DR. MICHAEL DEGAETANO DO
NPI 1881660454
Internal Medicine - Nephrology in San Antonio, TX

Q: What is Michael Degaetano's NPI number?

The NPI number for Michael Degaetano is 1881660454. It was assigned to this individual provider in the NPPES registry on February 24, 2006.

Q: What is Michael Degaetano's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Q: When was this NPI record last updated?

The NPPES record for Michael Degaetano was last updated on October 26, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since February 24, 2006PECOS EnrolledAccepts Medicare Assignment

5620 LONE STAR PKWY # 2, SAN ANTONIO, TX 78253(210) 403-7978(210) 680-0206 Get Directions Write a Review

NPPES record last updated: October 26, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Oct 26, 2022, Jul 18, 2019 (2 updates tracked since 2019).

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About Dr. Michael Degaetano Do NPPES

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

DR. MICHAEL DEGAETANO DO (NPI 1881660454) is an individual nephrology provider in San Antonio, Texas, licensed in Texas (M1624) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS, is affiliated with Christus Santa Rosa Medical Center, and is a graduate of New York College Of Osteo Medicine Of New York Institute Of Technology (1995).

NPPES Registry Identity

NPI1881660454

Entity TypeIndividualMale

Primary Taxonomy207RN0300X

Provider Legal NameDR. MICHAEL DEGAETANOCredential: DO

Location Address5620 LONE STAR PKWY # 2San Antonio, TX 78253-2202

Mailing Address16620 N Us Highway 281 Ste 300San Antonio, TX 78232-2679 · (210) 614-1231 · Fax (210) 499-0811

Phone(210) 403-7978

Fax(210) 680-0206

Sole ProprietorNo

Medical School CMSNew York College Of Osteo Medicine Of New York Institute Of TechnologyGraduated 1995

Enumeration DateFebruary 24, 2006

Last NPPES UpdateOctober 26, 20222 updates tracked since enumeration

NPPES CertifiedOctober 26, 2022

✔ NPI 1881660454 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians

Taxonomy Code207RN0300X

License✔ Licensed in TX · M1624

Definition

An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.

5620 LONE STAR PKWY # 2, San Antonio, TX 78253

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Other Identifiers 1

Medicaid176166001TX

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Baylor Scott and White Health Plan, Blue Cross and Blue Shield of Texas, CHRISTUS Health Plan and more.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

Dr. Michael Degaetano 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 ID5294767331

PECOS Enrollment IDI20050908001220

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 16

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.

807 services328 patients

Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490

Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.

771 services116 patients

Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month 99439

Chronic Care Management services involve regular check-ins with healthcare professionals to manage two or more chronic conditions. It includes an additional 20 minutes of clinical staff time per month, directed by a healthcare professional, to ensure optimal health management.

400 services112 patients

Injection, epoetin alfa, (for non-esrd use), 1000 units J0885

Epoetin alfa is a medication injected to help your body produce more red blood cells, improving energy levels and reducing tiredness. It's often used for patients with certain types of anemia. Each injection contains 1000 units of the medicine.

385 services12 patients

Dialysis services, 4 or more physician visits per month (20 years or older) 90960

Dialysis is a treatment that filters and purifies your blood using a machine. It helps keep your fluids and electrolytes in balance when the kidneys can't do their job. This service includes 4 or more visits per month with a physician to monitor your health and adjust your treatment as needed.

322 services41 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

267 services91 patients

Home dialysis services per month (20 years or older) 90966

Home dialysis services provide kidney treatment for patients aged 20 or older right in their own homes. This service includes necessary equipment, supplies, and support for performing dialysis. It's a convenient option that allows patients to maintain their daily routines while receiving essential care.

123 services14 patients

Principal care management services for a single high-risk disease, first 30 minutes of clinical staff time directed by health care professional, per calendar month 99426

Principal care management services focus on managing a single high-risk disease. This involves a health care professional directing clinical staff for the first 30 minutes each month. The aim is to monitor your health, coordinate care, and provide necessary support for your disease management.

114 services21 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.

96 services77 patients

Injection of drug or substance under skin or into muscle 96372

This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.

77 services12 patients

Blood count, hemoglobin 85018

A blood count, specifically hemoglobin, is a standard test that measures the amount of hemoglobin in your blood. Hemoglobin is a protein in red blood cells that carries oxygen throughout your body. This test helps assess your overall health and detect a variety of disorders such as anemia or polycythemia.

