MICHAEL JOEL KANE MD
NPI 1487626214
Internal Medicine - Medical Oncology in Waterford, CT

Active since February 06, 2006PECOS EnrolledAccepts Medicare Assignment
92.22/100
CMS Quality Rating
196 PARKWAY SOUTH, SUITE 303, WATERFORD, CT 06385(860) 443-4455 Get Directions Write a Review

NPPES record last updated: August 2, 2018. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Aug 2, 2018, Nov 22, 2016 (2 updates tracked since 2016).

About Michael Joel Kane Md NPPES

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

MICHAEL JOEL KANE MD (NPI 1487626214) is an individual medical oncology provider in Waterford, Connecticut, licensed in Connecticut (60331) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS and is a graduate of Rutgers New Jersey Medical School (1983).

NPPES Registry Identity

NPI1487626214
Entity TypeIndividualMale
Primary Taxonomy207RX0202X
Provider Legal NameMICHAEL JOEL KANECredential: MD
Location Address196 PARKWAY SOUTH, SUITE 303Waterford, CT 06385
Mailing AddressPo Box 416457Boston, MA 02241-6457
Sole ProprietorNo
Medical School CMSRutgers New Jersey Medical SchoolGraduated 1983
Enumeration DateFebruary 6, 2006
Last NPPES UpdateAugust 2, 20182 updates tracked since enumeration
✔ NPI 1487626214 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Medical OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RX0202X
Licenses✔ Licensed in CT · 60331✔ Licensed in NJ · 25MA05555900
Definition
An internist who specializes in the diagnosis and treatment of all types of cancer and other benign and malignant tumors. This specialist decides on and administers therapy for these malignancies as well as consults with surgeons and radiotherapists on other treatments for cancer.
196 PARKWAY SOUTH, Waterford, CT 06385

Other Identifiers 1

Other187617WDMNJ · Medicare Provider Id

Accepted 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

Michael Joel Kane 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 ID1254318363
PECOS Enrollment IDI20180614002514
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 Reassignments

3

Medicare enrollment records show Michael Kane reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Psychiatric Unit
326 WASHINGTON ST
Norwich, CT 06360
  • Reassigned Medicare billing, Connecticut enrollment
  • 430 clinicians in this Medicare group
Surgery
1290 SILAS DEANE HWY, ATTN: LINDA STRAKA
Wethersfield, CT 06109
  • Reassigned Medicare billing, Connecticut enrollment
  • 747 clinicians in this Medicare group
Surgery
85 SEYMOUR ST STE 415
Hartford, CT 06106
  • Reassigned Medicare billing, Connecticut enrollment
  • 1,921 clinicians in this Medicare group

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.
298 services146 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.
75 services62 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.
56 services56 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06385 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
$183.10 typical visit price
range $60.82 – $183.10
Typical copayment $45.77 (range $15.20 – $45.77)
Most-billed visit code 99205
Established Patient
$106.68 typical visit price
range $19.76 – $149.26
Typical copayment $26.67 (range $4.94 – $37.31)
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.

92.22/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality92.15
Promoting Interoperability100
Improvement Activities40
Cost58.82

Other Providers at the Same Location NPPES 10

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

Dentist (Orthodontics and Dentofacial Orthopedics)
196 PARKWAY SOUTH, SUITE 305
WATERFORD, CT 06385
Internal Medicine (Cardiovascular Disease)
196 PARKWAY SOUTH, SUITE 103
WATERFORD, CT 06385
Dentist (Orthodontics and Dentofacial Orthopedics)
196 PARKWAY SOUTH, SUITE 305
WATERFORD, CT 06385
Internal Medicine (Cardiovascular Disease)
196 PARKWAY SOUTH, SUITE 103
WATERFORD, CT 06385
Physician Assistant
196 PARKWAY SOUTH, SUITE 103
WATERFORD, CT 06385
Internal Medicine (Cardiovascular Disease)
196 PARKWAY SOUTH, SUITE 103
WATERFORD, CT 06385
Internal Medicine (Cardiovascular Disease)
196 PARKWAY SOUTH, SUITE 103
WATERFORD, CT 06385
Internal Medicine (Cardiovascular Disease)
196 PARKWAY SOUTH, SUITE 103
WATERFORD, CT 06385

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 Kane's NPI number?

The NPI number for Michael Kane is 1487626214. It was assigned to this individual provider in the NPPES registry on February 6, 2006.

Where is Michael Kane located?

Michael Kane practices at 196 Parkway South Suite 303, Waterford, CT 06385. The listed phone number is (860) 443-4455.

What is Michael Kane's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Medical Oncology, with taxonomy code 207RX0202X.

Is Michael Kane enrolled in Medicare?

Yes. Michael Kane 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.

Which organizations bill Medicare for Michael Kane's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Michael Kane reassigns Medicare benefits to 3 organizations: William W Backus Hospital (Norwich, CT), Hartford Healthcare Medical Group, Inc (Wethersfield, CT) and Hartford Healthcare Medical Group Specialists, PLLC (Hartford, CT). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Michael Kane's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Michael Kane accept?

Health plans from Anthem Blue Cross and Blue Shield list Michael Kane 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.

When was this NPI record last updated?

The NPPES record for Michael Kane was last updated on August 2, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.