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Active NPI 1801893268 Individual Practitioner Male Practitioner

Dr. Patrick J Viscardi , MD

Plastic Surgery • Mishawaka, IN

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Patrick Viscardi, MD is a certified Plastic Surgery practicing in Mishawaka, IN. With approximately 37 years of clinical experience since graduating from University Of Rochester School Of Medicine And Dentistry in 1989, Dr. Viscardi delivers high-quality medical care to the local community at 611 E DOUGLAS RD STE 108.

Dr. Viscardi is affiliated with Goshen Health System Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include new patient outpatient office visit, established patient outpatient office visit, follow-up hospital inpatient care per day. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

611 E Douglas Rd Ste 108

Mishawaka, IN 465451464

Telephone 5749689100
Fax 5749683517
Associated Practice Facility / Clinic
🏢 The Centre Pc Facility NPI 1568533990

Medicare Profile & Education

Medical School

University Of Rochester School Of Medicine And Dentistry

Graduation Year

1989

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Plastic Surgery in Mishawaka, IN

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
37 Yrs +6.7 yrs vs City Avg
City Avg: 30.3 Yrs
State Avg: 25.7 Yrs
Regional Practice Density
3 Specialists

Practicing in Mishawaka, IN (84 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
70.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Viscardi (37 Years) 37 Yrs
Mishawaka Specialty Average (30.3 Years) 30.3 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
99202 New patient office or other outpatient visit, typically 20 minutes
17 17 $150.00 $43.78

Medical Specialties & State Licenses

CMS Verified: 2023-08-08
Plastic Surgery Primary Specialty

NUCC Taxonomy Code: 208200000X

State License IN 01048709A

A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.

Plastic Surgery - Plastic Surgery Within the Head and Neck

NUCC Taxonomy Code: 2082S0099X

State License IN 01048709A

A plastic surgeon with additional training in plastic and reconstructive procedures within the head, face, neck and associated structures, including cutaneous head and neck oncology and reconstruction, management of maxillofacial trauma, soft tissue repair and neural surgery. The field is diverse and involves a wide age range of patients, from the newborn to the aged. While both cosmetic and reconstructive surgery is practiced, there are many additional procedures which interface with them.

Plastic Surgery - Surgery of the Hand

NUCC Taxonomy Code: 2082S0105X

State License IN 01048709A

A plastic surgeon with additional training in the investigation, preservation, and restoration by medical, surgical and rehabilitative means of all structures of the upper extremity directly affecting the form and function of the hand and wrist.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
200168380 (IN)

Hospital & Practice Group Affiliations

Goshen Health System Inc

200 High Park Ave, Goshen, IN 465264810

Phone: 5743642888

Secondary Practice Locations

200 High Park Ave

Goshen, IN 465264810

Phone: 5743642888

Practice Associates & Co-Workers

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

4 Associated Practitioners
NPI 1154328516

Doctor of Medicine (M.D.), FACS

Kellee Hedges , FNP-BC

Nurse Practitioner - Family

NPI 1639461817

Family Nurse Practitioner (Board Certified)

Lawrence Boynton , CFA

Licensed Practical Nurse

NPI 1669436689
Debra Miller , RNFA

Registered Nurse - Registered Nurse First Assistant

NPI 1922687482

Career & Practice History Timeline

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

9 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 08, 2023

Plastic Surgery (License #01048709A in IN)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 26, 2021

Plastic Surgery (License #01048709A in IN)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 14, 2021

Plastic Surgery (License #01048709A in IN)

NPI Profile Active December 16, 2011

NPI status registered as active in NPPES database

📍
Updated Practice Location December 16, 2011

Registered at 611 E DOUGLAS RD STE 108, MISHAWAKA, IN 465451464 (Tel: 5749689100)

📍
Updated Business Mailing Address December 16, 2011

Registered at 611 E DOUGLAS RD, #108, MISHAWAKA, IN 465451464 (Tel: 5749689100)

👤
Provider Name / Credentials Updated December 16, 2011

Recorded as PATRICK VISCARDI, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 16, 2011

Plastic Surgery (License #01048709A in IN)

🟢
Initial NPI Registration & Enumeration June 30, 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: 1801893268
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 30, 2005
Last Update: August 08, 2023
Sole Proprietor: No

Mailing Address

611 E Douglas Rd, #108

Mishawaka, IN 465451464

Phone: 5749689100

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.