DR. MICHAEL RAYMOND FOLEY M.D.
NPI 1780977892
Anesthesiology in Dallas, TX


Quality Rating: 64.57 out of 100 score

NPI Status: Active since May 23, 2011

Contact Information

12222 MERIT DR STE 600
DALLAS, TX
ZIP 75251
Phone: (972) 715-5000
Fax: (972) 715-9976

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  • Individual
  • Male
  • Years of Experience 15
  • Anesthesiology
  • Accepts Insurance
  • Accepts Medicare Approved Payment
  • PECOS Enrolled

About MICHAEL FOLEY

This page provides the complete NPI Profile along with additional information for Michael Foley, an anesthesiologist established in Dallas, Texas with a medical specialization in Anesthesiology and more than 15 years of experience. He graduated from University Of Wisconsin School Of Medicine in 2011. The healthcare provider is registered in the NPI registry with number 1780977892 assigned on May 2011. The practitioner's primary taxonomy code is 207L00000X with license number Q8055 (TX). The provider is registered as an individual and his NPI record was last updated 3 years ago.

NPI
1780977892
Provider Name
DR. MICHAEL RAYMOND FOLEY M.D.
Gender
Male
Entity Type
Individual
Location Address
12222 MERIT DR STE 600 DALLAS, TX 75251
Location Phone
(972) 715-5000
Location Fax
(972) 715-9976
Mailing Address
PO BOX 840853 DALLAS, TX 75284
Mailing Phone
(972) 233-1999
Mailing Fax
(972) 715-9976
Medical School Name
UNIVERSITY OF WISCONSIN SCHOOL OF MEDICINE
Graduation Year
2011
Is Sole Proprietor?
No
Enumeration Date
05-23-2011
Last Update Date
06-01-2022
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An anesthesiologist like Michael Foley manages the care of surgical patients and pain relief through drug administration that reduces or eliminates pain during an operation, medical procedure or during labor and delivery of babies. During surgical procedures anesthesiologists are responsible for adjusting the amount of anesthetic, monitoring the patient's heart rate, body temperature, blood pressure and breathing.

Location Map

Secondary Locations

  • 3705 Medical Pkwy SUITE 570
    Austin, TX 78705
    (512) 454-2554

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Anesthesiology

Taxonomy Code
207L00000X
Type
Allopathic & Osteopathic Physicians
License No.
Q8055
License State
TX
Taxonomy Description
An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1390200000XStudent, Health Care

Student in an Organized Health Care Education/Training Program

(MA)

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Blue Advantage Bronze HMO? 204 - HMO
  • Blue Advantage Bronze HMO? 301 - HMO
  • Blue Advantage Bronze HMO? Standard - HMO
  • Blue Advantage Gold HMO? 206 - HMO
  • Blue Advantage Gold HMO? 603 - HMO
  • Blue Advantage Gold HMO? Standard - HMO
  • Blue Advantage Plus Bronze? 303 - POS
  • Blue Advantage Plus Bronze? 305 - POS
  • Blue Advantage Plus Bronze? Standard - POS
  • Blue Advantage Plus Gold? 203 - POS
  • Blue Advantage Plus Gold? 803 - POS
  • Blue Advantage Plus Gold? Standard - POS
  • Blue Advantage Plus Silver? 202 - POS
  • Blue Advantage Plus Silver? 605 - POS
  • Blue Advantage Plus Silver? Standard - POS
  • Blue Advantage Security HMO? 200 - HMO
  • Blue Advantage Silver HMO? 205 - HMO
  • Blue Advantage Silver HMO? 801 - HMO
  • Blue Advantage Silver HMO? Standard - HMO
  • MyBlue Health Bronze? 402 - HMO
  • Bronze Classic 4700 - EPO
  • Bronze Classic Standard - EPO
  • Bronze Elite + PCP Saver Plus - EPO
  • Gold Classic - EPO
  • Gold Classic Standard - EPO
  • Gold Elite - EPO
  • Silver Classic - EPO
  • Silver Classic Standard - EPO
  • Silver Simple PCP Saver - EPO
  • Sendero Health Austin512 Silver / $40 PCP / $75 Specialist / $15 Generic Drugs / $0 Deductible - HMO
  • Sendero Health Capital Silver / $40 PCP / $80 Specialist / $20 Generic Drugs - HMO
  • Sendero Health Hill Country Gold / $30 PCP / $60 Specialist / $15 Generic Drugs - HMO
  • Sendero Health Original Silver / $20 PCP + 2 $0 PCP Visits / $10 Generic Drugs - HMO
  • Sendero Health Preferred Bronze / $25 PCP / $75 Specialist / $22 Generic Drugs - HMO
  • Sendero Health Quality Care Bronze High Deductible / $50 PCP / $25 Generic Drugs / $100 Specialist - HMO
  • Sendero Health Real Gold / $350 Deductible - HMO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Medicare Participation & PECOS Enrollment Status

Michael Foley is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

Michael Foley is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 5294029807

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20160804001120

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Anesthesia for other procedure on lower abdomen

Anesthesia for a lower abdomen procedure involves medication to eliminate pain during surgery. You might be awake but relaxed and pain-free, or you may be completely unconscious. It's administered to ensure comfort and safety throughout the operation.

