DR. MARCO CHRISTIAN MICHAEL MD
NPI 1316431612
Psychiatry & Neurology - Psychiatry in New York, NY

Q: What is Marco Michael's NPI number?

The NPI number for Marco Michael is 1316431612. It was assigned to this individual provider in the NPPES registry on June 19, 2018.

Q: What is Marco Michael's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Q: When was this NPI record last updated?

The NPPES record for Marco Michael was last updated on July 22, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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 June 19, 2018PECOS EnrolledAccepts Medicare Assignment

79.07/100

CMS Quality Rating

385 5TH AVE RM 1106, NEW YORK, NY 10016(917) 391-0076 Get Directions Write a Review

NPPES record last updated: July 22, 2022. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Jul 22, 2022, Jul 9, 2022, Jun 19, 2018 (3 updates tracked since 2018).

On this page

About Dr. Marco Christian Michael Md NPPES

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

DR. MARCO CHRISTIAN MICHAEL MD (NPI 1316431612) is an individual psychiatry provider in New York, New York, licensed in New York (311364) and active in the NPI registry since June 2018. He is enrolled in Medicare PECOS, maintains a secondary practice location in White Plains, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1316431612

Entity TypeIndividualMale

Primary Taxonomy2084P0800X

Provider Legal NameDR. MARCO CHRISTIAN MICHAELCredential: MD

Location Address385 5TH AVE RM 1106New York, NY 10016-3340

Mailing Address385 5th Ave Rm 1106New York, NY 10016-3340 · (917) 391-0076

Phone(917) 391-0076

Sole ProprietorYes

Medical School CMSOtherGraduated 2016

Enumeration DateJune 19, 2018

Last NPPES UpdateJuly 22, 20223 updates tracked since enumeration

NPPES CertifiedJuly 10, 2022

✔ NPI 1316431612 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians

Taxonomy Code2084P0800X

Licenses✔ Licensed in NY · 311364✔ Licensed in CT · 70881

Definition

A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

385 5TH AVE RM 1106, New York, NY 10016

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Secondary Practice Location 1

Location 121 Bloomingdale RdWhite Plains, NY 10605-1504 · Phone (845) 596-2032

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. Marco Christian Michael 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 ID5991042970

PECOS Enrollment IDI20230629001618

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 4

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.

Psychotherapy with evaluation and management visit, 30 minutes 90833

Psychotherapy with evaluation and management is a 30-minute session where a mental health professional talks with you about your concerns and feelings. They assess your mental health, provide support, and manage your treatment plan to help improve your well-being.

302 services99 patients

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.

290 services69 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.

93 services93 patients

Psychotherapy with evaluation and management visit, 45 minutes 90836

Psychotherapy with evaluation and management is a 45-minute session where a healthcare provider discusses your mental and emotional health. They assess your current state, manage any issues, and help you develop coping strategies. This service aims to improve your overall well-being.

76 services27 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10016 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

$198.19 typical visit price

range $65.69 – $198.19

Typical copayment $49.54 (range $16.42 – $49.54)

Most-billed visit code 99205

Established Patient

$81.44 typical visit price

range $21.20 – $160.66

Typical copayment $20.36 (range $5.30 – $40.16)

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.

79.07/100

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

Scored as part of a group practice

Quality

73.19

Promoting Interoperability

Improvement Activities

Cost

57.89

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.

SAFWA ZAFAR MD

Psychiatry & Neurology (Psychiatry)