DR. JEROME JOSEPH MIKLOUCICH D.O.
NPI 1114059185
Family Medicine in Binghamton, NY

Q: What is Jerome Mikloucich's NPI number?

The NPI number for Jerome Mikloucich is 1114059185. It was assigned to this individual provider in the NPPES registry on March 12, 2007.

Q: What is Jerome Mikloucich's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Jerome Mikloucich was last updated on July 17, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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 March 12, 2007PECOS EnrolledAccepts Medicare Assignment

81.31/100

CMS Quality Rating

276-280 ROBINSON ST, BINGHAMTON, NY 13904(607) 722-2769 Get Directions Write a Review

NPPES record last updated: July 17, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Jerome Joseph Mikloucich D.o. NPPES

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

DR. JEROME JOSEPH MIKLOUCICH D.O. (NPI 1114059185) is an individual family medicine provider in Binghamton, New York, licensed in New York (252865) and active in the NPI registry since March 2007. He is enrolled in Medicare PECOS, is affiliated with Our Lady Of Lourdes Memorial Hospital, Inc, and is a graduate of New York College Of Osteo Medicine Of New York Institute Of Technology (2005).

NPPES Registry Identity

NPI1114059185

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameDR. JEROME JOSEPH MIKLOUCICHCredential: D.O.

Location Address276-280 ROBINSON STBinghamton, NY 13904-1659

Mailing Address276-280 Robinson StBinghamton, NY 13904-1659 · (607) 722-2769

Phone(607) 722-2769

Sole ProprietorYes

Medical School CMSNew York College Of Osteo Medicine Of New York Institute Of TechnologyGraduated 2005

Enumeration DateMarch 12, 2007

Last NPPES UpdateJuly 17, 2009

✔ NPI 1114059185 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in NY · 252865

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

276-280 ROBINSON ST, Binghamton, NY 13904

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Other Identifiers 2

Medicaid03113559NY

Medicare PINJ400003363NY

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

Dr. Jerome Joseph Mikloucich 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 ID6800946450

PECOS Enrollment IDI20090603000054

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 7

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 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.

161 services83 patients

Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more 99306

An initial nursing facility visit is your first meeting with your healthcare team at a nursing facility. Lasting typically 45 minutes, this appointment involves a comprehensive health assessment and the creation of your personalized care plan. It's a crucial step to ensure your health and well-being.

129 services116 patients

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309

A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.

111 services74 patients

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.

85 services54 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.

40 services40 patients

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308

A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.

31 services21 patients

Hospital Affiliations CMS Care Compare 3

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

Our Lady Of Lourdes Memorial Hospital, Inc

Acute Care Hospitals · Binghamton, NY

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number330011

Location169 Riverside DriveBinghamton, NY 13905 · Broome County

Emergency services Birthing friendly

United Health Services Hospitals, Inc

Acute Care Hospitals · Binghamton, NY

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number330394

Location10-42 Mitchell AvenueBinghamton, NY 13903 · Broome County

Emergency services Birthing friendly

Robert Packer Hospital

Acute Care Hospitals · Sayre, PA

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390079

LocationOne Guthrie SquareSayre, PA 18840 · Bradford County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 13904 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

$84.93 typical visit price

range $54.87 – $166.88

Typical copayment $21.23 (range $13.71 – $41.72)

Most-billed visit code 99203

Established Patient

$97.08 typical visit price

range $17.54 – $136.14

Typical copayment $24.27 (range $4.38 – $34.03)

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.

81.31/100

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

Scored as part of a group practice

Quality

73.57

Promoting Interoperability

Improvement Activities

Cost

64.87

Referred Medical Equipment & Supplies CMS DME claims 3

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

Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260

DME-Hospital Beds · category DB000N

2 suppliers17 claims17 services$58.18 avg. paid by Medicare

Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s) E0630

DME-Other DME · category DE000N

2 suppliers11 claims11 services$53.27 avg. paid by Medicare

Standard wheelchair K0001

DME-Wheelchairs · category DD000N

2 suppliers21 claims21 services$23.48 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 11

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

DR. GREGORIO J. MARIANO III M.D.

Family Medicine