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MICHAEL PAPPAS MD
NPI 1366946840
Family Medicine - Addiction Medicine in New York, NY

Active since March 20, 2018PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
104 E 126TH ST # 106, NEW YORK, NY 10035(929) 314-1147(646) 649-4619 Get Directions Write a Review

NPPES record last updated: October 10, 2023. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Oct 10, 2023, Mar 20, 2018 (2 updates tracked since 2018).

About Michael Pappas Md NPPES

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

MICHAEL PAPPAS MD (NPI 1366946840) is an individual addiction medicine provider in New York, New York, licensed in New York (308736) and active in the NPI registry since March 2018. He is enrolled in Medicare PECOS, is affiliated with Lincoln Medical & Mental Health Center, and is a graduate of Georgetown University School Of Medicine (2018).

NPPES Registry Identity

NPI1366946840
Entity TypeIndividualMale
Primary Taxonomy207QA0401X
Provider Legal NameMICHAEL PAPPASCredential: MD
Location Address104 E 126TH ST # 106New York, NY 10035-1621
Mailing Address2917 Astoria BlvdAstoria, NY 11102-1741 · (610) 704-4034
Phone(929) 314-1147
Fax(646) 649-4619
Sole ProprietorNo
Medical School CMSGeorgetown University School Of MedicineGraduated 2018
Enumeration DateMarch 20, 2018
Last NPPES UpdateOctober 10, 20232 updates tracked since enumeration
NPPES CertifiedOctober 10, 2023
✔ NPI 1366946840 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily Medicine · Addiction MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QA0401X
License✔ Licensed in NY · 308736
Definition
A family medicine physician who specializes in the diagnosis and treatment of addictions.
104 E 126TH ST # 106, New York, NY 10035
Open in Google Maps ↗

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 Pappas 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 ID648517854
PECOS Enrollment IDI20221205000451
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.

Hospital Affiliations CMS Care Compare

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

Lincoln Medical & Mental Health Center

Acute Care Hospitals · Bronx, NY
1/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number330080
Location234 East 149th StreetBronx, NY 10451 · Bronx County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10035 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
$150.24 typical visit price
range $65.69 – $198.19
Typical copayment $37.56 (range $16.42 – $49.54)
Most-billed visit code 99204
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.

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

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 Pappas's NPI number?

The NPI number for Michael Pappas is 1366946840. It was assigned to this individual provider in the NPPES registry on March 20, 2018.

Where is Michael Pappas located?

Michael Pappas practices at 104 E 126th St # 106, New York, NY 10035. The listed phone number is (929) 314-1147.

What is Michael Pappas's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Addiction Medicine, with taxonomy code 207QA0401X.

Is Michael Pappas enrolled in Medicare?

Yes. Michael Pappas 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 Pappas affiliated with any hospitals?

According to CMS data, Michael Pappas is affiliated with Lincoln Medical & Mental Health Center.

When was this NPI record last updated?

The NPPES record for Michael Pappas was last updated on October 10, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.