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MICHAEL KIRK D.O.
NPI 1225584204
Family Medicine in Patchogue, NY

Active since August 30, 2016PECOS EnrolledAccepts Medicare Assignment
76.52/100
CMS Quality Rating
101 HOSPITAL ROAD, PATCHOGUE, NY 11772(631) 654-7170 Get Directions Write a Review

NPPES record last updated: June 1, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Michael Kirk D.o. NPPES

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

MICHAEL KIRK D.O. (NPI 1225584204) is an individual family medicine provider in Patchogue, New York, licensed in New York (300622) and active in the NPI registry since August 2016. He is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1225584204
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameMICHAEL KIRKCredential: D.O.
Location Address101 HOSPITAL ROADPatchogue, NY 11772
Mailing Address3601 Hempstead TpkeLevittown, NY 11756-1315 · (516) 520-2900 · Fax (516) 520-1999
Phone(631) 654-7170
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateAugust 30, 2016
Last NPPES UpdateJune 1, 2022
NPPES CertifiedJune 1, 2022
✔ NPI 1225584204 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 · 300622
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.
101 HOSPITAL ROAD, Patchogue, NY 11772
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Michael Kirk 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 ID2769710748
PECOS Enrollment IDI20190829000748
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.

Medicare Billing Reassignment

Medicare enrollment records show Michael Kirk reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

New York University
1,062 mi
Cardiovascular Disease
3301 QUANTUM BLVD
Boynton Beach, FL 33426
  • Reassigned Medicare billing, New York enrollment
  • 7,712 clinicians in this Medicare group
NPI 1285826438 (877) 648-2964

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.
430 services199 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.
174 services109 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
134 services134 patients
Telephone medical discussion with physician, 5-10 minutes 99441
A telephone medical discussion with a physician is a brief, 5-10 minute call where you can discuss your health concerns. It's a convenient way to receive medical advice without needing to visit a clinic. It's important to prepare questions in advance to make the most of this time.
55 services37 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
38 services38 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
34 services34 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11772 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
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
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.

76.52/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality64.02
Promoting Interoperability100
Improvement Activities40
Cost57.73

Referred Medical Equipment & Supplies CMS DME claims

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
11 suppliers18 claims59 services$5.47 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.

DAVID IRA JACKSON PA
Physician Assistant
101 HOSPITAL ROAD, MEDICAL CENTER
PATCHOGUE, NY 11772
Suffolk County (631) 687-2953
ALAN ISAAC NEMETH DO
Emergency Medicine
101 HOSPITAL ROAD, MEDICAL CENTER
PATCHOGUE, NY 11772
Suffolk County (631) 687-2953
BROOKHAVEN MEMORIAL HOSPITAL MEDICAL CENTER
Radiology (Diagnostic Radiology)
101 HOSPITAL ROAD
PATCHOGUE, NY 11772
Suffolk County (631) 654-7728
CONRAD MILLER MD
Emergency Medicine
101 HOSPITAL ROAD, MEDICAL CENTER
PATCHOGUE, NY 11772
Suffolk County (631) 654-7236
DIMPLE PUTHETHUKUDI GEORGE N P
Nurse Practitioner (Adult Health)
101 HOSPITAL ROAD, BROOK HAVEN HOSPITAL MEDICAL CENTER
PATCHOGUE, NY 11772
Suffolk County (631) 654-7214
JASON ALLEN WINSLOW MD
Emergency Medicine
101 HOSPITAL ROAD, MEDICAL CENTER
PATCHOGUE, NY 11772
Suffolk County (631) 687-2953
LYNN CHRISTINE KRAMER PA
Physician Assistant
101 HOSPITAL ROAD, MEDICAL CENTER
PATCHOGUE, NY 11772
Suffolk County (631) 687-2953
CARL S GOODMAN DO
Emergency Medicine
101 HOSPITAL ROAD, MEDICAL CENTER
PATCHOGUE, NY 11772
Suffolk County (631) 687-7236

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 Kirk's NPI number?

The NPI number for Michael Kirk is 1225584204. It was assigned to this individual provider in the NPPES registry on August 30, 2016.

Where is Michael Kirk located?

Michael Kirk practices at 101 Hospital Road, Patchogue, NY 11772. The listed phone number is (631) 654-7170.

What is Michael Kirk's specialty?

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

Is Michael Kirk enrolled in Medicare?

Yes. Michael Kirk 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.

Which organization bills Medicare for Michael Kirk's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Michael Kirk reassigns Medicare benefits to New York University (Boynton Beach, FL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Michael Kirk's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Michael Kirk was last updated on June 1, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.