Active NPI 1235113994 Individual Practitioner Female Practitioner

Micheline I Cavallacci , PA-C

Physician Assistant • Medford, OR

Professional Overview & Biography Verified Profile Summary

Micheline Cavallacci, PA-C is a registered healthcare professional specializing in Physician Assistant in Medford, OR. Practice services are available at 1600 DELTA WATERS RD under active NPI credentials.

Frequently performed procedures and clinical services include detection test by immunoassay technique for severe acute respiratory syndrome coronavirus, established patient outpatient office visit, outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1600 Delta Waters Rd
Suite 107

Medford, OR 975049114

Telephone 5418582515

Fax 5418582514

Associated Practice Facility / Clinic

🏢 Valley Immediate Care, Llc Facility NPI 1982709226

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Medford, OR

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 9.9 Yrs

State Avg: 10.5 Yrs

Regional Practice Density

122 Specialists

Practicing in Medford, OR (2106 Statewide)

Telehealth Adoption Rate

23.8% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

12.7% 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 (2022)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
87426 Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus	133	130	$27.06	$26.80
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	87	81	$123.09	$104.13
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	52	50	$22.41	$18.97
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	45	45	$105.18	$91.39
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	41	41	$157.21	$135.91
71046 X-ray of chest, 2 views	39	39	$31.93	$27.77
81002 Urinalysis, manual test	32	32	$3.50	$3.45
80053 Blood test, comprehensive group of blood chemicals	30	30	$10.63	$10.44
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	22	22	$7.84	$7.69
87880 Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)	21	21	$17.47	$15.52

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
87426 Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus	118	114	$28.39	$27.26
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	83	78	$134.13	$106.32
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	63	63	$116.42	$91.69
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	39	39	$23.83	$18.70
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	29	29	$169.56	$138.06
81002 Urinalysis, manual test	25	25	$3.54	$3.38
99213 Established patient office or other outpatient visit, typically 15 minutes	22	22	$87.16	$75.25
71046 X-ray of chest, 2 views	20	20	$32.50	$27.63
80053 Blood test, comprehensive group of blood chemicals	16	15	$10.56	$10.56
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	15	15	$7.77	$7.77
99202 New patient office or other outpatient visit, typically 20 minutes	14	14	$67.61	$59.91

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	173	144	$109.72	$90.07
87426 Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus	115	109	$27.02	$27.02
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	98	98	$114.09	$89.36
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	83	79	$23.54	$19.23
71046 X-ray of chest, 2 views	50	45	$33.78	$27.02
81002 Urinalysis, manual test	43	38	$3.48	$3.46
80053 Blood test, comprehensive group of blood chemicals	28	28	$12.95	$10.48
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	28	28	$8.60	$7.70
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	23	18	$15.70	$11.32
99202 New patient office or other outpatient visit, typically 20 minutes	18	18	$74.11	$63.23
87880 Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)	16	16	$16.53	$16.34
90714 Vaccine for tetanus and diphtheria toxoids injection into muscle, patient 7 years or older	14	14	$25.80	$25.15
90471 Administration of 1 vaccine	14	14	$13.92	$11.83
J0696 Injection, ceftriaxone sodium, per 250 mg	12	11	$2.21	$0.55
99213 Established patient office or other outpatient visit, typically 15 minutes	11	11	$73.96	$62.46

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	175	150	$112.55	$89.88
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	81	81	$111.39	$89.23
71046 X-ray of chest, 2 views	55	51	$31.15	$26.20
81002 Urinalysis, manual test	42	40	$3.49	$3.33
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	23	23	$8.63	$8.46
80053 Blood test, comprehensive group of blood chemicals	23	23	$13.04	$11.51
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	21	20	$16.52	$13.88
36415 Insertion of needle into vein for collection of blood sample	16	16	$3.00	$2.94
87880 Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)	15	15	$16.97	$16.20
J0696 Injection, ceftriaxone sodium, per 250 mg	12	12	$2.47	$0.60
94640 Inhalation treatment for airway obstruction or sputum production	11	11	$17.71	$14.90

