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: August 16, 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 13

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 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.
495 services234 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.
376 services189 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.
138 services77 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.
108 services74 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
83 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.
67 services21 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 (Rheumatology)
635 MADISON AVE, FL 7
NEW YORK, NY 10022
Psychiatry & Neurology (Neurology)
635 MADISON AVE, 4 FL
NEW YORK, NY 10022
Obstetrics & Gynecology
635 MADISON AVE, FL 8
NEW YORK, NY 10022
Plastic Surgery
635 MADISON AVE, 4TH FLOOR
NEW YORK, NY 10022
Specialist
635 MADISON AVE, 5 FL.
NEW YORK, NY 10022
Acupuncturist
635 MADISON AVE, SUITE 1302
NEW YORK, NY 10022
Physical Therapist
635 MADISON AVE, 5TH FLOOR
NEW YORK, NY 10022
Dentist (Oral and Maxillofacial Surgery)
635 MADISON AVE, 19TH FLOOR
NEW YORK, NY 10022

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 Whitlow's NPI number?

The NPI number for Michael Whitlow is 1669431979. It was assigned to this individual provider in the NPPES registry on March 23, 2006.

Where is Michael Whitlow located?

Michael Whitlow practices at 635 Madison Ave, New York, NY 10022. The listed phone number is (212) 753-5382.

What is Michael Whitlow's specialty?

The primary specialty registered for this NPI is Dermatology, specializing in Clinical & Laboratory Dermatological Immunology, with taxonomy code 207NI0002X.

Is Michael Whitlow enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Michael Whitlow was last updated on May 2, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.