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

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: August 02, 2026.

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, is affiliated with Phelps Hospital, 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
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

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

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.

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

Hospital Affiliations CMS Care Compare

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

Phelps Hospital

Acute Care Hospitals · Sleepy Hollow, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330261
Location701 N BroadwaySleepy Hollow, NY 10591 · Westchester County
Emergency services Birthing friendly

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
Quality73.19
Promoting Interoperability99
Improvement Activities40
Cost57.89

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.

Emergency Medicine
701 N BROADWAY, PHELPS MEMORIAL HOSPITAL EMERGENCY DEPARTMENT
SLEEPY HOLLOW, NY 10591
Internal Medicine
701 N BROADWAY
SLEEPY HOLLOW, NY 10591
Student in an Organized Health Care Education/Training Program
701 N BROADWAY
SLEEPY HOLLOW, NY 10591
Student in an Organized Health Care Education/Training Program
701 N BROADWAY
SLEEPY HOLLOW, NY 10591
Student in an Organized Health Care Education/Training Program
701 N BROADWAY
SLEEPY HOLLOW, NY 10591
Physician Assistant
701 N BROADWAY
SLEEPY HOLLOW, NY 10591
Student in an Organized Health Care Education/Training Program
701 N BROADWAY
SLEEPY HOLLOW, NY 10591
Specialist
701 N BROADWAY, PHELPS PATHOLOGY
SLEEPY HOLLOW, NY 10591

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 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.

Where is Michael Marchese located?

Michael Marchese practices at 701 N Broadway Phelps Memorial Hospital Center, Sleepy Hollow, NY 10591. The listed phone number is (914) 366-1179.

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.

Is Michael Marchese enrolled in Medicare?

Yes. Michael Marchese 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 Marchese affiliated with any hospitals?

According to CMS data, Michael Marchese is affiliated with Phelps Hospital.

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.