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Dr. Michael S Mikulecky , MD

Orthopaedic Surgery • Red Bluff, CA

Active NPI 1245211507 Individual Practitioner Male Practitioner Accepts Medicare assignment
Practice location in NPPES

2528 Sister Mary Columba Dr
Red Bluff, CA 960804327

Call 5305286100 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

2528 Sister Mary Columba Dr

Red Bluff, CA 960804327

Telephone 5305286100
Fax 5305286196
Organization at the Same NPPES Address or Phone
William K. Borgsmiller M.d. P.c. Facility NPI 1245407402

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

CMS Doctors and Clinicians lists 1 group name: Dignity Health Medical Foundation. See the list

Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File

Medical School

Texas Tech University Health Science Center School Of Medicine

Graduation Year

2000

Medicare patients

249 people with Original Medicare in 2024

Different Original Medicare patients in 2024; counts below 11 are hidden; this does not show availability or quality.

Source: CMS, Medicare Physician & Other Practitioners – by Provider, 2024.

Medicare-allowed amount

About $77,824 in 2024

The total amount Medicare approved for these services in 2024. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.

What this does not show: Medicare-allowed amount

This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.

Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024.

Paid by Medicare

About $59,673 in 2024

The part of the Medicare-allowed amount that Medicare itself paid in 2024, after patients' deductibles and coinsurance.

What this does not show: Paid by Medicare

This is not the clinician's income and not a measure of quality.

Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024.

30-day fills

15 standardized 30-day fills in 2020

CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.

What this does not show: 30-day fills

It is not a count of patients and not a measure of quality.

Part D drug cost

$47 in 2020

The total cost of these prescriptions in 2020, paid by Medicare drug plans, patients and other payers together.

What this does not show: Part D drug cost

A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.

Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2020.

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2019–2025.

Guide: How to read an Open Payments record

Years since graduation

26 years (graduated 2000)

CMS Doctors and Clinicians data list 2000 as the year this clinician finished professional school.

What this does not show: Years since graduation

It is not the number of years in practice, and more years does not mean better care.

Source: CMS Doctors and Clinicians National Downloadable File.

NPI first issued

2005

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Accepts Medicare assignment

CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, “Does your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Dr. Mikulecky has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Dr. Mikulecky as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Red Bluff and California

Billing and prescribing volume is not a quality rating.

Medicare Part B services

Fewer Medicare Part B services than 60% of clinicians listed under Orthopaedic Surgery in California (2024, 1,037 clinicians with data). Median for this group: 1,177. Middle half: 310 to 3,300.

Too few clinicians listed under Orthopaedic Surgery in Red Bluff have Medicare Part B data for 2024 to compare.

Medicare-allowed amount

Close to the middle for clinicians listed under Orthopaedic Surgery in California (2024, 1,037 clinicians with data). Median for this group: $92,613. Middle half: $32,551 to $209,320.

Too few clinicians listed under Orthopaedic Surgery in Red Bluff have Medicare Part B data for 2024 to compare.

Paid by Medicare

Close to the middle for clinicians listed under Orthopaedic Surgery in California (2024, 1,037 clinicians with data). Median for this group: $69,737. Middle half: $24,028 to $159,045.

Too few clinicians listed under Orthopaedic Surgery in Red Bluff have Medicare Part B data for 2024 to compare.

Medicare Part D

Comparisons use 2024 data. The latest CMS data for Dr. Mikulecky are from 2020.

9 active clinicians are listed under Orthopaedic Surgery with a practice address in Red Bluff, CA (2,281 in California).

Addresses are self-reported to NPPES and may be out of date.

Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Medicare Part D Prescribers (2020), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo · Report an error.

Performed Procedures & Service Volume

Services billed to Original Medicare Part B in 2024.

CMS Part B · Data Year 2024
Reporting Year:

CPT® is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2016–2023 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners – by Provider and Service data, 2017–2024; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.

