Independent US Healthcare Provider Directory & Public Medical Database Patient Guides

Julia Mcarthur , PHYSICIAN ASSISTANT

Physician Assistant โ€ข Warren, MI

Active NPI 1306374921 Individual Practitioner Female Practitioner Accepts Medicare assignment
Practice location in NPPES

11800 E 12 Mile Rd
Warren, MI 480933472

Call 5865735000 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

11800 E 12 Mile Rd

Warren, MI 480933472

Telephone 5865735000
Organization at the Same NPPES Address or Phone
Henry Ford Health Macomb Oakland Hospital Facility NPI 1306816426

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: Wellstreet Urgent Care Of Michigan. 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

Wayne State University School Of Medicine

Graduation Year

2017

Medicare patients

248 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 โ€“ by Provider, 2024.

Medicare-allowed amount

About $34,045 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 โ€“ by Provider and Service, 2024.

Paid by Medicare

About $25,540 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 โ€“ by Provider and Service, 2024.

30-day fills

182 standardized 30-day fills in 2024

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

$1,584 in 2024

The total cost of these prescriptions in 2024, 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 โ€“ by Provider and Drug, 2024.

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2021โ€“2025.

Guide: How to read an Open Payments record

Years since graduation

9 years (graduated 2017)

CMS Doctors and Clinicians data list 2017 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

2017

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, โ€œDoes your provider accept Medicare as full payment?โ€

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)

Julia Mcarthur 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 Julia Mcarthur 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 Warren and Michigan

Billing and prescribing volume is not a quality rating.

Medicare Part B services

More Medicare Part B services than 75% of clinicians listed under Physician Assistant in Warren, MI (2024, 27 clinicians with data). Median for this group: 164. Middle half: 62 to 414.

More Medicare Part B services than 85% of clinicians listed under Physician Assistant in Michigan (2024, 3,281 clinicians with data). Median for this group: 134. Middle half: 59 to 290.

Medicare-allowed amount

A higher Medicare-allowed amount than 75% of clinicians listed under Physician Assistant in Warren, MI (2024, 27 clinicians with data). Median for this group: $12,922. Middle half: $6,120 to $28,421.

A higher Medicare-allowed amount than 85% of clinicians listed under Physician Assistant in Michigan (2024, 3,281 clinicians with data). Median for this group: $10,676. Middle half: $4,960 to $20,226.

Paid by Medicare

A higher Medicare payment amount than 75% of clinicians listed under Physician Assistant in Warren, MI (2024, 27 clinicians with data). Median for this group: $9,699. Middle half: $4,651 to $21,101.

A higher Medicare payment amount than 85% of clinicians listed under Physician Assistant in Michigan (2024, 3,281 clinicians with data). Median for this group: $7,770. Middle half: $3,621 to $14,890.

Medicare Part D prescriptions

Fewer Part D prescriptions than 65% of clinicians listed under Physician Assistant in Warren, MI (2024, 33 clinicians with data). Median for this group: 235. Middle half: 159 to 584.

Fewer Part D prescriptions than 60% of clinicians listed under Physician Assistant in Michigan (2024, 3,741 clinicians with data). Median for this group: 302. Middle half: 82 to 1,061.

Part D drug cost

A lower Part D drug cost than 60% of clinicians listed under Physician Assistant in Warren, MI (2024, 33 clinicians with data). Median for this group: $2,151. Middle half: $1,288 to $12,198.

A lower Part D drug cost than 60% of clinicians listed under Physician Assistant in Michigan (2024, 3,741 clinicians with data). Median for this group: $6,107. Middle half: $669 to $117,415.

66 active clinicians are listed under Physician Assistant with a practice address in Warren, MI (6,989 in Michigan).

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

Telehealth indicator in Warren

4.5% of these 66 clinicians have the CMS telehealth indicator.

60.6% of these 66 clinicians are listed by CMS as accepting Medicare assignment.

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

Text: T-MedInfo ยท Report an error.

Performed Procedures & Service Volume

Services billed to Original Medicare Part B in 2024.

