1. Home
  2. Directory
  3. Pennsylvania
  4. Philadelphia
  5. General Practice
  6. NPI Profile

MICHAEL ROSS KAUFMAN MD
NPI 1003443250
General Practice in Philadelphia, PA

Active since March 26, 2020PECOS EnrolledAccepts Medicare Assignment
96.99/100
CMS Quality Rating
3 CRESCENT DR STE 2000, PHILADELPHIA, PA 19112(800) 533-3669 Get Directions Write a Review

NPPES record last updated: September 14, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Michael Ross Kaufman Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MICHAEL ROSS KAUFMAN MD (NPI 1003443250) is an individual general practice provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (MD481742) and active in the NPI registry since March 2020. He is enrolled in Medicare PECOS, is affiliated with Thomas Jefferson University Hospital, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1003443250
Entity TypeIndividualMale
Primary Taxonomy208D00000X
Provider Legal NameMICHAEL ROSS KAUFMANCredential: MD
Location Address3 CRESCENT DR STE 2000Philadelphia, PA 19112-1016
Mailing Address3 Crescent Dr Ste 2000Philadelphia, PA 19112-1016 · (800) 533-3669
Phone(800) 533-3669
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateMarch 26, 2020
Last NPPES UpdateSeptember 14, 2023
NPPES CertifiedSeptember 14, 2023
✔ NPI 1003443250 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in PA · MD481742
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
3 CRESCENT DR STE 2000, Philadelphia, PA 19112
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Michael Ross Kaufman Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4284059270
PECOS Enrollment IDI20230815001363
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Michael Kaufman reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Jefferson University Physicians
4.2 mi
General Practice
33 S. 9TH STREET
Philadelphia, PA 19107
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 1,739 clinicians in this Medicare group
NPI 1326093675 (215) 955-0000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
140 services73 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
27 services25 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
27 services27 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
16 services16 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Thomas Jefferson University Hospital

Acute Care Hospitals · Philadelphia, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390174
Location111 South 11th StreetPhiladelphia, PA 19107 · Philadelphia County
Emergency services Birthing friendly

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

96.99/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality84.82
Promoting Interoperability100
Improvement Activities40

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Michael Kaufman's NPI number?

The NPI number for Michael Kaufman is 1003443250. It was assigned to this individual provider in the NPPES registry on March 26, 2020.

Where is Michael Kaufman located?

Michael Kaufman practices at 3 Crescent Dr Ste 2000, Philadelphia, PA 19112. The listed phone number is (800) 533-3669.

What is Michael Kaufman's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Michael Kaufman enrolled in Medicare?

Yes. Michael Kaufman is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Michael Kaufman's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Michael Kaufman reassigns Medicare benefits to Jefferson University Physicians (Philadelphia, PA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Michael Kaufman's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Michael Kaufman accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Michael Kaufman as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Michael Kaufman affiliated with any hospitals?

According to CMS data, Michael Kaufman is affiliated with Thomas Jefferson University Hospital.

When was this NPI record last updated?

The NPPES record for Michael Kaufman was last updated on September 14, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.