Active NPI 1740378769 Individual Practitioner Male Practitioner

Dr. Michael J Reilly , MD

Surgery • Carlisle, PA

Professional Overview & Biography Verified Profile Summary

Dr. Michael Reilly, MD is a registered healthcare professional specializing in Surgery in Carlisle, PA. Practice services are available at 11 SPRINT DR STE C under active NPI credentials.

Frequently performed procedures and clinical services include limited ultrasound scan of 1 breast, established patient outpatient office visit, measurement of lymphedema extracellular fluid. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

11 Sprint Dr Ste C

Carlisle, PA 170157789

Telephone 7175455000

Fax 7175455002

Associated Practice Facility / Clinic

🏢 Pinnacle Health Regional Physicians Facility NPI 1306366547

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Carlisle, PA

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 31.3 Yrs

State Avg: 26.1 Yrs

Regional Practice Density

6 Specialists

Practicing in Carlisle, PA (1976 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

63.1% 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 (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
76642 Limited ultrasound scan of 1 breast	31	23	$177.55	$80.24
99213 Established patient office or other outpatient visit, typically 15 minutes	30	24	$178.00	$86.18
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	28	28	$113.00	$53.49
93702 Measurement of lymphedema extracellular fluid	20	15	$266.00	$111.60
19285 Placement of locating device in breast using ultrasound guidance, first growth	16	16	$510.00	$39.43
76098 X-ray of surgical specimen	16	16	$30.00	$14.37
19301 Partial removal of breast	14	14	$1484.00	$606.53
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	$450.00	$208.49
38792 Injection of radioactive material for x-ray identification of lymph node	11	11	$89.00	$15.18

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	48	45	$178.00	$87.74
76642 Limited ultrasound scan of 1 breast	40	37	$176.30	$83.63
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	35	30	$113.00	$54.76
76098 X-ray of surgical specimen	28	27	$30.00	$14.95
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	27	27	$450.00	$214.20
19285 Placement of locating device in breast using ultrasound guidance, first growth	24	24	$510.00	$41.45
19301 Partial removal of breast	20	19	$1558.20	$647.78
93702 Measurement of lymphedema extracellular fluid	20	16	$266.00	$121.63
38900 Lymph node imaging during surgery	19	19	$334.00	$133.79
38525 Biopsy or removal of lymph nodes of under the arm, open procedure	19	19	$996.00	$221.24
38792 Injection of radioactive material for x-ray identification of lymph node	18	18	$89.00	$15.91
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	15	12	$355.00	$174.41

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	50	44	$169.90	$89.28
76642 Limited ultrasound scan of 1 breast	44	36	$191.55	$88.94
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	23	23	$450.00	$218.29
19301 Partial removal of breast	22	22	$1484.00	$645.50
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	17	14	$322.88	$177.82
19285 Placement of locating device in breast using ultrasound guidance, first growth	17	17	$510.00	$42.13
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	15	14	$113.00	$55.16
38900 Lymph node imaging during surgery	13	13	$334.00	$137.25
38525 Biopsy or removal of lymph nodes of under the arm, open procedure	13	13	$996.00	$219.48

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	39	34	$169.00	$90.31
76642 Limited ultrasound scan of 1 breast	34	30	$187.18	$90.24
93702 Measurement of lymphedema extracellular fluid	28	20	$266.00	$142.26
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	26	26	$450.00	$219.60
19301 Partial removal of breast	22	22	$1551.45	$647.65
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	18	18	$236.00	$128.21
76098 X-ray of surgical specimen	13	12	$19.00	$15.53

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	32	25	$169.00	$74.32
93702 Measurement of lymphedema extracellular fluid	25	14	$266.00	$133.31
76642 Limited ultrasound scan of 1 breast	18	14	$172.00	$85.88
19285 Placement of locating device in breast using ultrasound guidance, first growth	18	18	$510.00	$42.08
19301 Partial removal of breast	17	16	$1484.00	$522.15
76098 X-ray of surgical specimen	17	16	$18.00	$14.14
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	16	16	$450.00	$195.63
38900 Lymph node imaging during surgery	16	16	$334.00	$135.70
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	15	15	$236.00	$107.88
38525 Biopsy or removal of lymph nodes of under the arm, open procedure	15	15	$996.00	$226.90
38792 Injection of radioactive material for x-ray identification of lymph node	13	13	$89.00	$17.28
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	12	11	$316.00	$145.06

