Active NPI 1396729679 Individual Practitioner Male Practitioner

Dr. Michael David Flam , DO

Surgery • Fishersville, VA

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Dr. Michael Flam, DO is a certified Surgery practicing in Fishersville, VA. With approximately 26 years of clinical experience since graduating from Arizona College Of Osteopathic Medicine Mid Western University in 2000, Dr. Flam delivers high-quality medical care to the local community at 70 MEDICAL CENTER CIR STE 213.

Dr. Flam is affiliated with Augusta Medical Group and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include established patient outpatient office visit, new patient outpatient office visit, biopsy of large bowel using an endoscope. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

70 Medical Center Cir Ste 213

Fishersville, VA 229392273

Telephone 5402457705

Fax 5402457710

Associated Practice Facility / Clinic

🏢 Augusta Medical Group Facility NPI 1245489590

Medicare Profile & Education

Medical School

Arizona College Of Osteopathic Medicine Mid Western University

Graduation Year

2000

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Fishersville, VA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

26 Yrs -2.1 yrs vs City Avg

City Avg: 28.1 Yrs

State Avg: 24.6 Yrs

Regional Practice Density

13 Specialists

Practicing in Fishersville, VA (909 Statewide)

Telehealth Adoption Rate

23.1% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

38.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Flam (26 Years) 26 Yrs

Fishersville Specialty Average (28.1 Years) 28.1 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
99213 Established patient office or other outpatient visit, typically 15 minutes	65	56	$138.00	$91.67
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	55	55	$254.00	$163.69
45380 Biopsy of large bowel using an endoscope	26	26	$387.00	$136.25
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	20	20	$170.00	$113.19
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	19	19	$459.00	$252.63
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	17	17	$203.00	$130.04
49650 Repair of groin hernia using an endoscope	16	16	$713.50	$489.73
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	15	15	$196.00	$129.35
47563 Removal of gallbladder with x-ray study of bile ducts using an endoscope	14	14	$1089.57	$716.87
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	12	12	$287.00	$184.88
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	11	11	$287.00	$185.09

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	58	44	$138.00	$88.43
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	39	39	$254.00	$165.69
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	27	15	$107.00	$75.65
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	27	27	$170.00	$107.43
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	21	21	$203.00	$122.96
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	17	17	$196.00	$127.30
47563 Removal of gallbladder with x-ray study of bile ducts using an endoscope	15	15	$1052.00	$712.46
45380 Biopsy of large bowel using an endoscope	13	13	$387.00	$141.14
49650 Repair of groin hernia using an endoscope	12	12	$793.00	$538.27

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	55	43	$138.00	$90.15
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	37	37	$254.00	$169.18
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	35	20	$107.00	$70.04
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	21	21	$203.00	$131.82
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	18	18	$170.00	$108.71
47563 Removal of gallbladder with x-ray study of bile ducts using an endoscope	15	15	$1052.00	$687.65
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	13	13	$196.00	$129.53
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	13	13	$287.00	$186.58
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	11	11	$459.00	$231.80
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	11	11	$27.00	$18.65
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	11	11	$532.00	$337.86

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	87	62	$102.00	$92.75
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	52	52	$230.00	$169.11
99231 Follow-up hospital inpatient care per day, typically 15 minutes	38	21	$65.00	$38.54
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	38	21	$100.00	$72.15
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	31	31	$190.00	$136.52
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	17	17	$150.00	$131.50
49650 Repair of groin hernia using an endoscope	17	16	$930.65	$455.21
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	15	15	$160.00	$113.92
47563 Removal of gallbladder with x-ray study of bile ducts using an endoscope	14	14	$1032.00	$738.06
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	12	12	$280.00	$200.96

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	74	59	$102.00	$75.14
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	33	33	$230.00	$167.43
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	32	17	$100.00	$73.63
99231 Follow-up hospital inpatient care per day, typically 15 minutes	31	22	$65.00	$40.02
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	29	28	$190.00	$140.37
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	24	24	$160.00	$109.45
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	20	20	$150.00	$110.62

