DR. MICHAEL JOSEPH BIANCONI
NPI 1477529907
Internal Medicine in Raleigh, NC

Active since February 24, 2006PECOS EnrolledAccepts Medicare Assignment
11200 GOVERNOR MANLY WAY STE 205, RALEIGH, NC 27614(919) 570-7700(919) 570-7701 Get Directions Write a Review

NPPES record last updated: February 25, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Michael Joseph Bianconi NPPES

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

DR. MICHAEL JOSEPH BIANCONI (NPI 1477529907) is an individual internal medicine provider in Raleigh, North Carolina, licensed in New Hampshire (7828) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS, is affiliated with Unc Hospitals, and maintains a secondary practice location in Portsmouth.

NPPES Registry Identity

NPI1477529907
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. MICHAEL JOSEPH BIANCONI
Location Address11200 GOVERNOR MANLY WAY STE 205Raleigh, NC 27614-7367
Mailing Address5221 Paramount Pkwy Ste 220Morrisville, NC 27560-5490
Fax(919) 570-7701
Sole ProprietorNo
Medical School CMSUniversity Of Cincinnati College Of MedicineGraduated 1985
Enumeration DateFebruary 24, 2006
Last NPPES UpdateFebruary 25, 2025
NPPES CertifiedFebruary 25, 2025
NPI 1477529907 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in NH · 7828
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.
11200 GOVERNOR MANLY WAY STE 205, Raleigh, NC 27614

Secondary Practice Location 1

Location 1330 Borthwick Ave, Suite 205Portsmouth, NH 03801-4174 · Phone (603) 436-6115 · Fax (603) 433-5567

Other Identifiers 3

Medicaid435463199ME
Medicaid30002470NH
OtherP00767625NH · Railroad Medicare

Accepted 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

Dr. Michael Joseph Bianconi 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 ID7315945706
PECOS Enrollment IDI20131118000991
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 9

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.
216 services144 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.
92 services83 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.
33 services33 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
30 services30 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.
27 services27 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
25 services25 patients

Hospital Affiliations CMS Care Compare 2

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

Unc Hospitals

Acute Care Hospitals · Chapel Hill, NC
5/5 CMS rating
OwnershipGovernment - State
CMS Certification Number340061
Location101 Manning DriveChapel Hill, NC 27514 · Orange County
Emergency services Birthing friendly

Rex Hospital

Acute Care Hospitals · Raleigh, NC
5/5 CMS rating
OwnershipGovernment - State
CMS Certification Number340114
Location4420 Lake Boone TrailRaleigh, NC 27607 · Wake County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27614 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
$125.01 typical visit price
range $54.12 – $165.09
Typical copayment $31.25 (range $13.53 – $41.27)
Most-billed visit code 99204
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
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.

Referred Medical Equipment & Supplies CMS DME claims 6

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
12 suppliers37 claims86 services$6.62 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
7 suppliers13 claims13 services$1.14 avg. paid by Medicare
Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
3 suppliers11 claims11 services$36.71 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
5 suppliers13 claims13 services$85.81 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
5 suppliers12 claims33 services$33.30 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
6 suppliers16 claims89 services$2.01 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 15

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

Family Medicine
11200 GOVERNOR MANLY WAY STE 205
RALEIGH, NC 27614
Nurse Practitioner (Family)
11200 GOVERNOR MANLY WAY STE 205
RALEIGH, NC 27614
Physician Assistant
11200 GOVERNOR MANLY WAY STE 205
RALEIGH, NC 27614
Internal Medicine
11200 GOVERNOR MANLY WAY STE 205
RALEIGH, NC 27614
Physician Assistant
11200 GOVERNOR MANLY WAY STE 205
RALEIGH, NC 27614
Family Medicine
11200 GOVERNOR MANLY WAY STE 205
RALEIGH, NC 27614
Internal Medicine
11200 GOVERNOR MANLY WAY STE 205
RALEIGH, NC 27614
Social Worker (Clinical)
11200 GOVERNOR MANLY WAY STE 205
RALEIGH, NC 27614

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 Bianconi's NPI number?

The NPI number for Michael Bianconi is 1477529907. It was assigned to this individual provider in the NPPES registry on February 24, 2006.

Where is Michael Bianconi located?

Michael Bianconi practices at 11200 Governor Manly Way Ste 205, Raleigh, NC 27614. The listed phone number is (919) 570-7700.

What is Michael Bianconi's specialty?

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

Is Michael Bianconi enrolled in Medicare?

Yes. Michael Bianconi 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 Bianconi accept?

Health plans from Blue Cross and Blue Shield of NC and UnitedHealthcare list Michael Bianconi 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 Bianconi affiliated with any hospitals?

According to CMS data, Michael Bianconi is affiliated with Unc Hospitals and Rex Hospital.

When was this NPI record last updated?

The NPPES record for Michael Bianconi was last updated on February 25, 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.