MICHAEL A ENGLUND DO
NPI 1871548826
Internal Medicine - Interventional Cardiology in Morgantown, WV

Q: What is Michael Englund's NPI number?

The NPI number for Michael Englund is 1871548826. It was assigned to this individual provider in the NPPES registry on May 24, 2006.

Q: What is Michael Englund's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Interventional Cardiology, with taxonomy code 207RI0011X.

Q: When was this NPI record last updated?

The NPPES record for Michael Englund was last updated on July 6, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since May 24, 2006PECOS EnrolledAccepts Medicare Assignment

90.11/100

CMS Quality Rating

2000 MON HEALTH MEDICAL PARK DRIVE, SUITE 2300, MORGANTOWN, WV 26505(304) 599-8802(304) 599-5607 Get Directions Write a Review

NPPES record last updated: July 6, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 6, 2021, Nov 10, 2020, Nov 28, 2017 (3 updates tracked since 2017).

On this page

About Michael A Englund Do NPPES

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

MICHAEL A ENGLUND DO (NPI 1871548826) is an individual interventional cardiology provider in Morgantown, West Virginia, licensed in West Virginia (1705) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Garrett Regional Medical Center, and maintains 4 additional practice locations.

NPPES Registry Identity

NPI1871548826

Entity TypeIndividualMale

Primary Taxonomy207RI0011X

Provider Legal NameMICHAEL A ENGLUNDCredential: DO

Location Address2000 MON HEALTH MEDICAL PARK DRIVE, SUITE 2300Morgantown, WV 26505-0000

Mailing Address2000 Mon Health Medical Park Dr Ste 2300Morgantown, WV 26505-1168 · (304) 599-8802 · Fax (304) 599-5607

Phone(304) 599-8802

Fax(304) 599-5607

Sole ProprietorNo

Medical School CMSWest Virginia School Of Osteopathic MedicineGraduated 1994

Enumeration DateMay 24, 2006

Last NPPES UpdateJuly 6, 20213 updates tracked since enumeration

NPPES CertifiedJuly 6, 2021

✔ NPI 1871548826 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Interventional CardiologyAllopathic & Osteopathic Physicians

Taxonomy Code207RI0011X

License✔ Licensed in WV · 1705

Definition

An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system.

Also ListedInternal Medicine · Cardiovascular DiseaseTaxonomy 207RC0000X · License 1705 (WV)

2000 MON HEALTH MEDICAL PARK DRIVE, Morgantown, WV 26505

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Secondary Practice Locations 4

Location 11 Huntington WayFairmont, WV 26554-8819 · Phone (304) 363-6210 · Fax (304) 363-0952

Location 21703 Locust AveFairmont, WV 26554-1320 · Phone (304) 363-6210 · Fax (304) 363-0952

Location 3150 Memorial DrKingwood, WV 26537-1141 · Phone (304) 329-4701 · Fax (304) 329-4717

Location 4501 Railroad AveElkins, WV 26241-3885 · Phone (304) 636-5006 · Fax (304) 636-4898

Other Identifiers 3

Other060059803Rr Medicare

Medicaid1802323000WV

Other001714115Mountain State Bcbs

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, Highmark Blue Cross Blue Shield West Virginia.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 A Englund Do 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 ID1850369786

PECOS Enrollment IDI20040920000316

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 25

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.

555 services410 patients

Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306

This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.

210 services205 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010

A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.

177 services151 patients

Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes 99152

This procedure involves a doctor administering a medication to reduce your consciousness during a procedure. This helps in managing discomfort and anxiety. The initial application lasts for 15 minutes and is for individuals aged 5 years or older.

84 services80 patients

Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306

81 services79 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010

74 services73 patients

Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision by physician 93016

An exercise or drug-induced heart stress test with ECG involves monitoring your heart's activity while it's under stress, either from exercise or medication. A doctor supervises the entire procedure to ensure safety and accuracy in results. This test helps detect heart problems.

72 services71 patients

Exercise or drug-induced heart stress test with electrocardiogram (ecg) with review by physician 93018

An exercise or drug-induced heart stress test with ECG is a procedure to assess how your heart functions under stress. It can involve exercising or medication to make your heart work harder while an ECG records its activity. A physician reviews the results.

