Active NPI 1225011596 Individual Practitioner Male Practitioner

Dr. Andrew K Gavagan , MD

Plastic Surgery • Troy, MI

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Andrew Gavagan, MD is a certified Plastic Surgery practicing in Troy, MI. With approximately 35 years of clinical experience since graduating from Indiana University School Of Medicine in 1991, Dr. Gavagan delivers high-quality medical care to the local community at 1080 KIRTS BLVD.

Dr. Gavagan maintains professional affiliations with Bronson Methodist Hospital, Lutheran Medical Group Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include subsequent hospital care with moderate levelof medical decision making, if using time, at least, established patient outpatient office visit, removal of skin and tissue, 20.0 sq cm or less. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1080 Kirts Blvd
Suite 700

Troy, MI 480844881

Telephone 2483699300

Fax 2483625272

Associated Practice Facility / Clinic

🏢 Michael S Meininger Md Pc Facility NPI 1164414074

Medicare Profile & Education

Medical School

Indiana University School Of Medicine

Graduation Year

1991

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Plastic Surgery in Troy, MI

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

35 Yrs +0.6 yrs vs City Avg

City Avg: 34.4 Yrs

State Avg: 28.5 Yrs

Regional Practice Density

8 Specialists

Practicing in Troy, MI (186 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

50.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Gavagan (35 Years) 35 Yrs

Troy Specialty Average (34.4 Years) 34.4 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
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	130	43	$125.00	$79.08
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	77	22	$150.00	$100.29
11042 Removal of skin and tissue, 20.0 sq cm or less	64	17	$350.00	$67.03
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	59	56	$200.00	$131.87
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	25	12	$100.00	$53.13
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	13	13	$225.00	$136.66

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	177	65	$125.00	$79.38
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	93	27	$150.00	$98.17
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	80	79	$206.25	$133.05
11042 Removal of skin and tissue, 20.0 sq cm or less	76	21	$350.00	$58.19
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	25	11	$150.00	$96.15
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	20	20	$225.00	$151.21

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	303	89	$125.00	$72.64
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	151	42	$150.00	$93.62
11042 Removal of skin and tissue, 20.0 sq cm or less	125	42	$350.00	$56.83
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	111	103	$225.00	$138.49
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	30	30	$225.00	$140.20
11043 Removal of muscle and/or tissue, 20.0 sq cm or less	27	13	$500.00	$151.86

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	279	88	$125.00	$73.99
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	98	30	$150.00	$105.00
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	97	91	$225.00	$140.53
11042 Removal of skin and tissue, 20.0 sq cm or less	88	28	$350.00	$64.62
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	58	23	$150.00	$102.09
11042 Removal of skin and tissue, 20.0 sq cm or less	46	19	$350.00	$61.67
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	23	23	$225.00	$150.79
11043 Removal of muscle and/or tissue, 20.0 sq cm or less	15	13	$500.00	$155.58

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	301	110	$125.00	$72.26
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	139	42	$150.00	$80.61
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	126	120	$225.00	$138.95
11042 Removal of skin and tissue, 20.0 sq cm or less	104	33	$350.00	$63.58
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	49	13	$150.00	$79.17
11042 Removal of skin and tissue, 20.0 sq cm or less	39	11	$350.00	$62.94
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	17	17	$225.00	$144.94
11043 Removal of muscle and/or tissue, 20.0 sq cm or less	16	12	$500.00	$162.80

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	357	132	$124.45	$74.97
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	221	55	$150.00	$79.99
11042 Removal of skin and tissue, 20.0 sq cm or less	186	48	$350.00	$63.91
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	124	115	$224.81	$141.65
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	91	18	$150.00	$80.96
11042 Removal of skin and tissue, 20.0 sq cm or less	70	18	$350.00	$65.11
11045 Removal of skin and tissue, each additional 20.0 sq cm or less	55	12	$85.00	$28.84
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	36	36	$300.00	$208.39
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	26	19	$150.00	$107.09
99231 Follow-up hospital inpatient care per day, typically 15 minutes	23	18	$61.74	$41.25
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	22	22	$225.00	$143.31
99221 Initial hospital inpatient care per day, typically 30 minutes	11	11	$150.36	$107.38

