MICHAEL A BECKER D.O.
NPI 1265403349
Family Medicine in Philadelphia, PA

Q: What is Michael Becker's NPI number?

The NPI number for Michael Becker is 1265403349. It was assigned to this individual provider in the NPPES registry on January 27, 2006.

Q: What is Michael Becker'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 Michael Becker was last updated on January 27, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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 January 27, 2006PECOS EnrolledAccepts Medicare Assignment

76.08/100

CMS Quality Rating

4190 CITY AVE, PHILADELPHIA, PA 19131(215) 871-6380(215) 871-6381 Get Directions Write a Review

NPPES record last updated: January 27, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Michael A Becker D.o. NPPES

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

MICHAEL A BECKER D.O. (NPI 1265403349) is an individual family medicine provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (OS006490L) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS and is a graduate of Philadelphia College Of Osteopathic Medicine (1987).

NPPES Registry Identity

NPI1265403349

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameMICHAEL A BECKERCredential: D.O.

Location Address4190 CITY AVEPhiladelphia, PA 19131-1626

Mailing Address4190 City AvePhiladelphia, PA 19131-1626 · (215) 871-6380 · Fax (215) 871-6381

Phone(215) 871-6380

Fax(215) 871-6381

Sole ProprietorNo

Medical School CMSPhiladelphia College Of Osteopathic MedicineGraduated 1987

Enumeration DateJanuary 27, 2006

Last NPPES UpdateJanuary 27, 2016

✔ NPI 1265403349 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in PA · OS006490L

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.

4190 CITY AVE, Philadelphia, PA 19131

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Other Identifiers 13

Other0457700000PA · Khpe

Medicare UPINE57389PA

Other100138PA · Kmhp

Medicare PIN627939QKBPA

Other627939PA · Highmark Blue Shield

OtherP3063930PA · Oxford

Other01248304-05PA · Americhoice

Medicaid0012483040007PA

Other461861PA · Aushc Hmo

Medicare PIN080192668PA

Other34238OS006490LPA · Healthpartners

Other5638486-008PA · Cigna

Other85753PA · Aushc Ppo

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

Michael A Becker 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 ID2769539915

PECOS Enrollment IDI20090406000266

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

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.

40 services18 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19131 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

$92.69 typical visit price

range $59.88 – $180.99

Typical copayment $23.17 (range $14.97 – $45.24)

Most-billed visit code 99203

Established Patient

$105.21 typical visit price

range $19.30 – $147.29

Typical copayment $26.30 (range $4.82 – $36.82)

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.

76.08/100

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

Scored as part of a group practice

Quality

57.4

Promoting Interoperability

Improvement Activities

Cost

68.85

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.

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

2 suppliers11 claims11 services$67.89 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.

ZEEL HEMANTBHAI PATEL M.B.B.S

Student in an Organized Health Care Education/Training Program