Deactivated NPI 1558357095 Deactivated / Inactive NPI Male Practitioner

Dr. Michael J Mccauley , MD

Specialist • Mesa, AZ

⚠️

Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Michael Mccauley has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date September 20, 2005

NPI Deactivation Date November 27, 2025

Total Practice Duration ~20 Years of Practice (2005 – 2025)

Professional Overview & Biography Verified Profile Summary

Dr. Michael Mccauley, MD was a registered Specialist practicing in Mesa, AZ. Throughout an active medical career spanning 20 years, Dr. Mccauley provided care at the practice location at 1950 S COUNTRY CLUB DR until profile deactivation on 2025-11-27.

Historical Medicare Part B clinical services included established patient outpatient office visit, testing for presence of drug, read by direct observation, injection, triamcinolone acetonide, not otherwise specified, 10 mg. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

1950 S Country Club Dr
Suite 102

Mesa, AZ 852106043

Telephone 4804130065

Fax 4804130069

Associated Practice Facility / Clinic

🏢 Country Club Medical Group P C Facility NPI 1649256777

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Mesa, AZ

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 46.3 Yrs

State Avg: 35.9 Yrs

Regional Practice Density

42 Specialists

Practicing in Mesa, AZ (826 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

55.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2019)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	149	121	$156.59	$73.51
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	42	39	$234.00	$105.98
80305 Testing for presence of drug, read by direct observation	17	17	$44.58	$12.35

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	1,894	200	$22.69	$1.77
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	1,783	398	$235.41	$104.33
J1100 Injection, dexamethasone sodium phosphate, 1 mg	1,150	144	$25.00	$0.11
99213 Established patient office or other outpatient visit, typically 15 minutes	568	199	$156.70	$70.42
Q9966 Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml	508	88	$19.50	$0.32
80305 Testing for presence of drug, read by direct observation	484	190	$44.58	$12.93
99152 Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 15 minutes	223	114	$78.00	$12.45
20611 Aspiration and/or injection of fluid large joint using ultrasound guidance	186	74	$226.61	$74.77
20550 Injection into tendon or ligament	174	75	$237.62	$34.85
J2250 Injection, midazolam hydrochloride, per 1 mg	148	51	$19.50	$0.11
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	140	140	$390.00	$160.67
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	133	78	$240.50	$58.37
64484 Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, each additional level	130	77	$453.35	$59.03
93040 Tracing of electrical activity of heart using 1-3 leads with interpretation and report	116	75	$78.00	$12.05
64483 Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level	115	81	$753.67	$131.77
20553 Injection of trigger points, 3 or more muscles	94	33	$235.40	$59.42
99152 Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 15 minutes	71	49	$78.00	$47.53
64484 Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, each additional level	60	37	$432.25	$97.76
64483 Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level	52	41	$726.00	$236.93
20552 Injections of trigger points in 1 or 2 muscles	50	34	$195.00	$49.45
64493 Injection of lower or sacral spine facet joint using imaging guidance, single level	45	24	$845.87	$121.42
64494 Injection of lower or sacral spine facet joint using imaging guidance, second level	41	21	$433.76	$72.02
64636 Destruction of lower or sacral spinal facet joint nerves with imaging guidance	41	13	$468.00	$59.57
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	36	35	$78.00	$42.95
64495 Injection of lower or sacral spine facet joint using imaging guidance, third and any additional level	35	19	$423.43	$71.23
27096 Injection of anesthetic or steroid into joint between lower spine and hip bone using imaging guidance	31	27	$642.87	$184.61
20604 Aspiration and/or injection of fluid from small joint using ultrasound guidance	30	15	$179.90	$59.58
64635 Destruction of lower or sacral spinal facet joint nerves using imaging guidance, single facet joint	28	17	$936.00	$219.03

