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DR. MICHAEL K MURPHY MD
NPI 1316332695
Otolaryngology in New Rochelle, NY

Active since April 02, 2015PECOS Enrolled
97.02/100
CMS Quality Rating
16 GUION PL, NEW ROCHELLE, NY 10801(914) 365-7340 Get Directions Write a Review

NPPES record last updated: May 5, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: May 5, 2026, Apr 24, 2026, Jul 21, 2022 and 1 more (4 updates tracked since 2021).

About Dr. Michael K Murphy Md NPPES

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

DR. MICHAEL K MURPHY MD (NPI 1316332695) is an individual otolaryngology provider in New Rochelle, New York, licensed in New York (343045) and active in the NPI registry since April 2015. He is enrolled in Medicare PECOS, is affiliated with Umass Memorial Health - Harrington Hospital, and maintains a secondary practice location in White Plains.

NPPES Registry Identity

NPI1316332695
Entity TypeIndividualMale
Primary Taxonomy207Y00000X
Provider Legal NameDR. MICHAEL K MURPHYCredential: MD
Location Address16 GUION PLNew Rochelle, NY 10801-5502
Mailing Address16 Guion PlNew Rochelle, NY 10801-5502
Phone(914) 365-7340
Sole ProprietorYes
Medical School CMSEastern Virginia Medical SchoolGraduated 2015
Enumeration DateApril 2, 2015
Last NPPES UpdateMay 5, 20264 updates tracked since enumeration
NPPES CertifiedMay 5, 2026
✔ NPI 1316332695 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
License✔ Licensed in NY · 343045
Definition
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
16 GUION PL, New Rochelle, NY 10801
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Secondary Practice Location 1

Location 141 E Post RdWhite Plains, NY 10601-4699 · Phone (914) 681-0600

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Michael K Murphy Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3274879838
PECOS Enrollment IDI20220823001576
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 8

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.
78 services71 patients
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.
66 services56 patients
Removal of impacted ear wax 69210
Impacted ear wax removal is a safe procedure to clear blockages in the ear canal caused by hardened ear wax. A healthcare professional uses specialized tools or a gentle irrigation method to loosen and remove the wax, improving hearing and alleviating discomfort.
51 services42 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
42 services42 patients
Diagnostic exam of voice box using a flexible endoscope 31575
This procedure involves a doctor examining your voice box using a flexible endoscope, a thin tube with a light and camera. It's inserted through your nose or mouth to visualize your throat area. It helps detect any abnormalities in your voice box, ensuring optimal vocal health.
34 services32 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
27 services27 patients

Hospital Affiliations CMS Care Compare 2

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

Umass Memorial Health - Harrington Hospital

Acute Care Hospitals · Southbridge, MA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220019
Location100 South StreetSouthbridge, MA 01550 · Worcester County
Emergency services

Umass Memorial Medical Center/University Campus

Acute Care Hospitals · Worcester, MA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220163
Location55 Lake Avenue NorthWorcester, MA 01655 · Worcester County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10801 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
$154.28 typical visit price
range $67.40 – $203.53
Typical copayment $38.57 (range $16.85 – $50.88)
Most-billed visit code 99204
Established Patient
$83.44 typical visit price
range $21.66 – $164.45
Typical copayment $20.86 (range $5.41 – $41.11)
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.

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.

97.02/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality78.09
Promoting Interoperability100
Improvement Activities40

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.

DR. RAMATALLAH ATINUKE BALOGUN MD
Student in an Organized Health Care Education/Training Program
16 GUION PL
NEW ROCHELLE, NY 10801
Westchester County (914) 365-3680
HYUN CHUNG MD
Emergency Medicine
16 GUION PL, SOUND SHORE MEDICAL CENTER OF WESTCHESTER
NEW ROCHELLE, NY 10801
Westchester County (914) 632-5000
ELANA MIRIAM FRIEDMAN MD
Student in an Organized Health Care Education/Training Program
16 GUION PL
NEW ROCHELLE, NY 10801
Westchester County (914) 365-3680
MICHELLE RENEE EWART MD
Pathology (Anatomic Pathology)
16 GUION PL
NEW ROCHELLE, NY 10801
Westchester County (914) 632-5000
DR. DANIEL HAROLD POMERANTZ MD
Internal Medicine
16 GUION PL
NEW ROCHELLE, NY 10801
Westchester County (914) 365-3615
DR. BURTON L HERZ M.D.
Surgery
16 GUION PL
NEW ROCHELLE, NY 10801
Westchester County (914) 637-1396
DR. MA PAMELA GALLARDO DEMIGILLO MD
Student in an Organized Health Care Education/Training Program
16 GUION PL
NEW ROCHELLE, NY 10801
Westchester County (914) 365-5000
ABHISHEK BASNET MD
Student in an Organized Health Care Education/Training Program
16 GUION PL
NEW ROCHELLE, NY 10801
Westchester County (914) 365-3680

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 Murphy's NPI number?

The NPI number for Michael Murphy is 1316332695. It was assigned to this individual provider in the NPPES registry on April 2, 2015.

Where is Michael Murphy located?

Michael Murphy practices at 16 Guion Pl, New Rochelle, NY 10801. The listed phone number is (914) 365-7340.

What is Michael Murphy's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Is Michael Murphy enrolled in Medicare?

Yes. Michael Murphy is registered in the Medicare PECOS enrollment system.

What insurance does Michael Murphy accept?

Health plans from Anthem Blue Cross and Blue Shield list Michael Murphy 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 Murphy affiliated with any hospitals?

According to CMS data, Michael Murphy is affiliated with Umass Memorial Health - Harrington Hospital and Umass Memorial Medical Center/University Campus.

When was this NPI record last updated?

The NPPES record for Michael Murphy was last updated on May 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.