MR. MICHAEL LYNN NUSSBAUM (M.D.) – Surgery Physician, NPI 1164409678

MR. MICHAEL LYNN NUSSBAUM (M.D.) is a healthcare provider. based in Abington, Pennsylvania. specializing in SURGICAL ONCOLOGY, GENERAL SURGERY. They hold the professional credentials M.D.. They hold a License No. MD-038733E (PA). The NPI Number for MR. MICHAEL LYNN NUSSBAUM (M.D.) is 1164409678

Main info

Male
44 Years Of Experience
Accepts Medicare Assignment
Name
MR. MICHAEL LYNN NUSSBAUM (M.D.)
NPI
1164409678
Phone
(215) 887-3990
Address
1245 HIGHLAND AVE
Enumeration Date
27 December 2005
Last Update Date
15 August 2014

Doctor Profile

Medical School Name
INDIANA UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
2158873990150
Graduation Year
1982 (44 years ago)
PAC ID
0244123388
Group Practice PAC ID
5597747154
Professional Enrollment ID
I20090121000233
Address ID
PA190013727AB1245XAVEX301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

155 SURGICAL ONCOLOGY in PA

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Provider Addresses for MR. MICHAEL LYNN NUSSBAUM (M.D.)

  • 1245, Highland Avenue, Mount Vernon Gardens, Abington, Abington Township, Montgomery County, Pennsylvania, 19001, United States

    SUITE 600

    ABINGTON, PA 190013714

    Phone: (215) 887-3990

    Fax: (215) 887-1140

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 9 Open Payments records for all available years, with a total value of $377.

Total Amount is formed as General ($377) + Research ($0) + Ownership ($0) = $377.

Last reported payment date: 2024-12-17 • Largest payer in this snapshot: Smith+Nephew, Inc. ($281).

Total Amount

$377

General + Research + Ownership

Payments

9

Total payment records

General Amount

$377

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-17

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: 2009-01-21

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

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
I20090121000233ISurgical OncologyPATBD

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
99213Established patient office or other outpatient visit, 20-29 minutes10898$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes10338$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes8482$0
99204New patient office or other outpatient visit, 45-59 minutes4848$0
99214Established patient office or other outpatient visit, 30-39 minutes3128$0
View full utilization report →

Insurance plans in this area (ZIP 19001)

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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: 5597747154View full group profile
NameSpecialtyState
General SurgeryPA
-PA
General SurgeryPA
General Surgery, Vascular SurgeryPA
General SurgeryPA
General SurgeryPA
General Surgery, Critical Care (Intensivists)NY

Reviews

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Frequently asked questions

Can I use this page to confirm MR. MICHAEL LYNN NUSSBAUM (M.D.)'s NPI?
Yes. MR. MICHAEL LYNN NUSSBAUM (M.D.) is listed with NPI 1164409678 in the public NPI dataset.
Does CMS list MR. MICHAEL LYNN NUSSBAUM (M.D.) as active?
Yes — MR. MICHAEL LYNN NUSSBAUM (M.D.) is active in the NPI listing used on this page.
What is MR. MICHAEL LYNN NUSSBAUM (M.D.) best known for clinically?
Directory data describes MR. MICHAEL LYNN NUSSBAUM (M.D.) with Surgery Physician. Clinical services aligned with this taxonomy classification.
What address line appears for MR. MICHAEL LYNN NUSSBAUM (M.D.)?
MR. MICHAEL LYNN NUSSBAUM (M.D.)'s geographic hint is Abington, Pennsylvania in our summary view.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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