Active NPI 1013915586 Individual Practitioner Male Practitioner

Dr. Michael John Pickford , MD

Otolaryngology • Duluth, GA

Professional Overview & Biography Verified Profile Summary

Dr. Michael Pickford, MD is a registered healthcare professional specializing in Otolaryngology in Duluth, GA. Practice services are available at 3855 PLEASANT HILL RD under active NPI credentials.

Frequently performed procedures and clinical services include established patient outpatient office visit, new patient outpatient office visit, removal of impacted ear wax. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

3855 Pleasant Hill Rd
Suite 280

Duluth, GA 300961407

Telephone 6783127390

Fax 6783127399

Associated Practice Facility / Clinic

🏢 Y J Lee Gastroenterology, Pc Facility NPI 1639268436

Specialty Benchmarks & Practice Insights

Comparative analytics for Otolaryngology in Duluth, GA

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 31.7 Yrs

State Avg: 26.4 Yrs

Regional Practice Density

5 Specialists

Practicing in Duluth, GA (363 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

61.1% 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 (2023)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	33	30	$212.47	$87.26
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	23	23	$278.16	$103.17
69210 Removal of impacted ear wax	17	16	$120.81	$47.40

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	25	25	$317.88	$113.14
99213 Established patient office or other outpatient visit, typically 15 minutes	20	17	$219.30	$92.04
69210 Removal of impacted ear wax	12	12	$155.00	$48.15

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	125	91	$188.70	$73.34
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	86	86	$277.93	$108.63
92567 Eardrum testing using ear probe	37	35	$31.76	$16.05
92557 Comprehensive hearing and speech recognition test	36	35	$80.22	$38.65
31575 Diagnostic exam of voice box using a flexible endoscope	34	31	$306.32	$121.60
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	34	31	$281.18	$109.87
31231 Diagnostic examination of nasal passages using an endoscope	32	26	$551.25	$193.53
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	30	24	$112.97	$45.89
69210 Removal of impacted ear wax	26	24	$132.69	$47.07
99202 New patient office or other outpatient visit, typically 20 minutes	24	24	$205.88	$76.94

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	124	91	$150.65	$74.72
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	122	122	$220.95	$109.72
92557 Comprehensive hearing and speech recognition test	87	84	$77.79	$38.13
92567 Eardrum testing using ear probe	74	71	$30.89	$15.43
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	72	50	$91.42	$45.61
31231 Diagnostic examination of nasal passages using an endoscope	52	45	$410.38	$204.05
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	37	34	$221.00	$107.44
69210 Removal of impacted ear wax	35	29	$96.94	$48.21
99202 New patient office or other outpatient visit, typically 20 minutes	33	33	$156.00	$77.26
31575 Diagnostic exam of voice box using a flexible endoscope	32	30	$239.00	$113.25
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	12	12	$335.00	$155.20

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	126	96	$140.00	$70.60
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	109	109	$220.00	$104.72
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	74	58	$85.00	$42.72
69210 Removal of impacted ear wax	61	48	$95.00	$47.63
31231 Diagnostic examination of nasal passages using an endoscope	53	42	$395.00	$204.80
31575 Diagnostic exam of voice box using a flexible endoscope	47	45	$220.00	$99.67
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	41	37	$210.00	$104.62
99202 New patient office or other outpatient visit, typically 20 minutes	19	19	$150.00	$73.04
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	13	13	$335.00	$160.61

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	146	108	$140.00	$97.74
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	139	139	$220.00	$140.02
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	66	51	$85.00	$57.62
31231 Diagnostic examination of nasal passages using an endoscope	64	49	$395.00	$280.70
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	41	36	$210.00	$141.31
31575 Diagnostic exam of voice box using a flexible endoscope	30	28	$220.00	$143.15
92504 Exam of ear using a microscope	24	24	$60.00	$39.80
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	24	24	$335.00	$223.64
69210 Removal of impacted ear wax	23	22	$95.00	$64.31
99202 New patient office or other outpatient visit, typically 20 minutes	18	18	$150.00	$97.79

Medical Specialties & State Licenses

CMS Verified: 2021-07-16

Otolaryngology Primary Specialty

NUCC Taxonomy Code: 207Y00000X

State License GA 024063

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.

Otolaryngology - Sleep Medicine

NUCC Taxonomy Code: 207YS0012X

State License GA 024063

An Otolaryngologist who practices Sleep Medicine is certified in the subspecialty of sleep medicine and specializes in the clinical assessment, physiologic testing, diagnosis, management and prevention of sleep and circadian rhythm disorders. Sleep specialists treat patients of any age and use multidisciplinary approaches. Disorders managed by sleep specialists include, but are not limited to, sleep related breathing disorders, insomnia, hypersomnias, circadian rhythm sleep disorders, parasomnias and sleep related movement disorders.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Aetna

2552774 (GA)

Commercial Insurance / Payer ID Bcbs Of Georgia

52280401 (GA)

Commercial Insurance / Payer ID Railroad Medicare

O40016072 (GA)

Commercial Insurance / Payer ID Cigna

2234680 (GA)

Commercial Insurance / Payer ID Kaiser Permanente

5997 (GA)

Practice Associates & Co-Workers

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

17 Associated Practitioners

Donna Crawford , PA

Physician Assistant - Medical

NPI 1023276334

Physician Assistant

Dr. Oluseun Olufade , MD

Physical Medicine & Rehabilitation

NPI 1053502716

Doctor of Medicine (M.D.)

Karishma Patel , PA-C

Physician Assistant

NPI 1134722143

Physician Assistant (Certified)

Damar Lewis , AGACNP-BC

Nurse Practitioner - Acute Care

NPI 1295545069

Adult-Gerontology Acute Care Nurse Practitioner (Board Certified)

Dr. Mark Majoch , MD

Family Medicine

NPI 1306811823

Doctor of Medicine (M.D.)

Dr. R. Morgan Davoudi , MD

Plastic Surgery

NPI 1356343727

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

7 Historical Events

📍

Updated Business Mailing Address October 13, 2020

Registered at 3855 PLEASANT HILL RD STE 280, DULUTH, GA 300968093 (Tel: 6783127390)

✅

NPI Profile Active August 14, 2014

NPI status registered as active in NPPES database

📍

Updated Practice Location August 14, 2014

Registered at 3855 PLEASANT HILL RD, SUITE 280, DULUTH, GA 300961407 (Tel: 6783127390)

📍

Updated Business Mailing Address August 14, 2014

Registered at PO BOX 116156, ATLANTA, GA 303686156 (Tel: 4703250100)

👤

Provider Name / Credentials Updated August 14, 2014

Recorded as MICHAEL PICKFORD, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) August 14, 2014

Otolaryngology (License #024063 in GA)

🟢

Initial NPI Registration & Enumeration July 08, 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: 1013915586

Entity Type:

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

Enumeration Date: July 08, 2005

Last Update: July 16, 2021

Sole Proprietor: No

Update or Correct Profile

Mailing Address

3855 Pleasant Hill Rd Ste 280

Duluth, GA 300968093

Phone: 6783127390

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.