Active NPI 1790745339 Individual Practitioner Male Practitioner

Dr. Michael Joseph Francis , MD

Surgery • Tappahannock, VA

Professional Overview & Biography Verified Profile Summary

Dr. Michael Francis, MD is a certified Surgery practicing in Tappahannock, VA. With approximately 41 years of clinical experience since graduating from New York Medical College in 1985, Dr. Francis delivers high-quality medical care to the local community at 659 HOSPITAL ROAD.

Dr. Francis does not directly accept Medicare assignment.

Frequently performed procedures and clinical services include subsequent hospital care with moderate levelof medical decision making, if using time, at least, initial hospital inpatient care per day, initial hospital care with straightforward or low-level 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

659 Hospital Road
Riverside Medical Arts Building A, Suite 203

Tappahannock, VA 22560

Telephone 8044436232

Associated Practice Facility / Clinic

🏢 Riverview Orthopaedics, Llc Facility NPI 1245400563

Medicare Profile & Education

Medical School

New York Medical College

Graduation Year

1985

Medicare Assignment

Not Specified

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Tappahannock, VA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

41 Yrs Matches City Avg

City Avg: 41.0 Yrs

State Avg: 24.6 Yrs

Regional Practice Density

2 Specialists

Practicing in Tappahannock, VA (909 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

43.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Francis (41 Years) 41 Yrs

Tappahannock Specialty Average (41.0 Years) 41.0 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2022)

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	83	34	$124.00	$71.03
99221 Initial hospital inpatient care per day, typically 30 minutes	22	21	$179.00	$100.48

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	78	39	$124.00	$68.38
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	35	34	$239.17	$130.15
99221 Initial hospital inpatient care per day, typically 30 minutes	17	17	$177.24	$101.61
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	12	12	$355.17	$201.30

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	58	30	$124.00	$70.18
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	36	36	$173.00	$76.96
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	35	23	$70.00	$26.25
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	33	32	$229.00	$132.57
99213 Established patient office or other outpatient visit, typically 15 minutes	28	25	$117.00	$52.14
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	19	18	$173.00	$80.30
11604 Removal of cancer skin growth of body, arms, or legs, 3.1-4.0 cm	15	14	$486.00	$219.52
99202 New patient office or other outpatient visit, typically 20 minutes	15	15	$118.00	$51.36
99221 Initial hospital inpatient care per day, typically 30 minutes	14	14	$164.00	$103.55
45384 Removal of polyps or growths of large bowel using a flexible endoscope with electrical cautery	14	14	$817.00	$195.48
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	14	13	$486.00	$98.35
12031 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.5 cm or less	13	12	$368.00	$78.04
11603 Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm	11	11	$440.00	$190.23
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	11	11	$246.00	$131.42

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	61	49	$110.00	$51.23
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	53	53	$173.00	$76.40
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	49	27	$124.00	$72.95
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	40	31	$70.00	$25.60
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	35	32	$486.00	$115.76
99202 New patient office or other outpatient visit, typically 20 minutes	34	34	$118.00	$50.83
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	33	31	$157.52	$79.02
99221 Initial hospital inpatient care per day, typically 30 minutes	27	27	$164.00	$101.61
45384 Removal of polyps or growths of large bowel using a flexible endoscope with electrical cautery	26	26	$817.00	$236.63
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	23	22	$229.00	$137.28
11604 Removal of cancer skin growth of body, arms, or legs, 3.1-4.0 cm	21	20	$486.00	$213.97
99231 Follow-up hospital inpatient care per day, typically 15 minutes	16	11	$70.00	$39.49
11606 Removal of cancer skin growth of body, arms, or legs, more than 4.0 cm	14	13	$684.00	$315.22
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	13	13	$2200.00	$331.61
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	12	12	$246.00	$129.41

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	158	84	$110.00	$50.97
45384 Removal of polyps or growths of large bowel using a flexible endoscope with electrical cautery	38	38	$817.00	$189.78
99221 Initial hospital inpatient care per day, typically 30 minutes	33	33	$165.70	$100.86
99231 Follow-up hospital inpatient care per day, typically 15 minutes	33	21	$70.00	$38.13
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	32	28	$789.00	$115.50
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	23	16	$124.00	$72.36
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	22	22	$246.00	$128.67
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	21	21	$229.00	$135.88
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	20	20	$159.00	$78.12
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	18	18	$173.00	$76.28
43235 Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope	14	13	$645.50	$85.91
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	13	13	$694.00	$189.23
45378 Diagnostic exam of large bowel using a flexible endoscope	12	12	$792.33	$190.40

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	105	73	$110.00	$50.35
99231 Follow-up hospital inpatient care per day, typically 15 minutes	38	25	$70.00	$37.74
45384 Removal of polyps or growths of large bowel using a flexible endoscope with electrical cautery	31	31	$817.00	$226.85
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	24	22	$70.00	$25.23
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	22	22	$246.00	$128.24
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	19	19	$173.00	$75.76
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	18	17	$159.00	$77.85
99221 Initial hospital inpatient care per day, typically 30 minutes	18	18	$166.00	$100.05
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	13	13	$229.00	$135.39
43235 Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope	12	12	$528.00	$104.55

Medical Specialties & State Licenses

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License VA 0101238739

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.

Practice Associates & Co-Workers

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

1 Associated Practitioners

Dr. Kunoor Jain-Spangler , MD

Surgery

NPI 1326257478

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active March 06, 2012

NPI status registered as active in NPPES database

📍

Updated Practice Location March 06, 2012

Registered at 659 HOSPITAL ROAD, RIVERSIDE MEDICAL ARTS BUILDING A, SUITE 203, TAPPAHANNOCK, VA 22560 (Tel: 8044436232)

📍

Updated Business Mailing Address March 06, 2012

Registered at 508 LAKE DR, TAPPAHANNOCK, VA 225605630 (Tel: 8044431299)

👤

Provider Name / Credentials Updated March 06, 2012

Recorded as MICHAEL FRANCIS, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 06, 2012

Surgery (License #0101238739 in VA)

🟢

Initial NPI Registration & Enumeration March 27, 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: 1790745339

Entity Type:

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

Enumeration Date: March 27, 2006

Last Update: March 06, 2012

Sole Proprietor: No

Update or Correct Profile

Mailing Address

508 Lake Dr

Tappahannock, VA 225605630

Phone: 8044431299

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.