TERESA W MICHAELIS DO
NPI 1871957290
Emergency Medicine in Marietta, OH

Active since April 12, 2016PECOS Enrolled
94.1/100
CMS Quality Rating
401 MATTHEW ST, EMERGENCY MEDICINE, MARIETTA, OH 45750(740) 376-1939 Get Directions Write a Review

NPPES record last updated: May 15, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 15, 2024, May 2, 2023, Apr 20, 2022 and 3 more (6 updates tracked since 2019).

About Teresa W Michaelis Do NPPES

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

TERESA W MICHAELIS DO (NPI 1871957290) is an individual emergency medicine provider in Marietta, Ohio, licensed in Ohio (34.013716) and active in the NPI registry since April 2016. She is enrolled in Medicare PECOS and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1871957290
Entity TypeIndividualFemale
Primary Taxonomy207P00000X
Provider Legal NameTERESA W MICHAELISCredential: DO
Location Address401 MATTHEW ST, EMERGENCY MEDICINEMarietta, OH 45750-1635
Mailing Address401 Matthew St, Emergency MedicineMarietta, OH 45750-1635
Sole ProprietorYes
Enumeration DateApril 12, 2016
Last NPPES UpdateMay 15, 20246 updates tracked since enumeration
NPPES CertifiedMay 15, 2024
✔ NPI 1871957290 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
Licenses✔ Licensed in OH · 34.013716✔ Licensed in WV · 3559
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
401 MATTHEW ST, Marietta, OH 45750

Other Names 1

Former Name (1)Teresa Bigley

Secondary Practice Locations 3

Location 1799 Farson ST, Emergency DeptBelpre, OH 45714 · Phone (740) 401-1150 · Fax (740) 401-1155
Location 2206 Columbus RdAthens, OH 45701-1316 · Phone (740) 885-4064 · Fax (740) 885-4027
Location 31106 Colegate DrMarietta, OH 45750-1323 · Phone (740) 568-2000 · Fax (740) 568-2096

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Teresa W Michaelis Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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

6

Medicare enrollment records show Teresa Michaelis reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

General Acute Care Hospital
401 MATTHEW ST
Marietta, OH 45750
  • Reassigned Medicare billing, Ohio enrollment
  • 411 clinicians in this Medicare group
Critical Access
1106 COLEGATE DR
Marietta, OH 45750
  • Reassigned Medicare billing, Ohio enrollment
  • 105 clinicians in this Medicare group
Rural Health
424 HIGHLAND AVE
Williamstown, WV 26187
  • Reassigned Medicare billing, West Virginia enrollment
  • Also billed through NPI 1811595192 (West Virginia)
  • 38 clinicians in this Medicare group
Internal Medicine
424 HIGHLAND AVE
Williamstown, WV 26187
  • Reassigned Medicare billing, West Virginia enrollment
  • 49 clinicians in this Medicare group
Emergency Medicine
200 HOSPITAL DR
Spencer, WV 25276
  • Reassigned Medicare billing, West Virginia enrollment
  • 90 clinicians in this Medicare group
General Acute Care Hospital
1 MEDICAL CENTER DRIVE
Morgantown, WV 26506
  • Reassigned Medicare billing, West Virginia enrollment
  • 123 clinicians in this Medicare group

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 4

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.

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.
270 services197 patients
Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
256 services246 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
159 services157 patients
Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
48 services46 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45750 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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 20

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

Nurse Practitioner
401 MATTHEW ST, EMERGENCY DEPARTMENT
MARIETTA, OH 45750
Emergency Medicine
401 MATTHEW ST, EMERGENCY DEPT
MARIETTA, OH 45750
Speech-Language Pathologist
401 MATTHEW ST
MARIETTA, OH 45750
Family Medicine
401 MATTHEW ST
MARIETTA, OH 45750
Emergency Medicine
401 MATTHEW ST, EMERGENCY DEPARTMENT
MARIETTA, OH 45750
Emergency Medicine
401 MATTHEW ST, EMERGENCY DEPARTMENT
MARIETTA, OH 45750
Nurse Practitioner (Family)
401 MATTHEW ST
MARIETTA, OH 45750
Student in an Organized Health Care Education/Training Program
401 MATTHEW ST
MARIETTA, OH 45750

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 Teresa Michaelis's NPI number?

The NPI number for Teresa Michaelis is 1871957290. It was assigned to this individual provider in the NPPES registry on April 12, 2016. The provider is also known as Teresa Bigley.

Where is Teresa Michaelis located?

Teresa Michaelis practices at 401 Matthew St Emergency Medicine, Marietta, OH 45750. The listed phone number is (740) 376-1939.

What is Teresa Michaelis's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Teresa Michaelis enrolled in Medicare?

Yes. Teresa Michaelis is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Teresa Michaelis's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Teresa Michaelis reassigns Medicare benefits to 6 organizations: Marietta Memorial Hospital (Marietta, OH), Selby General Hospital (Marietta, OH), Marietta Memorial Hospital Of Tyler County Inc (Williamstown, WV), Mhc Physicians Inc (Williamstown, WV), Hospital Development Co (Spencer, WV) and 1 more organization, listed in the Medicare section above. 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 Teresa Michaelis's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Teresa Michaelis accept?

Health plans from CareSource list Teresa Michaelis 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.

When was this NPI record last updated?

The NPPES record for Teresa Michaelis was last updated on May 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.