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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

DR. MICHAEL DUANE PAPENFUSE D.O.
NPI 1528067360
Pain Medicine - Interventional Pain Medicine in Saginaw, MI

Active since July 14, 2005PECOS Enrolled
0/100
CMS Quality Rating
4450 FASHION SQUARE BLVD, SAGINAW, MI 48603(989) 792-4090(989) 792-4094 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Michael Duane Papenfuse D.o. NPPES

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

DR. MICHAEL DUANE PAPENFUSE D.O. (NPI 1528067360) is an individual interventional pain medicine provider in Saginaw, Michigan, licensed in Michigan (5101010800) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS, is affiliated with Mclaren Bay Region, and is a graduate of Michigan State University College Of Osteopathic Medicine (1989).

NPPES Registry Identity

NPI1528067360
Entity TypeIndividualMale
Primary Taxonomy208VP0014X
Provider Legal NameDR. MICHAEL DUANE PAPENFUSECredential: D.O.
Location Address4450 FASHION SQUARE BLVDSaginaw, MI 48603-1251
Mailing Address4450 Fashion Square BlvdSaginaw, MI 48603-1251 · (989) 792-4090 · Fax (989) 792-4094
Phone(989) 792-4090
Fax(989) 792-4094
Sole ProprietorNo
Medical School CMSMichigan State University College Of Osteopathic MedicineGraduated 1989
Enumeration DateJuly 14, 2005
Last NPPES UpdateJuly 13, 2026
✔ NPI 1528067360 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPain Medicine · Interventional Pain MedicineAllopathic & Osteopathic Physicians
Taxonomy Code208VP0014X
License✔ Licensed in MI · 5101010800
Definition

Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment.

4450 FASHION SQUARE BLVD, Saginaw, MI 48603
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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

Dr. Michael Duane Papenfuse D.o. 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 ID7911945977
PECOS Enrollment IDI20050420000591
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 9

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.
303 services135 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.
166 services28 patients
Testing for presence of drug, by chemistry analyzers 80307
Chemistry analyzers are used to detect the presence of drugs in your system. This test involves taking a small sample of your blood or urine. The sample is then analyzed for specific substances. The results help in understanding your health condition better.
132 services84 patients
Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms G0481
A definitive drug test is a detailed analysis used to identify specific drugs in your system. It uses advanced techniques, such as gc/ms and lc/ms, to detect and distinguish between different drugs, even those with similar structures.
129 services81 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.
42 services39 patients
Injection of substance into lower spine canal using imaging guidance 62323
This procedure involves injecting a substance into your lower spine canal, guided by real-time images. It's done to diagnose or treat various conditions. You may feel slight discomfort, but it's generally safe and can provide valuable information for your treatment plan.
39 services33 patients

Hospital Affiliations CMS Care Compare 5

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

Mclaren Bay Region

Acute Care Hospitals · Bay City, MI
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230041
Location1900 Columbus AveBay City, MI 48708 · Bay County
Emergency services Birthing friendly

Covenant Medical Center

Acute Care Hospitals · Saginaw, MI
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230070
Location1447 N HarrisonSaginaw, MI 48602 · Saginaw County
Emergency services Birthing friendly

Ascension St Mary's Hospital

Acute Care Hospitals · Saginaw, MI
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number230077
Location800 S Washington AvenueSaginaw, MI 48601 · Saginaw County
Emergency services

Tawas St Joseph Hospital

Acute Care Hospitals · Tawas City, MI
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number230100
Location200 HemlockTawas City, MI 48764 · Iosco County
Emergency services Birthing friendly

Mymichigan Medical Center Midland

Acute Care Hospitals · Midland, MI
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number230222
Location4000 Wellness DriveMidland, MI 48670 · Midland County
Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48603 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
$126.15 typical visit price
range $54.34 – $166.68
Typical copayment $31.53 (range $13.58 – $41.67)
Most-billed visit code 99204
Established Patient
$96.44 typical visit price
range $17.09 – $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.

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.

0/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality0
Improvement Activities0

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.
99%3,370 patients4/55-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.
90%529 patients4/55-star benchmark: 100%
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%712 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.
62%1,885 patients3/55-star benchmark: 99%
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
37%665 patients2/55-star benchmark: 90%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
22%1,882 patients1/55-star benchmark: 97%
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
Patients screenedForUse: 100% · 630 patients
Patients tobacco: 100% · 390 patients
32%240 patients2/55-star benchmark: 98%
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…
79%1,885 patients4/55-star benchmark: 100%
Use of High-Risk Medications in the Elderly
Percentage of patients 65 years of age and older who were ordered high-risk medications. Two rates are submitted. 1) Percentage of patients who were ordered at least one high-risk medication.
Lower rates are better for this measure.
Patients 2+: 3% · 665 patients
1%665 patients4/55-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.

Other Providers at the Same Location NPPES 17

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

COMPREHENSIVE PAIN SPECIALISTS, PLLC
Pain Medicine (Interventional Pain Medicine)
4450 FASHION SQUARE BLVD
SAGINAW, MI 48603
Saginaw County (989) 792-4090
MARCELLA SUE WELKER N.P.
Nurse Practitioner (Family)
4450 FASHION SQUARE BLVD
SAGINAW, MI 48603
Saginaw County (989) 792-4090
MRS. CAROLYN DIANNE LEADHOLM-WITTKE N.P.
Nurse Practitioner (Family)
4450 FASHION SQUARE BLVD
SAGINAW, MI 48603
Saginaw County (989) 792-4090
DR. MATTHEW DAVID EAGLESON D.O.
Anesthesiology (Pain Medicine)
4450 FASHION SQUARE BLVD
SAGINAW, MI 48603
Saginaw County (989) 792-4090
MRS. VALERIAH ANN HOLMON FNP-BC
Nurse Practitioner
4450 FASHION SQUARE BLVD, SUITE 100
SAGINAW, MI 48603
Saginaw County (989) 792-4090
AUBREE DALTON FNP-BC
Nurse Practitioner (Family)
4450 FASHION SQUARE BLVD
SAGINAW, MI 48603
Saginaw County (989) 792-4090
PAIN TREATMENT CENTERS OF MICHIGAN LLC
Clinic/Center (Ambulatory Surgical)
4450 FASHION SQUARE BLVD, STE 200
SAGINAW, MI 48603
Saginaw County (989) 790-7950
DR. JARED R WEIR MD
Orthopaedic Surgery
4450 FASHION SQUARE BLVD
SAGINAW, MI 48603
Saginaw County (989) 754-7200

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 Papenfuse's NPI number?

The NPI number for Michael Papenfuse is 1528067360. It was assigned to this individual provider in the NPPES registry on July 14, 2005.

Where is Michael Papenfuse located?

Michael Papenfuse practices at 4450 Fashion Square Blvd, Saginaw, MI 48603. The listed phone number is (989) 792-4090.

What is Michael Papenfuse's specialty?

The primary specialty registered for this NPI is Pain Medicine, specializing in Interventional Pain Medicine, with taxonomy code 208VP0014X.

Is Michael Papenfuse enrolled in Medicare?

Yes. Michael Papenfuse 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 Papenfuse accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 2 other insurers list Michael Papenfuse 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 Papenfuse affiliated with any hospitals?

According to CMS data, Michael Papenfuse is affiliated with Mclaren Bay Region, Covenant Medical Center, Ascension St Mary's Hospital, Tawas St Joseph Hospital and Mymichigan Medical Center Midland.

When was this NPI record last updated?

The NPPES record for Michael Papenfuse was last updated on July 13, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.