MICHAEL R DENIKE DO
NPI 1497823595
Internal Medicine - Cardiovascular Disease in Findlay, OH

Q: What is Michael Denike's NPI number?

The NPI number for Michael Denike is 1497823595. It was assigned to this individual provider in the NPPES registry on November 30, 2006.

Q: What is Michael Denike's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Q: When was this NPI record last updated?

The NPPES record for Michael Denike was last updated on March 29, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.

Active since November 30, 2006PECOS EnrolledAccepts Medicare Assignment

67.77/100

CMS Quality Rating

15110 BIRCHAVEN LANE, FINDLAY, OH 45840(419) 427-0357(419) 424-0513 Get Directions Write a Review

NPPES record last updated: March 29, 2012. Verified against the NPPES registry weekly; last sync: October 25, 2026.

On this page

About Michael R Denike Do NPPES

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

MICHAEL R DENIKE DO (NPI 1497823595) is an individual cardiovascular disease provider in Findlay, Ohio, licensed in Ohio (34009295) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS, is affiliated with Mercy Health-st Rita's Medical Center, and is a graduate of Michigan State University College Of Osteopathic Medicine (2005).

NPPES Registry Identity

NPI1497823595

Entity TypeIndividualMale

Primary Taxonomy207RC0000X

Provider Legal NameMICHAEL R DENIKECredential: DO

Location Address15110 BIRCHAVEN LANEFindlay, OH 45840-9746

Mailing Address15110 Birchaven LaneFindlay, OH 45840-9746 · (419) 427-0357 · Fax (419) 424-0513

Phone(419) 427-0357

Fax(419) 424-0513

Sole ProprietorNo

Medical School CMSMichigan State University College Of Osteopathic MedicineGraduated 2005

Enumeration DateNovember 30, 2006

Last NPPES UpdateMarch 29, 2012

✔ NPI 1497823595 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians

Taxonomy Code207RC0000X

Licenses✔ Licensed in OH · 34009295✔ Licensed in MI · MD014193

Definition

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

Also ListedInternal MedicineTaxonomy 207R00000X · License MD014193 (MI)

15110 BIRCHAVEN LANE, Findlay, OH 45840

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Other Identifiers 7

Medicaid482722011MI

Medicare PIN4242621OH

OtherP00641175OH · Railroad Medicare

Medicare ID-Type Unspecified0P20950MI

Medicaid2853158OH

Medicare UPINI37043

Other060H211110Bcbs

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

Michael R Denike Do 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 ID9234169475

PECOS Enrollment IDI20080826000545

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 Reassignment

Medicare enrollment records show Michael Denike reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Specialty Physicians Of Blanchard Valley LLC

4.8 mi

Cardiovascular Disease

1900 S MAIN ST
Findlay, OH 45840

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

NPI 1689835415 (419) 423-4500

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 18

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.

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010

A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.

1,382 services1,036 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.

352 services247 patients

Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306

This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.

301 services294 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.

128 services66 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.

92 services89 patients

Exercise or drug-induced heart stress test with electrocardiogram (ecg) with review by physician 93018

An exercise or drug-induced heart stress test with ECG is a procedure to assess how your heart functions under stress. It can involve exercising or medication to make your heart work harder while an ECG records its activity. A physician reviews the results.

69 services68 patients

Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision by physician 93016

An exercise or drug-induced heart stress test with ECG involves monitoring your heart's activity while it's under stress, either from exercise or medication. A doctor supervises the entire procedure to ensure safety and accuracy in results. This test helps detect heart problems.

67 services66 patients

Nuclear medicine studies of heart muscle at rest and with stress and spect 78452

Nuclear medicine studies of the heart involve two parts: rest and stress. During rest, images are taken of your heart at ease. During stress, images are taken after exercise or medication-induced stress. SPECT is a special imaging technique providing 3D pictures of your heart, helping identify any issues.

55 services55 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.

53 services53 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.

46 services39 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000

An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.

44 services42 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010

29 services29 patients

Ultrasound of heart, follow-up 93308

A follow-up ultrasound of the heart, also known as an echocardiogram, is a non-invasive test that uses sound waves to create images of your heart. It helps doctors monitor your heart's function and structures after initial assessment or treatment.

26 services23 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.

24 services21 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

24 services18 patients

Electrocardiogram (ecg) 2-day continuous with review by health care professional 93227

An Electrocardiogram (ECG) is a test that checks your heart's activity. The 2-day continuous ECG records your heart's rhythm non-stop for 48 hours. It helps to detect irregularities that may not occur during a shorter test. A healthcare professional will review the results to identify any issues.

22 services22 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

13 services12 patients

New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205

This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.

12 services12 patients

Hospital Affiliations CMS Care Compare 5

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

Mercy Health-St Rita's Medical Center

Acute Care Hospitals · Lima, OH

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number360066

Location730 West Market StreetLima, OH 45801 · Allen County

Emergency services Birthing friendly

Ohio State University State Health System

Acute Care Hospitals · Columbus, OH

4/5 CMS rating

OwnershipGovernment - State

CMS Certification Number360085

Location410 West 10th AvenueColumbus, OH 43210 · Franklin County

Emergency services Birthing friendly

Mercy Health - Tiffin Hospital

Acute Care Hospitals · Tiffin, OH

5/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number360089

Location45 St Lawrence DriveTiffin, OH 44883 · Seneca County

Emergency services Birthing friendly

Blanchard Valley Hospital

Acute Care Hospitals · Findlay, OH

4/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number360095

Location1900 South Main StreetFindlay, OH 45840 · Hancock County

Birthing friendly

Bluffton Hospital

Critical Access Hospitals · Bluffton, OH

OwnershipVoluntary non-profit - Private

CMS Certification Number361322

Location139 Garau StreetBluffton, OH 45817 · Allen County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45840 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

$68.07 typical visit price

range $17.10 – $135.40

Typical copayment $17.01 (range $4.27 – $33.85)

Most-billed visit code 99213

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.

67.77/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

46.71

Promoting Interoperability

Improvement Activities

Cost

58.37

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 Denike's NPI number?

The NPI number for Michael Denike is 1497823595. It was assigned to this individual provider in the NPPES registry on November 30, 2006.

Where is Michael Denike located?

Michael Denike practices at 15110 Birchaven Lane, Findlay, OH 45840. The listed phone number is (419) 427-0357.

What is Michael Denike's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Michael Denike enrolled in Medicare?

Yes. Michael Denike 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.

Which organization bills Medicare for Michael Denike's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Michael Denike reassigns Medicare benefits to Specialty Physicians Of Blanchard Valley LLC (Findlay, OH). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Michael Denike's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Michael Denike accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 2 other insurers list Michael Denike 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 Denike affiliated with any hospitals?

According to CMS data, Michael Denike is affiliated with Mercy Health-St Rita's Medical Center, Ohio State University State Health System, Mercy Health - Tiffin Hospital, Blanchard Valley Hospital and Bluffton Hospital.

When was this NPI record last updated?

The NPPES record for Michael Denike was last updated on March 29, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.