MICHAEL MARIETTA M.D. NPI 1669823985

NPI Details

Michael Marietta, M.D. is a radiation oncology radiology in Roseburg, OR with 9 years of experience. The provider is a radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors. Michael Marietta, M.D. NPI is 1669823985. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF KANSAS SCHOOL OF MED (KC/WICH/SAL)
Graduation Year:2016

The provider's business location address is:

2880 NW STEWART PKWY STE 100
ROSEBURG, OR
ZIP 97471-203
Phone: (541) 673-2267
Fax: (541) 672-9483

The NPI 1669823985 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

• Ct guidance for insertion of radiation therapy fields (HCPCS:77014)
• Intensity modulated treatment delivery, single or multiple fields/arcs,via narrow spatially and temporally modulated beams, binary, dynamic mlc, per treatment session (HCPCS:G6015)
• Radiation treatment delivery,3 or more separate treatment areas, custom blocking, tangential ports, wedges, rotational beam, compensators, electron beam; 6-10 mev (HCPCS:G6012)
• Radiation treatment management, 5 treatment sessions (HCPCS:77427)
• Continuing radiation therapy consultation per week (HCPCS:77336)
• Calculation of radiation therapy dose (HCPCS:77300)
• Design and construction of complex radiation treatment device (HCPCS:77334)
• Radiation treatment delivery,3 or more separate treatment areas, custom blocking, tangential ports, wedges, rotational beam, compensators, electron beam; 11-19 mev (HCPCS:G6013)
• Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
• Complex radiation therapy planning (HCPCS:77263)
• New patient office or other outpatient visit, 60-74 minutes (HCPCS:99205)
• X-ray during radiation therapy (HCPCS:77417)
• Obtaining data needed to develop the optimal radiation treatment, 1 treatment area (HCPCS:77280)
• Design and construction of radiation treatment device for high precision radiation therapy (HCPCS:77338)
• High precision radiation therapy planning (HCPCS:77301)
• Obtaining data needed to develop the optimal radiation treatment, 3 or more treatment areas or any number of treatment areas where special treatment is involved (HCPCS:77290)
• 3d radiation therapy planning (HCPCS:77295)
• Obtaining respiratory data needed to develop the optimal radiation treatment (HCPCS:77293)

The enumeration date for this NPI number is 6/28/2016 and was last updated on 9/7/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available: