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MICHELLE DORAN DO
NPI 1669600581
Obstetrics & Gynecology in Essexville, MI

Active since June 30, 2009PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
1458 W CENTER RD, SUITE 1, ESSEXVILLE, MI 48732(989) 895-4625(989) 895-4626 Get Directions Write a Review

NPPES record last updated: January 10, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Michelle Doran Do NPPES

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

MICHELLE DORAN DO (NPI 1669600581) is an individual obstetrics & gynecology provider in Essexville, Michigan, licensed in Michigan (5101018404) and active in the NPI registry since June 2009. She is enrolled in Medicare PECOS, is affiliated with Lakeland Hospital, St Joseph, and is a graduate of Michigan State University College Of Osteopathic Medicine (2009).

NPPES Registry Identity

NPI1669600581
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameMICHELLE DORANCredential: DO
Location Address1458 W CENTER RD, SUITE 1Essexville, MI 48732-2151
Mailing Address401 S Ballenger HwyFlint, MI 48532-3638 · (810) 342-1000 · Fax (810) 342-1590
Phone(989) 895-4625
Fax(989) 895-4626
Sole ProprietorNo
Medical School CMSMichigan State University College Of Osteopathic MedicineGraduated 2009
Enumeration DateJune 30, 2009
Last NPPES UpdateJanuary 10, 2018
✔ NPI 1669600581 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in MI · 5101018404
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
Also ListedFamily MedicineTaxonomy 207Q00000X · License 5101018404 (MI)
1458 W CENTER RD, Essexville, MI 48732
Open in Google Maps ↗

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

Michelle Doran 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 ID8820357635
PECOS Enrollment IDI20180123002753
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

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 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.
34 services23 patients

Hospital Affiliations CMS Care Compare

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

Lakeland Hospital, St Joseph

Acute Care Hospitals · St Joseph, MI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230021
Location1234 Napier AvenueSt Joseph, MI 49085 · Berrien County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48732 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
$126.15 typical visit price
range $54.34 – $166.68
Typical copayment $31.53 (range $13.58 – $41.67)
Most-billed visit code 99204
Established Patient
$68.07 typical visit price
range $17.09 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
Most-billed visit code 99213
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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality87.54
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 7

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

AMY MARKER DO
Family Medicine
1458 W CENTER RD, SUITE 1
ESSEXVILLE, MI 48732
Bay County (989) 895-4625
JILL ANN COVYEOU PHARMD
Pharmacist
1458 W CENTER RD
ESSEXVILLE, MI 48732
Bay County (989) 895-4839
JOHN A EMOND PA
Physician Assistant
1458 W CENTER RD, SUITE 2
ESSEXVILLE, MI 48732
Bay County (989) 895-4860
EUCLID MEDICAL GROUP P.C.
Family Medicine
1458 W CENTER RD
ESSEXVILLE, MI 48732
Bay County (989) 895-4860
STEVEN BRENNAN DO
Family Medicine
1458 W CENTER RD, SUITE 1
ESSEXVILLE, MI 48732
Bay County (989) 895-4625
MR. VAUGHN JERRY BEGICK PHYSICIAN ASSISTANT
Physician Assistant
1458 W CENTER RD
ESSEXVILLE, MI 48732
Bay County (989) 895-4860
JESSICA GIBSON DO
Family Medicine
1458 W CENTER RD
ESSEXVILLE, MI 48732
Bay County (989) 895-4625

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 Michelle Doran's NPI number?

The NPI number for Michelle Doran is 1669600581. It was assigned to this individual provider in the NPPES registry on June 30, 2009.

Where is Michelle Doran located?

Michelle Doran practices at 1458 W Center Rd Suite 1, Essexville, MI 48732. The listed phone number is (989) 895-4625.

What is Michelle Doran's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Michelle Doran enrolled in Medicare?

Yes. Michelle Doran 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 Michelle Doran accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 2 other insurers list Michelle Doran 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 Michelle Doran affiliated with any hospitals?

According to CMS data, Michelle Doran is affiliated with Lakeland Hospital, St Joseph.

When was this NPI record last updated?

The NPPES record for Michelle Doran was last updated on January 10, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.