Active NPI 1902860166 Individual Practitioner Male Practitioner

Dr. Michael J Flanagan , MD

Urology • Middlebury, CT

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Michael Flanagan, MD is a certified Urology practicing in Middlebury, CT. With approximately 41 years of clinical experience since graduating from Rutgers New Jersey Medical School in 1985, Dr. Flanagan delivers high-quality medical care to the local community at 1579 STRAITS TPKE.

Dr. Flanagan is affiliated with Prospect Ct Medical Foundation Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include injection, methylprednisolone acetate, 1 mg, established patient outpatient office visit, automated urinalysis test. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1579 Straits Tpke
Suite 2a

Middlebury, CT 067621835

Telephone 2037578361

Fax 2037549126

Associated Practice Facility / Clinic

🏢 Urology Specialists, P. C. Facility NPI 1760446173

Medicare Profile & Education

Medical School

Rutgers New Jersey Medical School

Graduation Year

1985

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Urology in Middlebury, CT

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

41 Yrs +11.0 yrs vs City Avg

City Avg: 30.0 Yrs

State Avg: 23.2 Yrs

Regional Practice Density

6 Specialists

Practicing in Middlebury, CT (196 Statewide)

Telehealth Adoption Rate

33.3% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

58.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Flanagan (41 Years) 41 Yrs

Middlebury Specialty Average (30.0 Years) 30.0 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J1010 Injection, methylprednisolone acetate, 1 mg	2,932	16	$2.50	$0.12
99213 Established patient office or other outpatient visit, typically 15 minutes	1,092	749	$200.00	$94.47
81003 Automated urinalysis test	1,033	702	$25.00	$2.18
51798 Ultrasound measurement of bladder capacity after voiding	524	397	$50.00	$12.09
J9217 Leuprolide acetate (for depot suspension), 7.5 mg	185	30	$495.00	$178.81
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	141	131	$250.00	$133.51
J1580 Injection, garamycin, gentamicin, up to 80 mg	126	24	$10.00	$2.34
36415 Insertion of needle into vein for collection of blood sample	123	113	$25.00	$8.59
76775 Limited ultrasound scan behind abdominal cavity	115	106	$175.00	$62.68
51700 Simple bladder irrigation and/or instillation	113	22	$175.00	$77.99
51702 Simple insertion of temporary bladder tube	97	30	$185.00	$65.77
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	53	22	$60.00	$15.02
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	43	30	$75.00	$37.47
52000 Diagnostic exam of bladder and urethra using an endoscope	26	20	$500.00	$253.34
99442 Telephone medical discussion with physician, 11-20 minutes	25	24	$200.00	$94.44
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	24	24	$290.00	$174.16
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	18	17	$85.00	$59.28
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	12	12	$650.00	$176.76

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J1071 Injection, testosterone cypionate, 1 mg	1,651	11	$0.01	$0.01
99213 Established patient office or other outpatient visit, typically 15 minutes	1,131	768	$200.00	$95.33
81003 Automated urinalysis test	1,110	744	$25.00	$2.19
J1644 Injection, heparin sodium, per 1000 units	731	18	$2.00	$0.24
51798 Ultrasound measurement of bladder capacity after voiding	578	419	$50.00	$11.69
J9217 Leuprolide acetate (for depot suspension), 7.5 mg	210	28	$495.00	$169.55
36415 Insertion of needle into vein for collection of blood sample	171	152	$25.00	$8.40
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	161	130	$250.00	$134.79
76775 Limited ultrasound scan behind abdominal cavity	131	113	$175.00	$63.72
51702 Simple insertion of temporary bladder tube	122	35	$185.00	$66.21
J1020 Injection, methylprednisolone acetate, 20 mg	109	18	$7.00	$5.47
J1580 Injection, garamycin, gentamicin, up to 80 mg	87	25	$10.00	$2.76
51700 Simple bladder irrigation and/or instillation	81	24	$175.00	$82.35
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	75	21	$60.00	$15.07
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	41	27	$75.00	$36.73
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	34	34	$290.00	$175.13
99442 Telephone medical discussion with physician, 11-20 minutes	24	15	$200.00	$95.42
52000 Diagnostic exam of bladder and urethra using an endoscope	24	19	$500.00	$261.36
99231 Follow-up hospital inpatient care per day, typically 15 minutes	22	15	$150.00	$51.54
51701 Insertion of temporary bladder tube	18	16	$125.00	$47.84
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	17	15	$85.00	$60.07
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	12	12	$600.00	$135.25
81002 Urinalysis, manual test	12	12	$35.00	$3.41

