DR. MICHELLE MACKEY-SAWYER M.D NPI 1801891163

Family Medicine in Broadview Hts, OH

Individual Female Years of Experience 28 Family Medicine PECOS Enrolled Accepts Medicare Approved Payment

About DR. MICHELLE MACKEY-SAWYER M.D

Michelle Mackey-sawyer is a primary care provider established in Broadview Hts, Ohio and her medical specialization is Family Medicine with more than 28 years of experience. She graduated from Ohio State University College Of Medicine in 1995. The NPI number of Michelle Mackey-sawyer is 1801891163 and was assigned on June 2005. The practitioner's primary taxonomy code is 207Q00000X with license number 35071211 (OH). The provider is registered as an individual and her NPI record was last updated 11 years ago.

A primary care provider (PCP) like Dr. Michelle Mackey-sawyer M.d sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc

NPI

1801891163

Provider NameDR. MICHELLE MACKEY-SAWYER M.D
Provider Location Address2001 E ROYALTON RD BROADVIEW HTS, OH 44147
Provider Mailing Address2001 E ROYALTON RD BROADVIEW HTS, OH 44147
GenderFemale
NPI Entity TypeIndividual
Medical School NameOHIO STATE UNIVERSITY COLLEGE OF MEDICINE
Graduation Year1995
Is Sole Proprietor?No
Enumeration Date06-14-2005
Last Update Date09-09-2011



Michelle Mackey-sawyer 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.

Michelle Mackey-sawyer is registered with Medicare and accepts claims assignment, this means the provider accepts Medicare's approved amount for the cost of rendered services as full payment. Participating providers may not charge Medicare beneficiaries more than Medicare's approved amount for their services. Medicare beneficiaries still have to pay a coinsurance or copayment amount for a visit or service. According to Medicare claims data she has hospital affiliations with Cleveland Clinic, University Hospitals Of Cleveland, Marymount Hospital, Southwest General Health Center and Akron General Medical Center.

The typical physician office visit costs for Medicare beneficiaries in this area are: $21.93 for a new patient copayment and $25.3 for an established patient copayment.



Primary Taxonomy

Taxonomy Code207Q00000X
ClassificationFamily Medicine
TypeAllopathic & Osteopathic Physicians
License No.35071211
License StateOH
Taxonomy DescriptionFamily 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.

Business Address

DR. MICHELLE MACKEY-SAWYER M.D
2001 E ROYALTON RD
BROADVIEW HTS, OH
ZIP 44147
Phone: (440) 717-6100
Fax: (440) 546-1382

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Mailing Address

DR. MICHELLE MACKEY-SAWYER M.D
2001 E ROYALTON RD
BROADVIEW HTS, OH
ZIP 44147
Phone: (440) 717-6100
Fax: (440) 546-1382


PECOS Enrollment and Medicare Participation

What is PECOS?
PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.

Registered in PECOS? Yes
PECOS PAC ID5294870796
PECOS Enrollment IDI20100309000350
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 order / refer Part B Clinical Laboratory and ImagingYes
Eligible order / refer Durable Medical EquipmentYes
Eligible order / refer Home Health Agency (HHA)Yes
Eligible order / refer Power Mobility DevicesYes

Physician Office Visit Costs

The provider accepts as payment the Medicare approved amount. Medicare beneficiaries should not be billed for more than the Medicare deductible and coinsurance amounts. Medicare pricing is usually a reference point for private insurance covered patients. The prices below reflect the costs for new and established patients in the 44147 ZIP code area.

New Patients Office Visits Costs *
Most Utilized Procedure Code for new patients office visits: 99203
Minimum New Patient Pricing Maximum New Patient Pricing Typical New Patient Pricing
$56.74 $173.94 $87.72
Minimum New Patient Copayment Maximum New Patient Copayment Typical New Patient Copayment
$14.18 $43.48 $21.93
Established Patients Office Visits Costs *
Most Utilized Procedure Code for established patients office visits: 99214
Minimum Established Patient Pricing Maximum Established Patient Pricing Typical Established Patient Pricing
$17.31 $141.66 $101.2
Minimum Established Patient Copayment Maximum Established Patient Copayment Typical Established Patient Copayment
$4.32 $35.41 $25.3

* The physician office visit costs information is obtained by Medicare's statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Clinician Utilization

The following Healthcare Common Procedure Coding System (HCPCS) codes were publicly reported as the top services rendered by this provider under the Medicare program for the year 2017. The reported codes are based on the top 5 codes for each available Medicare specialty, excluding evaluation and management codes.

