MICHAEL HORST FEDDERSEN D.O.
NPI 1871710160
Psychiatry & Neurology - Psychiatry in American Canyon, CA

Active since April 19, 2007PECOS EnrolledAccepts Medicare Assignment
91.04/100
CMS Quality Rating
3433 BROADWAY ST, SUITE B5, AMERICAN CANYON, CA 94503(707) 561-9005 Get Directions Write a Review

NPPES record last updated: February 22, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Michael Horst Feddersen D.o. NPPES

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

MICHAEL HORST FEDDERSEN D.O. (NPI 1871710160) is an individual psychiatry provider in American Canyon, California, licensed in California (20A9585) and active in the NPI registry since April 2007. He is enrolled in Medicare PECOS and is a graduate of Other (2003).

NPPES Registry Identity

NPI1871710160
Entity TypeIndividualMale
Primary Taxonomy2084P0800X
Provider Legal NameMICHAEL HORST FEDDERSENCredential: D.O.
Location Address3433 BROADWAY ST, SUITE B5American Canyon, CA 94503-1229
Mailing Address3433 Broadway St, Suite B5American Canyon, CA 94503-1229 · (707) 561-9005
Sole ProprietorNo
Medical School CMSOtherGraduated 2003
Enumeration DateApril 19, 2007
Last NPPES UpdateFebruary 22, 2017
NPI 1871710160 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
Licenses Licensed in CA · 20A9585 Licensed in NJ · 25MB07893600
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
3433 BROADWAY ST, American Canyon, CA 94503

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 Horst Feddersen D.o. 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 ID2264571728
PECOS Enrollment IDI20091123000699
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

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.

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.
54 services27 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94503 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
$192.16 typical visit price
range $65.08 – $192.16
Typical copayment $48.04 (range $16.27 – $48.04)
Most-billed visit code 99205
Established Patient
$80.32 typical visit price
range $21.86 – $157.83
Typical copayment $20.08 (range $5.46 – $39.45)
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.

91.04/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality82.13
Promoting Interoperability100
Improvement Activities40
Cost64.1

Other Providers at the Same Location NPPES 3

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

Prosthetist
3433 BROADWAY ST, STE. # B3
AMERICAN CANYON, CA 94503
In Home Supportive Care
3433 BROADWAY ST, SUITE B-1
AMERICAN CANYON, CA 94503
Massage Therapist
3433 BROADWAY ST
AMERICAN CANYON, CA 94503

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 Feddersen's NPI number?

The NPI number for Michael Feddersen is 1871710160. It was assigned to this individual provider in the NPPES registry on April 19, 2007.

Where is Michael Feddersen located?

Michael Feddersen practices at 3433 Broadway St Suite B5, American Canyon, CA 94503. The listed phone number is (707) 561-9005.

What is Michael Feddersen's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Michael Feddersen enrolled in Medicare?

Yes. Michael Feddersen 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.

When was this NPI record last updated?

The NPPES record for Michael Feddersen was last updated on February 22, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.