DR. MICHAEL N PALLONE M.D.
NPI 1275537722
Pediatrics in Erie, PA
About Dr. Michael N Pallone M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. MICHAEL N PALLONE M.D. (NPI 1275537722) is an individual pediatrics provider in Erie, Pennsylvania, licensed in Pennsylvania (MD057226L) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Michael N Pallone M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
2Medicare enrollment records show Michael Pallone reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Erie, PA 16505
- Reassigned Medicare billing, Pennsylvania enrollment
- 5 clinicians in this Medicare group
Baltimore, MD 21201
- Reassigned Medicare billing, Maryland enrollment
- 966 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 16505 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 7
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Pallone's NPI number?
The NPI number for Michael Pallone is 1275537722. It was assigned to this individual provider in the NPPES registry on June 10, 2005.
Where is Michael Pallone located?
Michael Pallone practices at 2820 W 12th St, Erie, PA 16505. The listed phone number is (814) 833-8800.
What is Michael Pallone's specialty?
The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.
Is Michael Pallone enrolled in Medicare?
Yes. Michael Pallone is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Michael Pallone's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Michael Pallone reassigns Medicare benefits to 2 organizations: Millcreek Community Hospital (Erie, PA) and University Of Maryland Community Medical Group, Inc. (Baltimore, MD). Each 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 Pallone's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Michael Pallone accept?
Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Michael Pallone 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.
When was this NPI record last updated?
The NPPES record for Michael Pallone was last updated on May 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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.
# Dr. Michael N Pallone, M.D. · NPI 1275537722
Pediatrics physician in Erie, Pennsylvania. Individual provider, active in the CMS NPPES registry since June 10, 2005.
## Identity
- **NPI:** 1275537722 (Entity type: Individual)
- **Enumerated:** June 10, 2005
- **Primary specialty:** Pediatrics · taxonomy 208000000X
- **State license:** MD057226L (Pennsylvania)
- **Sole proprietor:** No
## Practice location
- **Address:** 2820 W 12TH ST, Erie, PA 16505-4204
- **Phone:** (814) 833-8800
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Millcreek Community Hospital (NPI 1275310591, Erie, PA); University Of Maryland Community Medical Group, Inc. (NPI 1477530624, Baltimore, MD) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 29, 2026
- **Other identifiers:** Medicaid 0017499440007 (PA)
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Source: [NPI Profile](https://npiprofile.com/npi/1275537722) · Data from the CMS NPPES public registry.