DR. MICHAEL ANTHONY TOCCO MD
NPI 1285830596
Emergency Medicine in New York, NY

Active since June 23, 2007PECOS EnrolledAccepts Medicare Assignment
91.25/100
CMS Quality Rating
30 7TH AVE, NEW YORK, NY 10011(857) 205-0607 Get Directions Write a Review

NPPES record last updated: June 10, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 10, 2025, Oct 15, 2019 (2 updates tracked since 2019).

About Dr. Michael Anthony Tocco Md NPPES

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

DR. MICHAEL ANTHONY TOCCO MD (NPI 1285830596) is an individual emergency medicine provider in New York, New York, licensed in New York (255052) and active in the NPI registry since June 2007. He is enrolled in Medicare PECOS, is affiliated with Lawrence General Hospital, and is a graduate of Other (2007).

NPPES Registry Identity

NPI1285830596
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameDR. MICHAEL ANTHONY TOCCOCredential: MD
Location Address30 7TH AVENew York, NY 10011-6629
Mailing Address30 7th AveNew York, NY 10011-6629 · (857) 205-0607
Sole ProprietorNo
Medical School CMSOtherGraduated 2007
Enumeration DateJune 23, 2007
Last NPPES UpdateJune 10, 20252 updates tracked since enumeration
NPPES CertifiedJune 10, 2025
NPI 1285830596 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License Licensed in NY · 255052
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.

30 7TH AVE, New York, NY 10011

Other Identifiers 1

Medicaid03356172NY

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

Dr. Michael Anthony Tocco 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 ID3577731215
PECOS Enrollment IDI20110722000502, I20250114002224, I20250626001066
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 6

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.

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.
154 services44 patients
Transitional care management services for problem of at least moderate complexity 99495
Transitional care management services focus on coordinating and managing your care after you leave the hospital. For moderate complexity problems, this involves managing your medications, arranging further treatments, and ensuring you have the necessary follow-ups.
103 services97 patients
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.
61 services61 patients
New patient office or other outpatient visit with straightforward medical decision making, if using time, 15 minutes or more 99202
This service involves an initial visit to the doctor's office or other outpatient setting. It typically lasts between 15-29 minutes. The doctor will review your medical history, conduct a physical examination, and discuss your health concerns. It's a chance to establish your health baseline and address any immediate medical issues.
59 services59 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.
28 services28 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
18 services18 patients

Hospital Affiliations CMS Care Compare 5

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

Lawrence General Hospital

Acute Care Hospitals · Lawrence, MA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220010
LocationOne General StreetLawrence, MA 01842 · Essex County
Emergency services Birthing friendly

Anna Jaques Hospital

Acute Care Hospitals · Newburyport, MA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220029
Location25 Highland AvenueNewburyport, MA 01950 · Essex County
Emergency services Birthing friendly

Lenox Hill Hospital

Acute Care Hospitals · New York, NY
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330119
Location100 East 77th StreetNew York, NY 10021 · New York County
Emergency services Birthing friendly

John T Mather Memorial Hospital Of Port Jefferson

Acute Care Hospitals · Port Jefferson, NY
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330185
Location75 North Country RoadPort Jefferson, NY 11777 · Suffolk County
Emergency services

Sentara Careplex Hospital

Acute Care Hospitals · Hampton, VA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490093
Location3000 Coliseum DriveHampton, VA 23666 · Hampton City County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10011 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
$102.04 typical visit price
range $65.69 – $198.19
Typical copayment $25.51 (range $16.42 – $49.54)
Most-billed visit code 99203
Established Patient
$114.88 typical visit price
range $21.20 – $160.66
Typical copayment $28.72 (range $5.30 – $40.16)
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.

91.25/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality74.92
Promoting Interoperability91.67
Improvement Activities40

Other Providers at the Same Location NPPES 14

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

Emergency Medicine
30 7TH AVE
NEW YORK, NY 10011
Emergency Medicine
30 7TH AVE, DEPT OF EMERGENCY MEDICINE
NEW YORK, NY 10011
Physician Assistant
30 7TH AVE
NEW YORK, NY 10011
Pharmacist
30 7TH AVE
NEW YORK, NY 10011
Psychiatry & Neurology (Psychiatry)
30 7TH AVE
NEW YORK, NY 10011
Psychiatry & Neurology (Psychiatry)
30 7TH AVE
NEW YORK, NY 10011
Social Worker (Clinical)
30 7TH AVE
NEW YORK, NY 10011
Emergency Medicine
30 7TH AVE
NEW YORK, NY 10011

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 Tocco's NPI number?

The NPI number for Michael Tocco is 1285830596. It was assigned to this individual provider in the NPPES registry on June 23, 2007.

Where is Michael Tocco located?

Michael Tocco practices at 30 7th Ave, New York, NY 10011. The listed phone number is (857) 205-0607.

What is Michael Tocco's specialty?

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

Is Michael Tocco enrolled in Medicare?

Yes. Michael Tocco 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.

Is Michael Tocco affiliated with any hospitals?

According to CMS data, Michael Tocco is affiliated with Lawrence General Hospital, Anna Jaques Hospital, Lenox Hill Hospital, John T Mather Memorial Hospital Of Port Jefferson and Sentara Careplex Hospital.

When was this NPI record last updated?

The NPPES record for Michael Tocco was last updated on June 10, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.