MICHAEL P FLANAGAN MD
NPI 1568427391
Family Medicine in State College, PA

Active since April 17, 2006PECOS EnrolledAccepts Medicare Assignment
71.78/100
CMS Quality Rating
1850 E PARK AVE STE 312, STATE COLLEGE, PA 16803(814) 235-2480(814) 235-2482 Get Directions Write a Review

NPPES record last updated: October 14, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Michael P Flanagan Md NPPES

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

MICHAEL P FLANAGAN MD (NPI 1568427391) is an individual family medicine provider in State College, Pennsylvania, licensed in Pennsylvania (MD045512E) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS, is affiliated with Milton S Hershey Medical Center, and is a graduate of University Of Maryland School Of Medicine (1987).

NPPES Registry Identity

NPI1568427391
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameMICHAEL P FLANAGANCredential: MD
Location Address1850 E PARK AVE STE 312State College, PA 16803-6706
Mailing AddressPo Box 858, Mc A410Hershey, PA 17033-0858 · (800) 243-1455
Fax(814) 235-2482
Sole ProprietorNo
Medical School CMSUniversity Of Maryland School Of MedicineGraduated 1987
Enumeration DateApril 17, 2006
Last NPPES UpdateOctober 14, 2019
NPI 1568427391 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in PA · MD045512E
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1850 E PARK AVE STE 312, State College, PA 16803

Other Identifiers 1

Medicaid0012014980005PA

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 P Flanagan 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 ID3274728738
PECOS Enrollment IDI20101110000021
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 2

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 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 services17 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.
16 services14 patients

Hospital Affiliations CMS Care Compare 2

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

Milton S Hershey Medical Center

Acute Care Hospitals · Hershey, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390256
Location500 University DriveHershey, PA 17033 · Dauphin County
Emergency services Birthing friendly

Mount Nittany Medical Center

Acute Care Hospitals · State College, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390268
Location1800 East Park AveState College, PA 16803 · Centre County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 16803 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
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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.

71.78/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality48.32
Promoting Interoperability100
Improvement Activities40
Cost57.63

Other Providers at the Same Location NPPES 7

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

Nurse Practitioner (Family)
1850 E PARK AVE STE 312
STATE COLLEGE, PA 16803
Physician Assistant
1850 E PARK AVE STE 312
STATE COLLEGE, PA 16803
Physician Assistant
1850 E PARK AVE STE 312
STATE COLLEGE, PA 16803
Physician Assistant
1850 E PARK AVE STE 312
STATE COLLEGE, PA 16803
Physician Assistant
1850 E PARK AVE STE 312
STATE COLLEGE, PA 16803
Family Medicine (Obesity Medicine)
1850 E PARK AVE STE 312
STATE COLLEGE, PA 16803
Family Medicine
1850 E PARK AVE STE 312
STATE COLLEGE, PA 16803

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 Flanagan's NPI number?

The NPI number for Michael Flanagan is 1568427391. It was assigned to this individual provider in the NPPES registry on April 17, 2006.

Where is Michael Flanagan located?

Michael Flanagan practices at 1850 E Park Ave Ste 312, State College, PA 16803. The listed phone number is (814) 235-2480.

What is Michael Flanagan's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Michael Flanagan enrolled in Medicare?

Yes. Michael Flanagan 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.

Is Michael Flanagan affiliated with any hospitals?

According to CMS data, Michael Flanagan is affiliated with Milton S Hershey Medical Center and Mount Nittany Medical Center.

When was this NPI record last updated?

The NPPES record for Michael Flanagan was last updated on October 14, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.