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	1,091	786	$200.00	$97.90
81003 Automated urinalysis test	1,059	734	$25.00	$2.19
J1644 Injection, heparin sodium, per 1000 units	600	19	$2.00	$0.24
51798 Ultrasound measurement of bladder capacity after voiding	557	409	$50.00	$11.74
J9217 Leuprolide acetate (for depot suspension), 7.5 mg	304	40	$495.00	$172.94
36415 Insertion of needle into vein for collection of blood sample	204	178	$25.00	$2.93
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	105	94	$250.00	$138.31
76775 Limited ultrasound scan behind abdominal cavity	100	85	$173.75	$64.47
J1020 Injection, methylprednisolone acetate, 20 mg	94	16	$7.00	$2.96
51702 Simple insertion of temporary bladder tube	89	33	$185.00	$69.41
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	87	27	$60.00	$15.67
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	67	40	$75.00	$36.56
51700 Simple bladder irrigation and/or instillation	64	22	$175.00	$85.90
J1071 Injection, testosterone cypionate, 1 mg	59	14	$0.01	$0.01
J1580 Injection, garamycin, gentamicin, up to 80 mg	55	23	$10.00	$2.20
51701 Insertion of temporary bladder tube	30	17	$125.00	$48.78
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	29	29	$290.00	$180.67
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	29	26	$85.00	$61.83
52000 Diagnostic exam of bladder and urethra using an endoscope	25	19	$500.00	$275.85
99231 Follow-up hospital inpatient care per day, typically 15 minutes	19	15	$150.00	$40.74
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	16	14	$350.00	$71.13
52332 Insertion of stent in urinary duct (ureter) using an endoscope	15	11	$1800.00	$108.66
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	15	15	$600.00	$141.88
76872 Ultrasound scan of pelvic region through rectum	14	14	$275.00	$158.27
55700 Biopsy of prostate gland	14	14	$625.00	$269.72
99442 Telephone medical discussion with physician, 11-20 minutes	12	12	$200.00	$98.06

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	1,173	822	$200.00	$98.27
81003 Automated urinalysis test	1,108	751	$25.00	$2.23
51798 Ultrasound measurement of bladder capacity after voiding	585	425	$50.00	$11.57
J1644 Injection, heparin sodium, per 1000 units	480	17	$2.00	$0.29
J9217 Leuprolide acetate (for depot suspension), 7.5 mg	316	41	$495.00	$178.65
36415 Insertion of needle into vein for collection of blood sample	173	149	$25.00	$3.00
76775 Limited ultrasound scan behind abdominal cavity	110	99	$150.45	$64.99
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	103	33	$60.00	$15.42
J1020 Injection, methylprednisolone acetate, 20 mg	94	17	$7.00	$3.16
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	89	44	$75.00	$35.47
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	82	74	$250.00	$138.90
51702 Simple insertion of temporary bladder tube	79	35	$185.00	$70.58
J1580 Injection, garamycin, gentamicin, up to 80 mg	70	26	$10.00	$1.86
J1071 Injection, testosterone cypionate, 1 mg	63	13	$0.01	$0.01
51700 Simple bladder irrigation and/or instillation	52	21	$175.00	$88.00
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	50	50	$290.00	$180.87
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	46	43	$85.00	$61.16
52000 Diagnostic exam of bladder and urethra using an endoscope	40	33	$500.00	$263.42
99231 Follow-up hospital inpatient care per day, typically 15 minutes	39	27	$150.00	$40.40
99221 Initial hospital inpatient care per day, typically 30 minutes	17	17	$250.00	$106.31
76872 Ultrasound scan of pelvic region through rectum	12	12	$275.00	$156.55
55700 Biopsy of prostate gland	12	12	$625.00	$277.23

