MICHAEL J FLANAGAN M.D.
NPI 1902860166
Urology in Middlebury, CT

Active since April 14, 2006PECOS EnrolledAccepts Medicare Assignment
1579 STRAITS TPKE, SUITE 2A, MIDDLEBURY, CT 06762(203) 757-8361(203) 754-9126 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Michael J Flanagan M.d. NPPES

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

MICHAEL J FLANAGAN M.D. (NPI 1902860166) is an individual urology provider in Middlebury, Connecticut, licensed in Connecticut (028454) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS and is a graduate of Rutgers New Jersey Medical School (1985).

NPPES Registry Identity

NPI1902860166
Entity TypeIndividualMale
Primary Taxonomy208800000X
Provider Legal NameMICHAEL J FLANAGANCredential: M.D.
Location Address1579 STRAITS TPKE, SUITE 2AMiddlebury, CT 06762-1835
Mailing Address1579 Straits Tpke, Suite 2aMiddlebury, CT 06762-1835 · (203) 757-8361 · Fax (203) 754-9126
Fax(203) 754-9126
Sole ProprietorNo
Medical School CMSRutgers New Jersey Medical SchoolGraduated 1985
Enumeration DateApril 14, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1902860166 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
License Licensed in CT · 028454
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
1579 STRAITS TPKE, Middlebury, CT 06762

Other Identifiers 1

Medicare UPINE99359CT

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 J Flanagan M.d. 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 ID3870584626
PECOS Enrollment IDI20100210000283
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 17

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 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.
1,092 services749 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
1,033 services702 patients
Ultrasound measurement of bladder capacity after voiding 51798
Ultrasound measurement of bladder capacity after voiding is a non-invasive test that uses sound waves to create images of your bladder. It's done after you've emptied your bladder to see if there's any leftover urine, which can help diagnose certain conditions.
524 services397 patients
Leuprolide acetate (for depot suspension), 7.5 mg J9217
Leuprolide acetate is a medication that helps regulate certain hormone levels in your body. It's injected into your muscle once a month. This treatment can help manage various health conditions related to hormone imbalance. Always follow your doctor's instructions.
185 services30 patients
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.
141 services131 patients
Injection, garamycin, gentamicin, up to 80 mg J1580
This procedure involves administering an injection of Gentamicin, also known as Garamycin, up to a dose of 80 mg. Gentamicin is an antibiotic used to treat a wide variety of bacterial infections. It works by stopping the growth of bacteria.
126 services24 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06762 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
$138.84 typical visit price
range $60.82 – $183.10
Typical copayment $34.71 (range $15.20 – $45.77)
Most-billed visit code 99204
Established Patient
$75.55 typical visit price
range $19.76 – $149.26
Typical copayment $18.88 (range $4.94 – $37.31)
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.

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
100%653 patients5/55-star benchmark: 100%
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
75%655 patients4/55-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.

Referred Medical Equipment & Supplies CMS DME claims 4

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

Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each A4351
DME-Orthotic Devices · category DF008N
6 suppliers48 claims12,324 services$1.65 avg. paid by Medicare
Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, silicone elastomeric, or hydrophilic, etc.), each A4352
DME-Orthotic Devices · category DF008N
6 suppliers54 claims10,596 services$6.16 avg. paid by Medicare
Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each A4357
DME-Orthotic Devices · category DF000N
4 suppliers24 claims76 services$8.53 avg. paid by Medicare
Skin barrier, wipes or swabs, each A5120
DME-Orthotic Devices · category DF010N
2 suppliers11 claims600 services$0.23 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 20

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

Urology
1579 STRAITS TPKE, SUITE 2A
MIDDLEBURY, CT 06762
Urology
1579 STRAITS TPKE, SUITE 2A
MIDDLEBURY, CT 06762
Nurse Practitioner (Primary Care)
1579 STRAITS TPKE
MIDDLEBURY, CT 06762
Physician Assistant
1579 STRAITS TPKE
MIDDLEBURY, CT 06762
Nurse Practitioner (Gerontology)
1579 STRAITS TPKE
MIDDLEBURY, CT 06762
Urology
1579 STRAITS TPKE, SUITE 2A
MIDDLEBURY, CT 06762
Orthopaedic Surgery
1579 STRAITS TPKE
MIDDLEBURY, CT 06762
Orthopaedic Surgery
1579 STRAITS TPKE, SUITE E
MIDDLEBURY, CT 06762

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 Flanagan's NPI number?

The NPI number for Michael Flanagan is 1902860166. It was assigned to this individual provider in the NPPES registry on April 14, 2006.

Where is Michael Flanagan located?

Michael Flanagan practices at 1579 Straits Tpke Suite 2A, Middlebury, CT 06762. The listed phone number is (203) 757-8361.

What is Michael Flanagan's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Is Michael Flanagan enrolled in Medicare?

Yes. Michael Flanagan 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 Flanagan was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.