Active NPI 1164409678 Individual Practitioner Male Practitioner

Dr. Michael Lynn Nussbaum , MD

Surgery • Abington, PA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Michael Nussbaum, MD is a certified Surgery practicing in Abington, PA. With approximately 44 years of clinical experience since graduating from Indiana University School Of Medicine in 1982, Dr. Nussbaum delivers high-quality medical care to the local community at 1245 HIGHLAND AVE.

Dr. Nussbaum is affiliated with Surgical Care Specialists Inc 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, initial hospital care with moderate level of medical decision making, if using time, at least. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1245 Highland Ave
Suite 600

Abington, PA 190013714

Telephone 2158873990

Fax 2158871140

Associated Practice Facility / Clinic

🏢 Dion R. Ehrlich, M.d., Ltd. Facility NPI 1326095845

Medicare Profile & Education

Medical School

Indiana University School Of Medicine

Graduation Year

1982

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Abington, PA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

44 Yrs +17.1 yrs vs City Avg

City Avg: 26.9 Yrs

State Avg: 26.1 Yrs

Regional Practice Density

26 Specialists

Practicing in Abington, PA (1976 Statewide)

Telehealth Adoption Rate

3.8% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

45.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Nussbaum (44 Years) 44 Yrs

Abington Specialty Average (26.9 Years) 26.9 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	134	52	$135.00	$84.64
99213 Established patient office or other outpatient visit, typically 15 minutes	112	100	$160.00	$98.77
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	98	94	$350.00	$185.91
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	29	28	$225.00	$136.57
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	25	25	$275.00	$182.26
47562 Removal of gallbladder using an endoscope	23	23	$1550.43	$733.64
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	16	13	$95.00	$61.53
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	15	15	$200.00	$121.95
99238 Hospital discharge day management, 30 minutes or less	12	12	$116.00	$87.19

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	108	98	$148.56	$95.62
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	103	38	$135.00	$82.94
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	84	82	$350.00	$181.80
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	48	48	$265.90	$176.12
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	31	28	$188.61	$135.07
47562 Removal of gallbladder using an endoscope	17	17	$1530.00	$711.25
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	15	11	$175.00	$124.76
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	14	14	$189.29	$118.97

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	118	106	$126.00	$96.79
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	101	45	$135.00	$74.74
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	94	90	$350.00	$207.25
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	39	19	$175.00	$107.13
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	27	27	$252.00	$175.00
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	24	23	$168.00	$137.07
47562 Removal of gallbladder using an endoscope	22	22	$1530.00	$728.95
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	19	19	$170.00	$120.68
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	17	15	$68.00	$61.04
49505 Repair of groin hernia (5 years or older)	16	16	$1650.00	$551.61
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	13	13	$315.00	$236.52
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	11	11	$226.00	$193.40

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	107	96	$126.00	$97.18
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	100	97	$350.00	$210.39
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	70	41	$135.00	$75.17
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	35	35	$168.46	$121.68
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	32	32	$252.00	$181.38
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	30	28	$168.00	$140.08
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	24	19	$175.00	$109.33
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	21	20	$68.00	$60.90
47562 Removal of gallbladder using an endoscope	11	11	$1530.00	$734.15

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	109	52	$135.00	$77.93
99213 Established patient office or other outpatient visit, typically 15 minutes	104	98	$126.00	$81.12
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	75	72	$350.00	$218.50
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	34	32	$168.00	$117.68
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	26	26	$168.00	$115.47
47562 Removal of gallbladder using an endoscope	23	23	$1530.00	$750.47
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	20	20	$252.00	$177.98
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	15	11	$175.00	$112.50
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	13	12	$68.00	$49.72
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	12	12	$210.00	$149.19

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	54	$135.00	$76.06
99213 Established patient office or other outpatient visit, typically 15 minutes	123	109	$126.00	$79.56
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	114	108	$350.00	$212.53
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	37	37	$168.00	$116.53
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	31	31	$252.00	$176.31
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	26	25	$168.00	$116.34
47562 Removal of gallbladder using an endoscope	21	21	$1530.00	$710.16
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	19	17	$175.00	$110.78
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	19	15	$68.00	$48.54
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	15	14	$210.00	$146.26
99238 Hospital discharge day management, 30 minutes or less	13	12	$116.00	$73.51
99202 New patient office or other outpatient visit, typically 20 minutes	13	13	$116.00	$77.43
44120 Partial removal of small bowel	11	11	$2504.00	$1172.16

