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MICHAEL PAUL FANUCCHI M.D.
NPI 1043327620
Internal Medicine - Medical Oncology in Hawthorne, NY

Active since August 23, 2006PECOS EnrolledAccepts Medicare Assignment
85.99/100
CMS Quality Rating
19 BRADHURST AVE STE 2300N, HAWTHORNE, NY 10532(914) 909-9018(914) 493-2416 Get Directions Write a Review

NPPES record last updated: October 24, 2025. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Feb 18, 2021, Apr 25, 2017, Dec 16, 2015 (3 updates tracked since 2015).

About Michael Paul Fanucchi M.d. NPPES

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

MICHAEL PAUL FANUCCHI M.D. (NPI 1043327620) is an individual medical oncology provider in Hawthorne, New York, licensed in New York (139415) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with Aurelia Osborn Fox Memorial Hospital, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1043327620
Entity TypeIndividualMale
Primary Taxonomy207RX0202X
Provider Legal NameMICHAEL PAUL FANUCCHICredential: M.D.
Location Address19 BRADHURST AVE STE 2300NHawthorne, NY 10532-2140
Mailing Address19 Bradhurst Avenue, Suite 3100nHawthorne, NY 10523-6007 · (914) 909-9018
Phone(914) 909-9018
Fax(914) 493-2416
Sole ProprietorNo
Medical School CMSOtherGraduated 1977
Enumeration DateAugust 23, 2006
Last NPPES UpdateOctober 24, 20253 updates tracked since enumeration
NPPES CertifiedOctober 24, 2025
✔ NPI 1043327620 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Medical OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RX0202X
License✔ Licensed in NY · 139415
Definition
An internist who specializes in the diagnosis and treatment of all types of cancer and other benign and malignant tumors. This specialist decides on and administers therapy for these malignancies as well as consults with surgeons and radiotherapists on other treatments for cancer.
19 BRADHURST AVE STE 2300N, Hawthorne, NY 10532
Open in Google Maps ↗

Secondary Practice Locations 3

Location 119 Bradhurst Ave Ste 2575SHawthorne, NY 10532-2140 · Phone (914) 493-2220
Location 2100 Woods RdValhalla, NY 10595-1530 · Phone (914) 493-2220
Location 31 Atwell RdCooperstown, NY 13326 · Phone (607) 547-3336

Other Identifiers 1

Medicaid02913308NY

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, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Michael Paul Fanucchi 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 ID9537129820
PECOS Enrollment IDI20250922001519
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 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.
127 services37 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.
21 services15 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
14 services11 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.
12 services11 patients

Hospital Affiliations CMS Care Compare 4

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

Aurelia Osborn Fox Memorial Hospital

Acute Care Hospitals · Oneonta, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330085
LocationOne Norton AvenueOneonta, NY 13820 · Otsego County
Emergency services

Bassett Healthcare

Acute Care Hospitals · Cooperstown, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330136
LocationOne Atwell RoadCooperstown, NY 13326 · Otsego County
Emergency services Birthing friendly

Westchester Medical Center

Acute Care Hospitals · Valhalla, NY
1/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number330234
Location100 Woods RdValhalla, NY 10595 · Westchester County
Emergency services Birthing friendly

Upmc Cole

Critical Access Hospitals · Coudersport, PA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number391313
Location1001 East Second StreetCoudersport, PA 16915 · Potter County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10532 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
$203.53 typical visit price
range $67.40 – $203.53
Typical copayment $50.88 (range $16.85 – $50.88)
Most-billed visit code 99205
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
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.

85.99/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality83.18
Promoting Interoperability100
Improvement Activities40
Cost70.12

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Nebulizer, with compressor E0570
DME-Other DME · category DE000N
1 supplier12 claims12 services$3.32 avg. paid by Medicare
Standard wheelchair K0001
DME-Wheelchairs · category DD000N
1 supplier12 claims12 services$13.33 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES

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

CHRISTINE M PELLEGRINO MD
Internal Medicine (Medical Oncology)
19 BRADHURST AVE STE 2300N
HAWTHORNE, NY 10532
Westchester County (914) 493-2220

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 Fanucchi's NPI number?

The NPI number for Michael Fanucchi is 1043327620. It was assigned to this individual provider in the NPPES registry on August 23, 2006.

Where is Michael Fanucchi located?

Michael Fanucchi practices at 19 Bradhurst Ave Ste 2300N, Hawthorne, NY 10532. The listed phone number is (914) 909-9018.

What is Michael Fanucchi's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Medical Oncology, with taxonomy code 207RX0202X.

Is Michael Fanucchi enrolled in Medicare?

Yes. Michael Fanucchi 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 Fanucchi accept?

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

According to CMS data, Michael Fanucchi is affiliated with Aurelia Osborn Fox Memorial Hospital, Bassett Healthcare, Westchester Medical Center and Upmc Cole.

When was this NPI record last updated?

The NPPES record for Michael Fanucchi was last updated on October 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.