Active NPI 1669442620 Individual Practitioner Male Practitioner

Dr. Michael Philip Gavin , MD

General Practice • Salem, KY

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Michael Gavin, MD is a certified General Practice practicing in Salem, KY. With approximately 50 years of clinical experience since graduating from University Of Illinois College Of Med (Chi/Peor/Rock/Chm-Urb) in 1976, Dr. Gavin delivers high-quality medical care to the local community at 141 HOSPITAL DR.

Dr. Gavin is affiliated with Tri-Rivers Healthcare Pllc and accepts Medicare assignment.

Frequently performed procedures and clinical services include admn sarscov2 vacc 1 dose, sarscov2 vac 50 mcg/0.5ml im, administration of influenza virus vaccine. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

141 Hospital Dr

Salem, KY 420788043

Telephone 2709883298

Fax 2709884642

Associated Practice Facility / Clinic

🏢 Tri-Rivers Healthcare Pllc Facility NPI 1588644496

Medicare Profile & Education

Medical School

University Of Illinois College Of Med (Chi/peor/rock/chm-Urb)

Graduation Year

1976

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for General Practice in Salem, KY

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

50 Yrs Matches City Avg

City Avg: 50.0 Yrs

State Avg: 32.1 Yrs

Regional Practice Density

2 Specialists

Practicing in Salem, KY (142 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

18.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Gavin (50 Years) 50 Yrs

Salem Specialty Average (50.0 Years) 50.0 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
90480 Admn sarscov2 vacc 1 dose	369	353	$39.95	$39.15
91322 Sarscov2 vac 50 mcg/0.5ml im	369	353	$155.39	$152.29
G0008 Administration of influenza virus vaccine	290	287	$27.49	$26.94
90662 Influenza vaccine split virus, preservative free	270	267	$79.94	$78.34
83036 Hemoglobin A1C level	76	42	$47.00	$9.39
81002 Urinalysis, manual test	35	17	$22.00	$3.41
90656 Vaccine for influenza for administration into muscle, 0.5 ml dosage	16	16	$21.52	$21.09
87426 Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus	13	13	$30.00	$27.35
87804 Detection test by immunoassay with direct visual observation for influenza virus	12	12	$36.00	$15.13

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
90480 Admn sarscov2 vacc 1 dose	407	407	$40.44	$38.12
91322 Sarscov2 vac 50 mcg/0.5ml im	407	407	$147.53	$143.00
G0008 Administration of influenza virus vaccine	358	357	$27.49	$26.94
90662 Influenza vaccine split virus, preservative free	331	330	$70.99	$69.56
0134A Fee covid-19 vac 14 res	83	83	$40.72	$38.12
83036 Hemoglobin A1C level	62	37	$47.00	$9.37
G0009 Administration of pneumococcal vaccine	36	36	$17.27	$16.93
0124A Fee covid-19 vac 13 res	28	28	$40.00	$38.12
81002 Urinalysis, manual test	26	18	$22.00	$3.41
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	25	25	$21.88	$21.44
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	24	24	$132.06	$129.42
90677 Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use	12	12	$308.52	$282.08

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
G0008 Administration of influenza virus vaccine	326	322	$27.15	$26.56
90662 Influenza vaccine split virus, preservative free	274	274	$69.18	$67.64
0064A Adm sarscov2 50mcg/0.25mlbst	109	108	$40.00	$36.37
0134A Fee covid-19 vac 14 res	94	94	$42.23	$35.64
83036 Hemoglobin A1C level	53	32	$47.00	$9.44
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	47	43	$21.22	$20.82
87635 Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen	39	37	$100.00	$51.10
81002 Urinalysis, manual test	22	19	$22.00	$3.45
0013A Adm sarscov2 100mcg/0.5ml3rd	16	12	$40.00	$36.37
87426 Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus	14	14	$30.00	$29.40

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
91301 Sarscov2 vac 100mcg/0.5ml im	3,169	2,148	$0.01	$0.01
0012A Adm sarscov2 100mcg/0.5ml2nd	2,694	2,680	$34.86	$31.84
0011A Adm sarscov2 100mcg/0.5ml1st	2,354	2,328	$21.36	$19.63
0064A Adm sarscov2 50mcg/0.25mlbst	1,444	1,444	$40.00	$36.67
0013A Adm sarscov2 100mcg/0.5ml3rd	555	553	$40.00	$36.67
0031A Adm sarscov2 vac ad26 .5ml	256	254	$39.91	$36.61
G0008 Administration of influenza virus vaccine	247	247	$15.62	$15.62
90662 Influenza vaccine split virus, preservative free	212	212	$49.03	$49.03
0003A Adm sarscov2 30mcg/0.3ml 3rd	128	128	$40.00	$36.67
0034A Fee covid-19 vac 4 res	84	84	$40.00	$36.46
0001A Intramuscular administration of single severe acute respiratory syndrome coronavirus 2 (covid-19) vaccine, mrna-lnp, spike protein, preservative free, 30 mcg/0.3ml dosage, diluent reconstituted; first dose	72	72	$37.44	$34.04
0002A Intramuscular administration of single severe acute respiratory syndrome coronavirus 2 (covid-19) vaccine, mrna-lnp, spike protein, preservative free, 30 mcg/0.3ml dosage, diluent reconstituted; second dose	55	55	$40.00	$36.67
0004A Fee covid-19 vac 1 res	51	51	$40.00	$36.67
85610 Blood test, clotting time	50	16	$23.00	$4.29
83036 Hemoglobin A1C level	49	38	$47.00	$9.71
90682 Influenza vaccine, quadrivalent derived from recombinant dna	35	35	$46.31	$46.31
87635 Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen	30	29	$100.00	$51.31
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	28	28	$17.97	$17.97
81002 Urinalysis, manual test	23	17	$22.00	$3.48
90471 Administration of 1 vaccine	16	16	$19.93	$15.62

