Active NPI 1093751034 Individual Practitioner Male Practitioner

Dr. Michael G Gilhooley , MD

Internal Medicine • Scranton, PA

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Dr. Michael Gilhooley, MD is a certified Internal Medicine practicing in Scranton, PA. With approximately 16 years of clinical experience since completing medical education in 2010, Dr. Gilhooley delivers high-quality medical care to the local community at 821 OAK ST.

Dr. Gilhooley is affiliated with Geisinger Clinic and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's, established patient outpatient office visit, subsequent nursing facility care with straightforward level of medical decision making, per day, 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

821 Oak St

Scranton, PA 185081260

Telephone 5707030539

Associated Practice Facility / Clinic

🏢 Crossgate Sleep Center, Llc Facility NPI 1285820837

Medicare Profile & Education

Medical School

Other

Graduation Year

2010

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Scranton, PA

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

16 Yrs -6.5 yrs vs City Avg

City Avg: 22.5 Yrs

State Avg: 28.2 Yrs

Regional Practice Density

135 Specialists

Practicing in Scranton, PA (7609 Statewide)

Telehealth Adoption Rate

16.3% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

56.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Gilhooley (16 Years) 16 Yrs

Scranton Specialty Average (22.5 Years) 22.5 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
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's	942	340	$42.00	$15.56
99213 Established patient office or other outpatient visit, typically 15 minutes	483	256	$214.31	$85.21
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	481	214	$316.04	$121.21
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	167	58	$159.94	$70.25
G0008 Administration of influenza virus vaccine	21	21	$75.00	$30.77
90662 Influenza vaccine split virus, preservative free	18	18	$135.00	$81.82
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	16	16	$272.50	$126.25

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	446	184	$155.00	$121.14
99213 Established patient office or other outpatient visit, typically 15 minutes	340	170	$125.00	$86.44
99491 Chronic care management services for two or more chronic conditions, first 30 minutes provided personally by health care professional, per calendar month	50	50	$150.00	$82.16
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	37	28	$95.00	$71.29
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	19	19	$160.00	$128.07
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	15	14	$150.00	$49.68

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	699	292	$125.00	$88.90
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	511	226	$155.00	$126.08
99491 Chronic care management services for two or more chronic conditions, first 30 minutes provided personally by health care professional, per calendar month	352	107	$150.00	$83.80
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	205	138	$100.00	$62.86
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	148	78	$95.00	$67.25
99439 Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month	76	57	$50.00	$47.51
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	55	53	$160.00	$126.16
99441 Telephone medical discussion with physician, 5-10 minutes	37	34	$65.00	$54.85
99484 Care management services for behavioral health conditions, 20 minutes or more clinical staff time directed by health care professional	34	21	$50.00	$43.61
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	25	22	$150.00	$52.03

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	742	355	$125.00	$90.14
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	348	194	$161.47	$128.18
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	111	50	$210.90	$67.94
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	79	79	$285.00	$131.31
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	48	34	$170.00	$67.71
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	42	38	$146.43	$52.09
99441 Telephone medical discussion with physician, 5-10 minutes	23	22	$66.96	$55.42
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	20	20	$217.75	$127.83
99442 Telephone medical discussion with physician, 11-20 minutes	19	19	$96.05	$81.76
69210 Removal of impacted ear wax	12	12	$134.58	$47.20
99496 Transitional care management services for problem of high complexity	11	11	$281.82	$255.07

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	387	235	$125.00	$74.06
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	334	194	$199.78	$107.74
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	272	86	$170.00	$69.15
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	142	142	$285.00	$114.43
G0008 Administration of influenza virus vaccine	73	72	$40.00	$16.28
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	67	24	$170.00	$69.01
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	58	57	$325.00	$129.50
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	56	43	$135.00	$52.71
90662 Influenza vaccine split virus, preservative free	55	55	$140.00	$60.98
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	24	12	$40.00	$14.08
99443 Telephone medical discussion with physician, 21-30 minutes	23	21	$160.87	$107.02
G0009 Administration of pneumococcal vaccine	16	16	$40.00	$16.16
99442 Telephone medical discussion with physician, 11-20 minutes	11	11	$125.00	$73.97