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	321	132	$124.56	$70.96
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	268	78	$150.28	$77.30
11042 Removal of skin and tissue, 20.0 sq cm or less	202	62	$264.85	$62.79
11045 Removal of skin and tissue, each additional 20.0 sq cm or less	137	25	$72.99	$27.58
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	117	114	$224.16	$133.81
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	107	16	$150.00	$76.25
11042 Removal of skin and tissue, 20.0 sq cm or less	98	20	$276.53	$61.99
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	46	46	$300.00	$197.85
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	45	34	$149.84	$101.54
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	26	26	$225.00	$139.56
11043 Removal of muscle and/or tissue, 20.0 sq cm or less	21	13	$446.43	$157.59
15946 Removal of pressure sore and lower pelvic bone in preparation of muscle flap or skin graft closure	15	12	$3500.00	$1495.88
11043 Removal of muscle and/or tissue, 20.0 sq cm or less	12	12	$447.92	$157.59
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	12	12	$225.00	$126.98

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	305	127	$124.65	$68.79
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	265	70	$150.00	$75.36
11042 Removal of skin and tissue, 20.0 sq cm or less	227	58	$150.00	$60.50
11045 Removal of skin and tissue, each additional 20.0 sq cm or less	143	24	$51.75	$26.76
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	132	127	$224.02	$131.19
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	89	18	$150.01	$74.89
11042 Removal of skin and tissue, 20.0 sq cm or less	84	24	$150.00	$60.32
11046 Removal of muscle and/or tissue, each additional 20.0 sq cm or less	72	19	$130.21	$56.44
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	39	37	$300.00	$193.80
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	38	30	$149.82	$99.69
11043 Removal of muscle and/or tissue, 20.0 sq cm or less	27	26	$375.00	$154.19
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	26	26	$225.00	$137.41
99231 Follow-up hospital inpatient care per day, typically 15 minutes	18	15	$68.67	$38.53
11043 Removal of muscle and/or tissue, 20.0 sq cm or less	14	12	$375.00	$154.19
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	13	13	$225.77	$125.03

Medical Specialties & State Licenses

CMS Verified: 2025-06-17

Plastic Surgery Primary Specialty

NUCC Taxonomy Code: 208200000X

State License MI 4301057593

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

NUCC Taxonomy Code: 208200000X

State License IN 01096238A

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

349596810 (MI)

Hospital & Practice Group Affiliations

Lutheran Medical Group Llc

7900 W Jefferson Blvd, Fort Wayne, IN 468044128

Phone: 2604354730

Bronson Methodist Hospital

7901 S 12th St, Portage, MI 490243831

Phone: 2693723000

Secondary Practice Locations

7901 S 12th St Ste 100

Portage, MI 490243831

Phone: 2693723000

Practice Associates & Co-Workers

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

3 Associated Practitioners

Dr. Ashraf Elzanie , MD

Surgery - Plastic and Reconstructive Surgery

NPI 1023463817

Doctor of Medicine (M.D.)

Dr. Pravin Puri , MD

Surgery - Plastic and Reconstructive Surgery

NPI 1346224250

Doctor of Medicine (M.D.)

Dr. Michael Busuito , MD

Plastic Surgery

NPI 1427080407

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

7 Historical Events

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 27, 2025

Plastic Surgery (License #01096238A in IN)

✅

NPI Profile Active August 29, 2014

NPI status registered as active in NPPES database

📍

Updated Practice Location August 29, 2014

Registered at 1080 KIRTS BLVD, SUITE 700, TROY, MI 480844881 (Tel: 2483699300)

📍

Updated Business Mailing Address August 29, 2014

Registered at 1080 KIRTS BLVD, SUITE 700, TROY, MI 480844881 (Tel: 2483699300)

👤

Provider Name / Credentials Updated August 29, 2014

Recorded as ANDREW GAVAGAN, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) August 29, 2014

Plastic Surgery (License #4301057593 in MI)

🟢

Initial NPI Registration & Enumeration November 21, 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: 1225011596

Entity Type:

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

Enumeration Date: November 21, 2005

Last Update: June 17, 2025

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

1080 Kirts Blvd, Suite 700

Troy, MI 480844881

Phone: 2483699300

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.