MICHELE R PICCONE M.D.
NPI 1023028396
Ophthalmology in Wayne, PA

Q: What is Michele Piccone's NPI number?

The NPI number for Michele Piccone is 1023028396. It was assigned to this individual provider in the NPPES registry on August 9, 2006.

Q: What is Michele Piccone's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Q: When was this NPI record last updated?

The NPPES record for Michele Piccone was last updated on November 4, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since August 09, 2006PECOS EnrolledAccepts Medicare Assignment

77.25/100

CMS Quality Rating

230 SUGARTOWN RD, WAYNE, PA 19087(484) 367-7346(484) 367-7359 Get Directions Write a Review

NPPES record last updated: November 4, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Michele R Piccone M.d. NPPES

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

MICHELE R PICCONE M.D. (NPI 1023028396) is an individual ophthalmology provider in Wayne, Pennsylvania, licensed in Pennsylvania (MD034243E) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS, is affiliated with Paoli Hospital, and is a graduate of Albany Medical College Of Union University (1984).

NPPES Registry Identity

NPI1023028396

Entity TypeIndividualFemale

Primary Taxonomy207W00000X

Provider Legal NameMICHELE R PICCONECredential: M.D.

Location Address230 SUGARTOWN RDWayne, PA 19087-3029

Mailing Address68 E Lancaster Ave Fl 1Paoli, PA 19301-1420 · (484) 367-7346 · Fax (484) 367-7359

Phone(484) 367-7346

Fax(484) 367-7359

Sole ProprietorYes

Medical School CMSAlbany Medical College Of Union UniversityGraduated 1984

Enumeration DateAugust 9, 2006

Last NPPES UpdateNovember 4, 2023

NPPES CertifiedNovember 4, 2023

✔ NPI 1023028396 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians

Taxonomy Code207W00000X

Licenses✔ Licensed in PA · MD034243E✔ Licensed in NJ · 25MA05469100

Definition

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

230 SUGARTOWN RD, Wayne, PA 19087

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Other Identifiers 1

Medicaid0153125NJ

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.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

Michele R Piccone M.d. 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 ID4789654443

PECOS Enrollment IDI20060316000144

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 16

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.

450 services426 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.

306 services231 patients

Established patient complete exam of visual system 92014

An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.

147 services145 patients

Closure of tear duct opening using plug 68761

Closure of the tear duct opening using a plug is a procedure to address excessive tear production. A small device is inserted into the tear duct to block it, reducing tear flow and relieving symptoms. This is a safe, reversible process, often performed in-office.

137 services55 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

125 services81 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.

118 services118 patients

Measurement of corneal curvature and depth of eye 92136

This procedure measures the shape and depth of your eye, specifically the cornea, the clear front surface. It helps in diagnosing conditions, planning for surgeries, or fitting contact lenses. It's non-invasive and painless.

101 services52 patients

Photography of the retina 92250

Photography of the retina, also known as retinal imaging, is a non-invasive procedure that captures images of the back of your eye. This helps doctors identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. It's painless and quick, often part of a routine eye exam.

76 services75 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

53 services53 patients

Removal of cataract with insertion of prosthetic lens 66984

This is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.

51 services36 patients

New patient complete exam of visual system 92004

A new patient complete exam of the visual system is a thorough evaluation of your eyes and vision. It checks for any potential issues and assesses overall eye health. It includes tests for visual acuity, eye movement, and light response.

51 services51 patients

Ultrasound scan of cornea to determine thickness 76514

An ultrasound scan of the cornea is a non-invasive procedure that uses sound waves to measure the thickness of your cornea. This helps in diagnosing certain eye conditions and planning treatments. No discomfort or pain is typically experienced.

50 services49 patients

Extended exam of the back part of the eye with retinal drawing 92201

This procedure involves a detailed examination of the back part of your eye, including the retina. It helps identify any abnormalities or issues. A retinal drawing is made to record findings. It's non-invasive and crucial for maintaining eye health.

43 services25 patients

Exam of the internal drainage system of eye 92020

This is a procedure where your doctor examines the eye's internal drainage system, essential for maintaining eye pressure. They use specialized tools to check for blockages or damage that might lead to conditions like glaucoma. It's non-invasive and painless.

35 services33 patients

Exam of visual field with extended testing 92083

An extended visual field exam is a detailed test to evaluate your peripheral (side) vision. It helps to detect any potential blind spots which may not be noticeable in daily life. These could be caused by eye diseases like glaucoma, or neurological conditions.

27 services27 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

23 services23 patients

Hospital Affiliations CMS Care Compare 2

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

Paoli Hospital

Acute Care Hospitals · Paoli, PA

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390153

Location255 West Lancaster AvenuePaoli, PA 19301 · Chester County

Emergency services Birthing friendly

Main Line Hospital Lankenau

Acute Care Hospitals · Wynnewood, PA

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390195

Location100 Lancaster AveWynnewood, PA 19096 · Montgomery County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19087 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

$137.17 typical visit price

range $59.88 – $180.99

Typical copayment $34.29 (range $14.97 – $45.24)

Most-billed visit code 99204

Established Patient

$74.47 typical visit price

range $19.30 – $147.29

Typical copayment $18.61 (range $4.82 – $36.82)

Most-billed visit code 99213

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.

77.25/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Individually scored

Quality

Improvement Activities

Cost

37.52

Other Providers at the Same Location NPPES 6

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

DR. GOYNE & ASSOCIATES, LLC

Clinic/Center (Hearing and Speech)

230 SUGARTOWN RD, SUITE 10
WAYNE, PA 19087

Chester County (610) 688-6003

DR. THOMAS R GOYNE III AU.D.

Audiologist

230 SUGARTOWN RD, SUITE 10
WAYNE, PA 19087

Chester County (610) 688-6003

DR. TODD IAN SERINSKY D.C.

Chiropractor

230 SUGARTOWN RD, SUITE 60
WAYNE, PA 19087

Chester County (610) 687-8988

MS. ANTONINA C RANIERI M.S.S.

Social Worker (Clinical)

230 SUGARTOWN RD, SUITE 215
WAYNE, PA 19087

Chester County (267) 992-5024

DR. JENNIFER CLARKE HITT PH.D.

Psychologist (Clinical)

230 SUGARTOWN RD, SUITE 215
WAYNE, PA 19087

Chester County (610) 525-2750

WESTSIDE WELLNESS CHIROPRACTIC CENTER

Chiropractor

230 SUGARTOWN RD, SUITE 60
WAYNE, PA 19087

Chester County (610) 687-8988

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 Michele Piccone's NPI number?

The NPI number for Michele Piccone is 1023028396. It was assigned to this individual provider in the NPPES registry on August 9, 2006.

Where is Michele Piccone located?

Michele Piccone practices at 230 Sugartown Rd, Wayne, PA 19087. The listed phone number is (484) 367-7346.

What is Michele Piccone's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Michele Piccone enrolled in Medicare?

Yes. Michele Piccone 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 Michele Piccone accept?

Health plans from Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 3 other insurers list Michele Piccone 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 Michele Piccone affiliated with any hospitals?

According to CMS data, Michele Piccone is affiliated with Paoli Hospital and Main Line Hospital Lankenau.

When was this NPI record last updated?

The NPPES record for Michele Piccone was last updated on November 4, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.