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MICHAEL J PELLETIER MD
NPI 1841295672
Obstetrics & Gynecology in Columbia, TN

Active since June 17, 2005PECOS EnrolledAccepts Medicare Assignment
76.78/100
CMS Quality Rating
1203 TROTWOOD AVENUE, COLUMBIA, TN 38401(931) 490-1295(931) 490-1298 Get Directions Write a Review

NPPES record last updated: March 12, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Michael J Pelletier Md NPPES

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

MICHAEL J PELLETIER MD (NPI 1841295672) is an individual obstetrics & gynecology provider in Columbia, Tennessee, licensed in Tennessee (26818) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS, is affiliated with Maury Regional Hospital, and is a graduate of University Of Tennessee, Hsc, College Of Medicine (1991).

NPPES Registry Identity

NPI1841295672
Entity TypeIndividualMale
Primary Taxonomy207V00000X
Provider Legal NameMICHAEL J PELLETIERCredential: MD
Location Address1203 TROTWOOD AVENUEColumbia, TN 38401
Mailing Address1203 Trotwood AvenueColumbia, TN 38401 · (931) 490-1295 · Fax (931) 490-1298
Phone(931) 490-1295
Fax(931) 490-1298
Sole ProprietorYes
Medical School CMSUniversity Of Tennessee, Hsc, College Of MedicineGraduated 1991
Enumeration DateJune 17, 2005
Last NPPES UpdateMarch 12, 2008
✔ NPI 1841295672 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in TN · 26818
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
1203 TROTWOOD AVENUE, Columbia, TN 38401
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Other Identifiers 3

Medicare UPING03233TN
Medicaid30942941TN
Medicare PIN30942941TN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of Tennessee, Oscar Insurance Company, UnitedHealthcare.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 Pelletier 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 ID5193818813
PECOS Enrollment IDI20070911000321
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 3

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.

Cervical or vaginal cancer screening; pelvic and clinical breast examination G0101
This procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.
13 services13 patients
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory Q0091
A Papanicolaou smear, often called a Pap smear, is a test to check for changes in cells. A small sample is gently collected from the lower region and sent to a lab for examination. This helps in early detection of potential health issues.
13 services13 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.
12 services12 patients

Hospital Affiliations CMS Care Compare 2

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

Maury Regional Hospital

Acute Care Hospitals · Columbia, TN
3/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number440073
Location1224 Trotwood AveColumbia, TN 38401 · Maury County
Emergency services Birthing friendly

Marshall Medical Center

Critical Access Hospitals · Lewisburg, TN
OwnershipGovernment - Hospital District or Authority
CMS Certification Number441309
Location1080 North Ellington ParkwayLewisburg, TN 37091 · Marshall County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 38401 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
$121.80 typical visit price
range $52.64 – $160.89
Typical copayment $30.45 (range $13.16 – $40.22)
Most-billed visit code 99204
Established Patient
$66.01 typical visit price
range $16.72 – $131.41
Typical copayment $16.50 (range $4.18 – $32.85)
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.

76.78/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality68.24
Promoting Interoperability100
Improvement Activities40
Cost54.37

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 Pelletier's NPI number?

The NPI number for Michael Pelletier is 1841295672. It was assigned to this individual provider in the NPPES registry on June 17, 2005.

Where is Michael Pelletier located?

Michael Pelletier practices at 1203 Trotwood Avenue, Columbia, TN 38401. The listed phone number is (931) 490-1295.

What is Michael Pelletier's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Michael Pelletier enrolled in Medicare?

Yes. Michael Pelletier 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 Pelletier accept?

Health plans from BlueCross BlueShield of Tennessee, Oscar Insurance Company and UnitedHealthcare list Michael Pelletier 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 Pelletier affiliated with any hospitals?

According to CMS data, Michael Pelletier is affiliated with Maury Regional Hospital and Marshall Medical Center.

When was this NPI record last updated?

The NPPES record for Michael Pelletier was last updated on March 12, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.