MICHAEL JOSEPH GAVIN MD
NPI 1467741686
Internal Medicine in Pittsford, NY

Q: What is Michael Gavin's NPI number?

The NPI number for Michael Gavin is 1467741686. It was assigned to this individual provider in the NPPES registry on March 29, 2011.

Q: What is Michael Gavin's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Q: When was this NPI record last updated?

The NPPES record for Michael Gavin was last updated on April 17, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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 March 29, 2011PECOS EnrolledAccepts Medicare Assignment

76.84/100

CMS Quality Rating

167 SULLYS TRL, STE 100, PITTSFORD, NY 14534(585) 758-0800(585) 381-1577 Get Directions Write a Review

NPPES record last updated: April 17, 2017. Verified against the NPPES registry weekly; last sync: September 13, 2026.

On this page

About Michael Joseph Gavin Md NPPES

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

MICHAEL JOSEPH GAVIN MD (NPI 1467741686) is an individual internal medicine provider in Pittsford, New York, licensed in New York (273591) and active in the NPI registry since March 2011. He is enrolled in Medicare PECOS, is affiliated with F F Thompson Hospital, and is a graduate of George Washington University School Of Medicine (2011).

NPPES Registry Identity

NPI1467741686

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameMICHAEL JOSEPH GAVINCredential: MD

Location Address167 SULLYS TRL, STE 100Pittsford, NY 14534-4567

Mailing Address601 Elmwood Ave, Box 278980Rochester, NY 14642-0001 · (585) 758-0800 · Fax (585) 381-1577

Phone(585) 758-0800

Fax(585) 381-1577

Sole ProprietorNo

Medical School CMSGeorge Washington University School Of MedicineGraduated 2011

Enumeration DateMarch 29, 2011

Last NPPES UpdateApril 17, 2017

✔ NPI 1467741686 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in NY · 273591

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

167 SULLYS TRL, Pittsford, NY 14534

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Other Identifiers 2

Medicaid04186398NY

Medicare PINJ400242639NY

Accepted Insurance

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

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 Joseph Gavin 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 ID4587971957

PECOS Enrollment IDI20150917000274

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 3

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.

117 services54 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

42 services42 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.

28 services17 patients

Hospital Affiliations CMS Care Compare 3

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

F F Thompson Hospital

Acute Care Hospitals · Canandaigua, NY

1/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number330074

Location350 Parrish StreetCanandaigua, NY 14424 · Ontario County

Emergency services Birthing friendly

Highland Hospital

Acute Care Hospitals · Rochester, NY

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number330164

Location1000 South AvenueRochester, NY 14617 · Monroe County

Emergency services Birthing friendly

Strong Memorial Hospital

Acute Care Hospitals · Rochester, NY

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number330285

Location601 Elmwood AveRochester, NY 14642 · Monroe County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 14534 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

$126.40 typical visit price

range $54.87 – $166.88

Typical copayment $31.60 (range $13.71 – $41.72)

Most-billed visit code 99204

Established Patient

$97.08 typical visit price

range $17.54 – $136.14

Typical copayment $24.27 (range $4.38 – $34.03)

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.

76.84/100

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

Scored as part of a group practice

Quality

68.2

Promoting Interoperability

100

Improvement Activities

Cost

42.68

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.

CATHERINE C.A. MCPHEE M.D.

Family Medicine

167 SULLYS TRL, STE 100
PITTSFORD, NY 14534

Monroe County (585) 758-0800

NICOLE VAVRINA D.O.

Family Medicine

167 SULLYS TRL, STE 100
PITTSFORD, NY 14534

Monroe County (585) 758-0800

ANNE BOWMAN RYAN MD

Internal Medicine

167 SULLYS TRL, STE 100
PITTSFORD, NY 14534

Monroe County (585) 758-0800

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 Gavin's NPI number?

The NPI number for Michael Gavin is 1467741686. It was assigned to this individual provider in the NPPES registry on March 29, 2011.

Where is Michael Gavin located?

Michael Gavin practices at 167 Sullys Trl Ste 100, Pittsford, NY 14534. The listed phone number is (585) 758-0800.

What is Michael Gavin's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Michael Gavin enrolled in Medicare?

Yes. Michael Gavin 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.

What insurance does Michael Gavin accept?

Health plans from Blue Cross and Blue Shield of Kansas, Inc. list Michael Gavin as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Michael Gavin affiliated with any hospitals?

According to CMS data, Michael Gavin is affiliated with F F Thompson Hospital, Highland Hospital and Strong Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Michael Gavin was last updated on April 17, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.