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	1,700	186	$22.55	$1.77
99213 Established patient office or other outpatient visit, typically 15 minutes	1,290	232	$156.61	$69.70
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	961	350	$234.76	$103.48
80305 Testing for presence of drug, read by direct observation	396	179	$44.58	$14.31
J1100 Injection, dexamethasone sodium phosphate, 1 mg	338	55	$21.43	$0.11
99152 Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 15 minutes	191	122	$78.12	$12.01
20611 Aspiration and/or injection of fluid large joint using ultrasound guidance	174	66	$223.48	$72.25
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	165	165	$390.00	$158.41
J2250 Injection, midazolam hydrochloride, per 1 mg	132	59	$19.50	$0.11
93040 Tracing of electrical activity of heart using 1-3 leads with interpretation and report	125	91	$78.00	$12.18
Q9966 Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml	122	28	$22.74	$0.32
64484 Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, each additional level	117	75	$439.02	$57.87
20552 Injections of trigger points in 1 or 2 muscles	108	68	$195.00	$53.61
20550 Injection into tendon or ligament	100	48	$234.00	$29.50
64483 Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level	98	80	$739.92	$129.66
Q9965 Low osmolar contrast material, 100-199 mg/ml iodine concentration, per ml	95	55	$19.50	$0.84
99152 Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 15 minutes	77	62	$78.00	$48.25
20553 Injection of trigger points, 3 or more muscles	77	31	$234.00	$59.59
64484 Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, each additional level	66	38	$440.23	$94.94
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	65	48	$234.00	$59.70
64483 Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level	54	43	$756.00	$242.38
64636 Destruction of lower or sacral spinal facet joint nerves with imaging guidance	49	15	$468.00	$59.70
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	43	30	$78.00	$19.93
64493 Injection of lower or sacral spine facet joint using imaging guidance, single level	40	25	$780.00	$109.96
64494 Injection of lower or sacral spine facet joint using imaging guidance, second level	38	24	$394.11	$65.64
27096 Injection of anesthetic or steroid into joint between lower spine and hip bone using imaging guidance	36	29	$637.00	$183.87
64495 Injection of lower or sacral spine facet joint using imaging guidance, third and any additional level	34	23	$394.59	$66.60
64635 Destruction of lower or sacral spinal facet joint nerves using imaging guidance, single facet joint	28	16	$936.00	$222.64
64493 Injection of lower or sacral spine facet joint using imaging guidance, single level	22	15	$808.36	$219.24
64494 Injection of lower or sacral spine facet joint using imaging guidance, second level	22	15	$404.18	$110.18
20604 Aspiration and/or injection of fluid from small joint using ultrasound guidance	21	12	$203.34	$62.99
64495 Injection of lower or sacral spine facet joint using imaging guidance, third and any additional level	19	14	$402.32	$110.11
62321 Injection of substance into middle or upper spine canal using imaging guidance	14	12	$600.00	$97.51

Medical Specialties & State Licenses

Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

State License AZ 13247

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners

Dr. Alexandra Ebong , DNP, FNP-C

Nurse Practitioner - Family

NPI 1831680305

Doctor of Nursing Practice, Family Nurse Practitioner (Certified)

James Bigham , PA

Physician Assistant

NPI 1962837245

Physician Assistant

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events

⚠️

NPI Profile Deactivated November 27, 2025

Record deactivated on November 27, 2025

✅

NPI Profile Active August 18, 2015

NPI status registered as active in NPPES database

📍

Updated Practice Location August 18, 2015

Registered at 1950 S COUNTRY CLUB DR, SUITE 102, MESA, AZ 852106043 (Tel: 4804130065)

📍

Updated Business Mailing Address August 18, 2015

Registered at 1950 S COUNTRY CLUB DR STE 102, MESA, AZ 852106044 (Tel: 4804130065)

👤

Provider Name / Credentials Updated August 18, 2015

Recorded as MICHAEL MCCAULEY, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) August 18, 2015

Specialist (License #13247 in AZ)

🟢

Initial NPI Registration & Enumeration September 20, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1558357095

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: September 20, 2005

Last Update: August 18, 2015

Deactivation Date: November 27, 2025

Update or Correct Profile

Mailing Address

1950 S Country Club Dr Ste 102

Mesa, AZ 852106044

Phone: 4804130065

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.