DR. MATTHEW JAMES MICHAELS D.O.
NPI 1073776548
Internal Medicine - Critical Care Medicine in Middletown, NY

Active since July 05, 2008PECOS EnrolledAccepts Medicare Assignment
85.48/100
CMS Quality Rating
707 E MAIN ST, MIDDLETOWN, NY 10940(845) 333-7575(845) 333-7202 Get Directions Write a Review

NPPES record last updated: November 27, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 3, 2020, Jul 14, 2020, Jun 30, 2020 and 2 more (5 updates tracked since 2018).

About Dr. Matthew James Michaels D.o. NPPES

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

DR. MATTHEW JAMES MICHAELS D.O. (NPI 1073776548) is an individual critical care medicine provider in Middletown, New York, licensed in New York (299122) and active in the NPI registry since July 2008. He is enrolled in Medicare PECOS, is affiliated with Hospital Of Univ Of Pennsylvania, and maintains a secondary practice location in Harris.

NPPES Registry Identity

NPI1073776548
Entity TypeIndividualMale
Primary Taxonomy207RC0200X
Provider Legal NameDR. MATTHEW JAMES MICHAELSCredential: D.O.
Location Address707 E MAIN STMiddletown, NY 10940-2650
Mailing Address707 E Main StMiddletown, NY 10940-2650 · (845) 333-7575 · Fax (845) 333-7202
Fax(845) 333-7202
Sole ProprietorNo
Medical School CMSNew York College Of Osteo Medicine Of New York Institute Of TechnologyGraduated 2008
Enumeration DateJuly 5, 2008
Last NPPES UpdateNovember 27, 20235 updates tracked since enumeration
NPPES CertifiedSeptember 3, 2020
NPI 1073776548 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

Primary SpecialtyInternal Medicine · Critical Care MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RC0200X
License Licensed in NY · 299122
Definition
An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.
Also ListedInternal Medicine · Pulmonary DiseaseTaxonomy 207RP1001X · License 299122 (NY)
Also ListedPsychiatry & Neurology · Neurocritical CareTaxonomy 2084A2900X · License 299122 (NY)
Also ListedPsychiatry & Neurology · NeurologyTaxonomy 2084N0400X · License OS018622 (PA)
707 E MAIN ST, Middletown, NY 10940

Secondary Practice Location 1

Location 168 Harris Bushville RdHarris, NY 12742 · Phone (845) 794-3379 · Fax (845) 791-4169

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. Matthew James Michaels 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 ID6204170772
PECOS Enrollment IDI20191203000579
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

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.

Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
256 services76 patients

Hospital Affiliations CMS Care Compare 2

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

Hospital Of Univ Of Pennsylvania

Acute Care Hospitals · Philadelphia, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390111
Location34th & Spruce StsPhiladelphia, PA 19104 · Philadelphia County
Emergency services Birthing friendly

Penn Presbyterian Medical Center

Acute Care Hospitals · Philadelphia, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number390223
Location51 North 39th StreetPhiladelphia, PA 19104 · Philadelphia County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10940 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
$141.77 typical visit price
range $61.88 – $187.05
Typical copayment $35.44 (range $15.47 – $46.76)
Most-billed visit code 99204
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.

85.48/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality73.6
Promoting Interoperability100
Improvement Activities40

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.

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier17 claims17 services$102.67 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
1 supplier21 claims21 services$33.31 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 20

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

Surgery (Surgical Critical Care)
707 E MAIN ST
MIDDLETOWN, NY 10940
Internal Medicine (Pulmonary Disease)
707 E MAIN ST
MIDDLETOWN, NY 10940
Emergency Medicine
707 E MAIN ST
MIDDLETOWN, NY 10940
Student in an Organized Health Care Education/Training Program
707 E MAIN ST
MIDDLETOWN, NY 10940
Dietitian, Registered
707 E MAIN ST
MIDDLETOWN, NY 10940
Physician Assistant (Medical)
707 E MAIN ST
MIDDLETOWN, NY 10940
Radiology (Radiation Oncology)
707 E MAIN ST
MIDDLETOWN, NY 10940
Student in an Organized Health Care Education/Training Program
707 E MAIN ST
MIDDLETOWN, NY 10940

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 Matthew Michaels's NPI number?

The NPI number for Matthew Michaels is 1073776548. It was assigned to this individual provider in the NPPES registry on July 5, 2008.

Where is Matthew Michaels located?

Matthew Michaels practices at 707 E Main St, Middletown, NY 10940. The listed phone number is (845) 333-7575.

What is Matthew Michaels's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Critical Care Medicine, with taxonomy code 207RC0200X.

Is Matthew Michaels enrolled in Medicare?

Yes. Matthew Michaels 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 Matthew Michaels accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Matthew Michaels 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 Matthew Michaels affiliated with any hospitals?

According to CMS data, Matthew Michaels is affiliated with Hospital Of Univ Of Pennsylvania and Penn Presbyterian Medical Center.

When was this NPI record last updated?

The NPPES record for Matthew Michaels was last updated on November 27, 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.