DR. MICHAEL JOSEPH FRACCHIA MD
NPI 1447260070
Orthopaedic Surgery in Port Jefferson, NY

Q: What is Michael Fracchia's NPI number?

The NPI number for Michael Fracchia is 1447260070. It was assigned to this individual provider in the NPPES registry on August 8, 2006.

Q: What is Michael Fracchia's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Q: When was this NPI record last updated?

The NPPES record for Michael Fracchia was last updated on January 17, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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 August 08, 2006PECOS EnrolledAccepts Medicare Assignment

91.25/100

CMS Quality Rating

635 BELLE TERRE RD, SUITE #204, PORT JEFFERSON, NY 11777(631) 474-0008(631) 474-0224 Get Directions Write a Review

NPPES record last updated: January 17, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Dr. Michael Joseph Fracchia Md NPPES

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

DR. MICHAEL JOSEPH FRACCHIA MD (NPI 1447260070) is an individual orthopaedic surgery provider in Port Jefferson, New York, licensed in New York (163267-1) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with Peconic Bay Medical Center, and is a graduate of Georgetown University School Of Medicine (1984).

NPPES Registry Identity

NPI1447260070

Entity TypeIndividualMale

Primary Taxonomy207X00000X

Provider Legal NameDR. MICHAEL JOSEPH FRACCHIACredential: MD

Location Address635 BELLE TERRE RD, SUITE #204Port Jefferson, NY 11777-1935

Mailing Address635 Belle Terre Rd, Suite #204Port Jefferson, NY 11777-1935 · (631) 474-0008 · Fax (631) 474-0224

Phone(631) 474-0008

Fax(631) 474-0224

Sole ProprietorNo

Medical School CMSGeorgetown University School Of MedicineGraduated 1984

Enumeration DateAugust 8, 2006

Last NPPES UpdateJanuary 17, 2011

✔ NPI 1447260070 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code207X00000X

License✔ Licensed in NY · 163267-1

Definition

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

635 BELLE TERRE RD, Port Jefferson, NY 11777

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Other Identifiers 2

Medicare UPIND91916NY

Medicare ID-Type Unspecified05F711NY

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 Joseph Fracchia 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 ID4082602099

PECOS Enrollment IDI20040506000003

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 20

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.

Hyaluronan or derivative, gelsyn-3, for intra-articular injection, 0.1 mg J7328

Gelsyn-3 is a treatment involving injections of a substance called hyaluronan into the joint space. Hyaluronan is naturally present in healthy joint fluid, aiding in lubrication and shock absorption. This treatment helps relieve joint pain, often in conditions like osteoarthritis.

32,256 services87 patients

Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg J0702

This injection contains two medications, betamethasone acetate and betamethasone sodium phosphate. It is used to reduce inflammation and pain. It's given by a healthcare professional, often directly into the area causing discomfort.

621 services259 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.

620 services423 patients

Aspiration and/or injection of fluid from large joint 20610

This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.

464 services293 patients

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.

354 services274 patients

X-ray of knee, 3 views 73562

An X-ray of the knee, 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the knee from three different angles. This helps medical professionals to diagnose and monitor conditions like arthritis, fractures, or infections. The process is quick and painless.

278 services258 patients

X-ray of hip, 2-3 views 73502

An X-ray of the hip with 2-3 views is a non-invasive imaging test. It uses a small amount of radiation to produce pictures of the hip joint. These images help in diagnosing conditions like fractures, arthritis, or other abnormalities. The process is quick and painless.

224 services204 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

181 services180 patients

X-ray of knee, 1-2 views 73560

An X-ray of the knee with 1-2 views is a quick, painless test that produces images of the knee bones. It helps identify fractures, infections, or changes in the knee joint. During the procedure, you'll be asked to stay still while the X-ray machine captures the images.

108 services101 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.

72 services72 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

60 services54 patients

Computer-assisted surgery for muscle and bone procedure 20985

Computer-assisted surgery for muscle and bone procedures involves using a computer to aid in planning and performing surgery. This technology helps increase precision, reduce invasiveness, and improve outcomes. It's commonly used in orthopedic surgeries like joint replacements.

49 services45 patients

Replacement of knee joint, both sides of knee 27447

A bilateral knee joint replacement is a procedure where the damaged parts of both your knee joints are replaced with artificial parts. It aims to relieve pain and improve mobility. The process involves a surgical operation under anesthesia.

49 services46 patients

X-ray of shoulder, minimum of 2 views 73030

An X-ray of the shoulder, with a minimum of 2 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of your shoulder bones. This helps in diagnosing conditions like fractures, arthritis, or other abnormalities. The procedure is quick and painless.

42 services37 patients

Replacement of thigh bone and hip joint with prosthesis 27130

This procedure, known as hip arthroplasty, involves replacing your damaged thigh bone and hip joint with artificial parts, called a prosthesis. It helps relieve pain, improve mobility, and enhance your quality of life.

