MICHAEL W MILBOURNE MD
NPI 1255399366
Internal Medicine - Cardiovascular Disease in Glenside, PA

Q: What is Michael Milbourne's NPI number?

The NPI number for Michael Milbourne is 1255399366. It was assigned to this individual provider in the NPPES registry on May 1, 2006.

Q: What is Michael Milbourne's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Q: When was this NPI record last updated?

The NPPES record for Michael Milbourne was last updated on March 23, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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 May 01, 2006PECOS EnrolledAccepts Medicare Assignment

805 E WILLOW GROVE AVE, STE C11, GLENSIDE, PA 19038(215) 966-1546 Get Directions Write a Review

NPPES record last updated: March 23, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

On this page

About Michael W Milbourne Md NPPES

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

MICHAEL W MILBOURNE MD (NPI 1255399366) is an individual cardiovascular disease provider in Glenside, Pennsylvania, licensed in Pennsylvania (MD050825L) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Hospital Of Univ Of Pennsylvania, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1255399366

Entity TypeIndividualMale

Primary Taxonomy207RC0000X

Provider Legal NameMICHAEL W MILBOURNECredential: MD

Location Address805 E WILLOW GROVE AVE, STE C11Glenside, PA 19038-7968

Mailing Address407 Highgate DrAmbler, PA 19002-1559 · (215) 966-1546

Phone(215) 966-1546

Sole ProprietorNo

Medical School CMSTemple University School Of MedicineGraduated 1991

Enumeration DateMay 1, 2006

Last NPPES UpdateMarch 23, 2024

NPPES CertifiedMarch 23, 2024

✔ NPI 1255399366 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians

Taxonomy Code207RC0000X

License✔ Licensed in PA · MD050825L

Definition

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

Also ListedInternal MedicineTaxonomy 207R00000X · License MD050826 (PA)

Also ListedNuclear Medicine · Nuclear CardiologyTaxonomy 207UN0901X · License MD050825L (PA)

805 E WILLOW GROVE AVE, Glenside, PA 19038

Open in Google Maps ↗

Secondary Practice Locations 2

Location 125 Bala AveBala Cynwyd, PA 19004-3213 · Phone (215) 787-7100 · Fax (215) 836-5240

Location 2722 Church LnLansdowne, PA 19050-3503 · Phone (610) 622-9952 · Fax (215) 836-5240

Other Identifiers 7

Medicaid014939000PA

Other37794MD050825LPA · Health Partners

Other0745998000PA · Amerihealth

Other0745998000PA · Keystone

Other0745998000PA · Personal Choice

Other5511627PA · Aetna Ppo

Other564071PA · Bspa

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, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Michael W Milbourne 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 ID7113829938

PECOS Enrollment IDI20040122000896

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 Milbourne reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

New Life Cardiovascular Care, P.C.

Same address

Internal Medicine

805 E WILLOW GROVE AVE STE 1C
Glenside, PA 19038

Reassigned Medicare billing, Pennsylvania enrollment
Medicare enrollment name: New Life Cardiovascular Care PC

NPI 1699834705 (215) 870-4144

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 16

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.

337 services105 patients

Ultrasound study of arm and leg arteries 93922

An ultrasound study of arm and leg arteries is a non-invasive procedure that uses sound waves to create images of your arteries. It helps in checking blood flow, identifying blockages, or detecting other abnormalities in your arteries.

66 services53 patients

Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306

This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.

65 services59 patients

Testing of autonomic nervous system function and heart rate response to deep breathing 95921

This test studies the autonomic nervous system, which controls body functions like heart rate. During the test, you'll breathe deeply while the heart rate is monitored. This helps identify any irregularities in the heart's response to breathing changes.

64 services49 patients

Management using the results of remote vital sign monitoring per calendar month, each additional 20 minutes 99458

This service involves analyzing your vital signs, like heart rate and blood pressure, remotely collected over a month. Each additional 20 minutes spent on management refers to extra time spent reviewing, interpreting your data, and planning your care. It's a critical part of ensuring your wellbeing.

58 services20 patients

Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month 99439

Chronic Care Management services involve regular check-ins with healthcare professionals to manage two or more chronic conditions. It includes an additional 20 minutes of clinical staff time per month, directed by a healthcare professional, to ensure optimal health management.

