MICHAEL J MCAULIFFE MD
NPI 1104886324
Emergency Medicine in Winchester, VA

Active since March 23, 2006PECOS EnrolledAccepts Medicare Assignment
1840 AMHERST ST, WINCHESTER, VA 22601(540) 536-8000(540) 536-7681 Get Directions Write a Review

NPPES record last updated: March 8, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Michael J Mcauliffe Md NPPES

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

MICHAEL J MCAULIFFE MD (NPI 1104886324) is an individual emergency medicine provider in Winchester, Virginia, licensed in Virginia (0101228995) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS, is affiliated with Berkeley Medical Center, and is a graduate of Georgetown University School Of Medicine (1980).

NPPES Registry Identity

NPI1104886324
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameMICHAEL J MCAULIFFECredential: MD
Location Address1840 AMHERST STWinchester, VA 22601-2808
Mailing Address1840 Amherst StWinchester, VA 22601-2808 · (540) 536-8000 · Fax (540) 536-7681
Fax(540) 536-7681
Sole ProprietorNo
Medical School CMSGeorgetown University School Of MedicineGraduated 1980
Enumeration DateMarch 23, 2006
Last NPPES UpdateMarch 8, 2021
NPPES CertifiedMarch 8, 2021
NPI 1104886324 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License Licensed in VA · 0101228995
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
1840 AMHERST ST, Winchester, VA 22601

Other Identifiers 2

Medicaid1805903000WV
Medicaid5806071VA

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

Michael J Mcauliffe Md 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 ID7719015668
PECOS Enrollment IDI20190522001267
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 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.

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.
105 services101 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
79 services78 patients
Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes 99221
Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.
18 services18 patients

Hospital Affiliations CMS Care Compare

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

Berkeley Medical Center

Acute Care Hospitals · Martinsburg, WV
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number510008
Location2500 Hospital DriveMartinsburg, WV 25401 · Berkeley County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 22601 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
$86.88 typical visit price
range $56.19 – $170.30
Typical copayment $21.72 (range $14.04 – $42.57)
Most-billed visit code 99203
Established Patient
$99.13 typical visit price
range $18.07 – $138.91
Typical copayment $24.78 (range $4.51 – $34.72)
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.

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)
1840 AMHERST ST
WINCHESTER, VA 22601
Emergency Medicine
1840 AMHERST ST
WINCHESTER, VA 22601
Emergency Medicine
1840 AMHERST ST
WINCHESTER, VA 22601
Specialist/Technologist, Other (Surgical Assistant)
1840 AMHERST ST
WINCHESTER, VA 22601
Nurse Anesthetist, Certified Registered
1840 AMHERST ST
WINCHESTER, VA 22601
Social Worker (Clinical)
1840 AMHERST ST
WINCHESTER, VA 22601
Internal Medicine (Critical Care Medicine)
1840 AMHERST ST
WINCHESTER, VA 22601
Physician Assistant
1840 AMHERST ST
WINCHESTER, VA 22601

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 Mcauliffe's NPI number?

The NPI number for Michael Mcauliffe is 1104886324. It was assigned to this individual provider in the NPPES registry on March 23, 2006.

Where is Michael Mcauliffe located?

Michael Mcauliffe practices at 1840 Amherst St, Winchester, VA 22601. The listed phone number is (540) 536-8000.

What is Michael Mcauliffe's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Michael Mcauliffe enrolled in Medicare?

Yes. Michael Mcauliffe 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 Mcauliffe accept?

Health plans from CareSource list Michael Mcauliffe 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 Mcauliffe affiliated with any hospitals?

According to CMS data, Michael Mcauliffe is affiliated with Berkeley Medical Center.

When was this NPI record last updated?

The NPPES record for Michael Mcauliffe was last updated on March 8, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.