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	1,184	846	$181.76	$82.24
81003 Automated urinalysis test	1,088	774	$21.90	$2.22
51798 Ultrasound measurement of bladder capacity after voiding	638	479	$56.03	$11.63
J1644 Injection, heparin sodium, per 1000 units	383	21	$1.80	$0.26
J9217 Leuprolide acetate (for depot suspension), 7.5 mg	311	40	$516.32	$216.25
36415 Insertion of needle into vein for collection of blood sample	164	149	$24.73	$2.99
J1020 Injection, methylprednisolone acetate, 20 mg	126	23	$6.72	$3.54
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	115	115	$282.00	$177.36
76775 Limited ultrasound scan behind abdominal cavity	109	107	$179.94	$65.41
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	105	93	$228.95	$116.94
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	95	36	$61.05	$15.50
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	84	44	$86.61	$35.46
J1580 Injection, garamycin, gentamicin, up to 80 mg	66	32	$10.36	$1.88
51700 Simple bladder irrigation and/or instillation	52	25	$179.71	$84.93
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	49	42	$84.76	$49.65
51702 Simple insertion of temporary bladder tube	47	28	$193.19	$68.90
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	27	27	$195.56	$117.98
99442 Telephone medical discussion with physician, 11-20 minutes	26	25	$70.96	$66.50
99231 Follow-up hospital inpatient care per day, typically 15 minutes	25	22	$123.76	$42.53
52000 Diagnostic exam of bladder and urethra using an endoscope	25	21	$488.00	$237.97
99441 Telephone medical discussion with physician, 5-10 minutes	21	21	$47.14	$41.58

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J0897 Injection, denosumab, 1 mg	7,200	13	$24.90	$18.57
81003 Automated urinalysis test	1,416	855	$14.00	$2.42
99213 Established patient office or other outpatient visit, typically 15 minutes	1,342	853	$110.00	$79.86
51798 Ultrasound measurement of bladder capacity after voiding	864	579	$84.00	$14.30
J9217 Leuprolide acetate (for depot suspension), 7.5 mg	420	57	$625.00	$223.52
J1644 Injection, heparin sodium, per 1000 units	170	12	$0.90	$0.16
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	157	133	$165.54	$115.99
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	149	51	$65.00	$18.23
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	107	58	$150.00	$33.84
J1020 Injection, methylprednisolone acetate, 20 mg	85	12	$6.00	$3.03
76775 Limited ultrasound scan behind abdominal cavity	77	69	$342.00	$63.49
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	76	76	$250.00	$177.77
J1580 Injection, garamycin, gentamicin, up to 80 mg	53	27	$12.00	$1.69
51702 Simple insertion of temporary bladder tube	43	27	$240.00	$67.20
99231 Follow-up hospital inpatient care per day, typically 15 minutes	42	32	$68.00	$42.07
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	37	37	$82.00	$49.30
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	29	28	$95.00	$77.68
52000 Diagnostic exam of bladder and urethra using an endoscope	26	20	$400.00	$210.74
51703 Complicated insertion of bladder tube	26	13	$300.00	$146.75
99221 Initial hospital inpatient care per day, typically 30 minutes	19	19	$140.00	$108.74
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	19	19	$180.00	$112.18
51700 Simple bladder irrigation and/or instillation	19	14	$210.00	$69.77

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J0897 Injection, denosumab, 1 mg	7,260	20	$24.88	$17.86
81003 Automated urinalysis test	1,446	824	$14.00	$2.70
99213 Established patient office or other outpatient visit, typically 15 minutes	1,327	822	$110.00	$75.69
51798 Ultrasound measurement of bladder capacity after voiding	780	513	$84.00	$17.21
J9217 Leuprolide acetate (for depot suspension), 7.5 mg	442	59	$625.00	$208.85
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	126	102	$165.00	$110.94
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	121	44	$65.00	$21.69
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	107	62	$150.00	$32.70
36415 Insertion of needle into vein for collection of blood sample	98	88	$14.00	$2.94
84153 Psa (prostate specific antigen) measurement, total	97	87	$71.00	$22.26
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	71	66	$82.00	$46.28
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	63	63	$250.00	$171.43
76775 Limited ultrasound scan behind abdominal cavity	56	48	$342.00	$60.02
99231 Follow-up hospital inpatient care per day, typically 15 minutes	50	39	$68.00	$40.33
J1580 Injection, garamycin, gentamicin, up to 80 mg	50	18	$12.00	$1.48
52000 Diagnostic exam of bladder and urethra using an endoscope	34	26	$400.00	$177.07
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	34	34	$95.00	$74.86
51702 Simple insertion of temporary bladder tube	30	20	$240.00	$68.69
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	19	19	$180.00	$113.12
84403 Testosterone (hormone) level, total	18	18	$71.00	$31.23
51700 Simple bladder irrigation and/or instillation	16	11	$210.00	$79.19
52648 Laser vaporization of prostate including control of bleeding using an endoscope	15	15	$2400.00	$733.37
99221 Initial hospital inpatient care per day, typically 30 minutes	15	15	$140.00	$104.59
55700 Biopsy of prostate gland	13	13	$470.00	$133.17
52332 Insertion of stent in urinary duct (ureter) using an endoscope	12	11	$825.00	$124.06
76872 Ultrasound scan of pelvic region through rectum	11	11	$195.27	$34.67