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	207	179	$106.46	$91.70
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	110	110	$106.41	$91.30
81002 Urinalysis, manual test	69	65	$3.48	$3.41
71046 X-ray of chest, 2 views	67	64	$30.00	$25.81
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	35	35	$162.52	$138.94
36415 Insertion of needle into vein for collection of blood sample	30	30	$3.00	$2.94
80053 Blood test, comprehensive group of blood chemicals	29	29	$13.04	$12.78
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	28	28	$9.59	$9.40
90714 Vaccine for tetanus and diphtheria toxoids injection into muscle, patient 7 years or older	26	26	$25.80	$23.93
90471 Administration of 1 vaccine	26	26	$20.27	$17.44
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	23	21	$20.27	$17.43
94640 Inhalation treatment for airway obstruction or sputum production	19	18	$18.38	$15.77
87880 Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)	18	18	$16.53	$16.20
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	14	14	$143.56	$123.24
99213 Established patient office or other outpatient visit, typically 15 minutes	12	12	$77.33	$62.34
93000 Routine ekg using at least 12 leads including interpretation and report	12	12	$16.72	$14.39

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	174	156	$106.14	$89.08
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	118	118	$106.34	$89.48
71020 X-ray of chest, 2 views, front and side	52	50	$27.52	$23.11
81002 Urinalysis, manual test	45	42	$3.50	$3.43
99213 Established patient office or other outpatient visit, typically 15 minutes	39	37	$72.08	$60.71
94640 Inhalation treatment for airway obstruction or sputum production	27	26	$17.97	$15.08
87880 Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)	24	24	$16.43	$16.10
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	21	18	$25.11	$21.11
80053 Blood test, comprehensive group of blood chemicals	20	19	$14.47	$14.18
36415 Insertion of needle into vein for collection of blood sample	20	19	$3.00	$2.94
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	19	18	$10.65	$10.44
90471 Administration of 1 vaccine	19	19	$25.11	$21.04
90714 Vaccine for tetanus and diphtheria toxoids injection into muscle, patient 7 years or older	18	18	$23.23	$22.27
73110 X-ray of wrist, minimum of 3 views	12	12	$34.75	$29.11

Medical Specialties & State Licenses

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

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 - Medical

NUCC Taxonomy Code: 363AM0700X

State License FL PA2939

Definition to come...

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

291580400 (FL)

Commercial Insurance / Payer ID Medical License

PA175803

Practice Associates & Co-Workers

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

15 Associated Practitioners

John Berlingeri , PA

Physician Assistant

NPI 1023147451

Physician Assistant

Kathryn Warner , FNP

Nurse Practitioner - Family

NPI 1053557413

Family Nurse Practitioner

Robert Hoffner , PA-C

Physician Assistant

NPI 1366699803

Physician Assistant (Certified)

Dr. Thomas Penner , MD

Family Medicine

NPI 1376696732

Doctor of Medicine (M.D.)

Nicodemus Solorio , PA-C

Physician Assistant

NPI 1386420776

Physician Assistant (Certified)

Dr. Jeffrey Williams , MD

Emergency Medicine

NPI 1477603454

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

13 Historical Events

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 07, 2023

Physician Assistant (License #PA2939 in FL)

✅

NPI Profile Active March 14, 2017

NPI status registered as active in NPPES database

📍

Updated Practice Location March 14, 2017

Registered at 1600 DELTA WATERS RD, SUITE 107, MEDFORD, OR 975049114 (Tel: 5418582515)

📍

Updated Business Mailing Address March 14, 2017

Registered at 815 N CENTRAL AVE, MEDFORD, OR 975015873 (Tel: 5417349030)

👤

Provider Name / Credentials Updated March 14, 2017

Recorded as MICHELINE CAVALLACCI, PA-C

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 14, 2017

Physician Assistant (License #PA2939 in FL)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 14, 2017

Physician Assistant

✅

NPI Profile Active November 22, 2010

NPI status registered as active in NPPES database

📍

Updated Practice Location November 22, 2010

Registered at 199 SILVERADO DR, NAPLES, FL 341194615 (Tel: 2392739090)

📍

Updated Business Mailing Address November 22, 2010

Registered at 199 SILVERADO DR, NAPLES, FL 341194615 (Tel: 2392739090)

👤

Provider Name / Credentials Updated November 22, 2010

Recorded as MICHELINE CAVALLACCI, PA-C

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) November 22, 2010

Physician Assistant (License #PA2939 in FL)

🟢

Initial NPI Registration & Enumeration December 05, 2005

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1235113994

Entity Type:

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

Enumeration Date: December 05, 2005

Last Update: March 07, 2023

Sole Proprietor: No

Update or Correct Profile

Mailing Address

815 N Central Ave

Medford, OR 975015873

Phone: 5417349030

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.