MICHAEL PAPPAS MD
NPI 1437110442
Internal Medicine - Gastroenterology in Toledo, OH

Q: What is Michael Pappas's NPI number?

The NPI number for Michael Pappas is 1437110442. It was assigned to this individual provider in the NPPES registry on March 29, 2006.

Q: What is Michael Pappas's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Q: When was this NPI record last updated?

The NPPES record for Michael Pappas was last updated on September 24, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since March 29, 2006PECOS EnrolledAccepts Medicare Assignment

4841 MONROE ST, SUITE 110, TOLEDO, OH 43623(419) 471-1350(419) 471-1316 Get Directions Write a Review

NPPES record last updated: September 24, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Michael Pappas Md NPPES

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

MICHAEL PAPPAS MD (NPI 1437110442) is an individual gastroenterology provider in Toledo, Ohio, licensed in Ohio (35092425) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS, is affiliated with Wood County Hospital, and is a graduate of Medical College Of Ohio (1998).

NPPES Registry Identity

NPI1437110442

Entity TypeIndividualMale

Primary Taxonomy207RG0100X

Provider Legal NameMICHAEL PAPPASCredential: MD

Location Address4841 MONROE ST, SUITE 110Toledo, OH 43623-4385

Mailing Address4841 Monroe St, Suite 110Toledo, OH 43623-4385 · (419) 471-1350 · Fax (419) 471-1316

Phone(419) 471-1350

Fax(419) 471-1316

Sole ProprietorNo

Medical School CMSMedical College Of OhioGraduated 1998

Enumeration DateMarch 29, 2006

Last NPPES UpdateSeptember 24, 2012

✔ NPI 1437110442 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians

Taxonomy Code207RG0100X

License✔ Licensed in OH · 35092425

Definition

An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.

4841 MONROE ST, Toledo, OH 43623

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Other Identifiers 3

Medicare PIN48232YFL

Medicaid270337800FL

Medicare UPINI10921FL

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, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Michael Pappas 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 ID2567434061

PECOS Enrollment IDI20081208000347

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 15

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.

139 services120 patients

Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239

This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.

132 services126 patients

Colorectal cancer screening; colonoscopy on individual at high risk G0105

Colorectal cancer screening, specifically a colonoscopy, is a preventive measure for those at high risk. A thin, flexible tube with a camera inspects the colon to spot any abnormal growths. This test helps detect potential issues early, enhancing the effectiveness of treatment.

71 services71 patients

Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385

This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.

60 services60 patients

Biopsy of large bowel using a flexible endoscope 45380

A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.

57 services56 patients

Diagnostic exam of large bowel using a flexible endoscope 45378

This procedure, known as a colonoscopy, involves using a flexible tube with a light and camera to examine the large intestine. It helps detect any abnormalities such as polyps or inflammation. It's a standard procedure to ensure gut health.

40 services40 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

31 services27 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.

30 services30 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.

30 services26 patients

Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43235

This procedure, known as an upper endoscopy, involves inserting a thin, flexible tube with a camera down the throat to examine the esophagus, stomach, and upper small bowel. It helps diagnose conditions like ulcers or inflammation.

27 services25 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

25 services19 patients

Insertion of guide wire with dilation of esophagus using a flexible endoscope 43248

This is a procedure where a thin tube, called an endoscope, is gently passed through your mouth into your esophagus. A guide wire is then inserted to help widen any narrow areas. This helps improve swallowing and reduce discomfort.

24 services22 patients

Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk G0121

Colorectal cancer screening, such as a colonoscopy, is a preventive measure to detect early signs of cancer in the large intestine. For individuals not at high risk, it's typically recommended at age 50. A small, flexible tube with a camera is used to examine your colon. It's a safe, effective way to catch issues early.

21 services21 patients

Pathology examination of tissue using a microscope, intermediate complexity 88305

A pathology examination of tissue with intermediate complexity involves studying a small sample of your body tissue under a microscope. This helps in identifying any abnormal cells or signs of disease. It's a detailed process requiring expert analysis to ensure accurate results.

17 services12 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

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.

Wood County Hospital

Acute Care Hospitals · Bowling Green, OH

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number360029

Location950 West Wooster StreetBowling Green, OH 43402 · Wood County

Emergency services Birthing friendly

Promedica Toledo Hospital

Acute Care Hospitals · Toledo, OH

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number360068

Location2142 North Cove BoulevardToledo, OH 43606 · Lucas County

Emergency services Birthing friendly

Mercy St Vincent Medical Center

Acute Care Hospitals · Toledo, OH

3/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number360112

Location2213 Cherry StreetToledo, OH 43608 · Lucas County

Emergency services Birthing friendly

Bay Park Community Hospital

Acute Care Hospitals · Oregon, OH

3/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number360259

Location2801 Bay Park DriveOregon, OH 43616 · Lucas County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43623 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

$126.12 typical visit price

range $54.34 – $166.65

Typical copayment $31.53 (range $13.58 – $41.66)

Most-billed visit code 99204

Established Patient

$96.44 typical visit price

range $17.10 – $135.40

Typical copayment $24.11 (range $4.27 – $33.85)

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.

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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.

ADVANCED HOME CARE OF OHIO INC

Home Health

4841 MONROE ST, SUITE 240
TOLEDO, OH 43623

Lucas County (419) 472-0059

PSYCHOLOGICAL RESOURCES LTD

Psychologist

4841 MONROE ST, SUITE 100
TOLEDO, OH 43623

Lucas County (419) 475-2535

AMSURG TOLEDO ANESTHESIA LLC

Nurse Anesthetist, Certified Registered

4841 MONROE ST, SUITE 111
TOLEDO, OH 43623

Lucas County (419) 474-3949

SUMMER JUDE

Speech-Language Pathologist

4841 MONROE ST
TOLEDO, OH 43623

Lucas County (419) 241-6219

DR. SUZANNE L. SMITLEY PH.D.

Psychologist (Clinical)

4841 MONROE ST, SUITE 100
TOLEDO, OH 43623

Lucas County (419) 475-2535

TOLEDO RADIATION ONCOLOGY, PLC

Radiology (Radiation Oncology)

4841 MONROE ST, SUITE 103
TOLEDO, OH 43623

Lucas County (419) 471-0493

BRUCE J. KLOSTER D.D.S.

Dentist (General Practice)

4841 MONROE ST
TOLEDO, OH 43623

Lucas County (419) 474-4974

ETHIDOCS, LLC

General Practice

4841 MONROE ST, SUITE 350
TOLEDO, OH 43623

Lucas County (419) 351-9902

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 Pappas's NPI number?

The NPI number for Michael Pappas is 1437110442. It was assigned to this individual provider in the NPPES registry on March 29, 2006.

Where is Michael Pappas located?

Michael Pappas practices at 4841 Monroe St Suite 110, Toledo, OH 43623. The listed phone number is (419) 471-1350.

What is Michael Pappas's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Michael Pappas enrolled in Medicare?

Yes. Michael Pappas 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 Pappas accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 4 other insurers list Michael Pappas 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 Pappas affiliated with any hospitals?

According to CMS data, Michael Pappas is affiliated with Wood County Hospital, Promedica Toledo Hospital, Mercy St Vincent Medical Center and Bay Park Community Hospital.

When was this NPI record last updated?

The NPPES record for Michael Pappas was last updated on September 24, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.