligament 20550
An injection into a tendon or ligament involves placing medication directly into these areas to help reduce inflammation and pain. It's often used for conditions like arthritis or tendonitis. The procedure is quick and usually involves a local anesthetic.
35 services23 patients
Injection, methylprednisolone acetate, 20 mg J1020
Methylprednisolone acetate is a medication given via injection to reduce inflammation and pain. It's often used to treat conditions like arthritis, allergic reactions, and certain skin diseases. The 20 mg dose is tailored to your specific needs.
18 services15 patients

Hospital Affiliations CMS Care Compare 3

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

Charleston Area Medical Center

Acute Care Hospitals · Charleston, WV
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number510022
Location501 Morris StreetCharleston, WV 25301 · Kanawha County
Emergency services Birthing friendly

Thomas Memorial Hospital

Acute Care Hospitals · South Charleston, WV
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number510029
Location4605 Maccorkle Avenue SWSouth Charleston, WV 25309 · Kanawha County
Emergency services Birthing friendly

Boone Memorial Hospital

Critical Access Hospitals · Madison, WV
OwnershipGovernment - Local
CMS Certification Number511313
Location701 Madison AvenueMadison, WV 25130 · Boone County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 25309 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
$124.46 typical visit price
range $53.20 – $164.59
Typical copayment $31.11 (range $13.30 – $41.14)
Most-billed visit code 99204
Established Patient
$94.81 typical visit price
range $16.47 – $133.29
Typical copayment $23.70 (range $4.11 – $33.32)
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.

90.11/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality66.96
Promoting Interoperability100
Improvement Activities40

Reported Quality Measures

Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
100%3,914 patients5/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
88%8,020 patients4/55-star benchmark: 100%
Health Information Exchange
The MIPS eligible clinician that transitions or refers their patient to another setting of care or health care clinician (1) uses CEHRT to create a summary of care record; and (2) electronically transmits such summary to a receiving health care clinician for…
4%23 patients1/55-star benchmark: 98%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
99%3,776 patients4/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
0%2,253 patients1/55-star benchmark: 100%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
16%82 patients1/55-star benchmark: 100%
Preventive Care and Screening: Unhealthy Alcohol Use: Screening & Brief Counseling
Percentage of patients aged 18 years and older who were screened for unhealthy alcohol use using a systematic screening method at least once within the last 24 months AND who received brief counseling if identified as an unhealthy alcohol user
98%1,129 patients4/55-star benchmark: 100%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
99%2,253 patients4/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
52%2,253 patients3/55-star benchmark: 79%
Tobacco Use and Help with Quitting Among Adolescents
The percentage of adolescents 12 to 20 years of age with a primary care visit during the measurement year for whom tobacco use status was documented and received help with quitting if identified as a tobacco user
98%63 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 10

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

JOHNNA MCKENZIE BALL PHARMD
Pharmacist
4610 KANAWHA AVE SW
SOUTH CHARLESTON, WV 25309
Kanawha County (304) 741-8638
DR. SUZANNE LEE GHARIB MD
Internal Medicine (Rheumatology)
4610 KANAWHA AVE SW, SUITE 301
SOUTH CHARLESTON, WV 25309
Kanawha County (304) 720-8701
DR. THOMAS WILLIAM HOWARD II MD
Internal Medicine (Rheumatology)
4610 KANAWHA AVE SW, SUITE 301
SOUTH CHARLESTON, WV 25309
Kanawha County (304) 720-8701
LESA ADKINS FNP-BC
Nurse Practitioner (Family)
4610 KANAWHA AVE SW, SUITE 200
SOUTH CHARLESTON, WV 25309
Kanawha County (304) 205-7992
DR. DAVID JUDY D.O.
Dermatology (MOHS-Micrographic Surgery)
4610 KANAWHA AVE SW, SUITE 302
CHARLESTON, WV 25309
Kanawha County (304) 925-7546
BECKLEY CARDIOVASCULAR SPECIALISTS INC
Internal Medicine (Interventional Cardiology)
4610 KANAWHA AVE SW, SUITE 200
SOUTH CHARLESTON, WV 25309
Kanawha County (304) 205-7992
ELIE G GHARIB MD
Internal Medicine (Interventional Cardiology)
4610 KANAWHA AVE SW, SUITE 200
SOUTH CHARLESTON, WV 25309
Kanawha County (304) 205-7992
MRS. MALEA JOY SMITH FNP-BC
Nurse Practitioner (Family)
4610 KANAWHA AVE SW, SW # 301
CHARLESTON, WV 25309
Kanawha County (304) 720-8701

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 Istfan's NPI number?

The NPI number for Michael Istfan is 1386650760. It was assigned to this individual provider in the NPPES registry on July 31, 2006.

Where is Michael Istfan located?

Michael Istfan practices at 4610 Kanawha Ave SW Suite 301, South Charleston, WV 25309. The listed phone number is (304) 720-8701.

What is Michael Istfan's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Rheumatology, with taxonomy code 207RR0500X.

Is Michael Istfan enrolled in Medicare?

Yes. Michael Istfan 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 Istfan accept?

Health plans from CareSource and Highmark Blue Cross Blue Shield West Virginia list Michael Istfan 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 Istfan affiliated with any hospitals?

According to CMS data, Michael Istfan is affiliated with Charleston Area Medical Center, Thomas Memorial Hospital and Boone Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Michael Istfan was last updated on March 7, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years 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.