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MICHAEL EVAN MAWHORTER MD
NPI 1801354709
Urology in Parma, OH

Active since March 10, 2019PECOS EnrolledAccepts Medicare Assignment
6681 RIDGE RD, PARMA, OH 44129(216) 983-1796(216) 844-1900 Get Directions Write a Review

NPPES record last updated: August 12, 2024. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Aug 12, 2024, Mar 10, 2019 (2 updates tracked since 2019).

About Michael Evan Mawhorter Md NPPES

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

MICHAEL EVAN MAWHORTER MD (NPI 1801354709) is an individual urology provider in Parma, Ohio, licensed in Ohio (35.151120) and active in the NPI registry since March 2019. He is enrolled in Medicare PECOS, is affiliated with Parma Community General Hospital, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1801354709
Entity TypeIndividualMale
Primary Taxonomy208800000X
Provider Legal NameMICHAEL EVAN MAWHORTERCredential: MD
Location Address6681 RIDGE RDParma, OH 44129-5713
Mailing Address6681 Ridge Rd Ste 410Parma, OH 44129-5745 · (216) 983-1796 · Fax (216) 844-1900
Phone(216) 983-1796
Fax(216) 844-1900
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateMarch 10, 2019
Last NPPES UpdateAugust 12, 20242 updates tracked since enumeration
NPPES CertifiedAugust 12, 2024
✔ NPI 1801354709 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
License✔ Licensed in OH · 35.151120
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
6681 RIDGE RD, Parma, OH 44129
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

Michael Evan Mawhorter Md 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 ID9830426568
PECOS Enrollment IDI20240801000357
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 7

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.

Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
44 services41 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
29 services29 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.
19 services18 patients
Ultrasound measurement of bladder capacity after voiding 51798
Ultrasound measurement of bladder capacity after voiding is a non-invasive test that uses sound waves to create images of your bladder. It's done after you've emptied your bladder to see if there's any leftover urine, which can help diagnose certain conditions.
18 services16 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
13 services13 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.
13 services13 patients

Hospital Affiliations CMS Care Compare 4

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

Parma Community General Hospital

Acute Care Hospitals · Parma, OH
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360041
Location7007 Powers BoulevardParma, OH 44129 · Cuyahoga County

Uh St John Medical Center

Acute Care Hospitals · Westlake, OH
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360123
Location29000 Center Ridge RoadWestlake, OH 44145 · Cuyahoga County
Emergency services

Uh Cleveland Medical Center

Acute Care Hospitals · Cleveland, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360137
Location11100 Euclid AvenueCleveland, OH 44106 · Cuyahoga County
Emergency services Birthing friendly

University Hospitals - Elyria Medical Center

Acute Care Hospitals · Elyria, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360145
Location630 East River StreetElyria, OH 44035 · Lorain County

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 44129 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
$126.12 typical visit price
range $54.34 – $166.65
Typical copayment $31.53 (range $13.58 – $41.66)
Most-billed visit code 99204
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.

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.

DANIELA SUSOIU TCACIUC MD
Internal Medicine
6681 RIDGE RD, SUITE 400
PARMA, OH 44129
Cuyahoga County (440) 743-2450
MOLLY KUBALSKI PT, DPT, NCS
Physical Therapist
6681 RIDGE RD
PARMA, OH 44129
Cuyahoga County (440) 743-4582
DANIELA SUSOIU TCACIUC INC
Internal Medicine
6681 RIDGE RD, SUITE 400
PARMA, OH 44129
Cuyahoga County (440) 743-2450
MOHAN J DURVE, MD INC
Specialist
6681 RIDGE RD, 305
PARMA, OH 44129
Cuyahoga County (440) 845-7272
DR. WILLIAM EDWARD CROWE M.D.
Internal Medicine (Rheumatology)
6681 RIDGE RD, SUITE 204
PARMA, OH 44129
Cuyahoga County (440) 743-2424
SOUTHWEST OBSTETRICS AND GYNECOLOGY INC
Specialist
6681 RIDGE RD, SUITE 206
PARMA, OH 44129
Cuyahoga County (440) 886-4477
DOMINIC ROCCO RAMICONE ATC
Specialist/Technologist (Athletic Trainer)
6681 RIDGE RD
PARMA, OH 44129
Cuyahoga County (440) 743-4025
CONLETH MARIE CROWLEY CROTSER MD
Pediatrics
6681 RIDGE RD, SUITE 205
PARMA, OH 44129
Cuyahoga County (440) 842-9873

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 Mawhorter's NPI number?

The NPI number for Michael Mawhorter is 1801354709. It was assigned to this individual provider in the NPPES registry on March 10, 2019.

Where is Michael Mawhorter located?

Michael Mawhorter practices at 6681 Ridge Rd, Parma, OH 44129. The listed phone number is (216) 983-1796.

What is Michael Mawhorter's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Is Michael Mawhorter enrolled in Medicare?

Yes. Michael Mawhorter 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 Mawhorter accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Antidote Health Plan of Ohio, Inc. and CareSource and 1 other insurer list Michael Mawhorter 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 Mawhorter affiliated with any hospitals?

According to CMS data, Michael Mawhorter is affiliated with Parma Community General Hospital, Uh St John Medical Center, Uh Cleveland Medical Center and University Hospitals - Elyria Medical Center.

When was this NPI record last updated?

The NPPES record for Michael Mawhorter was last updated on August 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.