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MICHAEL KEITH MIETZ PA
NPI 1689944779
Physician Assistant - Medical in Lakeport, CA

Active since January 05, 2012PECOS Enrolled
82.37/100
CMS Quality Rating
925 BEVINS COURT, LAKEPORT, CA 95453(707) 263-8383(707) 263-5019 Get Directions Write a Review

NPPES record last updated: October 31, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Michael Keith Mietz Pa NPPES

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

MICHAEL KEITH MIETZ PA (NPI 1689944779) is an individual medical provider in Lakeport, California, licensed in California (PA52485) and active in the NPI registry since January 2012. He is enrolled in Medicare PECOS and is a graduate of Other (2011).

NPPES Registry Identity

NPI1689944779
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameMICHAEL KEITH MIETZCredential: PA
Location Address925 BEVINS COURTLakeport, CA 95453-9754
Mailing Address925 Bevins CourtLakeport, CA 95453-9754 · (707) 263-8383 · Fax (707) 263-5019
Phone(707) 263-8383
Fax(707) 263-5019
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateJanuary 5, 2012
Last NPPES UpdateOctober 31, 2024
NPPES CertifiedOctober 31, 2024
✔ NPI 1689944779 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in CA · PA52485
Also ListedPhysician AssistantTaxonomy 363A00000X · License 015421 (NY)
925 BEVINS COURT, Lakeport, CA 95453
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Michael Keith Mietz Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9931366598
PECOS Enrollment IDI20150820011743
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 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.

82.37/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality84.58
Promoting Interoperability100
Improvement Activities40
Cost30.78

Referred Medical Equipment & Supplies CMS DME claims 12

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
7 suppliers42 claims118 services$6.25 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
7 suppliers15 claims21 services$1.10 avg. paid by Medicare
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable A7003
DME-Other DME · category DE000N
1 supplier13 claims22 services$1.91 avg. paid by Medicare
Powered pressure reducing mattress overlay/pad, alternating, with pump, includes heavy duty E0181
DME-Other DME · category DE000N
1 supplier17 claims17 services$15.27 avg. paid by Medicare
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260
DME-Hospital Beds · category DB000N
1 supplier27 claims27 services$63.13 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
3 suppliers64 claims64 services$18.58 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 5

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

DR. JAI GOO LEE DDS
Dentist
925 BEVINS COURT
LAKEPORT, CA 95453
Lake County (707) 263-8383
MS. TERRI L TURNER DO
Internal Medicine
925 BEVINS COURT
LAKEPORT, CA 95453
Lake County (707) 263-8383
LAWERENCE G CANNON DDS
Dentist (General Practice)
925 BEVINS COURT
LAKEPORT, CA 95453
Lake County (707) 263-8382
DR. ELIEZER MELENDEZ MD
Pediatrics
925 BEVINS COURT
LAKEPORT, CA 95453
Lake County (707) 263-8383
LORENA A WATSON FNP
Nurse Practitioner (Family)
925 BEVINS COURT
LAKEPORT, CA 95453
Lake County (707) 263-8383

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 Mietz's NPI number?

The NPI number for Michael Mietz is 1689944779. It was assigned to this individual provider in the NPPES registry on January 5, 2012.

Where is Michael Mietz located?

Michael Mietz practices at 925 Bevins Court, Lakeport, CA 95453. The listed phone number is (707) 263-8383.

What is Michael Mietz's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Michael Mietz enrolled in Medicare?

Yes. Michael Mietz is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Michael Mietz was last updated on October 31, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months 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.