72 services71 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.

70 services41 patients

Nuclear medicine studies of heart muscle at rest and with stress and spect 78452

Nuclear medicine studies of the heart involve two parts: rest and stress. During rest, images are taken of your heart at ease. During stress, images are taken after exercise or medication-induced stress. SPECT is a special imaging technique providing 3D pictures of your heart, helping identify any issues.

69 services68 patients

Insertion of tube in left lower heart chamber and coronary artery for diagnosis with review by radiologist 93458

This procedure involves placing a tube into your left lower heart chamber and coronary artery. It helps doctors diagnose heart conditions by allowing them to view these areas in detail. A radiologist will review the images to ensure accurate diagnosis.

57 services55 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

53 services50 patients

Ultrasound of both sides of head and neck blood flow 93880

An ultrasound of the head and neck blood flow is a safe, non-invasive procedure that uses sound waves to create images of blood vessels. It helps detect abnormalities like blockages or clots, ensuring optimal blood flow.

51 services50 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.

48 services48 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000

An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.

47 services47 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

40 services35 patients

Complete ultrasound study of arm and leg arteries 93923

This procedure involves using sound waves to produce images of your arm and leg arteries. It helps identify blockages or abnormalities that could lead to conditions like stroke or peripheral artery disease. It's non-invasive and painless.

36 services33 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.

36 services23 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.

26 services26 patients

Electrocardiogram (ecg) up to 30 days continuous with review and report by health care professional 93228

An Electrocardiogram (ECG) is a non-invasive test that records the electrical signals in your heart. For up to 30 days, a small device will continuously monitor your heart's activity. A healthcare professional will then review the data and provide a report on your heart's function.

21 services20 patients

Ultrasound of heart, follow-up 93308

A follow-up ultrasound of the heart, also known as an echocardiogram, is a non-invasive test that uses sound waves to create images of your heart. It helps doctors monitor your heart's function and structures after initial assessment or treatment.

20 services20 patients

Complete ultrasound of aorta, vena cava, groin vessels or bypass grafts 93978

This procedure involves using sound waves to create images of your aorta, vena cava, groin vessels, or bypass grafts. It helps to detect abnormalities or blockages, ensuring your blood flows smoothly. It's painless and non-invasive.

17 services16 patients

Insertion of stents with balloon dilation of coronary artery or branch, single artery or branch 92928

This procedure involves placing a small, mesh tube (stent) in your coronary artery to keep it open. A balloon is used to expand the stent and artery, improving blood flow to your heart. It's typically done for a single artery or branch.

15 services13 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.

12 services12 patients

Ultrasound of heart with color-depicted blood flow, rate and valve function 93325

An ultrasound of the heart, also known as an echocardiogram, uses sound waves to create pictures of your heart. It shows the structure, movement, and blood flow within your heart. This helps assess the heart's health and function, including the valves and rate.

11 services11 patients

Hospital Affiliations CMS Care Compare 5

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

Garrett Regional Medical Center

Acute Care Hospitals · Oakland, MD

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number210017

Location251 North Fourth StreetOakland, MD 21550 · Garrett County

Emergency services Birthing friendly

Mon Health Medical Center

Acute Care Hospitals · Morgantown, WV

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number510024

Location1200 Jd Anderson DriveMorgantown, WV 26505 · Monongalia County

Emergency services Birthing friendly

Davis Medical Center

Acute Care Hospitals · Elkins, WV

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number510030

Location812 Gorman AvenueElkins, WV 26241 · Randolph County

Emergency services Birthing friendly

Mon Health Marion

Acute Care Hospitals · Whitehall, WV

OwnershipVoluntary non-profit - Private

CMS Certification Number510093

Location140 Middletown LoopWhitehall, WV 26554 · Marion County

Emergency services

Preston Memorial Hospital

Critical Access Hospitals · Kingwood, WV

OwnershipProprietary

CMS Certification Number511312

Location150 Memorial DriveKingwood, WV 26537 · Preston County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 26505 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

$124.46 typical visit price

range $53.20 – $164.59

Typical copayment $31.11 (range $13.30 – $41.14)

Most-billed visit code 99204

Established Patient

$94.81 typical visit price

range $16.47 – $133.29

Typical copayment $23.70 (range $4.11 – $33.32)

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.

