MR. ALEXANDER VICTOR MIDOLO-CLEVELAND PA-S
NPI 1407369192
Physician Assistant in Johnson City, NY

Q: What is Alexander Midolo-cleveland's NPI number?

The NPI number for Alexander Midolo-cleveland is 1407369192. It was assigned to this individual provider in the NPPES registry on November 16, 2017.

Q: What is Alexander Midolo-cleveland's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Active since November 16, 2017PECOS EnrolledAccepts Medicare Assignment

30 HARRISON ST STE 250, JOHNSON CITY, NY 13790(607) 763-6580 Get Directions Write a Review

NPPES record last updated: July 30, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

On this page

About Mr. Alexander Victor Midolo-cleveland Pa-s NPPES

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

MR. ALEXANDER VICTOR MIDOLO-CLEVELAND PA-S (NPI 1407369192) is an individual physician assistant in Johnson City, New York, licensed in New York (033082) and active in the NPI registry since November 2017. He is enrolled in Medicare PECOS, is affiliated with Chenango Memorial Hospital, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1407369192

Entity TypeIndividualMale

Primary Taxonomy363A00000X

Provider Legal NameMR. ALEXANDER VICTOR MIDOLO-CLEVELANDCredential: PA-S

Location Address30 HARRISON ST STE 250Johnson City, NY 13790-2176

Mailing Address33 Lewis Rd, Fl 2Binghamton, NY 13905 · (607) 770-0025

Phone(607) 763-6580

Sole ProprietorNo

Medical School CMSOtherGraduated 2019

Enumeration DateNovember 16, 2017

Last NPPES UpdateJuly 30, 2025

NPPES CertifiedJuly 30, 2025

✔ NPI 1407369192 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in NY · 033082

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

30 HARRISON ST STE 250, Johnson City, NY 13790

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

Mr. Alexander Victor Midolo-cleveland Pa-s 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 ID8426486804

PECOS Enrollment IDI20250806002483

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 2

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

Chenango Memorial Hospital

Acute Care Hospitals · Norwich, NY

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number330033

Location179 North Broad StreetNorwich, NY 13815 · Chenango County

Emergency services Birthing friendly

United Health Services Hospitals, Inc

Acute Care Hospitals · Binghamton, NY

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number330394

Location10-42 Mitchell AvenueBinghamton, NY 13903 · Broome County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 13790 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

$84.93 typical visit price

range $54.87 – $166.88

Typical copayment $21.23 (range $13.71 – $41.72)

Most-billed visit code 99203

Established Patient

$68.57 typical visit price

range $17.54 – $136.14

Typical copayment $17.14 (range $4.38 – $34.03)

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.

Referred Medical Equipment & Supplies CMS DME claims

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

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

2 suppliers11 claims11 services$59.07 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Leave this field empty

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.

RACHEL MARIE SKOVIRA NP

Nurse Practitioner (Family)