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J0897 Injection, denosumab, 1 mg	5,820	20	$21.04	$16.32
81003 Automated urinalysis test	1,616	955	$14.00	$3.01
99213 Established patient office or other outpatient visit, typically 15 minutes	1,460	964	$110.00	$71.99
51798 Ultrasound measurement of bladder capacity after voiding	855	580	$84.00	$20.09
J9217 Leuprolide acetate (for depot suspension), 7.5 mg	427	52	$625.00	$209.26
J1644 Injection, heparin sodium, per 1000 units	180	12	$0.90	$0.20
36415 Insertion of needle into vein for collection of blood sample	153	139	$14.00	$2.92
84153 Psa (prostate specific antigen) measurement, total	147	134	$71.00	$24.57
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	104	87	$165.00	$105.16
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	103	45	$65.00	$25.71
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	103	55	$150.00	$32.90
J1020 Injection, methylprednisolone acetate, 20 mg	90	12	$6.00	$5.19
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	89	74	$82.00	$42.88
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	88	88	$250.00	$162.51
J1580 Injection, garamycin, gentamicin, up to 80 mg	74	30	$12.00	$1.51
76770 Complete ultrasound scan behind abdominal cavity	62	56	$342.00	$115.38
99231 Follow-up hospital inpatient care per day, typically 15 minutes	53	34	$68.00	$38.22
52000 Diagnostic exam of bladder and urethra using an endoscope	50	40	$400.00	$166.27
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	47	45	$95.00	$70.18
96401 Administration of non-hormonal anti-neoplastic chemotherapy under skin or into muscle	37	17	$130.00	$74.08
51702 Simple insertion of temporary bladder tube	32	24	$240.00	$63.80
84403 Testosterone (hormone) level, total	31	27	$71.00	$34.70
51700 Simple bladder irrigation and/or instillation	28	20	$210.00	$73.68
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	19	19	$180.00	$107.29
52648 Laser vaporization of prostate including control of bleeding using an endoscope	14	14	$2400.00	$692.80
55700 Biopsy of prostate gland	11	11	$470.00	$253.37
76872 Ultrasound scan of pelvic region through rectum	11	11	$358.00	$96.46

Medical Specialties & State Licenses

Urology Primary Specialty

NUCC Taxonomy Code: 208800000X

State License CT 028454

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.

Hospital & Practice Group Affiliations

Prospect Ct Medical Foundation Inc

18 Haynes St, Manchester, CT 060404111

Phone: 8606497557

Practice Associates & Co-Workers

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

10 Associated Practitioners

Dr. Sagar Phatak , MD

Urology

NPI 1023033149

Doctor of Medicine (M.D.)

Dr. Robert Feldman , MD

Urology

NPI 1023072279

Doctor of Medicine (M.D.)

Elizabeth Pereira , APRN

Nurse Practitioner - Family

NPI 1083381966

Advanced Practice Registered Nurse

Dr. York Moy , MD

Urology

NPI 1083678247

Doctor of Medicine (M.D.)

Cameron Bain

Nurse Practitioner - Family

NPI 1134062805

Amanda Fernandes , APRN

Nurse Practitioner - Family

NPI 1205677945

Advanced Practice Registered Nurse

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍

Updated Practice Location July 08, 2007

Registered at 1579 STRAITS TPKE, SUITE 2A, MIDDLEBURY, CT 067621835 (Tel: 2037578361)

📍

Updated Business Mailing Address July 08, 2007

Registered at 1579 STRAITS TPKE, SUITE 2A, MIDDLEBURY, CT 067621835 (Tel: 2037578361)

👤

Provider Name / Credentials Updated July 08, 2007

Recorded as MICHAEL FLANAGAN, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Urology (License #028454 in CT)

🟢

Initial NPI Registration & Enumeration April 14, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1902860166

Entity Type:

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

Enumeration Date: April 14, 2006

Last Update: July 08, 2007

Sole Proprietor: No

Update or Correct Profile

Mailing Address

1579 Straits Tpke, Suite 2a

Middlebury, CT 067621835

Phone: 2037578361

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

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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.