90.11/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

66.96

Promoting Interoperability

100

Improvement Activities

Reported Quality Measures

Colorectal Cancer Screening

Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer

0%252 patients1/55-star benchmark: 85%

Diabetes: Medical Attention for Nephropathy

The percentage of patients 18-75 years of age with diabetes who had a nephropathy screening test or evidence of nephropathy during the measurement period

79%75 patients4/55-star benchmark: 99%

Documentation of Current Medications in the Medical Record

Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.

100%432 patients5/55-star benchmark: 100%

e-Prescribing

At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.

91%2,969 patients3/55-star benchmark: 99%

Falls: Screening for Future Fall Risk

Percentage of patients 65 years of age and older who were screened for future fall risk during the measurement period

94%225 patients4/55-star benchmark: 99%

Medication Reconciliation

The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.

98%60 patients4/55-star benchmark: 100%

Patient-Specific Education

The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.

54%1,008 patients3/55-star benchmark: 97%

Pneumococcal Vaccination Status for Older Adults

Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine

1%225 patients1/55-star benchmark: 90%

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan

Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…

83%404 patients4/55-star benchmark: 97%

Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention

Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user

Patients tobacco: 72% · 75 patients

84%75 patients

Statin Therapy for the Prevention and Treatment of Cardiovascular Disease

Percentage of the following patients - all considered at high risk of cardiovascular events - who were prescribed or were on statin therapy during the measurement period: - Adults aged >= 21 years who were previously diagnosed with or currently have an active…

82%209 patients4/55-star benchmark: 89%

Use of High-Risk Medications in the Elderly

Percentage of patients 65 years of age and older who were ordered high-risk medications. Two rates are submitted. 1) Percentage of patients who were ordered at least one high-risk medication.

Lower rates are better for this measure.

Patients 2+: 0% · 225 patients

0%225 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.

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.

MGH SURGERY LLC

Clinic/Center (Ambulatory Surgical)

2000 MON HEALTH MEDICAL PARK DRIVE, SUITE 2200
MORGANTOWN, WV 26505

Monongalia County (304) 598-1200

JOHN A MCKNIGHT MD

Internal Medicine (Cardiovascular Disease)

2000 MON HEALTH MEDICAL PARK DRIVE, SUITE 2300
MORGANTOWN, WV 26505

Monongalia County (304) 599-8802

DR. RICHARD LEE SMITH II M.D.

Internal Medicine (Cardiovascular Disease)

2000 MON HEALTH MEDICAL PARK DRIVE, 2300
MORGANTOWN, WV 26505

Monongalia County (304) 599-8802

AMBERLY R OSBOURN PA

Physician Assistant (Medical)

2000 MON HEALTH MEDICAL PARK DRIVE, SUITE 2300
MORGANTOWN, WV 26505

Monongalia County (304) 599-8802

JESSICA A WOOD CFNP

Nurse Practitioner (Family)

2000 MON HEALTH MEDICAL PARK DRIVE, SUITE 2300
MORGANTOWN, WV 26505

Monongalia County (304) 599-8802

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 Englund's NPI number?

The NPI number for Michael Englund is 1871548826. It was assigned to this individual provider in the NPPES registry on May 24, 2006.

Where is Michael Englund located?

Michael Englund practices at 2000 Mon Health Medical Park Drive Suite 2300, Morgantown, WV 26505. The listed phone number is (304) 599-8802.

What is Michael Englund's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Interventional Cardiology, with taxonomy code 207RI0011X.

Is Michael Englund enrolled in Medicare?

Yes. Michael Englund 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 Englund accept?

Health plans from CareSource and Highmark Blue Cross Blue Shield West Virginia list Michael Englund 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 Englund affiliated with any hospitals?

According to CMS data, Michael Englund is affiliated with Garrett Regional Medical Center, Mon Health Medical Center, Davis Medical Center, Mon Health Marion and Preston Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Michael Englund was last updated on July 6, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.