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MICHAEL R DEPEW PA
NPI 1619032919
Physician Assistant - Surgical in Manitowoc, WI

Active since December 27, 2006PECOS EnrolledAccepts Medicare Assignment
82.77/100
CMS Quality Rating
1650 S. 41ST ST., LAKESHORE ORTHOPEDICS, MANITOWOC, WI 54220(920) 682-5233 Get Directions Write a Review

NPPES record last updated: September 24, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Michael R Depew Pa NPPES

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

MICHAEL R DEPEW PA (NPI 1619032919) is an individual surgical provider in Manitowoc, Wisconsin, licensed in Wisconsin (1419) and active in the NPI registry since December 2006. He is enrolled in Medicare PECOS, is affiliated with Holy Family Memorial, and is a graduate of Other (1997).

NPPES Registry Identity

NPI1619032919
Entity TypeIndividualMale
Primary Taxonomy363AS0400X
Provider Legal NameMICHAEL R DEPEWCredential: PA
Location Address1650 S. 41ST ST., LAKESHORE ORTHOPEDICSManitowoc, WI 54220
Mailing Address1650 S. 41st St., Lakeshore OrthopedicsManitowoc, WI 54220 · (920) 682-5233
Phone(920) 682-5233
Sole ProprietorNo
Medical School CMSOtherGraduated 1997
Enumeration DateDecember 27, 2006
Last NPPES UpdateSeptember 24, 2007
✔ NPI 1619032919 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License✔ Licensed in WI · 1419
1650 S. 41ST ST., Manitowoc, WI 54220
Open in Google Maps ↗

Other Identifiers 3

Medicaid41956200WI
Medicare UPINS87449WI
Medicare ID-Type Unspecified0083WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, HealthPartners, Network Health.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

Michael R Depew Pa 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 ID6305935552
PECOS Enrollment IDI20071211000333
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 5

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, 20-29 minutes 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.
82 services62 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
34 services15 patients
New patient office or other outpatient visit, 30-44 minutes 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
19 services19 patients
Established patient office or other outpatient visit, 30-39 minutes 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.
17 services16 patients
Established patient office or other outpatient visit, 40-54 minutes 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.
15 services15 patients

Hospital Affiliations CMS Care Compare

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

Holy Family Memorial

Acute Care Hospitals · Manitowoc, WI
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number520107
Location2300 Western AveManitowoc, WI 54221 · Manitowoc County
Emergency services

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.

82.77/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality85.36
Promoting Interoperability100
Improvement Activities40
Cost57.23

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 Depew's NPI number?

The NPI number for Michael Depew is 1619032919. It was assigned to this individual provider in the NPPES registry on December 27, 2006.

Where is Michael Depew located?

Michael Depew practices at 1650 S. 41st St. Lakeshore Orthopedics, Manitowoc, WI 54220. The listed phone number is (920) 682-5233.

What is Michael Depew's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Michael Depew enrolled in Medicare?

Yes. Michael Depew 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 Depew accept?

Health plans from Anthem Blue Cross and Blue Shield, HealthPartners and Network Health list Michael Depew 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 Depew affiliated with any hospitals?

According to CMS data, Michael Depew is affiliated with Holy Family Memorial.

When was this NPI record last updated?

The NPPES record for Michael Depew was last updated on September 24, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.