35 services32 patients

Aspiration and/or injection of fluid from large joint 20610

32 services30 patients

X-ray of lower and sacral spine, 2-3 views 72100

An X-ray of the lower and sacral spine involves capturing images of your lower back area, including the tailbone. This procedure helps in identifying problems like fractures, infections, or deformities. 2-3 different angle views provide a comprehensive picture.

28 services28 patients

New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205

This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.

19 services19 patients

Removal of knee cartilage using an endoscope 29881

This procedure, known as arthroscopic knee surgery, involves using a small camera (endoscope) to view the inside of your knee. Small instruments are used to remove damaged cartilage. This can help alleviate pain and improve knee function.

14 services14 patients

Removal of both knee cartilages using an endoscope 29880

This procedure, also known as bilateral knee arthroscopy, involves using a small camera (endoscope) to view and remove damaged cartilage from both knees. It's a minimally invasive surgery aimed at relieving pain and improving mobility.

11 services11 patients

Hospital Affiliations CMS Care Compare 4

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

Peconic Bay Medical Center

Acute Care Hospitals · Riverhead, NY

3/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number330107

Location1 Heros WayRiverhead, NY 11901 · Suffolk County

Emergency services Birthing friendly

John T Mather Memorial Hospital Of Port Jefferson

Acute Care Hospitals · Port Jefferson, NY

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number330185

Location75 North Country RoadPort Jefferson, NY 11777 · Suffolk County

Emergency services

St Charles Hospital

Acute Care Hospitals · Port Jefferson, NY

4/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number330246

Location200 Belle Terre RoadPort Jefferson, NY 11777 · Suffolk County

Birthing friendly

Suny/Stony Brook University Hospital

Acute Care Hospitals · Stony Brook, NY

4/5 CMS rating

OwnershipGovernment - State

CMS Certification Number330393

LocationHealth Sciences Center SunyStony Brook, NY 11794 · Suffolk County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11777 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

$105.06 typical visit price

range $67.40 – $203.53

Typical copayment $26.26 (range $16.85 – $50.88)

Most-billed visit code 99203

Established Patient

$83.44 typical visit price

range $21.66 – $164.45

Typical copayment $20.86 (range $5.41 – $41.11)

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.

91.25/100

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

Scored through an Alternative Payment Model

Quality

74.92

Promoting Interoperability

91.67

Improvement Activities

Reported Quality Measures

Risk-standardized complication rate (RSCR) following elective primary total hip arthroplasty (THA) and/or total knee arthroplasty (TKA) for Merit-based Incentive Payment System (MIPS)

Lower rates are better for this measure.

0.03%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

KATHLEEN POLAK PT

Specialist

635 BELLE TERRE RD, STE 204
PORT JEFFERSON, NY 11777

Suffolk County (631) 474-0008

MR. BRIAN J HEIM PT

Physical Therapist

635 BELLE TERRE RD
PORT JEFFERSON, NY 11777

Suffolk County (631) 928-2277

JAN S. MILLER

Dentist

635 BELLE TERRE RD, SUITE 103
PORT JEFFERSON, NY 11777

Suffolk County (631) 743-9090

UROLOGICAL ASSOCIATES OF LI, PC

Specialist

635 BELLE TERRE RD, STE 202
PORT JEFFERSON, NY 11777

Suffolk County (631) 473-1058

DR. JAN S MILLER

Dentist (General Practice)

635 BELLE TERRE RD, SUITE 103
PORT JEFFERSON, NY 11777

Suffolk County (631) 743-9090

MICHAEL SUZZIVALLI

Physician Assistant

635 BELLE TERRE RD, SUITE #204
PORT JEFFERSON, NY 11777

Suffolk County (631) 474-0008

RONALD ROSSI RPA-C

Physician Assistant

635 BELLE TERRE RD, SUITE 204
PORT JEFFERSON, NY 11777

Suffolk County (631) 474-0008

ROBERT WILUTIS OCCUPATIONAL AND PHYSICAL THERAPY PLLC

Occupational Therapist

635 BELLE TERRE RD, SUITE 105
PORT JEFFERSON, NY 11777

Suffolk County (631) 331-3608

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 Fracchia's NPI number?

The NPI number for Michael Fracchia is 1447260070. It was assigned to this individual provider in the NPPES registry on August 8, 2006.

Where is Michael Fracchia located?

Michael Fracchia practices at 635 Belle Terre Rd Suite #204, Port Jefferson, NY 11777. The listed phone number is (631) 474-0008.

What is Michael Fracchia's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Michael Fracchia enrolled in Medicare?

Yes. Michael Fracchia 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 Fracchia affiliated with any hospitals?

According to CMS data, Michael Fracchia is affiliated with Peconic Bay Medical Center, John T Mather Memorial Hospital Of Port Jefferson, St Charles Hospital and Suny/Stony Brook University Hospital.

When was this NPI record last updated?

The NPPES record for Michael Fracchia was last updated on January 17, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.