MICHAEL ANDREW CIAFFONE N.P.
NPI 1043692981
Nurse Practitioner - Adult Health in Newburgh, NY

Active since June 28, 2015PECOS EnrolledAccepts Medicare Assignment
94.24/100
CMS Quality Rating
407 GIDNEY AVE, SUITE B, NEWBURGH, NY 12550(845) 561-7075 Get Directions Write a Review

NPPES record last updated: June 28, 2015. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Michael Andrew Ciaffone N.p. NPPES

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

MICHAEL ANDREW CIAFFONE N.P. (NPI 1043692981) is an individual adult health provider in Newburgh, New York, licensed in New York (F307368) and active in the NPI registry since June 2015. He is enrolled in Medicare PECOS, is affiliated with Vassar Brothers Medical Center, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1043692981
Entity TypeIndividualMale
Primary Taxonomy363LA2200X
Provider Legal NameMICHAEL ANDREW CIAFFONECredential: N.P.
Location Address407 GIDNEY AVE, SUITE BNewburgh, NY 12550-3741
Mailing Address407 Gidney Ave, Suite BNewburgh, NY 12550-3741 · (845) 561-7075
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateJune 28, 2015
✔ NPI 1043692981 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License✔ Licensed in NY · F307368
407 GIDNEY AVE, Newburgh, NY 12550

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 Andrew Ciaffone N.p. 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 ID5496064693
PECOS Enrollment IDI20151028001721
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 Reassignments

3

Medicare enrollment records show Michael Ciaffone reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Internal Medicine
407 GIDNEY AVE, SUITE B
Newburgh, NY 12550
  • Reassigned Medicare billing, New York enrollment
  • 5 clinicians in this Medicare group
Internal Medicine
45 READE PLACE
Poughkeepsie, NY 12601
  • Reassigned Medicare billing, New York enrollment
  • 638 clinicians in this Medicare group
Anesthesiology
100 WOODS RD, TAYLOR PAVILION - ROOM M229
Valhalla, NY 10595
  • Reassigned Medicare billing, New York enrollment
  • 1,663 clinicians in this Medicare group

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 3

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.

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.
33 services31 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
31 services29 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
11 services11 patients

Hospital Affiliations CMS Care Compare

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

Vassar Brothers Medical Center

Acute Care Hospitals · Poughkeepsie, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330023
Location45 Reade PlacePoughkeepsie, NY 12601 · Dutchess County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 12550 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
$95.99 typical visit price
range $61.88 – $187.05
Typical copayment $23.99 (range $15.47 – $46.76)
Most-billed visit code 99203
Established Patient
$108.56 typical visit price
range $19.92 – $151.94
Typical copayment $27.14 (range $4.98 – $37.98)
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.

94.24/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality78.26
Promoting Interoperability100
Improvement Activities40

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.

Internal Medicine
407 GIDNEY AVE, SUITE B
NEWBURGH, NY 12550
Internal Medicine
407 GIDNEY AVE, SUITE B
NEWBURGH, NY 12550
Internal Medicine
407 GIDNEY AVE
NEWBURGH, NY 12550
Dentist
407 GIDNEY AVE
NEWBURGH, NY 12550
Internal Medicine (Hematology & Oncology)
407 GIDNEY AVE
NEWBURGH, NY 12550
Dentist (General Practice)
407 GIDNEY AVE
NEWBURGH, NY 12550

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 Ciaffone's NPI number?

The NPI number for Michael Ciaffone is 1043692981. It was assigned to this individual provider in the NPPES registry on June 28, 2015.

Where is Michael Ciaffone located?

Michael Ciaffone practices at 407 Gidney Ave Suite B, Newburgh, NY 12550. The listed phone number is (845) 561-7075.

What is Michael Ciaffone's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Michael Ciaffone enrolled in Medicare?

Yes. Michael Ciaffone 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 organizations bill Medicare for Michael Ciaffone's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Michael Ciaffone reassigns Medicare benefits to 3 organizations: Cross Valley Health & Medicine, P.C. (Newburgh, NY), Nuvance Health Medical Practice PC (Poughkeepsie, NY) and Westchester Medical Center Advanced Physician Services PC (Valhalla, NY). Each 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 Ciaffone's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Michael Ciaffone affiliated with any hospitals?

According to CMS data, Michael Ciaffone is affiliated with Vassar Brothers Medical Center.

When was this NPI record last updated?

The NPPES record for Michael Ciaffone was last updated on June 28, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.