MICHAEL J DISHER (MD) – Otology & Neurotology Physician, NPI 1205828985

MICHAEL J DISHER (MD) is a healthcare provider. based in Fort wayne, Indiana. specializing in OTOLARYNGOLOGY. They hold the professional credentials MD. They hold a License No. 01044624A (IN). The NPI Number for MICHAEL J DISHER (MD) is 1205828985

Main info

Male
Sole Proprietor
40 Years Of Experience
Accepts Medicare Assignment
Name
MICHAEL J DISHER (MD)
NPI
1205828985
Phone
(260) 387-5820
Address
9604 COLDWATER RD STE 103
Enumeration Date
18 August 2005
Last Update Date
21 August 2025

Doctor Profile

Medical School Name
UNIVERSITY OF MICHIGAN MEDICAL SCHOOL
Secondary Phone
4192911111
Graduation Year
1986 (40 years ago)
PAC ID
0749344026
Group Practice PAC ID
7113182809
Professional Enrollment ID
I20090202000023
Address ID
OH436063895TO2142XBLVD400

Contacts

Secure Messaging
mdisher23341@epicdirect.promedica.org
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience78
Completeness95
Years active:20State licenses:2Other names

242 OTOLARYNGOLOGY in IN

Provider Addresses for MICHAEL J DISHER (MD)

  • 9604 COLDWATER RD STE 103

    FORT WAYNE, IN 468252096

    Phone: (260) 387-5820

    Fax: (855) 828-7823

    Type: Mailing

  • Coldwater Road, Woodland Lake, Fort Wayne, Allen County, Indiana, 46748, United States

    FORT WAYNE, IN 468252096

    Phone: (260) 387-5820

    Fax: (855) 828-7823

    Type: Mailing

  • 6301 University Commons

    Suite 306

    South Bend, IN 466351571

    Phone: (260) 387-5820

    Fax: (855) 828-7823

    Type: Location

  • 6301 University Commons Ste 360

    South Bend, IN 466353500

    Phone: (260) 387-5820

    Fax: (855) 828-7823

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 20 Open Payments records for all available years, with a total value of $764.

Total Amount is formed as General ($764) + Research ($0) + Ownership ($0) = $764.

Last reported payment date: 2024-09-20 • Largest payer in this snapshot: Advanced Bionics, LLC ($389).

Total Amount

$764

General + Research + Ownership

Payments

20

Total payment records

General Amount

$764

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-20

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2010-10-21

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20090202000023IOtolaryngologyOHTBD
I20101021000612IOtolaryngologyINTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
J1100Injection, dexamethasone sodium phosphate, 1 mg36017$0
99213Established patient office or other outpatient visit, 20-29 minutes269193$0
92504Exam of ear using a microscope227167$0
99214Established patient office or other outpatient visit, 30-39 minutes168135$0
92557Comprehensive hearing and speech recognition test168154$0
View full utilization report →

Insurance plans in this area (ZIP 46825)

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Provider's Procedures

MICHAEL J DISHER (MD) performs procedures in OTOLARYNGOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
OTOLARYNGOLOGYIN92567Eardrum testing using ear probe2826

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7113182809View full group profile
NameSpecialtyState
Nurse PractitionerOH
Nurse PractitionerOH
Vascular SurgeryOH
Internal MedicineOH
Vascular SurgeryOH
Nurse PractitionerOH
N E U R O L O G YOH
Nurse PractitionerOH
E N D O C R I N O L O G YSD
Pulmonary Disease, Critical Care (Intensivists)OH

Reviews

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Frequently asked questions

Can I cross-check MICHAEL J DISHER (MD) using NPI 1205828985?
NPI 1205828985 belongs to MICHAEL J DISHER (MD); compare other details if you need extra assurance.
Is MICHAEL J DISHER (MD) shown as active in public data?
Registry records indicate MICHAEL J DISHER (MD) maintains an active NPI.
What clinical focus is listed for MICHAEL J DISHER (MD)?
At a glance, MICHAEL J DISHER (MD) is tied to Otology & Neurotology Physician. Clinical services aligned with this taxonomy classification.
Is MICHAEL J DISHER (MD) associated with Fort Wayne?
Public fields place MICHAEL J DISHER (MD) around Fort Wayne, Indiana. Always confirm the exact site before visiting.
Can I trust this NPI listing for MICHAEL J DISHER (MD)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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