MARISTELLA EVANGELISTA, MD
Plastic and Reconstructive Surgery Physician · DETROIT, MI
Individual Active NPI 1962720821
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 40 | 77 | $83,041 | $23,302 | $17,821 |
| 2023 | 47 | 119 | $125,241 | $30,919 | $24,000 |
| 2022 | 45 | 121 | $117,646 | $31,256 | $24,059 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Plastic and Reconstructive Surgery Physician | 2086S0122X | ✓ | 4301116571 | MI |
| Plastic Surgery Physician | 208200000X | 35127325 | OH | |
| Plastic and Reconstructive Surgery Physician | 2086S0122X | A112635 | CA |
Medicare eligibility
- Part B
- No
- DME
- Yes
- Home health
- No
- Power mobility
- Yes
- Hospice
- No
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See all Plastic and Reconstructive Surgery Physician providers in Michigan →
Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.