Active NPI 1598766180 Individual Practitioner Male Practitioner

Dr. Michael Gillian Foley , MD

Internal Medicine • Crestview, FL

Professional Overview & Biography Verified Profile Summary

Dr. Michael Foley, MD is a registered healthcare professional specializing in Internal Medicine in Crestview, FL. Practice services are available at 524 W JAMES LEE BLVD under active NPI credentials.

Frequently performed procedures and clinical services include established patient outpatient office visit, subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least, initial nursing facility visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

524 W James Lee Blvd

Crestview, FL 325365129

Telephone 8506826143

Fax 8506820227

Associated Practice Facility / Clinic

🏢 James L Willis Do Pa Facility NPI 1710173638

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Crestview, FL

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 35.2 Yrs

State Avg: 26.5 Yrs

Regional Practice Density

10 Specialists

Practicing in Crestview, FL (10650 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

40.2% 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 (2020)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	427	228	$119.88	$63.60
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	212	42	$130.00	$69.42
99306 Initial nursing facility visit, typically 45 minutes per day	22	21	$250.00	$167.62
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	19	16	$120.00	$52.61
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	17	15	$138.00	$91.30
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	12	11	$154.00	$100.78

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	1,133	284	$119.81	$73.18
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	438	65	$130.00	$68.69
99306 Initial nursing facility visit, typically 45 minutes per day	79	66	$250.00	$166.62
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	54	36	$138.00	$90.18
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	36	32	$120.00	$52.50
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	31	29	$154.00	$107.55
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	29	17	$90.00	$40.36

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	1,185	306	$119.84	$67.34
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	542	84	$130.00	$65.40
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	110	60	$138.00	$86.45
99306 Initial nursing facility visit, typically 45 minutes per day	94	81	$250.00	$157.64
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	56	49	$154.00	$100.80
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	30	25	$120.00	$50.09

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	1,306	322	$119.75	$67.14
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	568	93	$130.00	$64.49
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	155	74	$138.00	$85.15
99306 Initial nursing facility visit, typically 45 minutes per day	94	84	$250.00	$155.59
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	36	31	$120.00	$48.22
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	35	32	$154.00	$99.42
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	21	15	$90.00	$37.97

Medical Specialties & State Licenses

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License FL ME0031078

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

59459800 (FL)

Commercial Insurance / Payer ID Bcbs

46122 (FL)

Practice Associates & Co-Workers

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

1 Associated Practitioners

Linda Foley , ARNP

Nurse Practitioner - Family

NPI 1942237458

Advanced Registered Nurse Practitioner

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active December 14, 2009

NPI status registered as active in NPPES database

📍

Updated Practice Location December 14, 2009

Registered at 524 W JAMES LEE BLVD, CRESTVIEW, FL 325365129 (Tel: 8506826143)

📍

Updated Business Mailing Address December 14, 2009

Registered at 524 W JAMES LEE BLVD, CRESTVIEW, FL 325365129 (Tel: 8506826143)

👤

Provider Name / Credentials Updated December 14, 2009

Recorded as MICHAEL FOLEY, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) December 14, 2009

Internal Medicine (License #ME0031078 in FL)

🟢

Initial NPI Registration & Enumeration August 03, 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: 1598766180

Entity Type:

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

Enumeration Date: August 03, 2005

Last Update: December 14, 2009

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

524 W James Lee Blvd

Crestview, FL 325365129

Phone: 8506826143

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.