DR. MICHAEL E PANNUNZIO M.D. NPI 1598700783
Orthopaedic Surgery - Hand Surgery in Carmel, IN
About DR. MICHAEL E PANNUNZIO M.D.
Michael Pannunzio is a provider established in Carmel, Indiana and his medical specialization is Orthopaedic Surgery with a focus in hand surgery with more than 31 years of experience. He graduated from University Of Virginia School Of Medicine in 1993. The NPI number of this provider is 1598700783 and was assigned on June 2006. The practitioner's primary taxonomy code is 207XS0106X with license number 01061807A (IN). The provider is registered as an individual and his NPI record was last updated 9 years ago.
| NPI | 1598700783 |
| Provider Name | DR. MICHAEL E PANNUNZIO M.D. |
| Location Address | 13431 OLD MERIDIAN ST SUITE 225 CARMEL, IN 46032 |
| Location Phone | (317) 249-2616 |
| Mailing Address | 13431 OLD MERIDIAN ST SUITE 225 CARMEL, IN 46032 |
| Gender | Male |
| NPI Entity Type | Individual |
| Medical School Name | UNIVERSITY OF VIRGINIA SCHOOL OF MEDICINE |
| Graduation Year | 1993 |
| Is Sole Proprietor? | No |
| Enumeration Date | 06-19-2006 |
| Last Update Date | 09-04-2014 |
Michael Pannunzio is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
Michael Pannunzio is registered with Medicare and accepts claims assignment, this means the provider accepts Medicare's approved amount for the cost of rendered services as full payment. Participating providers may not charge Medicare beneficiaries more than Medicare's approved amount for their services. Medicare beneficiaries still have to pay a coinsurance or copayment amount for a visit or service. According to Medicare claims data he has hospital affiliations with Indiana University Health Bloomington Hospital and Witham Health Services.
The provider participated in Medicare's Quality Payment Program under the Merit-based Incentive Payment System (MIPS) and has an overall final score of 60, based on four performance areas: quality, improvement activities, promoting interoperability, and cost. The purpose of this information is to help people with Medicare make informed decisions and incentivize doctors and clinicians to maximize performance.
The typical physician office visit costs for Medicare beneficiaries in this area are: $21.13 for a new patient copayment and $17.24 for an established patient copayment.
Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
| Taxonomy Code | 207XS0106X |
| Classification | Orthopaedic Surgery |
| Type | Allopathic & Osteopathic Physicians |
| Specialization | Hand Surgery |
| License No. | 01061807A |
| License State | IN |
| Taxonomy Description | An orthopaedic surgeon trained in the investigation, preservation and restoration by medical, surgical and rehabilitative means of all structures of the upper extremity directly affecting the form and function of the hand and wrist. |
Accepted Insurance
The NPI profile data indicates this provider might be enrolled and accepting health plans from the following insurance companies or healthcare programs:
- Medicaid
- Medicare
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Business Address
13431 OLD MERIDIAN ST
SUITE 225
CARMEL, IN
ZIP 46032
Phone: (317) 249-2616
Fax: (317) 249-2618
Mailing Address
13431 OLD MERIDIAN ST
SUITE 225
CARMEL, IN
ZIP 46032
Phone: (317) 249-2616
Fax: (317) 249-2618
Location Map
PECOS Enrollment and Medicare Participation Status
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as Medicare providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in the Medicare program need to enroll in PECOS with their NPI number to avoid denied claims.
| Registered in PECOS? | Yes |
| PECOS PAC ID | 8325056302 |
| PECOS Enrollment ID | I20060406000710 |
| Accepts Medicare Assignment? | Yes "What does it mean "accepts medicare assignment"? When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts. A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer. |
| Eligible order / refer Part B Clinical Laboratory and Imaging | Yes |
| Eligible order or refer Durable Medical Equipment (DMEPOS) | Yes |
| Eligible order r refer Home Health Agency (HHA) | Yes |
| Eligible order r refer Power Mobility Devices | Yes |
Physician Office Visit Costs
The provider accepts as payment the Medicare approved amount. Medicare beneficiaries should not be billed for more than the Medicare deductible and coinsurance amounts. Medicare pricing is usually a reference point for private insurance covered patients. The prices below reflect the costs for new and established patients in the 46032 ZIP code area.
