DR. JEFFREY ADDISON MICHAEL D.P.M
NPI 1760855852
Podiatrist in Alliance, OH

Active since November 11, 2015PECOS EnrolledAccepts Medicare Assignment
94.1/100
CMS Quality Rating
200 E STATE ST, ATTN PODIATRY RESIDENTS, ALLIANCE, OH 44601(330) 596-6000(330) 596-7752 Get Directions Write a Review

NPPES record last updated: April 6, 2022. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Apr 6, 2022, Jan 9, 2021, Nov 11, 2015 (3 updates tracked since 2015).

About Dr. Jeffrey Addison Michael D.p.m NPPES

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

DR. JEFFREY ADDISON MICHAEL D.P.M (NPI 1760855852) is an individual podiatrist in Alliance, Ohio, licensed in West Virginia (10455) and active in the NPI registry since November 2015. He is enrolled in Medicare PECOS, is affiliated with United Hospital Center, Inc, and maintains a secondary practice location in Alliance.

NPPES Registry Identity

NPI1760855852
Entity TypeIndividualMale
Primary Taxonomy213E00000X
Provider Legal NameDR. JEFFREY ADDISON MICHAELCredential: D.P.M
Location Address200 E STATE ST, ATTN PODIATRY RESIDENTSAlliance, OH 44601
Mailing Address1 Amalia DrBuckhannon, WV 26201-2239 · (304) 473-2000 · Fax (304) 473-2057
Fax(330) 596-7752
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateNovember 11, 2015
Last NPPES UpdateApril 6, 20223 updates tracked since enumeration
NPPES CertifiedApril 6, 2022
NPI 1760855852 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPodiatristPodiatric Medicine & Surgery Service Providers
Taxonomy Code213E00000X
License Licensed in WV · 10455
Definition
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
Also ListedPodiatrist · Foot & Ankle SurgeryTaxonomy 213ES0103X · License 59.000578 (OH)
200 E STATE ST, Alliance, OH 44601

Secondary Practice Location 1

Location 1200 E State St, ATTN PODIATRY RESIDENTSAlliance, OH 44601-4936 · Phone (330) 596-6000 · Fax (330) 596-7752

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. Jeffrey Addison Michael D.p.m 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 ID1951657600
PECOS Enrollment IDI20180710003800
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 8

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 fingernails or toenails, 6 or more nails 11721
This procedure involves the removal of six or more fingernails or toenails. It's typically done to treat severe nail infections, persistent pain, or abnormal nail growth. Local anesthesia is used to minimize discomfort. Healing usually takes a few weeks.
322 services115 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.
238 services121 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.
60 services41 patients
Removal of skin and tissue, 20.0 sq cm or less 11042
This procedure involves the surgical removal of skin and tissue, up to 20.0 square cm in size. It's often performed to treat conditions like skin cancer or to remove moles, warts, and other skin lesions. The area is numbed and the unwanted tissue is carefully cut out.
58 services18 patients
Removal of noncancer thickened skin growth, 1 growth 11055
This procedure involves the removal of a thickened skin growth that is not cancerous. A healthcare professional will safely extract the growth, usually under local anesthesia. This process helps maintain skin health and prevent potential complications.
51 services31 patients
Removal of noncancer thickened skin growth, 2-4 growths 11056
This procedure involves the safe removal of 2-4 noncancerous thickened skin growths. It's typically done under local anesthesia. The process helps to alleviate discomfort and prevent potential complications. It's a standard, low-risk procedure.
25 services15 patients

Hospital Affiliations CMS Care Compare 3

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

United Hospital Center, Inc

Acute Care Hospitals · Bridgeport, WV
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number510006
Location327 Medical Park DriveBridgeport, WV 26330 · Harrison County
Emergency services Birthing friendly

Braxton County Memorial Hospital, Inc

Critical Access Hospitals · Gassaway, WV
OwnershipVoluntary non-profit - Private
CMS Certification Number511308
Location100 Hoylman DriveGassaway, WV 26624 · Braxton County
Emergency services

St Joseph's Hospital Of Buckhannon, Inc

Critical Access Hospitals · Buckhannon, WV
OwnershipVoluntary non-profit - Private
CMS Certification Number511321
Location1 Amalia DriveBuckhannon, WV 26201 · Upshur County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 44601 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$68.07 typical visit price
range $17.10 – $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.

94.1/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality78.46
Promoting Interoperability100
Improvement Activities40

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 (Family)
200 E STATE ST
ALLIANCE, OH 44601
Registered Nurse
200 E STATE ST
ALLIANCE, OH 44601
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
200 E STATE ST
ALLIANCE, OH 44601
Pharmacist
200 E STATE ST
ALLIANCE, OH 44601
Emergency Medicine
200 E STATE ST
ALLIANCE, OH 44601
Physician Assistant
200 E STATE ST
ALLIANCE, OH 44601
Nurse Practitioner (Family)
200 E STATE ST
ALLIANCE, OH 44601
Internal Medicine
200 E STATE ST
ALLIANCE, OH 44601

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 Jeffrey Michael's NPI number?

The NPI number for Jeffrey Michael is 1760855852. It was assigned to this individual provider in the NPPES registry on November 11, 2015.

Where is Jeffrey Michael located?

Jeffrey Michael practices at 200 E State St Attn Podiatry Residents, Alliance, OH 44601. The listed phone number is (330) 596-6000.

What is Jeffrey Michael's specialty?

The primary specialty registered for this NPI is Podiatrist with taxonomy code 213E00000X.

Is Jeffrey Michael enrolled in Medicare?

Yes. Jeffrey Michael 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 Jeffrey Michael accept?

Health plans from CareSource, Highmark Blue Cross Blue Shield West Virginia and Molina Healthcare list Jeffrey Michael 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 Jeffrey Michael affiliated with any hospitals?

According to CMS data, Jeffrey Michael is affiliated with United Hospital Center, Inc, Braxton County Memorial Hospital, Inc and St Joseph's Hospital Of Buckhannon, Inc.

When was this NPI record last updated?

The NPPES record for Jeffrey Michael was last updated on April 6, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.