  • 81Administration of pneumococcal vaccine (HCPCS:G0009)
  • 72Pneumococcal vaccine for injection into muscle (HCPCS:90670)
  • 66Injection beneath the skin or into muscle for therapy, diagnosis, or prevention (HCPCS:96372)
  • 63Administration of influenza virus vaccine (HCPCS:G0008)
  • 47Routine EKG using at least 12 leads including interpretation and report (HCPCS:93000)
  • 42Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit (HCPCS:G0439)
  • 24Urinalysis, manual test (HCPCS:81002)

Hospital Affiliations

Medicare hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the Medicare 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. Michelle Mackey-sawyer is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type CMS Certification Number (CCN) Overall Rating
CLEVELAND CLINIC9500 EUCLID AVENUE
CLEVELAND, OH 44195
(216) 445-8400Acute Care Hospitals360180
UNIVERSITY HOSPITALS OF CLEVELAND11100 EUCLID AVENUE
CLEVELAND, OH 44106
(216) 844-1000Acute Care Hospitals360137
MARYMOUNT HOSPITAL12300 MCCRACKEN ROAD
GARFIELD HEIGHTS, OH 44125
(216) 581-0500Acute Care Hospitals360143
SOUTHWEST GENERAL HEALTH CENTER18697 BAGLEY ROAD
MIDDLEBURG HEIGHTS, OH 44130
(440) 816-6701Acute Care Hospitals360155
AKRON GENERAL MEDICAL CENTER1 AKRON GENERAL AVENUE
AKRON, OH 44307
(330) 344-6000Acute Care Hospitals360027

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
SA0818143MEDICARE PIN (08)
2006984MEDICAID (05)OH
G45088MEDICARE UPIN (02)OH

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.
1801891163
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
28011692112
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 8 + 0 + 1 + 1 + 6 + 9 + 2 + 1 + 1 + 2 + 24 = 57
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 57 = 33

The NPI number 1801891163 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the same location


The following 9 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1821068560DR. CHRISTINE MARIE KING MD
Individual
Family Medicine2001 E ROYALTON RD
BROADVIEW HTS, OH 44147
(440) 717-6100
1699737353 KAREN H. RICKERT DO
Individual
Emergency Medicine (Emergency Medical Services)2001 E ROYALTON RD
BROADVIEW HEIGHTS, OH 44147
(440) 717-5800
1043273303 PAUL MARTIN DO
Individual
Emergency Medicine (Emergency Medical Services)2001 E ROYALTON RD
BROADVIEW HEIGHTS, OH 44147
(440) 717-5800
1982643755MMS EMERGENCY PHYSICIANS INC
Organization
Emergency Medicine (Emergency Medical Services)2001 E ROYALTON RD
BROADVIEW HEIGHTS, OH 44147
(440) 717-5800
1083833925 MELINDA ANN DEFILIPPO SZUCS DO
Individual
Family Medicine2001 E ROYALTON RD
BROADVIEW HTS, OH 44147
(440) 717-6100
1063606440MARYMOUNT PRIMARY CARE SERVICES, INC.
Organization
Family Medicine2001 E ROYALTON RD
BROADVIEW HEIGHTS, OH 44147
(440) 717-6100
1063495224BROADVIEW HEIGHTS FAMILY MEDICINE, INC
Organization
Family Medicine2001 E ROYALTON RD
BROADVIEW HTS, OH 44147
(440) 717-6100
1770545444 CHRISTINE BOYKO DO
Individual
Emergency Medicine (Emergency Medical Services)2001 E ROYALTON RD
BROADVIEW HEIGHTS, OH 44147
(440) 717-5800
1003005869CLEVELAND CLINIC FOUNDATION
Organization
Durable Medical Equipment & Medical Supplies2001 E ROYALTON RD
BROADVIEW HEIGHTS, OH 44147
(440) 717-6125

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
Dr. Michelle Mackey-sawyer M.d is registered as an entity type code: 1. The entity type code describes the type of health care provider that is being assigned an NPI. The entity type codes are:

  • 1 = Person: individual human being who furnishes health care.
  • 2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.