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MICHAEL ANTHONY FUSCO PA
NPI 1417506361
Physician Assistant in Fresh Meadows, NY

Active since September 04, 2019PECOS EnrolledAccepts Medicare Assignment
76.52/100
CMS Quality Rating
6118 188TH ST, FRESH MEADOWS, NY 11365(718) 489-5003(631) 350-0586 Get Directions Write a Review

NPPES record last updated: February 27, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Feb 27, 2025, Oct 6, 2023, Feb 9, 2023 and 4 more (7 updates tracked since 2019).

About Michael Anthony Fusco Pa NPPES

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

MICHAEL ANTHONY FUSCO PA (NPI 1417506361) is an individual physician assistant in Fresh Meadows, New York, licensed in New York (024650) and active in the NPI registry since September 2019. He is enrolled in Medicare PECOS and is a graduate of Hofstra North Shore - Lij School Of Medicine (2019).

NPPES Registry Identity

NPI1417506361
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameMICHAEL ANTHONY FUSCOCredential: PA
Location Address6118 188TH STFresh Meadows, NY 11365-2713
Mailing Address6118 188th StFresh Meadows, NY 11365-2713 · (718) 489-5003 · Fax (631) 350-0586
Phone(718) 489-5003
Fax(631) 350-0586
Sole ProprietorYes
Medical School CMSHofstra North Shore - Lij School Of MedicineGraduated 2019
Enumeration DateSeptember 4, 2019
Last NPPES UpdateFebruary 27, 20257 updates tracked since enumeration
NPPES CertifiedFebruary 27, 2025
✔ NPI 1417506361 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Licenses✔ Licensed in NY · 024650✔ Licensed in VA · 0110-008610
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.
6118 188TH ST, Fresh Meadows, NY 11365
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Other Identifiers 1

Medicaid06011792NY

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 Anthony Fusco Pa 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 ID5395174395
PECOS Enrollment IDI20200326000758
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 10

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 low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
210 services197 patients
Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza 87428
This test uses a method called immunoassay to identify severe acute respiratory syndrome coronavirus and influenza. It works by detecting specific proteins (antigens) in a sample, like a nasal swab. It's a powerful tool in diagnosing these viral infections.
114 services113 patients
X-ray of chest, 2 views 71046
A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.
52 services52 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.
49 services49 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.
35 services35 patients
Detection test by immunoassay with direct visual observation for streptococcus, group a (strep) 87880
A detection test by immunoassay for Group A Strep is a quick procedure to identify a bacterial infection in your throat. It involves taking a throat swab and applying it to a test strip, which changes color if Strep bacteria are present.
31 services31 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11365 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
$104.17 typical visit price
range $67.00 – $201.98
Typical copayment $26.04 (range $16.75 – $50.49)
Most-billed visit code 99203
Established Patient
$82.96 typical visit price
range $21.62 – $163.52
Typical copayment $20.74 (range $5.40 – $40.88)
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.

76.52/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality64.02
Promoting Interoperability100
Improvement Activities40
Cost57.73

Other Providers at the Same Location NPPES 3

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

DR. ANTHONY VECCHIA MD
Emergency Medicine
6118 188TH ST
FRESH MEADOWS, NY 11365
Queens County (718) 489-5003
DANIEL AZOF MD
Family Medicine
6118 188TH ST
FRESH MEADOWS, NY 11365
Queens County (718) 489-5003
CITY MEDICAL OF UPPER EAST SIDE, PLLC
Clinic/Center (Urgent Care)
6118 188TH ST
FRESH MEADOWS, NY 11365
Queens County (718) 489-5003

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 Fusco's NPI number?

The NPI number for Michael Fusco is 1417506361. It was assigned to this individual provider in the NPPES registry on September 4, 2019.

Where is Michael Fusco located?

Michael Fusco practices at 6118 188th St, Fresh Meadows, NY 11365. The listed phone number is (718) 489-5003.

What is Michael Fusco's specialty?

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

Is Michael Fusco enrolled in Medicare?

Yes. Michael Fusco 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 Fusco was last updated on February 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months 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.