Active NPI 1932146685 Individual Practitioner Male Practitioner

Dr. Michael Andrew Stack , MD

Family Medicine • Ithaca, MI

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Michael Stack, MD is a certified Family Medicine practicing in Ithaca, MI. With approximately 32 years of clinical experience since graduating from Wayne State University School Of Medicine in 1994, Dr. Stack delivers high-quality medical care to the local community at 121 N PINE RIVER ST.

Dr. Stack is affiliated with Mymichigan Medical Center Alma and accepts Medicare assignment.

Frequently performed procedures and clinical services include adm sarscov2 100mcg/0.5ml1st, subsequent hospital care with moderate levelof medical decision making, if using time, at least, hospital discharge day management. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

121 N Pine River St

Ithaca, MI 488471039

Telephone 9898755111

Fax 9898755023

Associated Practice Facility / Clinic

🏢 Michael Stack Md Pc Facility NPI 1376580175

Medicare Profile & Education

Medical School

Wayne State University School Of Medicine

Graduation Year

1994

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Family Medicine in Ithaca, MI

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

32 Yrs +3.5 yrs vs City Avg

City Avg: 28.5 Yrs

State Avg: 23.0 Yrs

Regional Practice Density

8 Specialists

Practicing in Ithaca, MI (6387 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

5.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Stack (32 Years) 32 Yrs

Ithaca Specialty Average (28.5 Years) 28.5 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2021)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
0011A Adm sarscov2 100mcg/0.5ml1st	12	11	$40.00	$37.85

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	84	39	$144.00	$72.22
99238 Hospital discharge day management, 30 minutes or less	29	24	$180.00	$72.19
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	29	28	$304.00	$132.72
99219 Hospital observation care, typically 50 minutes	16	16	$299.00	$134.95

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	124	52	$144.00	$69.71
99238 Hospital discharge day management, 30 minutes or less	52	43	$180.00	$70.40
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	33	29	$304.00	$131.27
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	18	17	$171.00	$51.64
99219 Hospital observation care, typically 50 minutes	15	15	$299.00	$133.46

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	90	44	$144.00	$87.42
99238 Hospital discharge day management, 30 minutes or less	32	28	$180.00	$86.97
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	31	28	$304.00	$165.86
99219 Hospital observation care, typically 50 minutes	18	16	$299.00	$164.79
99239 Hospital discharge day management, more than 30 minutes	12	12	$245.00	$130.09

Medical Specialties & State Licenses

Family Medicine Primary Specialty

NUCC Taxonomy Code: 207Q00000X

State License MI 4301064712

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

4424316 (MI)

Commercial Insurance / Payer ID Healthplus Commercial

0985726 (MI)

Commercial Insurance / Payer ID Molina

4424316 (MI)

Commercial Insurance / Payer ID Mclaren

1005781 (MI)

Commercial Insurance / Payer ID Php Commercial

200000005888 (MI)

Commercial Insurance / Payer ID Bcbsm

0802900531 (MI)

Commercial Insurance / Payer ID Mclaren

1008870 (MI)

Commercial Insurance / Payer ID Bcbsm

0802911901 (MI)

Hospital & Practice Group Affiliations

Mymichigan Medical Center Alma

200 E Warwick Dr, Alma, MI 488011012

Phone: 9894635876

Mymichigan Medical Center Alma

121 N Pine River St, Ithaca, MI 488471039

Phone: 9898755111

Practice Associates & Co-Workers

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

3 Associated Practitioners

Cora Pavlik , FNP

Nurse Practitioner - Family

NPI 1043704133

Family Nurse Practitioner

Elizabeth Hackert-Neff , MA LPC

Counselor - Professional

NPI 1528210366

MALPC

Aubree Akers , FNP

Nurse Practitioner - Family

NPI 1982321378

Family Nurse Practitioner

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active September 06, 2012

NPI status registered as active in NPPES database

📍

Updated Practice Location September 06, 2012

Registered at 121 N PINE RIVER ST, ITHACA, MI 488471039 (Tel: 9898755111)

📍

Updated Business Mailing Address September 06, 2012

Registered at 121 N PINE RIVER ST, ITHACA, MI 488471039 (Tel: 9898755111)

👤

Provider Name / Credentials Updated September 06, 2012

Recorded as MICHAEL STACK, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) September 06, 2012

Family Medicine (License #4301064712 in MI)

🟢

Initial NPI Registration & Enumeration June 01, 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: 1932146685

Entity Type:

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

Enumeration Date: June 01, 2006

Last Update: September 06, 2012

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

121 N Pine River St

Ithaca, MI 488471039

Phone: 9898755111

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.