DR. MICHAEL MARCHESE M.D.
NPI 1427287564
Internal Medicine - Endocrinology, Diabetes & Metabolism in Sleepy Hollow, NY

Q: What is Michael Marchese's NPI number?

The NPI number for Michael Marchese is 1427287564. It was assigned to this individual provider in the NPPES registry on July 10, 2009.

Q: What is Michael Marchese's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.

Q: When was this NPI record last updated?

The NPPES record for Michael Marchese was last updated on June 26, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.

Active since July 10, 2009PECOS EnrolledAccepts Medicare Assignment

79.07/100

CMS Quality Rating

701 N BROADWAY, PHELPS MEMORIAL HOSPITAL CENTER, SLEEPY HOLLOW, NY 10591(914) 366-1179(914) 366-1657 Get Directions Write a Review

NPPES record last updated: June 26, 2015. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Dr. Michael Marchese M.d. NPPES

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

DR. MICHAEL MARCHESE M.D. (NPI 1427287564) is an individual endocrinology, diabetes & metabolism provider in Sleepy Hollow, New York, licensed in New York (279861-1) and active in the NPI registry since July 2009. He is enrolled in Medicare PECOS and is a graduate of Other (2009).

NPPES Registry Identity

NPI1427287564

Entity TypeIndividualMale

Primary Taxonomy207RE0101X

Provider Legal NameDR. MICHAEL MARCHESECredential: M.D.

Location Address701 N BROADWAY, PHELPS MEMORIAL HOSPITAL CENTERSleepy Hollow, NY 10591-1020

Mailing Address701 N Broadway, Phelps Memorial Hospital CenterSleepy Hollow, NY 10591-1020 · (914) 366-1179 · Fax (914) 366-1657

Phone(914) 366-1179

Fax(914) 366-1657

Sole ProprietorNo

Medical School CMSOtherGraduated 2009

Enumeration DateJuly 10, 2009

Last NPPES UpdateJune 26, 2015

✔ NPI 1427287564 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Endocrinology, Diabetes & MetabolismAllopathic & Osteopathic Physicians

Taxonomy Code207RE0101X

License✔ Licensed in NY · 279861-1

Definition

An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.

Also ListedHospitalistTaxonomy 208M00000X · License 279861-1 (NY)

701 N BROADWAY, Sleepy Hollow, NY 10591

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Michael Marchese M.d. 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 ID2264696426

PECOS Enrollment IDI20120620000005

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 Billing Reassignment

Medicare enrollment records show Michael Marchese reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Stamford Health Medical Group Inc

18 mi

General Practice

ONE OMEGA DRIVE, BUILDING 3, 2ND FLOOR
Stamford, CT 06907

Reassigned Medicare billing, Connecticut enrollment
496 clinicians in this Medicare group

NPI 1154633980 (203) 276-7447

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 4

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.

400 services207 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

176 services60 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

61 services57 patients

Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report 95251

This procedure involves placing a small sensor under your skin to continuously monitor your blood sugar levels in tissue fluid. The data is interpreted and a report is generated to help manage your diabetes more effectively.

27 services16 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10591 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

$154.28 typical visit price

range $67.40 – $203.53

Typical copayment $38.57 (range $16.85 – $50.88)

Most-billed visit code 99204

Established Patient

$117.62 typical visit price

range $21.66 – $164.45

Typical copayment $29.40 (range $5.41 – $41.11)

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.

79.07/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

73.19

Promoting Interoperability

Improvement Activities

Cost

57.89

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.

Supplies for maintenance of insulin infusion catheter, per week A4224

DME-Other DME · category DE017N

5 suppliers17 claims174 services$17.23 avg. paid by Medicare

Supplies for external insulin infusion pump, syringe type cartridge, sterile, each A4225

DME-Other DME · category DE017N

5 suppliers15 claims408 services$2.37 avg. paid by Medicare

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

25 suppliers62 claims198 services$6.20 avg. paid by Medicare

Lancets, per box of 100 A4259

DME-Medical/Surgical Supplies · category DA000N

17 suppliers31 claims48 services$1.01 avg. paid by Medicare

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553

DME-Other DME · category DE017N

6 suppliers73 claims73 services$194.06 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 20

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

MICHAEL M KYI MD

Emergency Medicine

701 N BROADWAY, PHELPS MEMORIAL HOSPITAL EMERGENCY DEPARTMENT
SLEEPY HOLLOW, NY 10591

Westchester County (914) 366-3590

PHELPS MEMORIAL HOSPITAL ASSOCIATION

Internal Medicine