Michael Avery, DO
NPI 1255568069 · Rheumatology Physician · Green Bay, WI
Enrolled with Medicare as Practitioner - Rheumatology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Michael Avery, DO is a Rheumatology Physician provider in Green Bay, WI (NPI 1255568069).
Provider details
- NPI number
- 1255568069
- Entity type
- Individual
- Primary specialty
- Rheumatology PhysicianAllopathic & Osteopathic Physicians
- Credential
- DO
- Sex
- Male
- Sole proprietor
- No
- License
- 67513 (WI)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
17 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)25% of score
1,846 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 399 | $120 |
| Administration of Chemotherapy Into Vein, 1 Hour Or Less96413 | 289 | $118 |
| Visit Complexity Inherent to Evaluation and Management Associated With Medical Care Services That Serve As the Continuing Focal Point for All Needed Health Care Services And/Or With Medical Care Services That Are Part of Ongoing Care Related to a Patient'SG2211 | 269 | $15 |
| Administration of Chemotherapy Into Vein, Each Additional Hour96415 | 239 | $25 |
| Infusion Into a Vein for Therapy, Prevention, Or Diagnosis, 1 Hour Or Less96365 | 129 | $58 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 42 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Hydroxychloroquine Sulfate | 1,296 | 351 |
| Prednisone | 833 | 269 |
| Methotrexate Sodiumbrand: Methotrexate | 824 | 222 |
| Methylprednisolone | 247 | 113 |
| Allopurinol | 212 | 63 |
| Sulfasalazine | 166 | 55 |
| Leflunomide | 147 | 40 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$448 across 27 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Registry dates
- Enumerated
- 2009-06-18
- Last updated
- 2025-05-28
- Certified
- 2025-05-28
Frequently asked questions
- What is Michael Avery's NPI number?
- Michael Avery's National Provider Identifier (NPI) is 1255568069, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Michael Avery's specialty?
- Michael Avery is listed in the NPPES registry with a primary specialty of Rheumatology Physician (Allopathic & Osteopathic Physicians).
- Where is Michael Avery located?
- Michael Avery's practice location on file with NPPES is 2223 Lime Kiln Rd Ste 1, Green Bay, WI 54311-6213.
- What is Michael Avery's phone number?
- The practice phone number listed in the NPPES registry for Michael Avery is (920) 430-8113.
- Does Michael Avery accept Medicare?
- Michael Avery is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Michael Avery's NPI active?
- Yes — Michael Avery's NPI (1255568069) is active in the NPPES registry as of the last update on 2025-05-28.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.