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DR. MICHAEL S. MARGIOTTA M.D.
NPI 1568565620
Plastic Surgery in New York, NY

Active since September 06, 2006PECOS EnrolledAccepts Medicare Assignment
84.47/100
CMS Quality Rating
530 1ST AVE, SUITE 3A, NEW YORK, NY 10016(212) 263-3444(212) 263-3445 Get Directions Write a Review

NPPES record last updated: February 23, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Michael S. Margiotta M.d. NPPES

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

DR. MICHAEL S. MARGIOTTA M.D. (NPI 1568565620) is an individual plastic surgery provider in New York, New York, licensed in New York (202600) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS, is affiliated with Nyu Langone Hospitals, and is a graduate of Other (1987).

NPPES Registry Identity

NPI1568565620
Entity TypeIndividualMale
Primary Taxonomy208200000X
Provider Legal NameDR. MICHAEL S. MARGIOTTACredential: M.D.
Location Address530 1ST AVE, SUITE 3ANew York, NY 10016-6402
Mailing Address423 E 75th StNew York, NY 10021-3119 · (212) 263-3444 · Fax (212) 263-3445
Phone(212) 263-3444
Fax(212) 263-3445
Sole ProprietorYes
Medical School CMSOtherGraduated 1987
Enumeration DateSeptember 6, 2006
Last NPPES UpdateFebruary 23, 2021
NPPES CertifiedFebruary 23, 2021
✔ NPI 1568565620 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPlastic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208200000X
License✔ Licensed in NY · 202600
Definition
A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.
530 1ST AVE, New York, NY 10016
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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 S. Margiotta 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 ID5193984755
PECOS Enrollment IDI20120319000006
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 6

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.

Repair of wound by transferring skin, each additional 30.0 sq cm 14302
This procedure involves the transfer of skin from a healthy area to a wounded area, helping in its healing. Each session covers 30.0 sq cm. It's a common method for treating large wounds, burns, or areas with significant tissue damage.
617 services77 patients
Creation of muscle graft to trunk 15734
The creation of a muscle graft to the trunk is a surgical procedure where healthy muscle tissue is moved from one part of the body to another. This helps to repair damaged areas, improve function, and enhance appearance. It's a common procedure in reconstructive surgery.
226 services73 patients
Repair of wound by transferring skin, 30.1-60.0 sq cm 14301
This procedure involves repairing a wound by moving healthy skin from one area of the body to the wound site. The transferred skin, measuring between 30.1-60.0 square cm, aids in healing and reduces scarring.
83 services77 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.
22 services14 patients
Creation of muscle graft to leg 15738
A muscle graft to the leg involves taking healthy muscle tissue from another area of your body and transplanting it to your leg. This procedure helps improve blood flow, promote healing, and restore function if your leg muscle is damaged or diseased.
17 services14 patients
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.
14 services13 patients

Hospital Affiliations CMS Care Compare

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

Nyu Langone Hospitals

Acute Care Hospitals · New York, NY
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330214
Location550 First AvenueNew York, NY 10016 · New York County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10016 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
$102.04 typical visit price
range $65.69 – $198.19
Typical copayment $25.51 (range $16.42 – $49.54)
Most-billed visit code 99203
Established Patient
$81.44 typical visit price
range $21.20 – $160.66
Typical copayment $20.36 (range $5.30 – $40.16)
Most-billed visit code 99213
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.

84.47/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality93.33
Promoting Interoperability100
Improvement Activities40
Cost54.91

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.

DR. SEAN MICHAEL BAILEY M.D.
Pediatrics
530 1ST AVE, SUITE 7A
NEW YORK, NY 10016
New York County (212) 263-7477
MR. ROBERT PHILIP CHARLES HOLD JR. PA-C
Physician Assistant (Medical)
530 1ST AVE
NEW YORK, NY 10016
New York County (212) 263-3166
ELIZABETH MARIE KACZKA NP
Nurse Practitioner (Acute Care)
530 1ST AVE, SUITE 9V
NEW YORK, NY 10016
New York County (630) 842-4805
HILDA NKANSAH FNP-BC
Nurse Practitioner (Family)
530 1ST AVE, SUITE 10Q
NEW YORK, NY 10016
New York County (212) 263-7021
MAUREEN LYNN NP
Nurse Practitioner (Acute Care)
530 1ST AVE, SUITE 9V
NEW YORK, NY 10016
New York County (212) 263-6384
NEW YORK UNIVERSITY
Plastic Surgery
530 1ST AVE, SUITE 8Y
NEW YORK, NY 10016
New York County (212) 263-8452
NATALIE JILL KLAR M.D.
Internal Medicine (Medical Oncology)
530 1ST AVE
NEW YORK, NY 10016
New York County (212) 263-4689
DR. MICHAEL D ZERVOS M.D.
Thoracic Surgery (Cardiothoracic Vascular Surgery)
530 1ST AVE, SUITE 9V
NEW YORK, NY 10016
New York County (212) 263-7102

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 Margiotta's NPI number?

The NPI number for Michael Margiotta is 1568565620. It was assigned to this individual provider in the NPPES registry on September 6, 2006.

Where is Michael Margiotta located?

Michael Margiotta practices at 530 1st Ave Suite 3A, New York, NY 10016. The listed phone number is (212) 263-3444.

What is Michael Margiotta's specialty?

The primary specialty registered for this NPI is Plastic Surgery with taxonomy code 208200000X.

Is Michael Margiotta enrolled in Medicare?

Yes. Michael Margiotta 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 Michael Margiotta affiliated with any hospitals?

According to CMS data, Michael Margiotta is affiliated with Nyu Langone Hospitals.

When was this NPI record last updated?

The NPPES record for Michael Margiotta was last updated on February 23, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.