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DR. DANIEL DJ MEGLER MD
NPI 1922190552
Otolaryngology in Saint Clair Shores, MI

Active since September 29, 2006PECOS Enrolled
83.35/100
CMS Quality Rating
21000 E 12 MILE RD, SUITE 111, SAINT CLAIR SHORES, MI 48081(586) 779-7640 Get Directions Write a Review

NPPES record last updated: May 20, 2019. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Daniel Dj Megler Md NPPES

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

DR. DANIEL DJ MEGLER MD (NPI 1922190552) is an individual otolaryngology provider in Saint Clair Shores, Michigan, licensed in Michigan (DM031809) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1922190552
Entity TypeIndividualMale
Primary Taxonomy207Y00000X
Provider Legal NameDR. DANIEL DJ MEGLERCredential: MD
Location Address21000 E 12 MILE RD, SUITE 111Saint Clair Shores, MI 48081-1116
Mailing Address21000 E 12 Mile Rd, Ste 111St Clair Shores, MI 48081 · (586) 779-7610 · Fax (586) 445-2523
Phone(586) 779-7640
Sole ProprietorNo
Enumeration DateSeptember 29, 2006
Last NPPES UpdateMay 20, 2019
✔ NPI 1922190552 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
License✔ Licensed in MI · DM031809
Definition
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
21000 E 12 MILE RD, Saint Clair Shores, MI 48081
Open in Google Maps ↗

Other Identifiers 11

Other2438275001Cigna
Other108447Great Lakes Health
Medicaid1313897MI
OtherC4748Mcar
Other040008565Rail Road Medicare
Other4033125Aetna
OtherB44170Health Alliance Plan
Other0503219Blue Care Network
Other102734Care Choices
Other0405032191Blue Cross Blue Shield
Other040E061920MI · Blue Shield Group

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Daniel Dj Megler Md 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

2

Medicare enrollment records show Daniel Megler reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Henry Ford Health St. John Hospital
Same address
Otolaryngology
21000 E 12 MILE RD STE 111
Saint Clair Shores, MI 48081
  • Reassigned Medicare billing, Michigan enrollment
  • 520 clinicians in this Medicare group
NPI 1376820605 (586) 779-7610
Lakeshore Ear Nose And Throat Center PC
10.0 mi
Otolaryngology
11080 HALL RD, A
Sterling Heights, MI 48314
  • Reassigned Medicare billing, Michigan enrollment
  • 19 clinicians in this Medicare group
NPI 1285803346 (586) 254-7200

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48081 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
$134.28 typical visit price
range $58.04 – $177.36
Typical copayment $33.57 (range $14.51 – $44.34)
Most-billed visit code 99204
Established Patient
$72.38 typical visit price
range $18.32 – $143.49
Typical copayment $18.09 (range $4.58 – $35.87)
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.

83.35/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality68.06
Promoting Interoperability100
Improvement Activities40
Cost60.61

Reported Quality Measures

Breast Cancer Screening
Percentage of women 50-74 years of age who had a mammogram to screen for breast cancer
26%451 patients2/55-star benchmark: 92%
Cervical Cancer Screening
Percentage of women 21-64 years of age who were screened for cervical cancer using either of the following criteria: - Women age 21-64 who had cervical cytology performed every 3 years - Women age 30-64 who had cervical cytology/human papillomavirus (HPV)…
24%504 patients
Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
25%919 patients2/55-star benchmark: 85%
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.
94%247 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.
100%1,420 patients5/55-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.
84%1,889 patients4/55-star benchmark: 97%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
69%1,889 patients3/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
21%1,889 patients1/55-star benchmark: 89%
View, Download, or Transmit (VDT)
At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.
23%1,889 patients
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 20

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

DR. DOUGLAS CARL KUBEK D.O.
Otolaryngology (Sleep Medicine)
21000 E 12 MILE RD, STE 111
SAINT CLAIR SHORES, MI 48081
Macomb County (586) 779-7610
LAKESHORE EAR NOSE AND THROAT CENTER PC
Otolaryngology
21000 E 12 MILE RD, SUITE 111
SAINT CLAIR SHORES, MI 48081
Macomb County (586) 779-7610
MARY E MARKOVICH
Audiologist-Hearing Aid Fitter
21000 E 12 MILE RD, STE 111
SAINT CLAIR SHORES, MI 48081
Macomb County (586) 779-7610
DR. MICHAEL S FOZO MD
Otolaryngology (Plastic Surgery within the Head & Neck)
21000 E 12 MILE RD, SUITE 111
SAINT CLAIR SHORES, MI 48081
Macomb County (586) 779-7610
ANN R MCREYNOLDS MD
Obstetrics & Gynecology
21000 E 12 MILE RD, 102
ST CLAIR SHORES, MI 48081
Macomb County (586) 447-5100
NATHAN S. WHITE MD
Obstetrics & Gynecology
21000 E 12 MILE RD
ST CLAIR SHORES, MI 48081
Macomb County (586) 447-5100
LAKESHORE EAR NOSE AND THROAT CENTER PC
Allergy & Immunology
21000 E 12 MILE RD, STE 111
SAINT CLAIR SHORES, MI 48081
Macomb County (586) 779-7610
MRS. ELIZABETH THERESE PARUS CRNA
Nurse Anesthetist, Certified Registered
21000 E 12 MILE RD
SAINT CLAIR SHORES, MI 48081
Macomb County (586) 447-5021

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 Daniel Megler's NPI number?

The NPI number for Daniel Megler is 1922190552. It was assigned to this individual provider in the NPPES registry on September 29, 2006.

Where is Daniel Megler located?

Daniel Megler practices at 21000 E 12 Mile Rd Suite 111, Saint Clair Shores, MI 48081. The listed phone number is (586) 779-7640.

What is Daniel Megler's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Is Daniel Megler enrolled in Medicare?

Yes. Daniel Megler is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Daniel Megler's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Daniel Megler reassigns Medicare benefits to 2 organizations: Henry Ford Health St. John Hospital (Saint Clair Shores, MI) and Lakeshore Ear Nose And Throat Center PC (Sterling Heights, MI). 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 Daniel Megler's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Daniel Megler accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 1 other insurer list Daniel Megler 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 Daniel Megler was last updated on May 20, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.