DR. MICHAEL JAMES MCAVOY D. O.
NPI 1629294145
Otolaryngology - Otolaryngology/Facial Plastic Surgery in Appleton, WI

Q: What is Michael Mcavoy's NPI number?

The NPI number for Michael Mcavoy is 1629294145. It was assigned to this individual provider in the NPPES registry on April 17, 2007.

Q: What is Michael Mcavoy's specialty?

The primary specialty registered for this NPI is Otolaryngology, specializing in Otolaryngology/Facial Plastic Surgery, with taxonomy code 207YX0905X.

Q: When was this NPI record last updated?

The NPPES record for Michael Mcavoy was last updated on July 30, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.

Active since April 17, 2007PECOS EnrolledAccepts Medicare Assignment

1520 N MEADE ST, APPLETON, WI 54911(920) 734-7181(920) 734-0621 Get Directions Write a Review

NPPES record last updated: July 30, 2012. Verified against the NPPES registry weekly; last sync: October 25, 2026.

On this page

About Dr. Michael James Mcavoy D. O. NPPES

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

DR. MICHAEL JAMES MCAVOY D. O. (NPI 1629294145) is an individual otolaryngology/facial plastic surgery provider in Appleton, Wisconsin, licensed in Michigan (5101015981) and active in the NPI registry since April 2007. He is enrolled in Medicare PECOS, is affiliated with Thedacare Regional Medical Center - Appleton Inc, and is a graduate of At Still University Of Health Sciences, College Of Osteo Med, Kirksville (2004).

NPPES Registry Identity

NPI1629294145

Entity TypeIndividualMale

Primary Taxonomy207YX0905X

Provider Legal NameDR. MICHAEL JAMES MCAVOYCredential: D. O.

Location Address1520 N MEADE STAppleton, WI 54911-3762

Mailing Address1520 N Meade StAppleton, WI 54911-3762 · (920) 734-7181 · Fax (920) 734-0621

Phone(920) 734-7181

Fax(920) 734-0621

Sole ProprietorYes

Medical School CMSAt Still University Of Health Sciences, College Of Osteo Med, KirksvilleGraduated 2004

Enumeration DateApril 17, 2007

Last NPPES UpdateJuly 30, 2012

✔ NPI 1629294145 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOtolaryngology · Otolaryngology/Facial Plastic SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code207YX0905X

License✔ Licensed in MI · 5101015981

Definition

An otolaryngologist who specializes in the diagnosis and surgical treatment of head and neck conditions.

1520 N MEADE ST, Appleton, WI 54911

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Aspirus Health Plan, CareSource (Common Ground Healthcare), HealthPartners and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Michael James Mcavoy D. O. 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 ID2365594249

PECOS Enrollment IDI20090723000803

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.

Medicare Billing Reassignments

Medicare enrollment records show Michael Mcavoy reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Ear Nose & Throat Surgical Associates Sc

Same address

Specialist

1520 N MEADE ST
Appleton, WI 54911

Reassigned Medicare billing, Wisconsin enrollment
6 clinicians in this Medicare group

NPI 1629094214 (920) 734-7181

Ear Nose And Throat Specialists Of Wisconsin Sc

8.8 mi

Otolaryngology

119 E BELL ST
Neenah, WI 54956

Reassigned Medicare billing, Wisconsin enrollment
27 clinicians in this Medicare group

NPI 1508819178 (920) 969-1768

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

Removal of impacted ear wax 69210

Impacted ear wax removal is a safe procedure to clear blockages in the ear canal caused by hardened ear wax. A healthcare professional uses specialized tools or a gentle irrigation method to loosen and remove the wax, improving hearing and alleviating discomfort.

38 services32 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 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.

35 services35 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.

32 services29 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

20 services17 patients

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.

20 services20 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.

17 services17 patients

Hospital Affiliations CMS Care Compare 2

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

Thedacare Regional Medical Center - Appleton Inc

Acute Care Hospitals · Appleton, WI

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number520160

Location1818 N Meade StAppleton, WI 54911 · Outagamie County

Emergency services Birthing friendly

Thedacare Medical Center-Waupaca

Critical Access Hospitals · Waupaca, WI

OwnershipVoluntary non-profit - Private

CMS Certification Number521334

Location800 Riverside DriveWaupaca, WI 54981 · Waupaca County

Emergency services Birthing friendly

Other Providers at the Same Location NPPES 9

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

DR. STEVEN JAMES VANDENBERG M.D.

Otolaryngology