HCPCS Code Services Patients Submitted Charge Medicare Allowed
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg
269 27 $12.00 $0.98
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes
88 88 $629.00 $178.38
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
79 79 $339.00 $117.01
20610 Aspiration and/or injection of fluid from large joint
42 26 $243.00 $87.03
99213 Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more
36 34 $269.00 $96.32
73100 X-ray of wrist, 2 views
34 24 $97.94 $37.42
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more
27 26 $166.00 $60.12
73030 X-ray of shoulder, minimum of 2 views
24 22 $88.88 $34.53
73610 X-ray of ankle, minimum of 3 views
24 17 $105.00 $40.39
73502 X-ray of hip, 2-3 views
19 15 $121.11 $46.00
27245 Treatment of broken neck of thigh bone with bone implant
16 16 $3853.00 $1266.48
27235 Placement of stabilizing device for upper end of broken thigh bone
13 13 $2848.00 $945.93
25605 Closed treatment of broken or growth plate separate of forearm bone at wrist with manipulation
12 12 $1720.00 $586.19
73560 X-ray of knee, 1-2 views
12 11 $76.00 $27.77

Source: CMS Part B by Provider and Service, 2024; services under 11 beneficiaries omitted by CMS. Privacy limits

Submitted charges are billed amounts, not a price quote for your visit.

Medicare Part D Prescribing Profile & Medications

Medicare Part D prescriptions filled, including refills, in 2020.

CMS Part D · Data Year 2020
Prescription Year:
Brand Name Generic Name Prescriptions Day Supply Total Cost Patients
Tramadol Hcl Tramadol Hcl 15 121 $46.97 14

Source: CMS Part D by Provider and Drug, 2020; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2020-07-21
Orthopaedic Surgery Primary Specialty

NUCC Taxonomy Code: 207X00000X

License # reported to NPPES CA A90779

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Medical Board of California.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - ORTHOPEDIC SURGERY

Medicare Enrollment ID

I20050808001213

Enrollment State Jurisdiction

CA

PECOS Control ID

4385602952

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Medicare Group Practice Enrollments

Source: CMS Doctors and Clinicians National Downloadable File

Dignity Health Medical Foundation

2528 Sister Mary Columba Dr, Red Bluff, CA 960804327

Phone: 5305286100

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

8 listed
NPI 1497833974

Doctor of Medicine (M.D.)

Dr. Sanjiv Faldu , MD

Internal Medicine - Cardiovascular Disease

NPI 1619973393

Doctor of Medicine (M.D.)

NPI 1477585776
NPI 1689080525

Doctor of Osteopathic Medicine (D.O.)

Dr. Herbert Lee , MD

Internal Medicine - Cardiovascular Disease

NPI 1528018132

Doctor of Medicine (M.D.)

Dr. Bradley Smith , MD

Orthopaedic Surgery

NPI 1235164138

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

8 Historical Events
📍
Updated Practice Location July 21, 2020

Registered at 2528 SISTER MARY COLUMBA DR, RED BLUFF, CA 960804327 (Tel: 5305286100)

📍
Updated Business Mailing Address July 21, 2020

Registered at 3400 DATA DR, ATTN CREDENTIALING/PAYER ENROLLMENT, RANCHO CORDOVA, CA 956707956

âś…
NPI Profile Active November 27, 2013

NPI status registered as active in NPPES database

📍
Practice Location (Initial Record) November 27, 2013

Registered at 2662 EDITH AVE, REDDING, CA 960013043 (Tel: 5302421266)

📍
Business Mailing Address (Initial Record) November 27, 2013

Registered at 2662 EDITH AVE, REDDING, CA 960013043 (Tel: 5302421266)

👤
Provider Name / Credentials (Initial Record) November 27, 2013

Recorded as MICHAEL MIKULECKY, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 27, 2013

Orthopaedic Surgery (license number reported to NPPES: CA A90779)

🟢
Initial NPI Registration & Enumeration November 14, 2005

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1245211507
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 14, 2005
Last Update: July 21, 2020
Sole Proprietor: No

Other Orthopaedic Surgery Specialists in Red Bluff

Healthcare providers in Red Bluff

Mailing Address

3400 Data Dr, Attn Credentialing/payer Enrollment

Rancho Cordova, CA 956707956

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.