MICHAEL JOHN MAURO MD
NPI 1609884188
Internal Medicine - Hematology in New York, NY

Active since August 03, 2006PECOS EnrolledAccepts Medicare Assignment
88.16/100
CMS Quality Rating
1275 YORK AVE, NEW YORK, NY 10065(212) 639-2000 Get Directions Write a Review

NPPES record last updated: April 7, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Michael John Mauro Md NPPES

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

MICHAEL JOHN MAURO MD (NPI 1609884188) is an individual hematology provider in New York, New York, licensed in Oregon (MD22694) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS and is a graduate of Geisel School Of Medicine At Dartmouth (1994).

NPPES Registry Identity

NPI1609884188
Entity TypeIndividualMale
Primary Taxonomy207RH0000X
Provider Legal NameMICHAEL JOHN MAUROCredential: MD
Location Address1275 YORK AVENew York, NY 10065-6007
Mailing Address633 3rd AveNew York, NY 10017-6706 · (212) 639-2000
Sole ProprietorNo
Medical School CMSGeisel School Of Medicine At DartmouthGraduated 1994
Enumeration DateAugust 3, 2006
Last NPPES UpdateApril 7, 2015
NPI 1609884188 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · HematologyAllopathic & Osteopathic Physicians
Taxonomy Code207RH0000X
License Licensed in OR · MD22694
Definition
An internist with additional training who specializes in diseases of the blood, spleen and lymph. This specialist treats conditions such as anemia, clotting disorders, sickle cell disease, hemophilia, leukemia and lymphoma.
1275 YORK AVE, New York, NY 10065

Other Identifiers 2

Medicare UPINH28184
Medicaid288013OR

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

Michael John Mauro 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 ID5496643066
PECOS Enrollment IDI20130829000340, I20190409000069
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 high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
351 services157 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
218 services31 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
28 services28 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10065 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
$198.19 typical visit price
range $65.69 – $198.19
Typical copayment $49.54 (range $16.42 – $49.54)
Most-billed visit code 99205
Established Patient
$114.88 typical visit price
range $21.20 – $160.66
Typical copayment $28.72 (range $5.30 – $40.16)
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.

88.16/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality80.99
Improvement Activities40

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.

Nurse Practitioner (Adult Health)
1275 YORK AVE
NEW YORK, NY 10065
Nurse Practitioner (Acute Care)
1275 YORK AVE
NEW YORK, NY 10065
Nurse Practitioner (Adult Health)
1275 YORK AVE
NEW YORK, NY 10065
Nurse Practitioner (Pediatrics)
1275 YORK AVE
NEW YORK, NY 10065
Nurse Practitioner (Adult Health)
1275 YORK AVE
NEW YORK, NY 10065
Internal Medicine (Hematology & Oncology)
1275 YORK AVE
NEW YORK, NY 10065
Nurse Practitioner (Adult Health)
1275 YORK AVE
NEW YORK, NY 10065
Special Hospital
1275 YORK AVE, MEMORIAL SLOAN KETTERING CANCER CENTRE
NEW YORK, NY 10065

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 Mauro's NPI number?

The NPI number for Michael Mauro is 1609884188. It was assigned to this individual provider in the NPPES registry on August 3, 2006.

Where is Michael Mauro located?

Michael Mauro practices at 1275 York Ave, New York, NY 10065. The listed phone number is (212) 639-2000.

What is Michael Mauro's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology, with taxonomy code 207RH0000X.

Is Michael Mauro enrolled in Medicare?

Yes. Michael Mauro 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.

When was this NPI record last updated?

The NPPES record for Michael Mauro was last updated on April 7, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.