Active NPI 1952323016 Individual Practitioner Male Practitioner

Dr. Theodore George Engelmann , DO

General Practice • Commerce Twp, MI

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Theodore Engelmann, DO is a certified General Practice practicing in Commerce Twp, MI. With approximately 51 years of clinical experience since completing medical education in 1975, Dr. Engelmann delivers high-quality medical care to the local community at 1990 UNION LAKE RD STE 100.

Dr. Engelmann accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, insertion of needle into vein for collection of blood sample, routine ekg using at least 12 leads including interpretation and report. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1990 Union Lake Rd Ste 100

Commerce Twp, MI 483822200

Telephone 2483034680

Fax 2485724995

Associated Practice Facility / Clinic

🏢 Guidance Healthcare, Pllc Facility NPI 1235677196

Medicare Profile & Education

Medical School

Other

Graduation Year

1975

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for General Practice in Commerce Twp, MI

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

51 Yrs Matches City Avg

City Avg: 51.0 Yrs

State Avg: 29.4 Yrs

Regional Practice Density

1 Specialists

Practicing in Commerce Twp, MI (445 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

4.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Engelmann (51 Years) 51 Yrs

Commerce Twp Specialty Average (51.0 Years) 51.0 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
99213 Established patient office or other outpatient visit, typically 15 minutes	98	16	$95.00	$91.14

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	161	22	$95.00	$91.05
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	15	12	$140.00	$112.06

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	190	27	$95.00	$92.48
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	34	22	$140.00	$128.06
36415 Insertion of needle into vein for collection of blood sample	11	11	$5.00	$2.69

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	164	40	$94.09	$93.63
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	31	24	$139.19	$133.93
36415 Insertion of needle into vein for collection of blood sample	26	20	$5.00	$3.00
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	18	11	$64.44	$57.87
93000 Routine ekg using at least 12 leads including interpretation and report	15	15	$40.00	$15.41

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	188	39	$80.00	$77.52
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	51	23	$130.00	$112.15

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	196	47	$80.00	$73.57
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	79	43	$130.00	$107.56
93000 Routine ekg using at least 12 leads including interpretation and report	54	36	$40.00	$16.98
36415 Insertion of needle into vein for collection of blood sample	49	37	$5.00	$2.94
94060 Test to measure expiratory airflow and volume changes before and after medication administration	32	24	$100.00	$58.06

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	222	54	$80.00	$72.13
93000 Routine ekg using at least 12 leads including interpretation and report	70	46	$40.00	$16.89
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	50	42	$131.00	$106.23
94060 Test to measure expiratory airflow and volume changes before and after medication administration	38	27	$100.00	$59.08
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	34	24	$60.00	$43.41
J1100 Injection, dexamethasone sodium phosphate, 1 mg	17	11	$20.00	$0.12
36415 Insertion of needle into vein for collection of blood sample	17	17	$5.00	$2.94

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	122	55	$80.00	$67.62
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	31	26	$130.00	$92.62
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	18	17	$60.00	$41.24
94060 Test to measure expiratory airflow and volume changes before and after medication administration	12	11	$100.00	$47.87
93000 Routine ekg using at least 12 leads including interpretation and report	11	11	$40.00	$13.33

Medical Specialties & State Licenses

CMS Verified: 2024-07-15

General Practice Primary Specialty

NUCC Taxonomy Code: 208D00000X

State License MI TE007018

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

Family Medicine

NUCC Taxonomy Code: 207Q00000X

State License MI TE007018

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

4861124 (MI)

Commercial Insurance / Payer ID Blue Cross Blue Shield

0F34006 (MI)

Commercial Insurance / Payer ID Bcbs

0H74439 (MI)

Career & Practice History Timeline

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

9 Historical Events

👤

Provider Name / Credentials Updated July 15, 2024

Recorded as THEODORE ENGELMANN, DO

📍

Updated Practice Location November 29, 2023

Registered at 1990 UNION LAKE RD STE 100, COMMERCE TWP, MI 483822200 (Tel: 2483034680)

📍

Updated Business Mailing Address November 29, 2023

Registered at PO BOX 355, LAKEVILLE, MI 483660355 (Tel: 2483034680)

✅

NPI Profile Active August 11, 2011

NPI status registered as active in NPPES database

📍

Updated Practice Location August 11, 2011

Registered at 6770 DIXIE HWY, SUITE 202, CLARKSTON, MI 483462087 (Tel: 2486200377)

📍

Updated Business Mailing Address August 11, 2011

Registered at 6770 DIXIE HWY, SUITE 202, CLARKSTON, MI 483462087 (Tel: 2486200377)

👤

Provider Name / Credentials Updated August 11, 2011

Recorded as THEODORE ENGELMANN, D.O.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) August 11, 2011

Family Medicine (License #TE007018 in MI)

🟢

Initial NPI Registration & Enumeration July 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: 1952323016

Entity Type:

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

Enumeration Date: July 24, 2006

Last Update: July 15, 2024

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 355

Lakeville, MI 483660355

Phone: 2483034680

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.