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	593	319	$120.45	$70.31
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	320	199	$200.00	$102.35
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	198	91	$170.00	$65.21
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	191	191	$285.00	$107.67
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	184	76	$110.00	$41.81
G0008 Administration of influenza virus vaccine	69	68	$40.00	$15.95
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	69	64	$325.00	$123.64
90662 Influenza vaccine split virus, preservative free	58	57	$140.00	$54.89
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	32	19	$122.50	$66.30
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	24	22	$135.00	$49.85
G0009 Administration of pneumococcal vaccine	14	14	$40.00	$15.95
90682 Influenza vaccine, quadrivalent derived from recombinant dna	11	11	$140.00	$54.89

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	1,006	410	$80.00	$66.94
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	475	139	$125.00	$67.72
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	187	105	$130.00	$96.98
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	171	125	$300.00	$188.34
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	159	99	$90.00	$64.52
99238 Hospital discharge day management, 30 minutes or less	102	77	$135.00	$67.76
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	102	97	$155.00	$121.05
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	23	22	$115.00	$49.16
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	18	18	$60.00	$40.64

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	1,392	415	$75.83	$66.13
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	679	147	$125.01	$65.07
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	531	195	$72.94	$62.99
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	368	334	$143.18	$119.05
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	189	108	$129.56	$95.46
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	153	114	$242.65	$185.19
99238 Hospital discharge day management, 30 minutes or less	123	84	$104.76	$66.22
G0008 Administration of influenza virus vaccine	102	99	$26.00	$24.05
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	79	62	$56.20	$39.27
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	66	66	$25.00	$18.65
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	56	50	$83.75	$48.53
90662 Influenza vaccine split virus, preservative free	36	34	$45.00	$43.91
99315 Nursing facility discharge day management, 30 minutes or less	34	32	$90.00	$66.97
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	12	12	$113.75	$97.72

Medical Specialties & State Licenses

CMS Verified: 2025-04-03

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License PA MD053831L

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

0015152200002 (PA)

Hospital & Practice Group Affiliations

Geisinger Clinic

821 Oak St, Scranton, PA 185081260

Phone: 5707030539

Secondary Practice Locations

1789 N Keyser Ave

Scranton, PA 185081250

Phone: 5709691904

Practice Associates & Co-Workers

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

2 Associated Practitioners

Amber Sholtes , PA-C

Physician Assistant

NPI 1205267697

Physician Assistant (Certified)

Marisa Siekierka , PA-C

Physician Assistant - Medical

NPI 1578688362

Physician Assistant (Certified)

Career & Practice History Timeline

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

10 Historical Events

📍

Updated Practice Location April 03, 2025

Registered at 821 OAK ST, SCRANTON, PA 185081260 (Tel: 5707030539)

📍

Updated Business Mailing Address April 03, 2025

Registered at 100 N ACADEMY AVE # MC4903, DANVILLE, PA 178229800 (Tel: 5702716144)

📍

Updated Practice Location January 15, 2019

Registered at 1789 N KEYSER AVE, SCRANTON, PA 185081250 (Tel: 5709691904)

📍

Updated Business Mailing Address January 15, 2019

Registered at 1789 N KEYSER AVE, SCRANTON, PA 185081250 (Tel: 5709691904)

✅

NPI Profile Active January 26, 2010

NPI status registered as active in NPPES database

📍

Updated Practice Location January 26, 2010

Registered at 1789 N KEYSER AVE, MEDICAL ASSOCIATES OF NEPA, SCRANTON, PA 18508 (Tel: 5709691904)

📍

Updated Business Mailing Address January 26, 2010

Registered at 1789 N KEYSER AVE, MEDICAL ASSOCIATES OF NEPA, SCRANTON, PA 18508 (Tel: 5709691904)

👤

Provider Name / Credentials Updated January 26, 2010

Recorded as MICHAEL GILHOOLEY, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) January 26, 2010

Internal Medicine (License #MD053831L in PA)

🟢

Initial NPI Registration & Enumeration June 20, 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: 1093751034

Entity Type:

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

Enumeration Date: June 20, 2006

Last Update: April 03, 2025

Sole Proprietor: No

Update or Correct Profile

Mailing Address

100 N Academy Ave # Mc4903

Danville, PA 178229800

Phone: 5702716144

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

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