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MICHAEL J. PICCO DO
NPI 1194907337
Orthopaedic Surgery in Mount Vernon, WA

Active since November 29, 2007PECOS EnrolledAccepts Medicare Assignment
83.45/100
CMS Quality Rating
2320 FREEWAY DRIVE, MOUNT VERNON, WA 98237(360) 814-6800(360) 814-6917 Get Directions Write a Review

NPPES record last updated: August 13, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Michael J. Picco Do NPPES

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

MICHAEL J. PICCO DO (NPI 1194907337) is an individual orthopaedic surgery provider in Mount Vernon, Washington, licensed in Washington (OP00002317) and active in the NPI registry since November 2007. He is enrolled in Medicare PECOS, is affiliated with Skagit Valley Hospital, and is a graduate of Other (2003).

NPPES Registry Identity

NPI1194907337
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameMICHAEL J. PICCOCredential: DO
Location Address2320 FREEWAY DRIVEMount Vernon, WA 98237
Mailing Address1400 E Kincaid St, Attn: CredentialingMount Vernon, WA 98274-4127 · (360) 428-2500 · Fax (360) 428-6485
Phone(360) 814-6800
Fax(360) 814-6917
Sole ProprietorNo
Medical School CMSOtherGraduated 2003
Enumeration DateNovember 29, 2007
Last NPPES UpdateAugust 13, 2015
✔ NPI 1194907337 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License✔ Licensed in WA · OP00002317
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
2320 FREEWAY DRIVE, Mount Vernon, WA 98237
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Other Identifiers 4

Medicare PING8941460WA
Other341377WA · Labor & Industries
Medicaid1088445WA
Medicare PING8873782WA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include PacificSource Health Plans, Premera Blue Cross Blue Shield of Alaska, Providence Health Plan.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. Picco Do 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 ID5193898294
PECOS Enrollment IDI20080723000326
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 11

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.
202 services158 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
174 services133 patients
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.
120 services98 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.
97 services96 patients
Replacement of thigh bone and hip joint with prosthesis 27130
This procedure, known as hip arthroplasty, involves replacing your damaged thigh bone and hip joint with artificial parts, called a prosthesis. It helps relieve pain, improve mobility, and enhance your quality of life.
42 services42 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
36 services36 patients

Hospital Affiliations CMS Care Compare 3

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

Skagit Valley Hospital

Acute Care Hospitals · Mount Vernon, WA
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number500003
Location1415 E Kincaid StreetMount Vernon, WA 98274 · Skagit County
Emergency services Birthing friendly

Island Hospital

Acute Care Hospitals · Anacortes, WA
5/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number500007
Location1211 24th StreetAnacortes, WA 98221 · Skagit County
Emergency services Birthing friendly

Whidbeyhealth Medical Center

Critical Access Hospitals · Coupeville, WA
1/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number501339
Location101 North Main StreetCoupeville, WA 98239 · Island County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98237 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
$88.29 typical visit price
range $57.27 – $172.80
Typical copayment $22.07 (range $14.31 – $43.20)
Most-billed visit code 99203
Established Patient
$71.29 typical visit price
range $18.56 – $141.11
Typical copayment $17.82 (range $4.64 – $35.27)
Most-billed visit code 99213
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.

83.45/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality74.1
Promoting Interoperability88
Improvement Activities40

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 Picco's NPI number?

The NPI number for Michael Picco is 1194907337. It was assigned to this individual provider in the NPPES registry on November 29, 2007.

Where is Michael Picco located?

Michael Picco practices at 2320 Freeway Drive, Mount Vernon, WA 98237. The listed phone number is (360) 814-6800.

What is Michael Picco's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Michael Picco enrolled in Medicare?

Yes. Michael Picco 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 Picco accept?

Health plans from PacificSource Health Plans, Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Michael Picco 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 Picco affiliated with any hospitals?

According to CMS data, Michael Picco is affiliated with Skagit Valley Hospital, Island Hospital and Whidbeyhealth Medical Center.

When was this NPI record last updated?

The NPPES record for Michael Picco was last updated on August 13, 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.