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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MR. MICHAEL JAMES FANNING PA-C
NPI 1568837425
Physician Assistant - Medical in Dallas, TX

Active since December 03, 2015PECOS EnrolledAccepts Medicare Assignment
74.59/100
CMS Quality Rating
5939 HARRY HINES BLVD, DALLAS, TX 75235(214) 645-6427 Get Directions Write a Review

NPPES record last updated: June 26, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 26, 2019, Aug 15, 2019, May 19, 2017 and 1 more (4 updates tracked since 2015).

About Mr. Michael James Fanning Pa-c NPPES

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

MR. MICHAEL JAMES FANNING PA-C (NPI 1568837425) is an individual medical provider in Dallas, Texas, licensed in Texas (PA10346) and active in the NPI registry since December 2015. He is enrolled in Medicare PECOS, is affiliated with Ut Southwestern University Hospital - William P. Clements Jr., and is a graduate of Other (2015).

NPPES Registry Identity

NPI1568837425
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameMR. MICHAEL JAMES FANNINGCredential: PA-C
Location Address5939 HARRY HINES BLVDDallas, TX 75235-6246
Mailing AddressPo Box 845347Dallas, TX 75284-5347 · (214) 645-2800
Phone(214) 645-6427
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateDecember 3, 2015
Last NPPES UpdateJune 26, 20264 updates tracked since enumeration
NPPES CertifiedJune 26, 2026
✔ NPI 1568837425 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in TX · PA10346
5939 HARRY HINES BLVD, Dallas, TX 75235
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas.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

Mr. Michael James Fanning Pa-c 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 ID446557953
PECOS Enrollment IDI20160329001427
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 6

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.
148 services82 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.
94 services67 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
40 services21 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.
17 services14 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.
15 services15 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.
13 services13 patients

Hospital Affiliations CMS Care Compare

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

5/5 CMS rating
OwnershipGovernment - State
CMS Certification Number450044
Location6201 Harry Hines BlvdDallas, TX 75390 · Dallas County
Emergency services Birthing friendly

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.

74.59/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality56.12
Promoting Interoperability100
Improvement Activities40
Cost59.2

Referred Medical Equipment & Supplies CMS DME claims

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

Elevating leg rests, pair (for use with capped rental wheelchair base) K0195
DME-Wheelchairs · category DD021N
1 supplier16 claims16 services$6.67 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 20

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

KAREN ATILEGNA DORSMAN PHD
Clinical Neuropsychologist
5939 HARRY HINES BLVD
DALLAS, TX 75235
Dallas County (214) 645-5505
THOMAS LUKE DAVIS MD
Dermatology
5939 HARRY HINES BLVD
DALLAS, TX 75235
Dallas County (214) 645-2400
DR. JAMES HARVEY WHITFIELD DPM
Podiatrist
5939 HARRY HINES BLVD, STE 325
DALLAS, TX 75235
Dallas County (214) 879-6868
HALEY MARIE KNOWLES
Nurse Practitioner (Acute Care)
5939 HARRY HINES BLVD
DALLAS, TX 75235
Dallas County (214) 645-5505
ASHLEIGH M STEWART N.P.
Nurse Practitioner (Acute Care)
5939 HARRY HINES BLVD, SUITE 731
DALLAS, TX 75235
Dallas County (214) 879-6555
JOHN S WEBB, MD PA
Internal Medicine
5939 HARRY HINES BLVD, #903
DALLAS, TX 75235
Dallas County (214) 879-6969
COURTNEY WONG
Pharmacist
5939 HARRY HINES BLVD
DALLAS, TX 75235
Dallas County (214) 645-5505
DR. VERNON P HORN M.D.
Internal Medicine (Cardiovascular Disease)
5939 HARRY HINES BLVD, SUITE 630
DALLAS, TX 75235
Dallas County (214) 688-0228

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 Fanning's NPI number?

The NPI number for Michael Fanning is 1568837425. It was assigned to this individual provider in the NPPES registry on December 3, 2015.

Where is Michael Fanning located?

Michael Fanning practices at 5939 Harry Hines Blvd, Dallas, TX 75235. The listed phone number is (214) 645-6427.

What is Michael Fanning's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Michael Fanning enrolled in Medicare?

Yes. Michael Fanning 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 Fanning accept?

Health plans from Blue Cross and Blue Shield of Texas list Michael Fanning 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 Fanning affiliated with any hospitals?

According to CMS data, Michael Fanning is affiliated with Ut Southwestern University Hospital - William P. Clements Jr..

When was this NPI record last updated?

The NPPES record for Michael Fanning was last updated on June 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 43 days 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.