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Active NPI 1164416582 Individual Practitioner Male Practitioner

Dr. Michael Petrosky , MD

Surgery - Plastic and Reconstructive Surgery • Marietta, GA

Professional Overview & Biography Verified Profile Summary

Dr. Michael Petrosky, MD is a registered healthcare professional specializing in Surgery - Plastic and Reconstructive Surgery in Marietta, GA. Practice services are available at 120 VANN ST NE under active NPI credentials.

Frequently performed procedures and clinical services include established patient outpatient office visit, preparation of skin graft site of face, scalp, eyelids, mouth, neck, ears, around eyes, genitals, hands, feet, fingers, or toes, 100.0 sq cm or 1% body area for infants and children, or less, new patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

120 Vann St Ne
Ste 150

Marietta, GA 300607250

Telephone 7704211242
Fax 7704246652
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery - Plastic and Reconstructive Surgery in Marietta, GA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 18.0 Yrs
State Avg: 25.9 Yrs
Regional Practice Density
7 Specialists

Practicing in Marietta, GA (87 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
11.0% 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
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
22 19 $135.00 $126.77
15004 Preparation of skin graft site of face, scalp, eyelids, mouth, neck, ears, around eyes, genitals, hands, feet, fingers, or toes, 100.0 sq cm or 1% body area for infants and children, or less
13 13 $457.69 $393.37
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
11 11 $175.00 $164.72
14060 Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.0 sq cm or less
11 11 $863.64 $766.29

Medical Specialties & State Licenses

Surgery - Plastic and Reconstructive Surgery Primary Specialty

NUCC Taxonomy Code: 2086S0122X

State License GA 030855

A surgeon who specializes in plastic and reconstructive surgery.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Provider Transaction Access Number-Ptan
24BCBBD (GA)

Practice Associates & Co-Workers

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

2 Associated Practitioners
Dr. Corey Harkins , MD

Surgery - Plastic and Reconstructive Surgery

NPI 1255591814

Doctor of Medicine (M.D.)

Dr. Elmer Musarra , MD

Surgery - Plastic and Reconstructive Surgery

NPI 1962495432

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active July 09, 2008

NPI status registered as active in NPPES database

📍
Updated Practice Location July 09, 2008

Registered at 120 VANN ST NE, STE 150, MARIETTA, GA 300607250 (Tel: 7704211242)

📍
Updated Business Mailing Address July 09, 2008

Registered at 120 VANN ST NE, STE 150, MARIETTA, GA 300607250 (Tel: 7704211242)

👤
Provider Name / Credentials Updated July 09, 2008

Recorded as MICHAEL PETROSKY, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 09, 2008

Surgery (License #030855 in GA)

🟢
Initial NPI Registration & Enumeration August 31, 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: 1164416582
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 31, 2005
Last Update: July 09, 2008
Sole Proprietor: No

Mailing Address

120 Vann St Ne, Ste 150

Marietta, GA 300607250

Phone: 7704211242

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.