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Active NPI 1417356825 Individual Practitioner Male Practitioner

Michael Edward Mullen , PA-C

Physician Assistant • Frederick, MD

Professional Overview & Biography Verified Profile Summary

Michael Mullen, PA-C is a registered healthcare professional specializing in Physician Assistant in Frederick, MD. Practice services are available at 86 THOMAS JOHNSON CT under active NPI credentials.

Frequently performed procedures and clinical services include established patient outpatient office visit, new patient outpatient office visit, cast supplies, short leg cast, adult (11 years +), fiberglass. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

86 Thomas Johnson Ct

Frederick, MD 217024348

Telephone 3016948311
Fax 3016943537
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Frederick, MD

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 11.9 Yrs
State Avg: 11.8 Yrs
Regional Practice Density
107 Specialists

Practicing in Frederick, MD (3255 Statewide)

Telehealth Adoption Rate
23.4% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
69.4% 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 (2024)
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
123 119 $351.00 $108.70
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
63 63 $539.00 $141.69
99213 Established patient office or other outpatient visit, typically 15 minutes
30 28 $238.00 $77.15
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
17 17 $355.00 $94.71
Q4038 Cast supplies, short leg cast, adult (11 years +), fiberglass
11 11 $61.00 $49.44

Medical Specialties & State Licenses

CMS Verified: 2022-03-09
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License MD C0005476

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Orthopaedic Surgery

NUCC Taxonomy Code: 207X00000X

State License NY 026100

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

Physician Assistant

NUCC Taxonomy Code: 363A00000X

State License PA MA056918

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Physician Assistant - Surgical

NUCC Taxonomy Code: 363AS0400X

State License PA OA003308

Definition to come...

Physician Assistant - Surgical

NUCC Taxonomy Code: 363AS0400X

State License PA MA056918

Definition to come...

Physician Assistant - Surgical

NUCC Taxonomy Code: 363AS0400X

State License NY 026100

Definition to come...

Practice Associates & Co-Workers

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

40 Associated Practitioners
Ashley Landis , OTR

Occupational Therapist

NPI 1033468210

Occupational Therapist Registered

NPI 1043268642

Doctor of Medicine (M.D.)

Beverly Kornides , PT

Physical Therapist

NPI 1043325087

Physical Therapist

Dr. John Sampson , DPT

Physical Therapist - Orthopedic

NPI 1053788737

Doctor of Physical Therapy

George Adams , PT

Physical Therapist

NPI 1063608370

Physical Therapist

Julia Enea , PA-C

Physician Assistant

NPI 1083017909

Physician Assistant (Certified)

Career & Practice History Timeline

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

15 Historical Events
📍
Updated Practice Location March 09, 2022

Registered at 86 THOMAS JOHNSON CT, FREDERICK, MD 217024348 (Tel: 3016948311)

📍
Updated Business Mailing Address March 09, 2022

Registered at 86 THOMAS JOHNSON CT, FREDERICK, MD 217024348 (Tel: 3016948311)

📍
Updated Business Mailing Address July 16, 2021

Registered at 24 SWATLING RD, LATHAM, NY 121105436 (Tel: 2152625302)

📍
Updated Practice Location February 03, 2021

Registered at 121 EVERETT RD STE 100, ALBANY, NY 122051447 (Tel: 5184892663)

📍
Updated Business Mailing Address February 03, 2021

Registered at 121 EVERETT RD STE 100, ALBANY, NY 122051447 (Tel: 5184892663)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 03, 2021

Orthopaedic Surgery (License #026100 in NY)

📍
Updated Practice Location June 24, 2019

Registered at 856 CENTURY DRIVE, MECHANICSBURG, PA 170554505 (Tel: 7177307099)

📍
Updated Business Mailing Address June 24, 2019

Registered at 1861 POWDER MILL RD, ATTN MEDICAL STAFF OFFICE, YORK, PA 174024723 (Tel: 7177182041)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 24, 2019

Physician Assistant (License #MA056918 in PA)

NPI Profile Active August 06, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location August 06, 2016

Registered at 1855 POWDER MILL RD, YORK, PA 174024723 (Tel: 7178484800)

📍
Updated Business Mailing Address August 06, 2016

Registered at 1861 POWDER MILL RD, YORK, PA 174024723 (Tel: 7177182000)

👤
Provider Name / Credentials Updated August 06, 2016

Recorded as MICHAEL MULLEN, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 06, 2016

Physician Assistant (License #OA003308 in PA)

🟢
Initial NPI Registration & Enumeration August 21, 2014

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: 1417356825
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 21, 2014
Last Update: March 09, 2022
Sole Proprietor: No

Mailing Address

86 Thomas Johnson Ct

Frederick, MD 217024348

Phone: 3016948311

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.