MICHAEL THOMAS MILONE MD
NPI 1336550193
Orthopaedic Surgery - Hand Surgery in Flemington, NJ

Active since May 14, 2014PECOS EnrolledAccepts Medicare Assignment
93.23/100
CMS Quality Rating
8100 WESCOTT DR STE 101, FLEMINGTON, NJ 08822(908) 782-0600(908) 782-7575 Get Directions Write a Review

NPPES record last updated: March 3, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 3, 2023, Mar 10, 2022 (2 updates tracked since 2022).

About Michael Thomas Milone Md NPPES

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

MICHAEL THOMAS MILONE MD (NPI 1336550193) is an individual hand surgery provider in Flemington, New Jersey, licensed in New Jersey (25MA10807700) and active in the NPI registry since May 2014. He is enrolled in Medicare PECOS, is affiliated with Hunterdon Medical Center, and is a graduate of Perelman School Of Med At The University Of Pennsylvania (2014).

NPPES Registry Identity

NPI1336550193
Entity TypeIndividualMale
Primary Taxonomy207XS0106X
Provider Legal NameMICHAEL THOMAS MILONECredential: MD
Location Address8100 WESCOTT DR STE 101Flemington, NJ 08822-4671
Mailing Address8100 Wescott Dr Ste 101Flemington, NJ 08822-4671 · (908) 782-0600 · Fax (908) 782-0600
Fax(908) 782-7575
Sole ProprietorNo
Medical School CMSPerelman School Of Med At The University Of PennsylvaniaGraduated 2014
Enumeration DateMay 14, 2014
Last NPPES UpdateMarch 3, 20232 updates tracked since enumeration
NPPES CertifiedMarch 10, 2022
NPI 1336550193 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOrthopaedic Surgery · Hand SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207XS0106X
License Licensed in NJ · 25MA10807700
Definition
An orthopaedic surgeon trained in the investigation, preservation and restoration by medical, surgical and rehabilitative means of all structures of the upper extremity directly affecting the form and function of the hand and wrist.
8100 WESCOTT DR STE 101, Flemington, NJ 08822

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

Michael Thomas Milone 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 ID2062837842
PECOS Enrollment IDI20200811000941
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 15

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.
249 services142 patients
X-ray of hand, minimum of 3 views 73130
An X-ray of the hand, minimum of 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the bones in your hand from different angles. This helps in diagnosing fractures, infections, arthritis, or other abnormalities. It's quick and painless.
157 services111 patients
X-ray of wrist, minimum of 3 views 73110
An X-ray of the wrist, minimum of 3 views, is a diagnostic procedure that uses radiation to create images of your wrist from different angles. This helps detect fractures, infections, or other abnormalities for accurate diagnosis and treatment planning.
129 services51 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.
84 services84 patients
Injection into tendon or ligament 20550
An injection into a tendon or ligament involves placing medication directly into these areas to help reduce inflammation and pain. It's often used for conditions like arthritis or tendonitis. The procedure is quick and usually involves a local anesthetic.
67 services57 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.
42 services42 patients

Hospital Affiliations CMS Care Compare

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

Hunterdon Medical Center

Acute Care Hospitals · Flemington, NJ
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310005
Location2100 Wescott DriveFlemington, NJ 08822 · Hunterdon County
Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08822 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
$98.09 typical visit price
range $63.84 – $190.92
Typical copayment $24.52 (range $15.96 – $47.73)
Most-billed visit code 99203
Established Patient
$79.09 typical visit price
range $20.97 – $155.92
Typical copayment $19.77 (range $5.24 – $38.98)
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.

93.23/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality77.68
Promoting Interoperability100
Improvement Activities40
Cost99.75

Referred Medical Equipment & Supplies CMS DME claims 5

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Addition to lower extremity orthosis, soft interface for molded plastic, above knee section L2830
DME-Orthotic Devices · category DF000N
1 supplier15 claims19 services$31.42 avg. paid by Medicare
Wrist hand finger orthosis, without joint(s), prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise L3807
DME-Orthotic Devices · category DF000N
1 supplier17 claims21 services$165.22 avg. paid by Medicare
Wrist hand finger orthosis, without joint(s), prefabricated, off-the-shelf, any type L3809
DME-Orthotic Devices · category DF000N
1 supplier17 claims18 services$183.30 avg. paid by Medicare
Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf L3908
DME-Orthotic Devices · category DF000N
1 supplier40 claims45 services$60.61 avg. paid by Medicare
Addition to upper extremity orthosis, sock, fracture or equal, each L3995
DME-Orthotic Devices · category DF000N
1 supplier40 claims46 services$33.11 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 4

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

Podiatrist (Foot & Ankle Surgery)
8100 WESCOTT DR STE 101
FLEMINGTON, NJ 08822
Podiatrist (Foot & Ankle Surgery)
8100 WESCOTT DR STE 101
FLEMINGTON, NJ 08822
Registered Nurse (Registered Nurse First Assistant)
8100 WESCOTT DR STE 101
FLEMINGTON, NJ 08822
Orthopaedic Surgery
8100 WESCOTT DR STE 101
FLEMINGTON, NJ 08822

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 Milone's NPI number?

The NPI number for Michael Milone is 1336550193. It was assigned to this individual provider in the NPPES registry on May 14, 2014.

Where is Michael Milone located?

Michael Milone practices at 8100 Wescott Dr Ste 101, Flemington, NJ 08822. The listed phone number is (908) 782-0600.

What is Michael Milone's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Hand Surgery, with taxonomy code 207XS0106X.

Is Michael Milone enrolled in Medicare?

Yes. Michael Milone 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 Milone affiliated with any hospitals?

According to CMS data, Michael Milone is affiliated with Hunterdon Medical Center.

When was this NPI record last updated?

The NPPES record for Michael Milone was last updated on March 3, 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.