This service was performed 11 times for 11 patients

Anesthesia for procedure for total knee joint replacement

Anesthesia for a total knee joint replacement numbs your body to eliminate pain during surgery. This could be general anesthesia where you're unconscious, or regional anesthesia where only the leg is numb. It's administered by a specialist, ensuring safety and comfort.

This service was performed 12 times for 12 patients

Injection by continuous infusion of anesthetic agent and/or steroid into thigh nerve

This procedure involves the slow, steady delivery of a medication into your thigh nerve. An anesthetic agent or steroid is used to manage pain or inflammation. It's a safe, effective way to deliver medication directly to the area that needs it.

This service was performed 15 times for 15 patients

Insertion of artery tube for blood sampling or infusion through skin

This procedure involves placing a small tube into an artery, usually in the wrist or elbow, to collect blood samples or administer medication. It's done under local anesthesia and is a common, safe practice.

This service was performed 21 times for 21 patients

Ultrasonic guidance for blood vessel access

Ultrasonic guidance for blood vessel access is a medical procedure where sound waves are used to create images of your blood vessels. This helps doctors to accurately locate and access the vessels for treatments or tests, ensuring safety and precision.

This service was performed 14 times for 11 patients

Ultrasonic guidance for needle placement

Ultrasonic guidance for needle placement is a technique where sound waves create images that help accurately position the needle during procedures. This method ensures precision, minimizes discomfort, and increases safety.

This service was performed 21 times for 21 patients

Overall MIPS Quality Performance

The provider participated in CMS Quality Payment Program under the Merit-based Incentive Payment System (MIPS) and has an overall final score of 64.57, based on four performance areas: quality, improvement activities, promoting interoperability, and cost. The purpose of this information is to help people with Medicare make informed decisions and incentivize doctors and clinicians to maximize performance.

The Merit-based Incentive Payment System (MIPS) is a way providers could use to participate in CMS Quality Payment Program (QPP). The MIPS program affects clinician reimbursement for Part B covered professional services and also rewards them for improving the quality of patient care and outcomes.

  • Final Score: 64.57 out of 100

    The MIPS program evaluates providers across multiple categories with a specific weight for each category resulting a in a MIPS final score that ranges from 0 to 100 points. The MIPS Final Score determines whether providers receive a negative, neutral or positive MIPS payment adjustment.

  • Quality Score: 80.01

    The Quality category assesses providers performance on clinical practices and patient outcomes under the traditional MIPS program. The quality measures help identify the quality of healthcare processes, outcomes, and patient experiences. The Quality measure category compromises 40% providers final MPIS scores.

    There are six collection types for MIPS quality measures: Electronic Clinical Quality Measures (eCQMs), MIPS Clinical Quality Measures (CQMs), Qualified Clinical Data Registry (QCDR) Measures, Medicare Part B claims measures, CMS Web Interface measures and The Consumer Assessment of Healthcare Providers and Systems (CAHPS) for MIPS Survey.

  • Promoting Interoperability Score: N/A

    The Interoperability category measures the providers ability to use technology to exchange and make use of healthcare information in a way that is less burdensome and improves outcomes. The Interoperability measure category compromises 25% providers final MPIS scores.

    The MIPS Interoperability measure focuses on the use of certified electronic health record technology (CEHRT) to improve patient access health information, the exchange of information between clinicians and pharmacies and the systematic collection, analysis, and interpretation of healthcare data.

  • Improvement Activities Score: 40

    The Improvement Activities performance category evaluates the providers participation in clinical activities that support the improvement of clinical practice, care delivery, and outcomes. Providers have the option to choose 2 to 4 activities from an inventory of over 100 improvement activities. Providers typically choose the activities that best fit their needs. The improvement activities measure category compromises 15% providers final MPIS scores.

    The Improvement measures aim to better patient engagement, patient safety and other areas of patient care. The Improvement Activities category compromises 15% of providers final MPIS scores.

  • Cost Score: 14.5

    The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.

    Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores.

  • Cost Score: 14.5

    The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.

    Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores.

Find Provider Hospital Affiliations - Privileges

Doctors and physicians must apply for hospital privileges to treat patients at hospitals. Find out if your doctor has privileges to practice at your preferred hospital by using the hospital affiliation information below based on recent medical claims.

Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Michael Foley is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type Overall Rating
ASCENSION SETON MEDICAL CENTER AUSTIN1201 W 38TH ST
AUSTIN, TX 78705
(512) 324-1000Acute Care Hospitals
ASCENSION SETON HAYS6001 KYLE PKWY
KYLE, TX 78640
(512) 324-5000Acute Care Hospitals

Reviews for DR. MICHAEL RAYMOND FOLEY M.D.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1780977892
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2716018714818
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 1 + 6 + 0 + 1 + 8 + 7 + 1 + 4 + 8 + 1 + 8 + 24 = 78
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 78 = 22

The NPI number 1780977892 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

CRYSTAL ANN SPEARS CRNA

Nurse Anesthetist, Certified Registered

12222 MERIT DR STE 600
DALLAS, TX
ZIP 75251

(972) 715-5000

FRANCIS MICHAEL MASTRANGELO CRNA

Nurse Anesthetist, Certified Registered

12222 MERIT DR STE 600
DALLAS, TX
ZIP 75251

(972) 715-5000

OLUWATOSIN OSHOBA

Nurse Anesthetist, Certified Registered

12222 MERIT DR STE 600
DALLAS, TX
ZIP 75251

(972) 715-5000

BOBBY YOUNG KWON MD

Anesthesiology

12222 MERIT DR STE 600
DALLAS, TX
ZIP 75251

(972) 715-5000

JARROD L. ADCOCK M.D.

Anesthesiology

12222 MERIT DR STE 600
DALLAS, TX
ZIP 75251

(972) 715-5000

ALLYSON LEMAY MD

Anesthesiology

12222 MERIT DR STE 600
DALLAS, TX
ZIP 75251

(972) 715-5000

THOMAS ADAMS MD

Anesthesiology

12222 MERIT DR STE 600
DALLAS, TX
ZIP 75251

(972) 715-5000

DR. DANIEL M BITNER I M.D.

Anesthesiology

12222 MERIT DR STE 600
DALLAS, TX
ZIP 75251

(972) 715-5000

JARED BROWN

Anesthesiology

12222 MERIT DR STE 600
DALLAS, TX
ZIP 75251

(972) 715-5000

VIDELS BOBBY MECHA CRNA

Nurse Anesthetist, Certified Registered

12222 MERIT DR STE 600
DALLAS, TX
ZIP 75251

(972) 715-5000

MEGAN ANN SUAREZ MAS CRNA

Nurse Anesthetist, Certified Registered

12222 MERIT DR STE 600
DALLAS, TX
ZIP 75251

(972) 715-5000

LAUREN ASHLEY SPEARS CRNA

Nurse Anesthetist, Certified Registered

12222 MERIT DR STE 600
DALLAS, TX
ZIP 75251

(972) 715-5000

MS. CRYSTAL TEAL ADAMS M.D.

Anesthesiology

12222 MERIT DR STE 600
DALLAS, TX
ZIP 75251

(972) 715-5000

DR. JOHN ADAM COLQUITT MD

Anesthesiology

12222 MERIT DR STE 600
DALLAS, TX
ZIP 75251

(972) 715-5000

CHANDER SHEKHAR MISHRA MD

Anesthesiology

12222 MERIT DR STE 600
DALLAS, TX
ZIP 75251

(972) 715-5000

DR. CESAR DAVID VIRELLA M.D.

Anesthesiology

12222 MERIT DR STE 600
DALLAS, TX
ZIP 75251

(972) 715-5000

KAREN VIRGINIA WATKINS CRNA

Nurse Anesthetist, Certified Registered

12222 MERIT DR STE 600
DALLAS, TX
ZIP 75251

(972) 715-5000

DR. JAY BENNETT JAFFEE M.D.

Anesthesiology

12222 MERIT DR STE 600
DALLAS, TX
ZIP 75251

(972) 715-5000

TAYLOR ROSS LAMBERT CRNA

Nurse Anesthetist, Certified Registered

12222 MERIT DR STE 600
DALLAS, TX
ZIP 75251

(972) 715-5000

NINETTA MARIE BOND M.D.

Anesthesiology

12222 MERIT DR STE 600
DALLAS, TX
ZIP 75251

(972) 715-5000

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1780977892, enumerated as an "individual" on May 23, 2011.

The provider is located at 12222 MERIT DR STE 600 DALLAS, TX 75251 and the phone number is (972) 715-5000.

Anesthesiology with taxonomy code 207L00000X.

The provider might be accepting Accepts: Blue Cross and Blue Shield of Texas, Oscar. Please consult your insurance carrier or call the provider to verify.

Michael Foley is affiliated with: ASCENSION SETON MEDICAL CENTER AUSTIN and ASCENSION SETON HAYS.