DR. MICHAEL W WESTFALL DO
NPI 1659323061
Emergency Medicine in Michigan City, IN

Active since May 16, 2006PECOS EnrolledAccepts Medicare Assignment
81.12/100
CMS Quality Rating
3500 FRANCISCAN WAY, MICHIGAN CITY, IN 46360(219) 879-8511 Get Directions Write a Review

NPPES record last updated: March 25, 2021. Verified against the NPPES registry weekly; last sync: September 20, 2026.

About Dr. Michael W Westfall Do NPPES

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

DR. MICHAEL W WESTFALL DO (NPI 1659323061) is an individual emergency medicine provider in Michigan City, Indiana, licensed in Indiana (02002226A) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Franciscan Health Michigan City, and is a graduate of Midwestern University, Chicago College Of Osteopathic Med (1998).

NPPES Registry Identity

NPI1659323061
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameDR. MICHAEL W WESTFALLCredential: DO
Location Address3500 FRANCISCAN WAYMichigan City, IN 46360-0021
Mailing Address2560 Heritage WayStevensville, MI 49127-8750 · (269) 422-6109
Sole ProprietorNo
Medical School CMSMidwestern University, Chicago College Of Osteopathic MedGraduated 1998
Enumeration DateMay 16, 2006
Last NPPES UpdateMarch 25, 2021
NPPES CertifiedMarch 25, 2021
NPI 1659323061 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
Licenses Licensed in IN · 02002226A Licensed in WI · 65110
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
Also ListedEmergency Medicine · Emergency Medical ServicesTaxonomy 207PE0004X · License 015555 (MI)
3500 FRANCISCAN WAY, Michigan City, IN 46360

Other Identifiers 4

Medicaid4687390MI
Medicaid4714998MI
Medicaid4720645MI
OtherMW015555MI · Bc/bs

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 W Westfall Do 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 ID8325003874
PECOS Enrollment IDI20170424001562
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 4

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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
183 services178 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
139 services135 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
52 services51 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
12 services11 patients

Hospital Affiliations CMS Care Compare 2

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

Franciscan Health Michigan City

Acute Care Hospitals · Michigan City, IN
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number150015
Location3500 Franciscan WayMichigan City, IN 46360 · La Porte County
Emergency services Birthing friendly

Northwest Health - Porter

Acute Care Hospitals · Valparaiso, IN
3/5 CMS rating
OwnershipProprietary
CMS Certification Number150035
Location85 East Us Hwy 6Valparaiso, IN 46383 · Porter County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46360 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.

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.

81.12/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality72.83
Improvement Activities40

Reported Quality Measures

Avoidance of Antibiotic Treatment in Adults With Acute Bronchitis
The percentage of adults 18-64 years of age with a diagnosis of acute bronchitis who were not prescribed or dispensed an antibiotic prescription
39%23 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.

Nurse Practitioner
3500 FRANCISCAN WAY
MICHIGAN CITY, IN 46360
Nurse Practitioner (Family)
3500 FRANCISCAN WAY
MICHIGAN CITY, IN 46360
Psychiatric Unit
3500 FRANCISCAN WAY
MICHIGAN CITY, IN 46360
Pharmacist
3500 FRANCISCAN WAY, PHARMACY
MICHIGAN CITY, IN 46360
Registered Nurse
3500 FRANCISCAN WAY
MICHIGAN CITY, IN 46360
Nurse Practitioner
3500 FRANCISCAN WAY
MICHIGAN CITY, IN 46360
Hospitalist
3500 FRANCISCAN WAY
MICHIGAN CITY, IN 46360
Hospitalist
3500 FRANCISCAN WAY
MICHIGAN CITY, IN 46360

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 Westfall's NPI number?

The NPI number for Michael Westfall is 1659323061. It was assigned to this individual provider in the NPPES registry on May 16, 2006.

Where is Michael Westfall located?

Michael Westfall practices at 3500 Franciscan Way, Michigan City, IN 46360. The listed phone number is (219) 879-8511.

What is Michael Westfall's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Michael Westfall enrolled in Medicare?

Yes. Michael Westfall 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 Westfall accept?

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

According to CMS data, Michael Westfall is affiliated with Franciscan Health Michigan City and Northwest Health - Porter.

When was this NPI record last updated?

The NPPES record for Michael Westfall was last updated on March 25, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.