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DR. MICHAEL J. CLOUD MD
NPI 1619262656
Family Medicine in Zionsville, IN

Active since June 17, 2011PECOS EnrolledAccepts Medicare Assignment
6085 HEARTLAND DR STE 205, ZIONSVILLE, IN 46077(317) 768-2200(317) 768-2209 Get Directions Write a Review

NPPES record last updated: October 10, 2023. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Oct 10, 2023, Sep 6, 2023, Apr 26, 2021 and 1 more (4 updates tracked since 2017).

About Dr. Michael J. Cloud Md NPPES

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

DR. MICHAEL J. CLOUD MD (NPI 1619262656) is an individual family medicine provider in Zionsville, Indiana, licensed in Indiana (01074072A) and active in the NPI registry since June 2011. He is enrolled in Medicare PECOS, is affiliated with Ascension St Vincent Hospital, and is a graduate of Indiana University School Of Medicine (2011).

NPPES Registry Identity

NPI1619262656
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. MICHAEL J. CLOUDCredential: MD
Location Address6085 HEARTLAND DR STE 205Zionsville, IN 46077-4433
Mailing Address2605 N Lebanon StLebanon, IN 46052-1476
Phone(317) 768-2200
Fax(317) 768-2209
Sole ProprietorNo
Medical School CMSIndiana University School Of MedicineGraduated 2011
Enumeration DateJune 17, 2011
Last NPPES UpdateOctober 10, 20234 updates tracked since enumeration
NPPES CertifiedOctober 10, 2023
✔ NPI 1619262656 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in IN · 01074072A
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.
6085 HEARTLAND DR STE 205, Zionsville, IN 46077
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Other Identifiers 1

Medicaid201104760IN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.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 J. Cloud 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 ID9234377201
PECOS Enrollment IDI20140718001105
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 8

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.
159 services78 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.
68 services48 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
64 services64 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
23 services13 patients
Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use 90677
The Pneumococcal Conjugate Vaccine (PCV20) is a shot given to protect against 20 types of bacteria that can cause serious infections like pneumonia and meningitis. It's administered through a muscle, usually in the arm. It's important for overall health.
16 services16 patients
Administration of pneumococcal vaccine G0009
The pneumococcal vaccine helps protect against pneumococcal bacteria, which can cause severe infections like pneumonia and meningitis. The vaccine is given as an injection, typically in the arm. It's recommended for infants, older adults, and those with certain health conditions.
16 services16 patients

Hospital Affiliations CMS Care Compare 2

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

Ascension St Vincent Hospital

Acute Care Hospitals · Indianapolis, IN
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number150084
Location2001 W 86th StIndianapolis, IN 46260 · Marion County
Emergency services Birthing friendly

Witham Health Services

Acute Care Hospitals · Lebanon, IN
4/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number150104
Location2605 N Lebanon StLebanon, IN 46052 · Boone County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46077 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
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
Established Patient
$94.22 typical visit price
range $16.93 – $132.22
Typical copayment $23.55 (range $4.23 – $33.05)
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.

Other Providers at the Same Location NPPES 4

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

MICHAEL W. CHAPMAN M.D.
Family Medicine
6085 HEARTLAND DR STE 205
ZIONSVILLE, IN 46077
Boone County (317) 768-2200
HEATHER B GUTWEIN MD
Family Medicine
6085 HEARTLAND DR STE 205
ZIONSVILLE, IN 46077
Boone County (317) 768-2200
DONNA C CUMMINGS PA-C
Physician Assistant
6085 HEARTLAND DR STE 205
ZIONSVILLE, IN 46077
Boone County (317) 768-2200
DR. PRESLEY T BUNTIN M.D.
Surgery
6085 HEARTLAND DR STE 205
ZIONSVILLE, IN 46077
Boone County (317) 768-2210

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 Cloud's NPI number?

The NPI number for Michael Cloud is 1619262656. It was assigned to this individual provider in the NPPES registry on June 17, 2011.

Where is Michael Cloud located?

Michael Cloud practices at 6085 Heartland Dr Ste 205, Zionsville, IN 46077. The listed phone number is (317) 768-2200.

What is Michael Cloud's specialty?

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

Is Michael Cloud enrolled in Medicare?

Yes. Michael Cloud 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 Cloud accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, CareSource and UnitedHealthcare list Michael Cloud 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 Cloud affiliated with any hospitals?

According to CMS data, Michael Cloud is affiliated with Ascension St Vincent Hospital and Witham Health Services.

When was this NPI record last updated?

The NPPES record for Michael Cloud was last updated on October 10, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.