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	87	76	$106.93	$72.85
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	36	27	$155.11	$104.68
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	22	18	$65.05	$43.99
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	21	21	$257.62	$162.20
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	15	13	$203.00	$143.41
19301 Partial removal of breast	13	12	$1455.23	$589.68

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	100	87	$105.00	$70.26
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	53	45	$151.00	$103.40
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	24	24	$234.00	$157.16
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	22	21	$203.00	$141.34
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	18	16	$63.00	$42.34
19301 Partial removal of breast	14	13	$1450.00	$606.76
19285 Placement of locating device in breast using ultrasound guidance, first growth	13	13	$250.00	$43.67
38525 Biopsy or removal of lymph nodes of under the arm, open procedure	12	12	$931.00	$219.14
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	12	12	$535.00	$260.63
45378 Diagnostic exam of large bowel using a flexible endoscope	11	11	$535.00	$180.78
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	11	11	$374.00	$81.24
38900 Lymph node imaging during surgery	11	11	$221.00	$139.99

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	88	81	$105.00	$69.78
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	58	49	$151.00	$103.71
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	43	43	$235.44	$156.37
99231 Follow-up hospital inpatient care per day, typically 15 minutes	21	11	$75.00	$38.53
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	21	21	$63.00	$41.80
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	19	19	$535.00	$259.05
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	15	15	$197.00	$134.26
19301 Partial removal of breast	14	14	$1450.00	$579.36
19285 Placement of locating device in breast using ultrasound guidance, first growth	13	13	$269.23	$45.27
45378 Diagnostic exam of large bowel using a flexible endoscope	12	12	$535.00	$188.55
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	12	12	$374.00	$93.72

Medical Specialties & State Licenses

CMS Verified: 2021-05-14

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License PA MD035464E

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

0010498480001 (PA)

Commercial Insurance / Payer ID Highmark

68558 (PA)

Secondary Practice Locations

196 W Main St

Uniontown, PA 154015537

Phone: 7244391020

830 Norland Ave

Chambersburg, PA 172014217

Phone: 7179603360

Practice Associates & Co-Workers

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

7 Associated Practitioners

Dr. Renee Aboushi , MD

Surgery

NPI 1023327947

Doctor of Medicine (M.D.)

Dr. Carla Christy , MD

Surgery

NPI 1083875983

Doctor of Medicine (M.D.)

Dr. Brynn Wolff , MD

Surgery

NPI 1225246150

Doctor of Medicine (M.D.)

Meagan Smith , GC

Genetic Counselor, MS

NPI 1578805792

Dr. Katherine Barton , MD

Surgery

NPI 1811958770

Doctor of Medicine (M.D.)

Beth Rudge , CRNP

Nurse Practitioner - Women's Health

NPI 1861659864

Certified Registered Nurse Practitioner

Career & Practice History Timeline

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

9 Historical Events

📍

Updated Business Mailing Address April 09, 2021

Registered at 11 SPRINT DR STE C, CARLISLE, PA 170157789

📍

Updated Practice Location January 29, 2021

Registered at 11 SPRINT DR STE C, CARLISLE, PA 170157789 (Tel: 7175455000)

📍

Updated Business Mailing Address January 29, 2021

Registered at 409 S 2ND ST, HARRISBURG, PA 171041612

✅

NPI Profile Active October 23, 2008

NPI status registered as active in NPPES database

📍

Updated Practice Location October 23, 2008

Registered at 196 W MAIN ST, UNIONTOWN, PA 154015537 (Tel: 7244391020)

📍

Updated Business Mailing Address October 23, 2008

Registered at 196 W MAIN ST, UNIONTOWN, PA 154015537 (Tel: 7244391020)

👤

Provider Name / Credentials Updated October 23, 2008

Recorded as MICHAEL REILLY, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) October 23, 2008

Surgery (License #MD035464E in PA)

🟢

Initial NPI Registration & Enumeration October 11, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1740378769

Entity Type:

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

Enumeration Date: October 11, 2006

Last Update: May 19, 2022

Sole Proprietor: No

Update or Correct Profile

Mailing Address

11 Sprint Dr Ste C

Carlisle, PA 170157789

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.