DR. MICHAEL JON DEPERSIS D.O.
NPI 1013215896
Internal Medicine in Sayre, PA

Active since March 03, 2011PECOS EnrolledAccepts Medicare Assignment
82.9/100
CMS Quality Rating
1 GUTHRIE SQUARE, GUTHRIE MEDICAL GROUP, SAYRE, PA 18840(570) 888-5858 Get Directions Write a Review

NPPES record last updated: March 26, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Michael Jon Depersis D.o. NPPES

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

DR. MICHAEL JON DEPERSIS D.O. (NPI 1013215896) is an individual internal medicine provider in Sayre, Pennsylvania, licensed in New York (278632) and active in the NPI registry since March 2011. He is enrolled in Medicare PECOS, is affiliated with Our Lady Of Lourdes Memorial Hospital, Inc, and is a graduate of Other (2011).

NPPES Registry Identity

NPI1013215896
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. MICHAEL JON DEPERSISCredential: D.O.
Location Address1 GUTHRIE SQUARE, GUTHRIE MEDICAL GROUPSayre, PA 18840-1625
Mailing Address1 Guthrie Sq, Guthrie Medical GroupSayre, PA 18840-1625 · (570) 888-5858
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateMarch 3, 2011
Last NPPES UpdateMarch 26, 2021
NPPES CertifiedMarch 5, 2021
NPI 1013215896 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in NY · 278632
Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

1 GUTHRIE SQUARE, Sayre, PA 18840

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Michael Jon Depersis D.o. 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 ID2466771241
PECOS Enrollment IDI20150429000041, I20180604000373
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.

Areas of Expertise CMS Part B claims 32

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.

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
855 services751 patients
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306
This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.
641 services630 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
586 services541 patients
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.
320 services265 patients
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306
This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.
270 services251 patients
Ultrasound of heart with color-depicted blood flow, rate and valve function 93325
An ultrasound of the heart, also known as an echocardiogram, uses sound waves to create pictures of your heart. It shows the structure, movement, and blood flow within your heart. This helps assess the heart's health and function, including the valves and rate.
173 services161 patients

Hospital Affiliations CMS Care Compare 5

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

Our Lady Of Lourdes Memorial Hospital, Inc

Acute Care Hospitals · Binghamton, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330011
Location169 Riverside DriveBinghamton, NY 13905 · Broome County
Emergency services Birthing friendly

Guthrie Cortland Regional Medical Center

Acute Care Hospitals · Cortland, NY
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330175
Location134 Homer AvenueCortland, NY 13045 · Cortland County
Emergency services Birthing friendly

Corning Hospital

Acute Care Hospitals · Corning, NY
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330277
Location1 Guthrie DriveCorning, NY 14830 · Steuben County
Emergency services Birthing friendly

Robert Packer Hospital

Acute Care Hospitals · Sayre, PA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390079
LocationOne Guthrie SquareSayre, PA 18840 · Bradford County
Emergency services Birthing friendly

Endless Mountains Health Systems

Critical Access Hospitals · Montrose, PA
OwnershipVoluntary non-profit - Private
CMS Certification Number391306
Location100 Hospital DriveMontrose, PA 18801 · Susquehanna County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 18840 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$126.34 typical visit price
range $54.64 – $166.87
Typical copayment $31.58 (range $13.66 – $41.71)
Most-billed visit code 99204
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

82.9/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality74.09
Promoting Interoperability100
Improvement Activities40
Cost65.94

Other Providers at the Same Location NPPES 15

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physician Assistant
1 GUTHRIE SQUARE
SAYRE, PA 18840
Durable Medical Equipment & Medical Supplies (Oxygen Equipment & Supplies)
1 GUTHRIE SQUARE
SAYRE, PA 18840
Student in an Organized Health Care Education/Training Program
1 GUTHRIE SQUARE
SAYRE, PA 18840
Surgery
1 GUTHRIE SQUARE, GUTHRIE ROBERT PACKER HOSPITAL
SAYRE, PA 18840
Pharmacist (Oncology)
1 GUTHRIE SQUARE
SAYRE, PA 18840
Registered Nurse
1 GUTHRIE SQUARE
SAYRE, PA 18840
Obstetrics & Gynecology (Urogynecology and Reconstructive Pelvic Surgery)
1 GUTHRIE SQUARE
SAYRE, PA 18840
Clinic/Center (Ambulatory Surgical)
1 GUTHRIE SQUARE
SAYRE, PA 18840

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 Depersis's NPI number?

The NPI number for Michael Depersis is 1013215896. It was assigned to this individual provider in the NPPES registry on March 3, 2011.

Where is Michael Depersis located?

Michael Depersis practices at 1 Guthrie Square Guthrie Medical Group, Sayre, PA 18840. The listed phone number is (570) 888-5858.

What is Michael Depersis's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Michael Depersis enrolled in Medicare?

Yes. Michael Depersis 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.

What insurance does Michael Depersis accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Michael Depersis 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 Depersis affiliated with any hospitals?

According to CMS data, Michael Depersis is affiliated with Our Lady Of Lourdes Memorial Hospital, Inc, Guthrie Cortland Regional Medical Center, Corning Hospital, Robert Packer Hospital and Endless Mountains Health Systems.

When was this NPI record last updated?

The NPPES record for Michael Depersis was last updated on March 26, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.