MICHAEL J MANUEL M.D.
NPI 1801873641
Family Medicine in Findlay, OH

Active since December 22, 2005PECOS EnrolledAccepts Medicare Assignment
78.93/100
CMS Quality Rating
100 W PEARL ST, FINDLAY, OH 45840(419) 423-5309(419) 423-5376 Get Directions Write a Review

NPPES record last updated: January 19, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Michael J Manuel M.d. NPPES

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

MICHAEL J MANUEL M.D. (NPI 1801873641) is an individual family medicine provider in Findlay, Ohio, licensed in Ohio (35076304) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS, is affiliated with Mercy Health - Tiffin Hospital, and maintains a secondary practice location in Findlay.

NPPES Registry Identity

NPI1801873641
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameMICHAEL J MANUELCredential: M.D.
Location Address100 W PEARL STFindlay, OH 45840-1330
Mailing Address100 W Pearl StFindlay, OH 45840-1330 · (419) 423-5309 · Fax (419) 423-5376
Fax(419) 423-5376
Sole ProprietorNo
Medical School CMSUniversity Of Maryland School Of MedicineGraduated 1996
Enumeration DateDecember 22, 2005
Last NPPES UpdateJanuary 19, 2021
NPPES CertifiedJanuary 19, 2021
NPI 1801873641 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in OH · 35076304
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
100 W PEARL ST, Findlay, OH 45840

Secondary Practice Location 1

Location 11900 S Main StFindlay, OH 45840-1214 · Phone (419) 423-4500 · Fax (419) 423-5143

Other Identifiers 7

Other341131413EOH · Aultcare
Other02488800OH · Federal Black Lung
Medicaid2064591OH
OtherSUMMACAREOH · 615
OtherP00740244OH · Railroad Care
Other080192475OH · Railroad Medicare
Other000000127741OH · Anthem

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

Michael J Manuel M.d. 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 ID1850497223
PECOS Enrollment IDI20070501000321
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 19

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.
381 services127 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
251 services67 patients
Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional 99211
This service involves an outpatient visit for established patients who may not need direct interaction with a healthcare professional. It could include reviewing test results, monitoring existing conditions, or adjusting treatment plans. It's typically done remotely, ensuring your comfort and convenience.
196 services37 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.
181 services47 patients
Removal of skin and tissue, each additional 20.0 sq cm or less 11045
This procedure involves the removal of skin and tissue, typically due to disease, injury, or abnormal growth. Each session removes an area of 20.0 square cm or less. It's performed by a trained professional and may require multiple sessions for larger areas.
143 services17 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.
140 services63 patients

Hospital Affiliations CMS Care Compare 3

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

Mercy Health - Tiffin Hospital

Acute Care Hospitals · Tiffin, OH
5/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number360089
Location45 St Lawrence DriveTiffin, OH 44883 · Seneca County
Emergency services Birthing friendly

Blanchard Valley Hospital

Acute Care Hospitals · Findlay, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number360095
Location1900 South Main StreetFindlay, OH 45840 · Hancock County
Birthing friendly

Bluffton Hospital

Critical Access Hospitals · Bluffton, OH
OwnershipVoluntary non-profit - Private
CMS Certification Number361322
Location139 Garau StreetBluffton, OH 45817 · Allen County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45840 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
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
Most-billed visit code 99214
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.

78.93/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality75.78
Promoting Interoperability83
Improvement Activities40
Cost68.16

Reported Quality Measures

Advance Care Plan
50%161 patients3/55-star benchmark: 100%
Diabetes Mellitus: Diabetic Foot and Ankle Care, Peripheral Neuropathy - Neurological Evaluation
5%118 patients1/55-star benchmark: 100%
Diabetes Mellitus: Diabetic Foot and Ankle Care, Ulcer Prevention - Evaluation of Footwear
14%166 patients1/55-star benchmark: 100%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
90%115 patients1/55-star benchmark: 91%
Elder Maltreatment Screen and Follow-Up Plan
75%293 patients
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
18%433 patients1/55-star benchmark: 98%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
0%376 patients1/55-star benchmark: 97%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients screened: 72% · 396 patients
10%274 patients
Preventive Care and Screening: Unhealthy Alcohol Use: Screening & Brief Counseling
Patients screened: 51% · 396 patients
0%275 patients
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 0% · 104 patients
0%104 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 13

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

Collagen dressing, sterile, size 16 sq. in. or less, each A6021
DME-Medical/Surgical Supplies · category DA023N
3 suppliers19 claims378 services$20.14 avg. paid by Medicare
Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing A6196
DME-Medical/Surgical Supplies · category DA023N
4 suppliers34 claims777 services$6.89 avg. paid by Medicare
Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing A6212
DME-Medical/Surgical Supplies · category DA023N
4 suppliers60 claims730 services$8.74 avg. paid by Medicare
Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing A6219
DME-Medical/Surgical Supplies · category DA023N
4 suppliers68 claims1,926 services$0.93 avg. paid by Medicare
Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to three inches and less than five inches, per yard A6446
DME-Medical/Surgical Supplies · category DA023N
3 suppliers11 claims1,134 services$0.38 avg. paid by Medicare
Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape B4035
Other-Enteral and Parenteral · category OB006N
1 supplier21 claims402 services$7.68 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

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

Clinical Nurse Specialist (Adult Health)
100 W PEARL ST
FINDLAY, OH 45840

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 Manuel's NPI number?

The NPI number for Michael Manuel is 1801873641. It was assigned to this individual provider in the NPPES registry on December 22, 2005.

Where is Michael Manuel located?

Michael Manuel practices at 100 W Pearl St, Findlay, OH 45840. The listed phone number is (419) 423-5309.

What is Michael Manuel's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Michael Manuel enrolled in Medicare?

Yes. Michael Manuel 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 Manuel accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 2 other insurers list Michael Manuel 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 Manuel affiliated with any hospitals?

According to CMS data, Michael Manuel is affiliated with Mercy Health - Tiffin Hospital, Blanchard Valley Hospital and Bluffton Hospital.

When was this NPI record last updated?

The NPPES record for Michael Manuel was last updated on January 19, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.