DR. JAMES G MICELI M.D.
NPI 1144546706
Internal Medicine - Rheumatology in Hawthorne, NY

Q: What is James Miceli's NPI number?

The NPI number for James Miceli is 1144546706. It was assigned to this individual provider in the NPPES registry on April 7, 2010.

Q: What is James Miceli's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Rheumatology, with taxonomy code 207RR0500X.

Q: When was this NPI record last updated?

The NPPES record for James Miceli was last updated on January 25, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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 April 07, 2010PECOS EnrolledAccepts Medicare Assignment

91.11/100

CMS Quality Rating

19 BRADHURST AVE STE 3060N, HAWTHORNE, NY 10532(914) 493-7000(914) 372-7884 Get Directions Write a Review

NPPES record last updated: January 25, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jan 25, 2023, Jan 5, 2023, Jun 8, 2021 and 1 more (4 updates tracked since 2016).

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About Dr. James G Miceli M.d. NPPES

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

DR. JAMES G MICELI M.D. (NPI 1144546706) is an individual rheumatology provider in Hawthorne, New York, licensed in New York (269251) and active in the NPI registry since April 2010. He is enrolled in Medicare PECOS, is affiliated with Westchester Medical Center, and is a graduate of Albert Einstein College Of Medicine Of Yeshiva University (2010).

NPPES Registry Identity

NPI1144546706

Entity TypeIndividualMale

Primary Taxonomy207RR0500X

Provider Legal NameDR. JAMES G MICELICredential: M.D.

Location Address19 BRADHURST AVE STE 3060NHawthorne, NY 10532-2180

Mailing Address19 Bradhurst Ave Ste 3060nHawthorne, NY 10532-2180 · (914) 493-7000 · Fax (914) 372-7884

Phone(914) 493-7000

Fax(914) 372-7884

Sole ProprietorNo

Medical School CMSAlbert Einstein College Of Medicine Of Yeshiva UniversityGraduated 2010

Enumeration DateApril 7, 2010

Last NPPES UpdateJanuary 25, 20234 updates tracked since enumeration

NPPES CertifiedJanuary 25, 2023

✔ NPI 1144546706 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · RheumatologyAllopathic & Osteopathic Physicians

Taxonomy Code207RR0500X

Licenses✔ Licensed in NY · 269251✔ Licensed in NJ · 25MA09841600

Definition

An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases.

Also ListedInternal MedicineTaxonomy 207R00000X · License 25MA09841600 (NJ)

19 BRADHURST AVE STE 3060N, Hawthorne, NY 10532

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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. James G Miceli 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 ID941594048

PECOS Enrollment IDI20160816002825

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.

101 services41 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.

27 services27 patients

New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205

This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.

15 services15 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.

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

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

$154.28 typical visit price

range $67.40 – $203.53

Typical copayment $38.57 (range $16.85 – $50.88)

Most-billed visit code 99204

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.

91.11/100

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

Scored as part of a group practice

Quality

68.71

Promoting Interoperability

100

Improvement Activities

Cost

98.42

Reported Quality Measures

e-Prescribing

At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.

0%579 patients1/55-star benchmark: 100%

Provide Patient Access

For at least one unique patient seen by the MIPS eligible clinician: (1) The patient (or the patient authorized representative) is provided timely access to view online, download, and transmit his or her health information; and (2) The MIPS eligible clinician…

50%219 patients3/55-star benchmark: 100%

Secure Messaging

For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of certified EHR technology to the patient (or the patient-authorized representative), or in…

2%219 patients1/55-star benchmark: 75%

View, Download and Transmit (VDT)

During the performance period, at least one unique patient (or patient-authorized representatives) seen by the MIPS eligible clinician actively engages with the EHR made accessible by the MIPS eligible clinician.

7%219 patients

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 9

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

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