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
G0008 Administration of influenza virus vaccine	192	191	$15.62	$15.62
90662 Influenza vaccine split virus, preservative free	176	176	$49.03	$49.03
85610 Blood test, clotting time	39	11	$23.00	$4.25
83036 Hemoglobin A1C level	33	22	$47.00	$9.36
91301 Sarscov2 vac 100mcg/0.5ml im	26	26	$0.01	$0.01
0011A Adm sarscov2 100mcg/0.5ml1st	25	25	$16.94	$16.94
90682 Influenza vaccine, quadrivalent derived from recombinant dna	21	21	$46.31	$46.31
90471 Administration of 1 vaccine	19	19	$19.93	$13.30
90670 Pneumococcal vaccine for injection into muscle	11	11	$180.05	$176.78

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
G0008 Administration of influenza virus vaccine	232	232	$16.84	$15.31
90682 Influenza vaccine, quadrivalent derived from recombinant dna	212	212	$46.53	$45.42
83036 Hemoglobin A1C level	45	26	$47.00	$10.57
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	29	29	$18.04	$17.68
81002 Urinalysis, manual test	19	13	$22.00	$3.41
G0009 Administration of pneumococcal vaccine	12	12	$22.30	$15.31

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
G0008 Administration of influenza virus vaccine	268	266	$19.31	$18.71
90682 Influenza vaccine, quadrivalent derived from recombinant dna	247	247	$46.31	$45.38
85610 Blood test, clotting time	57	16	$23.00	$4.75
83036 Hemoglobin A1C level	41	28	$47.00	$11.75
90471 Administration of 1 vaccine	23	21	$20.21	$17.80
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	22	22	$18.98	$18.60
90670 Pneumococcal vaccine for injection into muscle	22	22	$201.83	$197.24
G0009 Administration of pneumococcal vaccine	21	21	$19.70	$18.71
82270 Stool analysis for blood to screen for colon tumors	14	14	$15.00	$4.29
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	12	12	$107.01	$104.86
81002 Urinalysis, manual test	12	11	$22.00	$3.41

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
G0008 Administration of influenza virus vaccine	210	210	$25.48	$22.88
90662 Influenza vaccine split virus, preservative free	186	186	$49.03	$48.05
85610 Blood test, clotting time	40	16	$23.00	$5.28
83036 Hemoglobin A1C level	39	28	$47.00	$13.05
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	27	27	$19.03	$18.65
G0009 Administration of pneumococcal vaccine	21	21	$25.51	$22.90
90670 Pneumococcal vaccine for injection into muscle	18	18	$180.18	$176.58

Medical Specialties & State Licenses

General Practice Primary Specialty

NUCC Taxonomy Code: 208D00000X

State License KY 21359

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Surgery

NUCC Taxonomy Code: 208600000X

State License KY 21359

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

64213598 (KY)

Hospital & Practice Group Affiliations

Tri-Rivers Healthcare Pllc

131 Hospital Dr, Salem, KY 420788043

Phone: 2709882299

Practice Associates & Co-Workers

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

11 Associated Practitioners

Jennifer Alexander , APRN, PMHMP-BC

Nurse Practitioner - Psychiatric/Mental Health

NPI 1144933235

Advanced Practice Registered Nurse, PMHMPBC

Dr. William Barnes , MD

General Practice

NPI 1215985148

Doctor of Medicine (M.D.)

Dr. James Bergin , MD

Surgery

NPI 1396708566

Doctor of Medicine (M.D.)

Robert Wilkinson , APRN

Nurse Practitioner

NPI 1457378044

Advanced Practice Registered Nurse

Dr. Ghassan Yazigi , MD

Internal Medicine

NPI 1538127378

Doctor of Medicine (M.D.)

Justin Lewis , PA-C

Physician Assistant

NPI 1538696356

Physician Assistant (Certified)

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active March 17, 2015

NPI status registered as active in NPPES database

📍

Updated Practice Location March 17, 2015

Registered at 141 HOSPITAL DR, SALEM, KY 420788043 (Tel: 2709883298)

📍

Updated Business Mailing Address March 17, 2015

Registered at 141 HOSPITAL DR, PO BOX 347, SALEM, KY 420788043 (Tel: 2709883298)

👤

Provider Name / Credentials Updated March 17, 2015

Recorded as MICHAEL GAVIN, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 17, 2015

Surgery (License #21359 in KY)

🟢

Initial NPI Registration & Enumeration January 24, 2006

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: 1669442620

Entity Type:

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

Enumeration Date: January 24, 2006

Last Update: March 17, 2015

Sole Proprietor: No

Update or Correct Profile

Mailing Address

141 Hospital Dr, Po Box 347

Salem, KY 420788043

Phone: 2709883298

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.