MICHAEL ANDREW TAVILL MD
NPI 1417030792
Otolaryngology - Pediatric Otolaryngology in Shrewsbury, NJ

Active since October 23, 2006PECOS EnrolledAccepts Medicare Assignment
91.28/100
CMS Quality Rating
1131 BROAD STREET, STE 103, SHREWSBURY, NJ 07702(732) 389-3388(732) 389-3389 Get Directions Write a Review

NPPES record last updated: April 1, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Michael Andrew Tavill Md NPPES

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

MICHAEL ANDREW TAVILL MD (NPI 1417030792) is an individual pediatric otolaryngology provider in Shrewsbury, New Jersey, licensed in New Jersey (25MA06549000) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS and is a graduate of Clvlnd Clinic Lerner College Of Med Of Case Wstn Rsv University (1991).

NPPES Registry Identity

NPI1417030792
Entity TypeIndividualMale
Primary Taxonomy207YP0228X
Provider Legal NameMICHAEL ANDREW TAVILLCredential: MD
Location Address1131 BROAD STREET, STE 103Shrewsbury, NJ 07702
Mailing Address660 White Plains Rd Fl 4Tarrytown, NY 10591-5139 · (914) 984-2546
Fax(732) 389-3389
Sole ProprietorNo
Medical School CMSClvlnd Clinic Lerner College Of Med Of Case Wstn Rsv UniversityGraduated 1991
Enumeration DateOctober 23, 2006
Last NPPES UpdateApril 1, 2019
NPI 1417030792 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyOtolaryngology · Pediatric OtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207YP0228X
License Licensed in NJ · 25MA06549000
Definition
A pediatric otolaryngologist has special expertise in the management of infants and children with disorders that include congenital and acquired conditions involving the aerodigestive tract, nose and paranasal sinuses, the ear and other areas of the head and neck. The pediatric otolaryngologist has special skills in the diagnosis, treatment, and management of childhood disorders of voice, speech, language and hearing.
Also ListedOtolaryngology · Sleep MedicineTaxonomy 207YS0012X · License 25MA06549000 (NJ)
1131 BROAD STREET, Shrewsbury, NJ 07702

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 Andrew Tavill 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 ID6305980152
PECOS Enrollment IDI20100218000148
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.

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.

91.28/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality84.16
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 10

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

Otolaryngology
1131 BROAD STREET, STE 102
SHREWSBURY, NJ 07702
Otolaryngology (Otology & Neurotology)
1131 BROAD STREET, STE 103
SHREWSBURY, NJ 07702
Otolaryngology (Otolaryngology/Facial Plastic Surgery)
1131 BROAD STREET, SUITE102
SHREWSBURY, NJ 07702
Orthopaedic Surgery
1131 BROAD STREET, SUITE 201
SHREWSBURY, NJ 07702
Otolaryngology
1131 BROAD STREET, SUITE 103
SHNEWSBURY, NJ 07702
Radiology (Diagnostic Radiology)
1131 BROAD STREET, SUITE 110
SHREWSBURY, NJ 07702
Radiology (Diagnostic Radiology)
1131 BROAD STREET, SUITE 110 B
SHREWSBURY, NJ 07702
Radiology (Diagnostic Radiology)
1131 BROAD STREET, SUITE 110
SHREWSBURY, NJ 07702

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 Tavill's NPI number?

The NPI number for Michael Tavill is 1417030792. It was assigned to this individual provider in the NPPES registry on October 23, 2006.

Where is Michael Tavill located?

Michael Tavill practices at 1131 Broad Street Ste 103, Shrewsbury, NJ 07702. The listed phone number is (732) 389-3388.

What is Michael Tavill's specialty?

The primary specialty registered for this NPI is Otolaryngology, specializing in Pediatric Otolaryngology, with taxonomy code 207YP0228X.

Is Michael Tavill enrolled in Medicare?

Yes. Michael Tavill 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.

When was this NPI record last updated?

The NPPES record for Michael Tavill was last updated on April 1, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.