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MICHELLE SUSAN CICILLINE M.D.
NPI 1528020898
Family Medicine in Rochester, NY

Active since April 03, 2006PECOS EnrolledAccepts Medicare Assignment
85.17/100
CMS Quality Rating
200 RED CREEK DR, SUITE 100, ROCHESTER, NY 14623(585) 334-0130(585) 334-0213 Get Directions Write a Review

NPPES record last updated: July 6, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 6, 2023, May 31, 2017 (2 updates tracked since 2017).

About Michelle Susan Cicilline M.d. NPPES

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

MICHELLE SUSAN CICILLINE M.D. (NPI 1528020898) is an individual family medicine provider in Rochester, New York, licensed in New York (253287) and active in the NPI registry since April 2006. She is enrolled in Medicare PECOS, is affiliated with Highland Hospital, and is a graduate of Warren Alpert Medical School Of Brown University (2000).

NPPES Registry Identity

NPI1528020898
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameMICHELLE SUSAN CICILLINECredential: M.D.
Location Address200 RED CREEK DR, SUITE 100Rochester, NY 14623-5264
Mailing Address601 Elmwood Ave, Box 278980Rochester, NY 14642-0001
Phone(585) 334-0130
Fax(585) 334-0213
Sole ProprietorNo
Medical School CMSWarren Alpert Medical School Of Brown UniversityGraduated 2000
Enumeration DateApril 3, 2006
Last NPPES UpdateJuly 6, 20232 updates tracked since enumeration
✔ NPI 1528020898 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in NY · 253287✔ Licensed in MD · D0059841
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
200 RED CREEK DR, Rochester, NY 14623
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Other Identifiers 1

Medicaid03135797NY

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

Michelle Susan Cicilline M.d. 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 ID3971673682
PECOS Enrollment IDI20090731000325
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.
77 services43 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.
50 services34 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.
40 services40 patients

Hospital Affiliations CMS Care Compare 2

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

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 14623 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
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
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.

85.17/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality70.92
Promoting Interoperability100
Improvement Activities40
Cost62.98

Other Providers at the Same Location NPPES 7

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

EMILY BETH SILBERSTEIN DO
Family Medicine
200 RED CREEK DR
ROCHESTER, NY 14623
Monroe County (585) 334-0130
DR. TIMOTHY ANDREWS ASHLEY M.D.
Internal Medicine
200 RED CREEK DR, SUITE 100
ROCHESTER, NY 14623
Monroe County (585) 334-0130
DR. CHARLES D MASKIELL M.D.
Family Medicine
200 RED CREEK DR, SUITE 100
ROCHESTER, NY 14623
Monroe County (585) 334-0130
DR. ERIN M DENNEY-KOELSCH M.D.
Internal Medicine
200 RED CREEK DR, SUITE 100
ROCHESTER, NY 14623
Monroe County (585) 334-0130
CARLA R. SCHWARTZ M.D.
Internal Medicine
200 RED CREEK DR
ROCHESTER, NY 14623
Monroe County (585) 334-0130
DR. MICHAEL OBRECHT D.O.
Family Medicine
200 RED CREEK DR, SUITE 100
ROCHESTER, NY 14623
Monroe County (585) 334-0130
DR. MARIANNE S TAYLOR MD
Internal Medicine
200 RED CREEK DR, SUITE 100
ROCHESTER, NY 14623
Monroe County (585) 334-0130

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 Michelle Cicilline's NPI number?

The NPI number for Michelle Cicilline is 1528020898. It was assigned to this individual provider in the NPPES registry on April 3, 2006.

Where is Michelle Cicilline located?

Michelle Cicilline practices at 200 Red Creek Dr Suite 100, Rochester, NY 14623. The listed phone number is (585) 334-0130.

What is Michelle Cicilline's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Michelle Cicilline enrolled in Medicare?

Yes. Michelle Cicilline 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 Michelle Cicilline affiliated with any hospitals?

According to CMS data, Michelle Cicilline is affiliated with Highland Hospital and Strong Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Michelle Cicilline was last updated on July 6, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.