DR. MICHAEL PAUL GAILEY D.O.
NPI 1649435470
Pathology - Anatomic Pathology & Clinical Pathology in Arvada, CO

Active since July 21, 2008PECOS EnrolledAccepts Medicare Assignment
90.5/100
CMS Quality Rating
6750 W 52ND AVE, ARVADA, CO 80002(720) 898-3300 Get Directions Write a Review

NPPES record last updated: September 19, 2014. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Michael Paul Gailey D.o. NPPES

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

DR. MICHAEL PAUL GAILEY D.O. (NPI 1649435470) is an individual anatomic pathology & clinical pathology provider in Arvada, Colorado, licensed in Iowa (R-8451) and active in the NPI registry since July 2008. He is enrolled in Medicare PECOS, is affiliated with Utah Valley Hospital, and is a graduate of Arizona College Of Osteopathic Medicine Mid Western University (2008).

NPPES Registry Identity

NPI1649435470
Entity TypeIndividualMale
Primary Taxonomy207ZP0102X
Provider Legal NameDR. MICHAEL PAUL GAILEYCredential: D.O.
Location Address6750 W 52ND AVEArvada, CO 80002-3956
Mailing Address14275 Midway Rd, Suite 400Addison, TX 75001-3614 · (214) 932-8029 · Fax (610) 271-4245
Sole ProprietorNo
Medical School CMSArizona College Of Osteopathic Medicine Mid Western UniversityGraduated 2008
Enumeration DateJuly 21, 2008
Last NPPES UpdateSeptember 19, 2014
NPI 1649435470 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPathology · Anatomic Pathology & Clinical PathologyAllopathic & Osteopathic Physicians
Taxonomy Code207ZP0102X
License Licensed in IA · R-8451
Definition
A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.
6750 W 52ND AVE, Arvada, CO 80002

Other Identifiers 3

Medicare PIN352051YTHQCO
OtherDR.0053246CO · Co License
Medicaid92654843CO

Accepted 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 Paul Gailey 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 ID7911146204
PECOS Enrollment IDI20230220001178
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 16

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.

Pathology examination of tissue using a microscope, intermediate complexity 88305
A pathology examination of tissue with intermediate complexity involves studying a small sample of your body tissue under a microscope. This helps in identifying any abnormal cells or signs of disease. It's a detailed process requiring expert analysis to ensure accurate results.
614 services330 patients
Special stained specimen slides to examine tissue, each additional procedure 88341
Special stained specimen slides are used to analyze tissue in detail. In this process, extra procedures may be needed for a more thorough examination. These involve applying special stains to the tissue on slides, enhancing specific elements for closer study.
277 services61 patients
Pathology examination of tissue using a microscope, moderately high complexity 88307
A pathology examination of tissue with moderate complexity involves a detailed study of a small tissue sample from your body. Using a microscope, experts analyze the tissue's structure and cells to identify any abnormalities. This helps in diagnosing various health conditions accurately.
148 services85 patients
Cell examination of specimen, selective cellular enhancement technique 88112
Cell examination of a specimen using selective cellular enhancement technique is a lab process that improves the visibility of certain cells in a sample. It helps in identifying abnormalities or diseases. The process is non-invasive, safe, and aids in accurate diagnosis.
135 services114 patients
Pathology examination of tissue using a microscope, intermediate complexity 88305
A pathology examination of tissue with intermediate complexity involves studying a small sample of your body tissue under a microscope. This helps in identifying any abnormal cells or signs of disease. It's a detailed process requiring expert analysis to ensure accurate results.
111 services81 patients
Evaluation of fine needle aspirate with interpretation and report 88173
This procedure involves using a thin needle to collect a small sample from an abnormal area or lump. The sample is then examined under a microscope to identify any potential issues. A report of the findings is provided for further analysis.
104 services58 patients

Hospital Affiliations CMS Care Compare 5

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

Utah Valley Hospital

Acute Care Hospitals · Provo, UT
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number460001
Location1034 North 500 WestProvo, UT 84604 · Utah County
Emergency services Birthing friendly

Lds Hospital

Acute Care Hospitals · Salt Lake City, UT
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number460006
Location8th Avenue And C StreetSalt Lake City, UT 84143 · Salt Lake County
Emergency services Birthing friendly

Intermountain Medical Center

Acute Care Hospitals · Murray, UT
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number460010
Location5121 South Cottonwood StreetMurray, UT 84107 · Salt Lake County
Emergency services Birthing friendly

Logan Regional Hospital

Acute Care Hospitals · Logan, UT
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number460015
Location1400 North 500 EastLogan, UT 84341 · Cache County
Emergency services Birthing friendly

St. George Regional Hospital

Acute Care Hospitals · St George, UT
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number460021
Location1380 East Medical Center DriveSt George, UT 84790 · Washington County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 80002 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
$132.55 typical visit price
range $58.06 – $174.82
Typical copayment $33.13 (range $14.51 – $43.70)
Most-billed visit code 99204
Established Patient
$102.03 typical visit price
range $18.88 – $142.79
Typical copayment $25.50 (range $4.72 – $35.69)
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.

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.

90.5/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality81.01
Improvement Activities40

Reported Quality Measures

Quantitative Immunohistochemical (IHC) Evaluation of Human Epidermal Growth Factor Receptor 2 Testing (HER2) for Breast Cancer Patients
This is a measure based on whether quantitative evaluation of Human Epidermal Growth Factor Receptor 2 Testing (HER2) by immunohistochemistry (IHC) uses the system recommended in the current ASCO/CAP Guidelines for Human Epidermal Growth Factor Receptor 2…
100%20 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

Pathology (Anatomic Pathology)
6750 W 52ND AVE
ARVADA, CO 80002
Registered Nurse (General Practice)
6750 W 52ND AVE
ARVADA, CO 80002
Pathology (Anatomic Pathology)
6750 W 52ND AVE
ARVADA, CO 80002
Nurse Practitioner
6750 W 52ND AVE
ARVADA, CO 80002
Family Medicine (Hospice and Palliative Medicine)
6750 W 52ND AVE
ARVADA, CO 80002
Pathology (Clinical Pathology/Laboratory Medicine)
6750 W 52ND AVE, SUITE F
ARVADA, CO 80002
Nurse Practitioner (Adult Health)
6750 W 52ND AVE
ARVADA, CO 80002
Behavior Analyst
6750 W 52ND AVE
ARVADA, CO 80002

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 Gailey's NPI number?

The NPI number for Michael Gailey is 1649435470. It was assigned to this individual provider in the NPPES registry on July 21, 2008.

Where is Michael Gailey located?

Michael Gailey practices at 6750 W 52nd Ave, Arvada, CO 80002. The listed phone number is (720) 898-3300.

What is Michael Gailey's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Anatomic Pathology & Clinical Pathology, with taxonomy code 207ZP0102X.

Is Michael Gailey enrolled in Medicare?

Yes. Michael Gailey 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 Gailey accept?

Health plans from Select Health list Michael Gailey 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 Gailey affiliated with any hospitals?

According to CMS data, Michael Gailey is affiliated with Utah Valley Hospital, Lds Hospital, Intermountain Medical Center, Logan Regional Hospital and St. George Regional Hospital.

When was this NPI record last updated?

The NPPES record for Michael Gailey was last updated on September 19, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.