DR. MICHAEL THOMAS CAGLIA M.D.
NPI 1568789550
Dermatology in Midland, TX

Active since April 29, 2010PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
4214 ANDREWS HWY, STE 110, MIDLAND, TX 79703(432) 689-2491(432) 699-1158 Get Directions Write a Review

NPPES record last updated: September 8, 2023. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Sep 8, 2023, Apr 26, 2021 (2 updates tracked since 2021).

About Dr. Michael Thomas Caglia M.d. NPPES

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

DR. MICHAEL THOMAS CAGLIA M.D. (NPI 1568789550) is an individual dermatology provider in Midland, Texas, licensed in Texas (Q9307) and active in the NPI registry since April 2010. He is enrolled in Medicare PECOS and is a graduate of Texas Tech University Health Science Center School Of Medicine (2011).

NPPES Registry Identity

NPI1568789550
Entity TypeIndividualMale
Primary Taxonomy207N00000X
Provider Legal NameDR. MICHAEL THOMAS CAGLIACredential: M.D.
Location Address4214 ANDREWS HWY, STE 110Midland, TX 79703-4864
Mailing Address2401 W Belvedere AveBaltimore, MD 21215-5216
Fax(432) 699-1158
Sole ProprietorNo
Medical School CMSTexas Tech University Health Science Center School Of MedicineGraduated 2011
Enumeration DateApril 29, 2010
Last NPPES UpdateSeptember 8, 20232 updates tracked since enumeration
NPPES CertifiedSeptember 8, 2023
✔ NPI 1568789550 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License✔ Licensed in TX · Q9307
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
Also ListedInternal MedicineTaxonomy 207R00000X · License P25275 (MD)
4214 ANDREWS HWY, Midland, TX 79703

Accepted 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 Thomas Caglia M.d. 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 ID749575876
PECOS Enrollment IDI20160829000383
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 24

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.

Destruction of precancer skin growth, 2-14 growths 17003
This procedure involves removing 2-14 precancerous skin growths. The growths are treated to prevent them from potentially developing into skin cancer. The process is safe, with minimal discomfort, and promotes healthier skin.
1,241 services244 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.
921 services488 patients
Ultrasonic guidance for placement of radiation therapy fields G6001
Ultrasonic guidance for radiation therapy fields involves using sound waves to create images of the treatment area. This helps to precisely locate the area needing radiation therapy, ensuring the treatment is directed accurately, minimizing harm to healthy tissues.
892 services51 patients
Obtaining data needed to develop the optimal radiation treatment, 1 treatment area 77280
This procedure involves gathering essential information to create the best radiation treatment plan for a specific area. It includes scanning the treatment area and using this data to calculate the precise dose of radiation needed to target the disease effectively, while sparing healthy tissue.
843 services42 patients
Superficial and/or low voltage radiation treatment delivery 77401
Superficial and/or low voltage radiation treatment delivery is a non-invasive procedure used to treat certain diseases like skin cancer. It uses low energy radiation to target and destroy abnormal cells, aiding in halting disease progression.
807 services41 patients
Destruction of precancer skin growth, 1 growth 17000
"Destruction of precancer skin growth" is a procedure that eliminates a single precancerous skin growth. This is done to prevent it from developing into skin cancer. The growth may be removed using various methods such as cryotherapy (freezing), laser therapy, or topical medications.
419 services315 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 79703 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$68.55 typical visit price
range $17.52 – $136.11
Typical copayment $17.13 (range $4.38 – $34.02)
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.

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

Advance Care Plan
100%1,281 patients5/55-star benchmark: 100%
Melanoma: Continuity of Care - Recall System
100%134 patients
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 94% · 1,877 patients
Patients screened: 95% · 1,877 patients
85%165 patients4/55-star benchmark: 100%
Preventive Care and Screening: Unhealthy Alcohol Use: Screening & Brief Counseling
Patients screened: 6% · 1,877 patients
5%1,877 patients
Tobacco Use and Help with Quitting Among Adolescents
100%767 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.

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.

Internal Medicine (Gastroenterology)
4214 ANDREWS HWY, SUITE 203
MIDLAND, TX 79703
Internal Medicine (Gastroenterology)
4214 ANDREWS HWY, SUITE 203
MIDLAND, TX 79703
Internal Medicine (Pulmonary Disease)
4214 ANDREWS HWY, SUITE 108
MIDLAND, TX 79703
Clinic/Center (Emergency Care)
4214 ANDREWS HWY, SUITE 103
MIDLAND, TX 79703
Clinic/Center (Emergency Care)
4214 ANDREWS HWY, SUITE 103
MIDLAND, TX 79703
Ophthalmology
4214 ANDREWS HWY, SUITE 105
MIDLAND, TX 79703
Internal Medicine (Gastroenterology)
4214 ANDREWS HWY, SUITE 203
MIDLAND, TX 79703
Psychologist
4214 ANDREWS HWY
MIDLAND, TX 79703

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 Caglia's NPI number?

The NPI number for Michael Caglia is 1568789550. It was assigned to this individual provider in the NPPES registry on April 29, 2010.

Where is Michael Caglia located?

Michael Caglia practices at 4214 Andrews Hwy Ste 110, Midland, TX 79703. The listed phone number is (432) 689-2491.

What is Michael Caglia's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Is Michael Caglia enrolled in Medicare?

Yes. Michael Caglia 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 Caglia accept?

Health plans from Baylor Scott and White Health Plan, Blue Cross and Blue Shield of Texas and UnitedHealthcare list Michael Caglia 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.

When was this NPI record last updated?

The NPPES record for Michael Caglia was last updated on September 8, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.