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	122	76	$102.00	$73.97
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	100	41	$100.00	$73.07
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	44	43	$190.00	$137.53
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	43	43	$230.00	$164.71
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	36	36	$160.00	$107.06
99231 Follow-up hospital inpatient care per day, typically 15 minutes	31	23	$65.00	$39.56
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	23	22	$150.00	$108.91
47562 Removal of gallbladder using an endoscope	19	19	$951.00	$637.11
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	17	16	$280.00	$203.15
99238 Hospital discharge day management, 30 minutes or less	15	13	$110.00	$70.74

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	75	53	$97.60	$72.27
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	55	25	$95.51	$72.38
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	54	54	$160.00	$105.96
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	38	37	$180.00	$135.93
99231 Follow-up hospital inpatient care per day, typically 15 minutes	37	24	$65.00	$39.00
99238 Hospital discharge day management, 30 minutes or less	14	14	$110.00	$72.69
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	13	13	$37.00	$18.62
76937 Ultrasonic guidance for blood vessel access	13	13	$48.00	$14.42
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	12	12	$506.33	$327.90
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	12	12	$216.67	$163.15

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	80	34	$88.92	$69.18
99213 Established patient office or other outpatient visit, typically 15 minutes	43	33	$87.00	$69.72
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	41	41	$160.00	$103.10
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	28	27	$173.82	$131.03
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	14	14	$190.00	$156.87

Medical Specialties & State Licenses

CMS Verified: 2023-11-09

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License VA 0102204814

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.

Surgery

NUCC Taxonomy Code: 208600000X

State License AZ 4243

Hospital & Practice Group Affiliations

Augusta Medical Group

70 Medical Ctr Cir, Fishersville, VA 229392273

Phone: 5402457705

Practice Associates & Co-Workers

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

11 Associated Practitioners

Dr. Shannon Tierney , MD, MS

Surgery

NPI 1003020660

Doctor of Medicine (M.D.), Master of Science

Dr. Chelsea Hutchinson , MD

Surgery

NPI 1083034284

Doctor of Medicine (M.D.)

Jakob Kinsey , PA

Physician Assistant

NPI 1184299000

Physician Assistant

Dr. Kristin Turza , MD

Surgery

NPI 1194929059

Doctor of Medicine (M.D.)

Dr. Amani Politano , MD

Surgery - Vascular Surgery

NPI 1326207739

Doctor of Medicine (M.D.)

Dr. Charles Goff , MD

Surgery - Vascular Surgery

NPI 1508870205

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

13 Historical Events

📍

Updated Practice Location November 09, 2023

Registered at 70 MEDICAL CENTER CIR STE 213, FISHERSVILLE, VA 229392273 (Tel: 5402457705)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) November 09, 2023

Surgery (License #4243 in AZ)

✅

NPI Profile Active March 27, 2017

NPI status registered as active in NPPES database

📍

Updated Practice Location March 27, 2017

Registered at 70 MEDICAL CENTER CIR, SUITE 307, FISHERSVILLE, VA 229392273 (Tel: 5402457705)

📍

Updated Business Mailing Address March 27, 2017

Registered at PO BOX 388, FISHERSVILLE, VA 229390388 (Tel: 5402457705)

👤

Provider Name / Credentials Updated March 27, 2017

Recorded as MICHAEL FLAM, DO

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 27, 2017

Surgery (License #4243 in AZ)

✅

NPI Profile Active November 03, 2009

NPI status registered as active in NPPES database

📍

Updated Practice Location November 03, 2009

Registered at 1727 W FRYE RD, SUITE #140, CHANDLER, AZ 852245295 (Tel: 4808213632)

📍

Updated Business Mailing Address November 03, 2009

Registered at 1727 W FRYE RD, SUITE #140, CHANDLER, AZ 852245295 (Tel: 4808213632)

👤

Provider Name / Credentials Updated November 03, 2009

Recorded as MICHAEL FLAM, DO

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) November 03, 2009

Surgery (License #4243 in AZ)

🟢

Initial NPI Registration & Enumeration December 01, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1396729679

Entity Type:

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

Enumeration Date: December 01, 2005

Last Update: November 09, 2023

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 388

Fishersville, VA 229390388

Phone: 5402457705

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.