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MICHAEL EBBERT
NPI 1871027326
Psychiatry & Neurology - Neurology in Baltimore, MD

Active since April 11, 2017PECOS EnrolledAccepts Medicare Assignment
94.1/100
CMS Quality Rating
5051 GREENSPRING AVE STE 200, BALTIMORE, MD 21209(410) 601-9515(410) 601-1910 Get Directions Write a Review

NPPES record last updated: June 18, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 18, 2021, Apr 11, 2017 (2 updates tracked since 2017).

About Michael Ebbert NPPES

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

MICHAEL EBBERT (NPI 1871027326) is an individual neurology provider in Baltimore, Maryland, licensed in Maryland (H91879) and active in the NPI registry since April 2017. He is enrolled in Medicare PECOS, is affiliated with West Virginia University Hospitals, Inc, and maintains a secondary practice location in Morgantown.

NPPES Registry Identity

NPI1871027326
Entity TypeIndividualMale
Primary Taxonomy2084N0400X
Provider Legal NameMICHAEL EBBERT
Location Address5051 GREENSPRING AVE STE 200Baltimore, MD 21209-4357
Mailing Address1823 Ryan RdFairmont, WV 26554-9268 · (304) 694-6688
Phone(410) 601-9515
Fax(410) 601-1910
Sole ProprietorNo
Medical School CMSWest Virginia School Of Osteopathic MedicineGraduated 2017
Enumeration DateApril 11, 2017
Last NPPES UpdateJune 18, 20212 updates tracked since enumeration
NPPES CertifiedJune 18, 2021
✔ NPI 1871027326 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
License✔ Licensed in MD · H91879
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
5051 GREENSPRING AVE STE 200, Baltimore, MD 21209
Open in Google Maps ↗

Secondary Practice Location 1

Location 11 Medical Center Dr, PO Box NeurologyMorgantown, WV 26506-1200 · Phone (304) 293-2342

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, Highmark Blue Cross Blue Shield West Virginia, Molina Healthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Michael Ebbert 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 ID8921378720
PECOS Enrollment IDI20220627000467
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.

Medicare Billing Reassignments

3

Medicare enrollment records show Michael Ebbert reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Sinai Hospital Of Baltimore Inc
0.2 mi
Surgical Critical Care
2401 W BELVEDERE AVE
Baltimore, MD 21215
  • Reassigned Medicare billing, Maryland enrollment
  • 664 clinicians in this Medicare group
NPI 1043235666 (410) 601-5524
West Virginia University Medical Corporation
64 mi
Family Medicine
300 S PRESTON ST
Ranson, WV 25438
  • Reassigned Medicare billing, West Virginia enrollment
  • 2,471 clinicians in this Medicare group
NPI 1215785563 (304) 728-1795
United Physicians Care Inc
179 mi
Family Medicine
401 N PIKE ST
Grafton, WV 26354
  • Reassigned Medicare billing, West Virginia enrollment
  • 178 clinicians in this Medicare group
NPI 1891863874 (304) 265-1350

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 8

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 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.
28 services25 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.
25 services19 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
25 services11 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.
24 services22 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.
23 services23 patients
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.
18 services18 patients

Hospital Affiliations CMS Care Compare 3

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

West Virginia University Hospitals, Inc

Acute Care Hospitals · Morgantown, WV
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number510001
Location1 Medical Center DriveMorgantown, WV 26506 · Monongalia County
Emergency services Birthing friendly

United Hospital Center, Inc

Acute Care Hospitals · Bridgeport, WV
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number510006
Location327 Medical Park DriveBridgeport, WV 26330 · Harrison County
Emergency services Birthing friendly

St Joseph's Hospital Of Buckhannon, Inc

Critical Access Hospitals · Buckhannon, WV
OwnershipVoluntary non-profit - Private
CMS Certification Number511321
Location1 Amalia DriveBuckhannon, WV 26201 · Upshur County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21209 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
$139.05 typical visit price
range $60.73 – $183.44
Typical copayment $34.76 (range $15.18 – $45.86)
Most-billed visit code 99204
Established Patient
$106.59 typical visit price
range $19.60 – $149.17
Typical copayment $26.64 (range $4.90 – $37.29)
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.

94.1/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality78.46
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 5

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

DR. SHAWN F. SMYTH MD
Psychiatry & Neurology (Neurology)
5051 GREENSPRING AVE STE 200
BALTIMORE, MD 21209
Baltimore County (410) 367-7060
DR. GILLIAN MARY STAVRO PH.D.
Clinical Neuropsychologist
5051 GREENSPRING AVE STE 200
BALTIMORE, MD 21209
Baltimore County (410) 601-7375
DR. NICOLE DOMINIQUE MAHDI M.D.
Psychiatry & Neurology (Neurology)
5051 GREENSPRING AVE STE 200
BALTIMORE, MD 21209
Baltimore County (410) 601-9515
LIFEBRIDGE ORTHOPEDIC SPECIALISTS, LLC
Neurological Surgery
5051 GREENSPRING AVE STE 200
BALTIMORE, MD 21209
Baltimore County (410) 601-9000
PRIVIA MEDICAL GROUP, LLC
Psychiatry & Neurology (Neurology)
5051 GREENSPRING AVE STE 200
BALTIMORE, MD 21209
Baltimore County (410) 367-7600

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 Ebbert's NPI number?

The NPI number for Michael Ebbert is 1871027326. It was assigned to this individual provider in the NPPES registry on April 11, 2017.

Where is Michael Ebbert located?

Michael Ebbert practices at 5051 Greenspring Ave Ste 200, Baltimore, MD 21209. The listed phone number is (410) 601-9515.

What is Michael Ebbert's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is Michael Ebbert enrolled in Medicare?

Yes. Michael Ebbert 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.

Which organizations bill Medicare for Michael Ebbert's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Michael Ebbert reassigns Medicare benefits to 3 organizations: Sinai Hospital Of Baltimore Inc (Baltimore, MD), West Virginia University Medical Corporation (Ranson, WV) and United Physicians Care Inc (Grafton, WV). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Michael Ebbert's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Michael Ebbert accept?

Health plans from CareSource, Highmark Blue Cross Blue Shield West Virginia and Molina Healthcare list Michael Ebbert 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 Ebbert affiliated with any hospitals?

According to CMS data, Michael Ebbert is affiliated with West Virginia University Hospitals, Inc, United Hospital Center, Inc and St Joseph's Hospital Of Buckhannon, Inc.

When was this NPI record last updated?

The NPPES record for Michael Ebbert was last updated on June 18, 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.