Active NPI 1861406852 Individual Practitioner Male Practitioner

Dr. Donald C. Carmichael , MD

Surgery • Fishersville, VA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Donald Carmichael, MD is a certified Surgery practicing in Fishersville, VA. With approximately 40 years of clinical experience since graduating from George Washington University School Of Medicine in 1986, Dr. Carmichael delivers high-quality medical care to the local community at 70 MEDICAL CENTER CIR.

Dr. Carmichael maintains professional affiliations with Meritus Medical Center Inc, Medical Practices Of Antietam, Llc, Augusta Medical Group and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, new patient outpatient office visit, follow-up hospital inpatient care per day. 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
Suite 213

Fishersville, VA 22939

Telephone 5402457705

Fax 5402457710

Associated Practice Facility / Clinic

🏢 Blue Ridge Pathologists Pc Facility NPI 1740281393

Medicare Profile & Education

Medical School

George Washington University School Of Medicine

Graduation Year

1986

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Fishersville, VA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

40 Yrs +11.9 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

In-Person Office Visits Only

Medicare Pricing Discount

40.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Carmichael (40 Years) 40 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 (2019)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	96	71	$102.00	$74.39
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	39	39	$160.00	$108.48
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	34	30	$150.00	$108.98
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	21	14	$61.00	$45.15
99231 Follow-up hospital inpatient care per day, typically 15 minutes	21	16	$65.00	$39.55
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	18	18	$650.00	$253.92
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	17	17	$190.00	$137.53
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	13	11	$100.00	$73.07
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	12	12	$302.00	$191.92
99221 Initial hospital inpatient care per day, typically 30 minutes	11	11	$140.00	$101.78

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	143	98	$109.97	$72.34
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	55	45	$162.73	$105.35
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	47	47	$166.87	$107.02
99231 Follow-up hospital inpatient care per day, typically 15 minutes	25	17	$66.76	$38.98
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	24	23	$64.75	$43.49
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	18	18	$679.33	$251.19
45380 Biopsy of large bowel using an endoscope	18	18	$569.67	$169.44
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	17	17	$245.88	$163.39
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	16	16	$368.63	$189.23
45378 Diagnostic exam of large bowel using a flexible endoscope	16	16	$557.13	$190.54
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	15	15	$470.00	$104.29
99202 New patient office or other outpatient visit, typically 20 minutes	15	15	$111.20	$74.36
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	13	13	$206.92	$135.88
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	11	11	$580.18	$311.05
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	11	11	$36.55	$18.62

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	135	106	$119.00	$71.67
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	54	47	$71.00	$42.93
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	44	44	$177.00	$104.80
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	40	37	$178.00	$104.11
99231 Follow-up hospital inpatient care per day, typically 15 minutes	29	20	$69.00	$38.76
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	28	28	$716.00	$260.05
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	25	25	$463.00	$108.70
99202 New patient office or other outpatient visit, typically 20 minutes	25	25	$122.00	$68.79
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	20	20	$384.00	$187.60
45380 Biopsy of large bowel using an endoscope	18	18	$565.00	$121.11
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	16	15	$125.00	$71.32
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	16	16	$234.00	$135.11
47562 Removal of gallbladder using an endoscope	15	15	$1242.00	$623.44
45378 Diagnostic exam of large bowel using a flexible endoscope	14	14	$529.00	$188.98
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	14	14	$275.00	$161.61
49505 Repair of groin hernia (5 years or older)	14	14	$861.00	$519.52

Medical Specialties & State Licenses

CMS Verified: 2025-11-11

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License MD D0104903

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 VA 0101237460

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

010184819 (VA)

Commercial Insurance / Payer ID Anthem

179225 (VA)

Hospital & Practice Group Affiliations

Augusta Medical Group

70 Medical Ctr Cir, Fishersville, VA 229392273

Phone: 5402457705

Meritus Medical Center Inc

11116 Medical Campus Rd, Hagerstown, MD 217426710

Phone: 3017908000

Medical Practices Of Antietam, Llc

11110 Medical Campus Rd, Hagerstown, MD 217426755

Phone: 3017044350

Secondary Practice Locations

11110 Medical Campus Rd Ste 143

Hagerstown, MD 217426755

Phone: 3017144350

11116 Medical Campus Rd

Hagerstown, MD 217426710

Phone: 3017908380

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. Michael Flam , DO

Surgery

NPI 1396729679

Doctor of Osteopathic Medicine (D.O.)

Career & Practice History Timeline

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

9 Historical Events

📍

Updated Business Mailing Address November 11, 2025

Registered at 11116 MEDICAL CAMPUS RD, HAGERSTOWN, MD 217426710 (Tel: 3017908380)

📍

Updated Practice Location June 08, 2018

Registered at 70 MEDICAL CENTER CIR, SUITE 213, FISHERSVILLE, VA 22939 (Tel: 5403325999)

📍

Updated Business Mailing Address June 08, 2018

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

✅

NPI Profile Active August 23, 2010

NPI status registered as active in NPPES database

📍

Updated Practice Location August 23, 2010

Registered at 70 MEDICAL CENTER CIR, SUITE 213, FISHERSVILLE, VA 229392273 (Tel: 5403325999)

📍

Updated Business Mailing Address August 23, 2010

Registered at 70 MEDICAL CENTER CIR, SUITE 213, FISHERSVILLE, VA 229392273 (Tel: 5403325999)

👤

Provider Name / Credentials Updated August 23, 2010

Recorded as DONALD CARMICHAEL, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) August 23, 2010

Surgery (License #0101237460 in VA)

🟢

Initial NPI Registration & Enumeration July 28, 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: 1861406852

Entity Type:

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

Enumeration Date: July 28, 2006

Last Update: November 11, 2025

Sole Proprietor: No

Update or Correct Profile

Mailing Address

11116 Medical Campus Rd

Hagerstown, MD 217426710

Phone: 3017908380

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.