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MICHAEL ANTHONY POLICASTRO MD
NPI 1508862749
Emergency Medicine in Cincinnati, OH

Active since June 22, 2005PECOS Enrolled
94.62/100
CMS Quality Rating
3131 QUEEN CITY AVE, CINCINNATI, OH 45238(513) 557-3333(513) 557-3332 Get Directions Write a Review

NPPES record last updated: December 21, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Michael Anthony Policastro Md NPPES

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

MICHAEL ANTHONY POLICASTRO MD (NPI 1508862749) is an individual emergency medicine provider in Cincinnati, Ohio, licensed in Ohio (35082976) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1508862749
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameMICHAEL ANTHONY POLICASTROCredential: MD
Location Address3131 QUEEN CITY AVECincinnati, OH 45238-2316
Mailing Address6885 Sweetfarm LnLoveland, OH 45140-6064 · (513) 774-0914
Phone(513) 557-3333
Fax(513) 557-3332
Sole ProprietorNo
Enumeration DateJune 22, 2005
Last NPPES UpdateDecember 21, 2023
NPPES CertifiedDecember 21, 2023
✔ NPI 1508862749 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
Licenses✔ Licensed in OH · 35082976✔ Licensed in IN · 01091676A✔ Licensed in CA · C175786
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
3131 QUEEN CITY AVE, Cincinnati, OH 45238
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Other Identifiers 1

Medicaid2501037OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Molina Healthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Michael Anthony Policastro Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 2

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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
34 services34 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
20 services19 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45238 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

94.62/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality76.67
Improvement Activities40
Cost97.14

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.

SONIA L HISSETT NP
Nurse Practitioner
3131 QUEEN CITY AVE
CINCINNATI, OH 45238
Hamilton County (513) 557-3333
OHIO VALLEY ANESTHESIA LLC
Anesthesiology
3131 QUEEN CITY AVE, OHIO VALLEY ANESTHESIA LLC
CINCINNATI, OH 45238
Hamilton County (859) 341-7246
MERCY HEALTH - WEST HOSPITAL LLC
Psychiatric Unit
3131 QUEEN CITY AVE
CINCINNATI, OH 45238
Hamilton County (513) 389-5000
DR. ROBERT LAMBERT MD
Emergency Medicine
3131 QUEEN CITY AVE
CINCINNATI, OH 45238
Hamilton County (513) 557-3333
BRUCE TYLER SPEARS MD
Emergency Medicine
3131 QUEEN CITY AVE
CINCINNATI, OH 45238
Hamilton County (513) 557-3333
EDWARD WYMAN MORRISS MD
Emergency Medicine
3131 QUEEN CITY AVE
CINCINNATI, OH 45238
Hamilton County (513) 557-3333
MERCY EMERGENCY PHYSICIANS INC
Emergency Medicine
3131 QUEEN CITY AVE
CINCINNATI, OH 45238
Hamilton County (800) 875-0136
DR. ROBERT ALLEN GROBER
Emergency Medicine
3131 QUEEN CITY AVE
CINCINNATI, OH 45238
Hamilton County (513) 557-3333

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 Policastro's NPI number?

The NPI number for Michael Policastro is 1508862749. It was assigned to this individual provider in the NPPES registry on June 22, 2005.

Where is Michael Policastro located?

Michael Policastro practices at 3131 Queen City Ave, Cincinnati, OH 45238. The listed phone number is (513) 557-3333.

What is Michael Policastro's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Michael Policastro enrolled in Medicare?

Yes. Michael Policastro is registered in the Medicare PECOS enrollment system.

What insurance does Michael Policastro accept?

Health plans from Molina Healthcare list Michael Policastro 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 Policastro was last updated on December 21, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.