MICHELLE M MOURIA MD
NPI 1861648974
Surgery in Pittsburgh, PA

Active since August 09, 2008PECOS EnrolledAccepts Medicare Assignment
87.59/100
CMS Quality Rating
420 E NORTH AVE STE 304, PITTSBURGH, PA 15212(412) 359-4068(412) 359-6732 Get Directions Write a Review

NPPES record last updated: July 23, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 23, 2019, Dec 18, 2017, Jul 24, 2017 and 1 more (4 updates tracked since 2017).

About Michelle M Mouria Md NPPES

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

MICHELLE M MOURIA MD (NPI 1861648974) is an individual surgery provider in Pittsburgh, Pennsylvania, licensed in Pennsylvania (MD448564) and active in the NPI registry since August 2008. She is enrolled in Medicare PECOS, is affiliated with Penn Highlands Dubois, and maintains a secondary practice location in Du Bois.

NPPES Registry Identity

NPI1861648974
Entity TypeIndividualFemale
Primary Taxonomy208600000X
Provider Legal NameMICHELLE M MOURIACredential: MD
Location Address420 E NORTH AVE STE 304Pittsburgh, PA 15212-4746
Mailing Address420 E North Ave Ste 304Pittsburgh, PA 15212-4746 · (412) 359-4068 · Fax (412) 359-6732
Fax(412) 359-6732
Sole ProprietorNo
Medical School CMSVirginia Commonwealth University, School Of MedicineGraduated 2005
Enumeration DateAugust 9, 2008
Last NPPES UpdateJuly 23, 20194 updates tracked since enumeration
NPI 1861648974 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
Licenses Licensed in PA · MD448564 Licensed in GU · M-2074 Licensed in GU · MTL-2017-073
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
420 E NORTH AVE STE 304, Pittsburgh, PA 15212

Secondary Practice Location 1

Location 1145 Hospital Ave Ste 313Du Bois, PA 15801-1465 · Phone (814) 375-4000 · Fax (814) 375-4011

Other Identifiers 1

Medicaid102819400PA

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

Michelle M Mouria 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 ID4486785409
PECOS Enrollment IDI20130628000588
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 2

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.

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
23 services23 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
23 services18 patients

Hospital Affiliations CMS Care Compare

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

Penn Highlands Dubois

Acute Care Hospitals · Dubois, PA
2/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number390086
Location100 Hospital AvenueDubois, PA 15801 · Clearfield County

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 15212 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
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$68.36 typical visit price
range $17.33 – $135.84
Typical copayment $17.09 (range $4.33 – $33.96)
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.

87.59/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality73.94
Improvement Activities40

Other Providers at the Same Location NPPES 9

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

Nurse Practitioner (Adult Health)
420 E NORTH AVE STE 304
PITTSBURGH, PA 15212
Surgery
420 E NORTH AVE STE 304
PITTSBURGH, PA 15212
Surgery
420 E NORTH AVE STE 304
PITTSBURGH, PA 15212
Physician Assistant (Surgical)
420 E NORTH AVE STE 304
PITTSBURGH, PA 15212
Surgery
420 E NORTH AVE STE 304
PITTSBURGH, PA 15212
Physician Assistant (Surgical)
420 E NORTH AVE STE 304
PITTSBURGH, PA 15212
Surgery
420 E NORTH AVE STE 304
PITTSBURGH, PA 15212
Surgery
420 E NORTH AVE STE 304
PITTSBURGH, PA 15212

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 Michelle Mouria's NPI number?

The NPI number for Michelle Mouria is 1861648974. It was assigned to this individual provider in the NPPES registry on August 9, 2008.

Where is Michelle Mouria located?

Michelle Mouria practices at 420 E North Ave Ste 304, Pittsburgh, PA 15212. The listed phone number is (412) 359-4068.

What is Michelle Mouria's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Michelle Mouria enrolled in Medicare?

Yes. Michelle Mouria 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.

Is Michelle Mouria affiliated with any hospitals?

According to CMS data, Michelle Mouria is affiliated with Penn Highlands Dubois.

When was this NPI record last updated?

The NPPES record for Michelle Mouria was last updated on July 23, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.