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MICHAEL ROBERT KLINGERMAN MD
NPI 1285621557
Emergency Medicine in Scranton, PA

Active since October 03, 2005PECOS EnrolledAccepts Medicare Assignment
90.34/100
CMS Quality Rating
1209 SWETLAND ST, SCRANTON, PA 18504(570) 207-0650 Get Directions Write a Review

NPPES record last updated: August 14, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 14, 2023, Apr 16, 2018 (2 updates tracked since 2018).

About Michael Robert Klingerman Md NPPES

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

MICHAEL ROBERT KLINGERMAN MD (NPI 1285621557) is an individual emergency medicine provider in Scranton, Pennsylvania, licensed in Pennsylvania (MD427017) and active in the NPI registry since October 2005. He is enrolled in Medicare PECOS, is affiliated with Geisinger-community Medical Center, and is a graduate of Other (2001).

NPPES Registry Identity

NPI1285621557
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameMICHAEL ROBERT KLINGERMANCredential: MD
Location Address1209 SWETLAND STScranton, PA 18504-1849
Mailing Address1209 Swetland StScranton, PA 18504-1849 · (570) 207-0650
Phone(570) 207-0650
Sole ProprietorNo
Medical School CMSOtherGraduated 2001
Enumeration DateOctober 3, 2005
Last NPPES UpdateAugust 14, 20232 updates tracked since enumeration
NPPES CertifiedAugust 14, 2023
✔ NPI 1285621557 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in PA · MD427017
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
Also ListedInternal MedicineTaxonomy 207R00000X · License MD427017 (PA)
1209 SWETLAND ST, Scranton, PA 18504
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Other Identifiers 1

Medicaid101434053 0001PA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health, Oscar Insurance Company.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 Robert Klingerman 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 ID2365400223
PECOS Enrollment IDI20060123000805
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 Reassignments

4

Medicare enrollment records show Michael Klingerman reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Scranton Quincy Clinic Company LLC
0.3 mi
Obstetrics & Gynecology
521 MT PLEASANT DR, SUITE 101
Scranton, PA 18503
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 124 clinicians in this Medicare group
NPI 1548547946 (570) 346-7338
Pennsylvania Physician Services, LLC
1.3 mi
Emergency Medicine
746 JEFFERSON AVE
Scranton, PA 18510
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 111 clinicians in this Medicare group
NPI 1184079105 (570) 348-7100
Advanced Inpatient Medicine PC
1.3 mi
Hospitalist
746 JEFFERSON AVE FL 4
Scranton, PA 18510
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 98 clinicians in this Medicare group
NPI 1871725366 (570) 241-4715
Emergency Physician Associates Of Pennsylvania, PC
130 mi
Emergency Medicine
300 HIGHLAND AVE
Hanover, PA 17331
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 298 clinicians in this Medicare group
NPI 1619990900 (717) 633-2000

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 2

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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
32 services32 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
23 services23 patients

Hospital Affiliations CMS Care Compare

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

Geisinger-Community Medical Center

Acute Care Hospitals · Scranton, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390001
Location1822 Mulberry StreetScranton, PA 18510 · Lackawanna County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 18504 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
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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.

90.34/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality80.69
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 4

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 suppliers47 claims76 services$4.95 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
3 suppliers25 claims25 services$0.81 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
2 suppliers11 claims11 services$1.79 avg. paid by Medicare
Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513
DME-Other DME · category DE000N
2 suppliers11 claims11 services$16.58 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.

GERARD NEALON MD
Internal Medicine
1209 SWETLAND ST
SCRANTON, PA 18504
Lackawanna County (570) 207-0650

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 Klingerman's NPI number?

The NPI number for Michael Klingerman is 1285621557. It was assigned to this individual provider in the NPPES registry on October 3, 2005.

Where is Michael Klingerman located?

Michael Klingerman practices at 1209 Swetland St, Scranton, PA 18504. The listed phone number is (570) 207-0650.

What is Michael Klingerman's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Michael Klingerman enrolled in Medicare?

Yes. Michael Klingerman 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 organizations bill Medicare for Michael Klingerman's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Michael Klingerman reassigns Medicare benefits to 4 organizations: Scranton Quincy Clinic Company LLC (Scranton, PA), Pennsylvania Physician Services, LLC (Scranton, PA), Advanced Inpatient Medicine PC (Scranton, PA) and Emergency Physician Associates Of Pennsylvania, PC (Hanover, PA). 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 Klingerman's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Michael Klingerman accept?

Health plans from Oscar Health and Oscar Insurance Company list Michael Klingerman 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 Klingerman affiliated with any hospitals?

According to CMS data, Michael Klingerman is affiliated with Geisinger-Community Medical Center.

When was this NPI record last updated?

The NPPES record for Michael Klingerman was last updated on August 14, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.