58 services11 patients

Principal care management services for a single high-risk disease, each additional 30 minutes of clinical staff time directed by health care professional, per calendar month 99427

Principal Care Management (PCM) services focus on managing a single high-risk disease. It involves additional 30 minutes of clinical staff time per month, overseen by a healthcare professional. This includes monitoring your health, coordinating care, and developing a personalized treatment plan.

46 services17 patients

Dialysis services, 2-3 physician visits per month (20 years or older) 90961

Dialysis is a treatment that performs the function of healthy kidneys if they're not working properly. It removes waste and excess fluid from your blood. 2-3 physician visits per month are recommended for monitoring your health and adjusting your treatment as needed. This service is available for those aged 20 years and older.

29 services16 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 services21 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

25 services25 patients

Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count 85025

A Complete Blood Cell Count is a common test that measures various components of the blood, including red cells (carry oxygen), white cells (fight infection), and platelets (help blood clot). An automated test ensures accuracy. The differential count provides detailed information about white cell types.

20 services20 patients

Hospital Affiliations CMS Care Compare 3

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

Christus Santa Rosa Medical Center

Acute Care Hospitals · San Antonio, TX

4/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number450237

Location2827 Babcock RoadSan Antonio, TX 78229 · Bexar County

Emergency services Birthing friendly

Methodist Hospital

Acute Care Hospitals · San Antonio, TX

4/5 CMS rating

OwnershipProprietary

CMS Certification Number450388

Location7700 Floyd Curl DrSan Antonio, TX 78229 · Bexar County

Emergency services Birthing friendly

Methodist Hospital Stone Oak

Acute Care Hospitals · San Antonio, TX

4/5 CMS rating

OwnershipProprietary

CMS Certification Number670055

Location1139 E Sonterra Blvd,San Antonio, TX 78258 · Bexar County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78253 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

$126.40 typical visit price

range $54.84 – $166.88

Typical copayment $31.60 (range $13.71 – $41.72)

Most-billed visit code 99204

Established Patient

$97.05 typical visit price

range $17.52 – $136.11

Typical copayment $24.26 (range $4.38 – $34.02)

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.

Referred Medical Equipment & Supplies CMS DME claims 7

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

3 suppliers11 claims50 services$7.00 avg. paid by Medicare

Tacrolimus, immediate release, oral, 1 mg J7507

Treatment-Treatment - Miscellaneous · category RX029N

3 suppliers67 claims10,920 services$0.25 avg. paid by Medicare

Mycophenolate mofetil, oral, 250 mg J7517

Treatment-Treatment - Miscellaneous · category RX029N

3 suppliers55 claims6,600 services$0.16 avg. paid by Medicare

Mycophenolic acid, oral, 180 mg J7518

Treatment-Treatment - Miscellaneous · category RX029N

1 supplier12 claims1,440 services$0.96 avg. paid by Medicare

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553

DME-Other DME · category DE017N

3 suppliers25 claims25 services$192.37 avg. paid by Medicare

Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period Q0511

Treatment-Chemotherapy · category RH012N

4 suppliers58 claims58 services$18.18 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 2

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

BUSHRA YUSUF M.D

Internal Medicine (Nephrology)

5620 LONE STAR PKWY # 2
SAN ANTONIO, TX 78253

Bexar County (210) 403-7978

DR. MOHAMED SHAFIU MD

Internal Medicine (Nephrology)

5620 LONE STAR PKWY # 2
SAN ANTONIO, TX 78253

Bexar County (210) 403-7978

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 Degaetano's NPI number?

The NPI number for Michael Degaetano is 1881660454. It was assigned to this individual provider in the NPPES registry on February 24, 2006.

Where is Michael Degaetano located?

Michael Degaetano practices at 5620 Lone Star Pkwy # 2, San Antonio, TX 78253. The listed phone number is (210) 403-7978.

What is Michael Degaetano's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Michael Degaetano enrolled in Medicare?

Yes. Michael Degaetano 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 Degaetano accept?

Health plans from Baylor Scott and White Health Plan, Blue Cross and Blue Shield of Texas, CHRISTUS Health Plan, Imperial Insurance Companies, Inc. and Molina Healthcare and 2 other insurers list Michael Degaetano 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 Degaetano affiliated with any hospitals?

According to CMS data, Michael Degaetano is affiliated with Christus Santa Rosa Medical Center, Methodist Hospital and Methodist Hospital Stone Oak.

When was this NPI record last updated?

The NPPES record for Michael Degaetano was last updated on October 26, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.