| New Patients Office Visits Costs * | ||
|---|---|---|
| Most Utilized Procedure Code for new patients office visits: 99203 | ||
| Minimum New Patient Pricing | Maximum New Patient Pricing | Typical New Patient Pricing |
| $54.76 | $167.54 | $84.54 |
| Minimum New Patient Copayment | Maximum New Patient Copayment | Typical New Patient Copayment |
| $13.69 | $41.88 | $21.13 |
| Established Patients Office Visits Costs * | ||
|---|---|---|
| Most Utilized Procedure Code for established patients office visits: 99213 | ||
| Minimum Established Patient Pricing | Maximum Established Patient Pricing | Typical Established Patient Pricing |
| $16.96 | $137.16 | $68.99 |
| Minimum Established Patient Copayment | Maximum Established Patient Copayment | Typical Established Patient Copayment |
| $4.24 | $34.29 | $17.24 |
* The physician office visit costs information is obtained by Medicare's statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
Overall MIPS Quality Performance
The Merit-based Incentive Payment System (MIPS) is a way providers could use to participate in Medicare's Quality Payment Program (QPP). The MIPS program affects clinician reimbursement for Part B covered professional services and also rewards them for improving the quality of patient care and outcomes.
| MIPS Measure | Score Weight | Score | |
|---|---|---|---|
| Quality | 40% | N/A | |
|
The Quality category assesses providers performance on clinical practices and patient outcomes under the traditional MIPS program. The quality measures help identify the quality of healthcare processes, outcomes, and patient experiences. The Quality measure category compromises 40% providers final MPIS scores. There are six collection types for MIPS quality measures: Electronic Clinical Quality Measures (eCQMs), MIPS Clinical Quality Measures (CQMs), Qualified Clinical Data Registry (QCDR) Measures, Medicare Part B claims measures, CMS Web Interface measures and The Consumer Assessment of Healthcare Providers and Systems (CAHPS) for MIPS Survey. |
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| Promoting Interoperability (PI) | 25% | N/A | |
|
The Interoperability category measures the providers ability to use technology to exchange and make use of healthcare information in a way that is less burdensome and improves outcomes. The Interoperability measure category compromises 25% providers final MPIS scores. The MIPS Interoperability measure focuses on the use of certified electronic health record technology (CEHRT) to improve patient access health information, the exchange of information between clinicians and pharmacies and the systematic collection, analysis, and interpretation of healthcare data. |
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| Improvement Activities | 15% | N/A | |
|
The Improvement Activities performance category evaluates the providers participation in clinical activities that support the improvement of clinical practice, care delivery, and outcomes. Providers have the option to choose 2 to 4 activities from an inventory of over 100 improvement activities. Providers typically choose the activities that best fit their needs. The Improvement measures aim to better patient engagement, patient safety and other areas of patient care. The Improvement Activities category compromises 15% of providers final MPIS scores. |
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| Cost | 20% | N/A | |
|
The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services. Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores. |
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| MIPS Final Score | - | 60 | |
| The MIPS program evaluates providers across multiple categories with a specific weight for each category resulting a in a MIPS final score that ranges from 0 to 100 points. The MIPS Final Score determines whether providers receive a negative, neutral or positive MIPS payment adjustment. | |||
Clinician Utilization
The following Healthcare Common Procedure Coding System (HCPCS) codes were publicly reported as the top services rendered by this provider under the Medicare program for the year 2017. The reported codes are based on the top 5 codes for each available Medicare specialty, excluding evaluation and management codes.
- 544Injection, triamcinolone acetonide, not otherwise specified, 10 mg (HCPCS:J3301)
- 234Therapeutic exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes (HCPCS:97110)
- 78Injections of tendon sheath, ligament, or muscle membrane (HCPCS:20550)
- 65Evaluation of occupational therapy, typically 30 minutes (HCPCS:97165)
- 39X-ray of wrist, minimum of 3 views (HCPCS:73110)
- 37X-ray of fingers, minimum of 2 views (HCPCS:73140)
- 18X-ray of hand, minimum of 3 views (HCPCS:73130)
Hospital Affiliations
Medicare hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the Medicare claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Michael Pannunzio is affiliated with the following medical facilities:
| Hospital Name | Address | Phone | Hospital Type | CMS Certification Number (CCN) | Overall Rating |
