DR. MICHAEL WHITLOW M.D., PH.D.
NPI 1669431979
Dermatology - Clinical & Laboratory Dermatological Immunology in New York, NY

Active since March 23, 2006PECOS Enrolled
75/100
CMS Quality Rating
635 MADISON AVE, NEW YORK, NY 10022(212) 753-5382(212) 308-6847 Get Directions Write a Review

NPPES record last updated: May 2, 2008. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Michael Whitlow M.d., Ph.d. NPPES

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

DR. MICHAEL WHITLOW M.D., PH.D. (NPI 1669431979) is an individual clinical & laboratory dermatological immunology provider in New York, New York, licensed in New York (174606) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS and is a graduate of Johns Hopkins University School Of Medicine (1984).

NPPES Registry Identity

NPI1669431979
Entity TypeIndividualMale
Primary Taxonomy207NI0002X
Provider Legal NameDR. MICHAEL WHITLOWCredential: M.D., PH.D.
Location Address635 MADISON AVENew York, NY 10022-1009
Mailing Address255 E. 49th St. #16dNew York, NY 10017 · (212) 371-2558 · Fax (212) 308-6847
Fax(212) 308-6847
Sole ProprietorYes
Medical School CMSJohns Hopkins University School Of MedicineGraduated 1984
Enumeration DateMarch 23, 2006
Last NPPES UpdateMay 2, 2008
NPI 1669431979 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyDermatology · Clinical & Laboratory Dermatological ImmunologyAllopathic & Osteopathic Physicians
Taxonomy Code207NI0002X
License Licensed in NY · 174606
Definition

A dermatologist who utilizes various specialized laboratory procedures to diagnose disorders characterized by defective responses of the body's immune system. Immunodermatologists also may provide consultation in the management of these disorders and administer specialized forms of therapy for these diseases.

Also ListedDermatologyTaxonomy 207N00000X · License 174606 (NY)
635 MADISON AVE, New York, NY 10022

Other Identifiers 2

Medicare UPINA61519NY
Medicare PIN24E821NY

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Michael Whitlow M.d., Ph.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3779583422
PECOS Enrollment IDI20070103000532
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 16

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 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, 20-29 minutes 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.
633 services318 patients
Established patient office or other outpatient visit, 30-39 minutes 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.
261 services122 patients
Shaving of skin growth of body, arms, or legs, more than 2.0 cm 11303
This procedure involves the removal of a skin growth on your body, arms, or legs that is over 2.0 cm. A special tool is used to shave off the growth, often under local anesthesia. It's a routine, safe process to maintain skin health.
145 services99 patients
Shaving of skin growth of face, ears, eyelids, nose, lips, or mouth, more than 2.0 cm 11313
This procedure involves the careful removal of a skin growth on the face, ears, eyelids, nose, lips, or mouth that is larger than 2.0 cm. The process, known as shaving, is done under local anesthesia to ensure comfort. It's a common, safe procedure.
121 services83 patients
Destruction of precancer skin growth, 2-14 growths 17003
This procedure involves removing 2-14 precancerous skin growths. The growths are treated to prevent them from potentially developing into skin cancer. The process is safe, with minimal discomfort, and promotes healthier skin.
78 services29 patients
Destruction of precancer skin growth, 1 growth 17000
"Destruction of precancer skin growth" is a procedure that eliminates a single precancerous skin growth. This is done to prevent it from developing into skin cancer. The growth may be removed using various methods such as cryotherapy (freezing), laser therapy, or topical medications.
62 services44 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10022 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.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored

Reported Quality Measures

Biopsy Follow-Up
Percentage of new patients whose biopsy results have been reviewed and communicated to the primary care/referring physician and patient by the performing physician
100%22 patients5/55-star benchmark: 100%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
100%34 patients5/55-star benchmark: 100%
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
100%31 patients5/55-star benchmark: 95%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

Internal Medicine
635 MADISON AVE, FL 7
NEW YORK, NY 10022
Obstetrics & Gynecology
635 MADISON AVE, FL 8
NEW YORK, NY 10022
Internal Medicine
635 MADISON AVE, FL 7
NEW YORK, NY 10022
Internal Medicine
635 MADISON AVE, FL 7
NEW YORK, NY 10022
Internal Medicine
635 MADISON AVE, FL 8
NEW YORK, NY 10022
Internal Medicine
635 MADISON AVE, FL 8
NEW YORK, NY 10022
Internal Medicine (Rheumatology)
635 MADISON AVE, FL 8
NEW YORK, NY 10022
Internal Medicine (Rheumatology)
635 MADISON AVE, FL 7
NEW YORK, NY 10022

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1669431979, enumerated as an "individual" on March 23, 2006.

The provider is located at 635 MADISON AVE NEW YORK, NY 10022 and the phone number is (212) 753-5382.

Dermatology with taxonomy code 207NI0002X and a focus in Clinical & Laboratory Dermatological Immunology.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.