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	158	63	$135.00	$76.89
99213 Established patient office or other outpatient visit, typically 15 minutes	123	99	$126.00	$77.41
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	98	93	$350.00	$214.61
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	35	29	$68.00	$46.76
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	32	32	$168.00	$115.19
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	32	31	$210.00	$144.87
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	27	26	$168.00	$114.10
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	25	25	$252.00	$174.88
47562 Removal of gallbladder using an endoscope	14	14	$1530.00	$731.56
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	14	13	$175.00	$110.06
99238 Hospital discharge day management, 30 minutes or less	13	13	$116.00	$77.37
99202 New patient office or other outpatient visit, typically 20 minutes	12	12	$116.00	$73.15

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	116	44	$135.00	$75.76
99213 Established patient office or other outpatient visit, typically 15 minutes	98	84	$126.00	$77.26
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	95	87	$350.00	$213.19
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	58	58	$168.00	$115.03
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	28	28	$252.00	$173.57
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	24	22	$210.00	$144.21
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	24	12	$175.00	$109.64
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	23	17	$68.00	$45.26
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	21	20	$168.00	$113.42
49505 Repair of groin hernia (5 years or older)	13	13	$1111.85	$573.48
47562 Removal of gallbladder using an endoscope	11	11	$1530.00	$725.59

Medical Specialties & State Licenses

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License PA MD-038733E

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

0012574100008 (PA)

Commercial Insurance / Payer ID Blue Cross Blue Shield

265028 (PA)

Commercial Insurance / Payer ID Aetna

1002111 (PA)

Commercial Insurance / Payer ID Keystone

0072656000 (PA)

Commercial Insurance / Payer ID Railroad Medicare

020054344 (PA)

Commercial Insurance / Payer ID Cigna

7290859004 (PW)

Hospital & Practice Group Affiliations

Surgical Care Specialists Inc

1245 Highland Ave, Abington, PA 190013727

Phone: 2158873990150

Practice Associates & Co-Workers

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

12 Associated Practitioners

Dr. James Yuschak , MD

Surgery

NPI 1063499606

Doctor of Medicine (M.D.)

Dr. Theodore Sullivan , MD

Surgery - Vascular Surgery

NPI 1144216938

Doctor of Medicine (M.D.)

Dr. Ryan Shadis , MD

Surgery - Surgical Critical Care

NPI 1174783013

Doctor of Medicine (M.D.)

Dr. Seth Newman , MD

Surgery

NPI 1295727683

Doctor of Medicine (M.D.)

Dr. Quoc Vu , MD

Surgery - Trauma Surgery

NPI 1306079272

Doctor of Medicine (M.D.)

Brenda Mckenzie , CRNP

Nurse Practitioner - Adult Health

NPI 1336226208

Certified Registered Nurse Practitioner

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active August 15, 2014

NPI status registered as active in NPPES database

📍

Updated Practice Location August 15, 2014

Registered at 1245 HIGHLAND AVE, SUITE 600, ABINGTON, PA 190013714 (Tel: 2158873990)

📍

Updated Business Mailing Address August 15, 2014

Registered at 1245 HIGHLAND AVE, SUITE 600, ABINGTON, PA 190013714 (Tel: 2158873990)

👤

Provider Name / Credentials Updated August 15, 2014

Recorded as MICHAEL NUSSBAUM, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) August 15, 2014

Surgery (License #MD-038733E in PA)

🟢

Initial NPI Registration & Enumeration December 27, 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: 1164409678

Entity Type:

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

Enumeration Date: December 27, 2005

Last Update: August 15, 2014

Sole Proprietor: No

Update or Correct Profile

Mailing Address

1245 Highland Ave, Suite 600

Abington, PA 190013714

Phone: 2158873990

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.