56 services18 patients

Testing of autonomic (sympathetic) nervous system function 95923

Testing of autonomic nervous system function assesses how well your body's automatic processes, like heart rate and blood pressure, are working. It involves various non-invasive tests like heart rate variability and sweat production tests.

55 services44 patients

Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit G0438

An annual wellness visit is a yearly appointment with your doctor to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's an opportunity to discuss your health status and goals and get a plan tailored for you.

51 services51 patients

Complete ultrasound study of arm and leg arteries 93923

This procedure involves using sound waves to produce images of your arm and leg arteries. It helps identify blockages or abnormalities that could lead to conditions like stroke or peripheral artery disease. It's non-invasive and painless.

46 services34 patients

Measurement of heart blood flow and respiration 93701

This process involves monitoring the amount of blood your heart pumps and how well your lungs work. It uses non-invasive methods, like sensors on your skin, to track your heart's activity and breathing rate. It's essential for assessing your cardiovascular and respiratory health.

42 services33 patients

Management using the results of remote vital sign monitoring per calendar month, first 20 minutes 99457

This service involves reviewing and managing your health data, which is remotely monitored and collected. Your vital signs like heart rate and blood pressure are tracked regularly throughout the month. The first 20 minutes of this data analysis per month is included in this service.

41 services23 patients

Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490

Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.

37 services18 patients

Remote monitoring of physiologic parameters, initial supply of devices with daily recordings or programmed alerts transmission, each 30 days 99454

This service involves using devices to remotely track body functions like heart rate or blood pressure. These devices, provided initially, record data daily or send alerts if readings are abnormal. The service is renewed every 30 days.

31 services16 patients

Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with provider supplied equipment 95250

This process involves a tiny sensor placed under your skin that checks your blood sugar levels in tissue fluid regularly. The sensor sends these readings to a device, allowing you to track your levels in real-time. This is provided by your healthcare provider.

25 services19 patients

Remote monitoring of physiologic parameters, initial set-up and patient education on use of equipment 99453

Remote monitoring of physiologic parameters involves using special equipment to track vital signs like heart rate and blood pressure from a distance. The initial set-up includes installing the device and teaching the patient how to use it correctly for accurate readings.

18 services16 patients

Electrocardiogram (ecg) 2-day continuous with review and report by health care professional 93224

An Electrocardiogram (ECG) is a non-invasive test that records the electrical activity of your heart. In a 2-day continuous ECG, sensors attached to your chest monitor your heart's rhythm over 48 hours. A healthcare professional then reviews the data to identify any irregularities.

15 services14 patients

Hospital Affiliations CMS Care Compare

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

Hospital Of Univ Of Pennsylvania

Acute Care Hospitals · Philadelphia, PA

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390111

Location34th & Spruce StsPhiladelphia, PA 19104 · Philadelphia County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19038 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

$137.17 typical visit price

range $59.88 – $180.99

Typical copayment $34.29 (range $14.97 – $45.24)

Most-billed visit code 99204

Established Patient

$74.47 typical visit price

range $19.30 – $147.29

Typical copayment $18.61 (range $4.82 – $36.82)

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.

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

3 suppliers13 claims28 services$4.91 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

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

DR. FRANCES SIRICO-KELLY D.O.

Internal Medicine

805 E WILLOW GROVE AVE
WYNDMOOR, PA 19038

Montgomery County (215) 233-0557

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 Milbourne's NPI number?

The NPI number for Michael Milbourne is 1255399366. It was assigned to this individual provider in the NPPES registry on May 1, 2006.

Where is Michael Milbourne located?

Michael Milbourne practices at 805 E Willow Grove Ave Ste C11, Glenside, PA 19038. The listed phone number is (215) 966-1546.

What is Michael Milbourne's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Michael Milbourne enrolled in Medicare?

Yes. Michael Milbourne 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 Milbourne's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Michael Milbourne reassigns Medicare benefits to New Life Cardiovascular Care, P.C. (Glenside, PA). 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 Milbourne's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Michael Milbourne accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Michael Milbourne 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 Milbourne affiliated with any hospitals?

According to CMS data, Michael Milbourne is affiliated with Hospital Of Univ Of Pennsylvania.

When was this NPI record last updated?

The NPPES record for Michael Milbourne was last updated on March 23, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.