CMS Part B ยท Data Year 2024
Reporting Year:

CPTยฎ is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2016โ€“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 โ€“ by Provider and Service data, 2017โ€“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
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
89 85 $320.00 $109.78
99213 Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more
59 59 $220.00 $77.10
87804 Detection test by immunoassay with direct visual observation for influenza virus
55 33 $50.00 $16.22
81003 Automated urinalysis test
41 40 $20.00 $2.20
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
32 32 $333.18 $144.50
87426 Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus
31 31 $75.00 $34.62
87811 Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19)
30 30 $78.00 $40.55
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
27 27 $220.00 $96.53
93000 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report
26 26 $60.00 $12.32
71046 X-ray of chest, 2 views
25 25 $70.00 $25.08
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more
24 24 $395.00 $154.45
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more
22 22 $415.02 $190.56
96372 Injection of drug or substance under skin or into muscle
15 13 $60.00 $12.14
87880 Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)
12 12 $37.00 $16.20

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 2024.

CMS Part D ยท Data Year 2024
Prescription Year:
Brand Name Generic Name Prescriptions Day Supply Total Cost Patients
Cephalexin Cephalexin 42 288 $253.95 42
Methylprednisolone Methylprednisolone 38 228 $199.70 37
Albuterol Sulfate Hfa Albuterol Sulfate 31 687 $780.54 31
Sulfamethoxazole-Trimethoprim Sulfamethoxazole/Trimethoprim 17 87 $32.65 17
Amoxicillin-Clavulanate Potass Amoxicillin/Potassium Clav 17 120 $135.34 17
Azithromycin Azithromycin 13 65 $32.90 13
Doxycycline Hyclate Doxycycline Hyclate 13 75 $46.72 13
Polymyxin B Sul-Trimethoprim Polymyxin B Sulf/Trimethoprim 11 183 $102.44 โ€”

Source: CMS Part D by Provider and Drug, 2024; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits

Specialties & License Numbers Reported to NPPES

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

License # reported to NPPES MI 5601008228

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

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: Michigan Department of Licensing and Regulatory Affairs.
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 - PHYSICIAN ASSISTANT

Medicare Enrollment ID

I20170804001214

Enrollment State Jurisdiction

MI

PECOS Control ID

9830460138

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

Wellstreet Urgent Care Of Michigan

43037 Dequindre Rd, Troy, MI 480851101

Phone: 2488178682

Wellstreet Urgent Care Of Michigan

2078 E Big Beaver Rd, Troy, MI 480832301

Phone: 2489180744

Clinicians Sharing This Practice Address or Phone

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

33 listed
Dr. Amuche Alexander , MD

Internal Medicine

NPI 1336914779

Doctor of Medicine (M.D.)

NPI 1376906180

Doctor of Medicine (M.D.)

Dr. Micheal Buggia , MD

Emergency Medicine

NPI 1003100314

Doctor of Medicine (M.D.)

Bianca Chopra , NP

Nurse Practitioner - Acute Care

NPI 1679194518

Nurse Practitioner

Benjamin Doppelt , ACNP-BC

Nurse Practitioner - Acute Care

NPI 1578885687

ACNPBC

Abbie Gish , PA-C

Physician Assistant

NPI 1740718865

Physician Assistant (Certified)

Career & Practice History Timeline

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

9 Historical Events
๐Ÿ‘ค
Provider Name / Credentials Updated March 18, 2019

Recorded as JULIA MCARTHUR, PHYSICIAN ASSISTANT

๐Ÿ‘ค
Provider Name / Credentials Updated September 20, 2018

Recorded as JULIA CAPOBIANCO, PHYSICIAN ASSISTANT

๐ŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) September 20, 2018

Physician Assistant (license number reported to NPPES: MI 5601008228)

โœ…
NPI Profile Active May 25, 2017

NPI status registered as active in NPPES database

๐Ÿ“
Practice Location (Initial Record) May 25, 2017

Registered at 11800 E 12 MILE RD, WARREN, MI 480933472 (Tel: 5865735000)

๐Ÿ“
Business Mailing Address (Initial Record) May 25, 2017

Registered at 20216 GAUKLER ST, SAINT CLAIR SHORES, MI 480803770 (Tel: 5864890770)

๐Ÿ‘ค
Provider Name / Credentials (Initial Record) May 25, 2017

Recorded as JULIA CAPOBIANCO, STUDENT

๐ŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) May 25, 2017

Student in an Organized Health Care Education/Training Program

๐ŸŸข
Initial NPI Registration & Enumeration May 25, 2017

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1306374921
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 25, 2017
Last Update: June 11, 2019
Sole Proprietor: No

Other Physician Assistants in Warren

All Physician Assistants in Warren

Mailing Address

20216 Gaukler St

Saint Clair Shores, MI 480803770

Phone: 5864890770

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.