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DR. MICHAEL J MONZEL MD
NPI 1437133659
Internal Medicine - Gastroenterology in Skowhegan, ME

Active since December 01, 2005PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
46 FAIRVIEW AVE STE 221, SKOWHEGAN, ME 04976(207) 474-6945(207) 474-6933 Get Directions Write a Review

NPPES record last updated: May 7, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 7, 2024, Jul 28, 2023, Jun 2, 2023 and 1 more (4 updates tracked since 2023).

About Dr. Michael J Monzel Md NPPES

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

DR. MICHAEL J MONZEL MD (NPI 1437133659) is an individual gastroenterology provider in Skowhegan, Maine, licensed in Maine (MD11796) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS, is affiliated with Memorial Hospital And Health Care Center, and maintains a secondary practice location in Loxahatchee.

NPPES Registry Identity

NPI1437133659
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NameDR. MICHAEL J MONZELCredential: MD
Location Address46 FAIRVIEW AVE STE 221Skowhegan, ME 04976-1481
Mailing AddressPo Box 468Skowhegan, ME 04976-0468 · (207) 858-8358
Phone(207) 474-6945
Fax(207) 474-6933
Sole ProprietorNo
Medical School CMSOtherGraduated 1977
Enumeration DateDecember 1, 2005
Last NPPES UpdateMay 7, 20244 updates tracked since enumeration
NPPES CertifiedMay 7, 2024
✔ NPI 1437133659 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
Licenses✔ Licensed in ME · MD11796✔ Licensed in ME · EL231015
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.

46 FAIRVIEW AVE STE 221, Skowhegan, ME 04976
Open in Google Maps ↗

Secondary Practice Location 1

Location 112953 Palms West Drive, Suite 201Loxahatchee, FL 33470 · Phone (561) 795-5130 · Fax (561) 795-4160

Other Identifiers 5

Medicaid1437133659ME
Other002389Anthem
Other100000767Railroad Medicare
OtherP00686505FL · Railroad Medicare
Other1040123Aetna

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource, MedMutual 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

Dr. Michael J Monzel 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 ID2668557109
PECOS Enrollment IDI20230817001752, I20250218002223, I20250326002477
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 5

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 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.
127 services98 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.
96 services39 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.
19 services17 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.
14 services14 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.
13 services13 patients

Hospital Affiliations CMS Care Compare 3

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

Memorial Hospital And Health Care Center

Acute Care Hospitals · Jasper, IN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150115
Location800 W 9th StJasper, IN 47546 · Dubois County
Emergency services Birthing friendly

Redington Fairview General Hospital

Critical Access Hospitals · Skowhegan, ME
4/5 CMS rating
OwnershipProprietary
CMS Certification Number201314
Location46 Fairview Ave PO Box 468Skowhegan, ME 04976 · Somerset County
Emergency services

Univ. Of Vermont - Fletcher Allen Health Care

Acute Care Hospitals · Burlington, VT
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number470003
Location111 Colchester AveBurlington, VT 05401 · Chittenden County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 04976 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
$123.23 typical visit price
range $53.26 – $162.77
Typical copayment $30.80 (range $13.31 – $40.69)
Most-billed visit code 99204
Established Patient
$94.60 typical visit price
range $16.90 – $132.79
Typical copayment $23.65 (range $4.22 – $33.19)
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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability100
Improvement Activities40

Reported Quality Measures

e-Prescribing
83%950 patients1/55-star benchmark: 100%
Provide Patients Electronic Access to Their Health Information
100%742 patients5/55-star benchmark: 100%
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.

Referred Medical Equipment & Supplies CMS DME claims 7

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

Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape B4034
Other-Enteral and Parenteral · category OB006N
4 suppliers24 claims728 services$2.59 avg. paid by Medicare
Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit B4150
Other-Enteral and Parenteral · category OB006N
1 supplier11 claims4,686 services$0.33 avg. paid by Medicare
Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit B4152
Other-Enteral and Parenteral · category OB006N
3 suppliers19 claims7,117 services$0.24 avg. paid by Medicare
Parenteral nutrition solution, not otherwise specified, 10 grams lipids B4185
Other-Enteral and Parenteral · category OB005N
1 supplier11 claims55 services$11.31 avg. paid by Medicare
Parenteral nutrition solution; compounded amino acid and carbohydrates with electrolytes, trace elements, and vitamins, including preparation, any strength, 10 to 51 grams of protein - premix B4189
Other-Enteral and Parenteral · category OB005N
1 supplier11 claims77 services$179.05 avg. paid by Medicare
Parenteral nutrition supply kit; premix, per day B4220
Other-Enteral and Parenteral · category OB005N
1 supplier11 claims77 services$8.06 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 3

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

DR. LANCE TREVOR HOPKIN DPM
Podiatrist
46 FAIRVIEW AVE STE 221
SKOWHEGAN, ME 04976
Somerset County (207) 858-8130
DR. JEFFERY JOSEPH DOROCIAK M.D. PHD
Internal Medicine (Gastroenterology)
46 FAIRVIEW AVE STE 221
SKOWHEGAN, ME 04976
Somerset County (207) 474-6945
ANTONIO M GRANDA M.D.
Internal Medicine (Gastroenterology)
46 FAIRVIEW AVE STE 221
SKOWHEGAN, ME 04976
Somerset County (207) 474-6945

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 Monzel's NPI number?

The NPI number for Michael Monzel is 1437133659. It was assigned to this individual provider in the NPPES registry on December 1, 2005.

Where is Michael Monzel located?

Michael Monzel practices at 46 Fairview Ave Ste 221, Skowhegan, ME 04976. The listed phone number is (207) 474-6945.

What is Michael Monzel's specialty?

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

Is Michael Monzel enrolled in Medicare?

Yes. Michael Monzel 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 Monzel accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource, MedMutual and Molina Healthcare list Michael Monzel 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 Monzel affiliated with any hospitals?

According to CMS data, Michael Monzel is affiliated with Memorial Hospital And Health Care Center, Redington Fairview General Hospital and Univ. Of Vermont - Fletcher Allen Health Care.

When was this NPI record last updated?

The NPPES record for Michael Monzel was last updated on May 7, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.