|---|---|---|---|---|---|
| INDIANA UNIVERSITY HEALTH BLOOMINGTON HOSPITAL | 2651 EAST DISCOVERY PARKWAY BLOOMINGTON, IN 47408 | (812) 353-5252 | Acute Care Hospitals | 150051 | |
| WITHAM HEALTH SERVICES | 2605 N LEBANON ST LEBANON, IN 46052 | (765) 485-8000 | Acute Care Hospitals | 150104 |
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State |
|---|---|---|
| 200001075 | MEDICARE ID-TYPE UNSPECIFIED (04) | |
| 200814830 | MEDICAID (05) | IN |
| H16915 | MEDICARE UPIN (02) |
NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 5 | 9 | 8 | 7 | 0 | 0 | 7 | 8 | 3 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 5 | 18 | 8 | 14 | 0 | 0 | 7 | 16 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 5 + 1 + 8 + 8 + 1 + 4 + 0 + 0 + 7 + 1 + 6 + 24 = 67 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 67 = 3 | 3 | ||||||||
The NPI number 1598700783 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 12 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1386668028 | RONALD A WEST PA Individual | Physician Assistant (Surgical) | 13431 OLD MERIDIAN ST SUITE 200 CARMEL, IN 46032 (317) 573-7733 |
| 1831275148 | MRS. JANET L JOHANNSEN P.T. Individual | Physical Therapist | 13431 OLD MERIDIAN ST SUITE 100 CARMEL, IN 46032 (317) 817-9930 |
| 1003006255 | MANUAL THERAPY ASSOCIATES Organization | Physical Therapist | 13431 OLD MERIDIAN ST SUITE 100 CARMEL, IN 46032 (317) 817-9930 |
| 1740352947 | THE SPINE INSTITUTE PC Organization | Orthopaedic Surgery (Orthopaedic Surgery of the Spine) | 13431 OLD MERIDIAN ST SUITE 200 CARMEL, IN 46032 (317) 573-7733 |
| 1710190319 | DR. ALEX MEYERS M.D. Individual | Surgery (Surgery of the Hand) | 13431 OLD MERIDIAN ST STE 225 CARMEL, IN 46032 (317) 249-2616 |
| 1407958200 | JENNIFER ANNE BRUNT OT Individual | Occupational Therapist | 13431 OLD MERIDIAN ST SUITE 225 CARMEL, IN 46032 (317) 249-2616 |
| 1417276205 | LINDSAY A. DEZELAN O.T. Individual | Occupational Therapist | 13431 OLD MERIDIAN ST SUITE 225 CARMEL, IN 46032 (317) 249-2616 |
| 1992241616 | MAUREEN STARK Individual | Occupational Therapist | 13431 OLD MERIDIAN ST SUITE 225 CARMEL, IN 46032 (317) 249-2616 |
| 1821534538 | STACY BRISCO Individual | Occupational Therapist | 13431 OLD MERIDIAN ST SUITE 225 CARMEL, IN 46032 (317) 249-2616 |
| 1417510975 | MS. ANNAH DALENBERG BCBA Individual | Behavior Analyst | 13431 OLD MERIDIAN ST CARMEL, IN 46032 (317) 573-5437 |
| 1043527443 | AMANDA J HOBSON PA-C Individual | Physician Assistant (Surgical) | 13431 OLD MERIDIAN ST STE 200 CARMEL, IN 46032 (317) 573-7733 |
| 1235606435 | LACEY MARIE MOREILLON BCBA Individual | Behavior Analyst | 13431 OLD MERIDIAN ST CARMEL, IN 46032 (317) 573-5437 |
Frequently Asked Questions
What is Dr. Michael Pannunzio M.D. NPI number?
The NPI number assigned to this healthcare provider is 1598700783, registered as an "individual" on June 19, 2006
Where is the provider located?
The provider is located at 13431 Old Meridian St Suite 225 Carmel, In 46032 and the phone number is (317) 249-2616
What is the provider specialty code?
The provider's speciality is Orthopaedic Surgery with taxonomy code 207XS0106X with a focus in Hand Surgery
How many years of experience does Dr. Michael Pannunzio M.D. have?
The provider has more than 31 years of experience. He graduated from University Of Virginia School Of Medicine in 1993.
What insurance does Dr. Michael Pannunzio M.D. accept?
The provider might be accepting Medicaid and Medicare. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Is Dr. Michael Pannunzio M.D. registered in PECOS?
Yes, as of September 14, 2023 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a Medicare beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
How much is a visit to Dr. Michael Pannunzio M.D.?
Medicare beneficiaries should expect a typical cost of $84.54 with an average copayment of $21.13 for new patient appointments. Established patients should expect a typical charge of $68.99 and an average copayment of 17.24. Please review your insurance plan or contact the provider directly to determine your specific costs.
What are some of the services provided by Dr. Michael Pannunzio M.D.?
The most common procedures or services performed by this practitioner are: Injection, triamcinolone acetonide, not otherwise specified, 10 mg, Therapeutic exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes, Injections of tendon sheath, ligament, or muscle membrane, Evaluation of occupational therapy, typically 30 minutes, X-ray of wrist, minimum of 3 views, X-ray of fingers, minimum of 2 views and X-ray of hand, minimum of 3 views.
Is Dr. Michael Pannunzio M.D. affiliated to any hospitals?
The practitioner is affiliated to the following hospitals: INDIANA UNIVERSITY HEALTH BLOOMINGTON HOSPITAL and WITHAM HEALTH SERVICES. Hospital affiliations are identified through self-reporting data and service claims based on the place of service.
How do I update my NPI information?
This NPI record was last updated on June 19, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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