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DR. MICHAEL F REILLY DO
NPI 1720564172
Emergency Medicine in Suffern, NY

Active since July 18, 2018PECOS EnrolledAccepts Medicare Assignment
98.07/100
CMS Quality Rating
257 LAFAYETTE AVE, SUFFERN, NY 10901(845) 368-5029 Get Directions Write a Review

NPPES record last updated: August 8, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 8, 2024, Nov 8, 2022, Aug 9, 2022 and 2 more (5 updates tracked since 2018).

About Dr. Michael F Reilly Do NPPES

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

DR. MICHAEL F REILLY DO (NPI 1720564172) is an individual emergency medicine provider in Suffern, New York, licensed in New York (310492) and active in the NPI registry since July 2018. He is enrolled in Medicare PECOS, is affiliated with Methodist Hospitals Inc, and is a graduate of Chicago College Of Osteopathy (2018).

NPPES Registry Identity

NPI1720564172
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameDR. MICHAEL F REILLYCredential: DO
Location Address257 LAFAYETTE AVESuffern, NY 10901-4830
Mailing Address20 Grand St, Fl 3Warwick, NY 10990-1035 · (585) 922-2000 · Fax (585) 922-2951
Phone(845) 368-5029
Sole ProprietorNo
Medical School CMSChicago College Of OsteopathyGraduated 2018
Enumeration DateJuly 18, 2018
Last NPPES UpdateAugust 8, 20245 updates tracked since enumeration
NPPES CertifiedAugust 8, 2024
✔ NPI 1720564172 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
Licenses✔ Licensed in NY · 310492✔ Licensed in IN · 02007966A
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
257 LAFAYETTE AVE, Suffern, NY 10901
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Michael F Reilly Do 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 ID2860804143
PECOS Enrollment IDI20240816001365
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.

Medicare Billing Reassignments

7

Medicare enrollment records show Michael Reilly reassigns Medicare billing to 7 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Physicians Medical Associates New York PC
43 mi
Emergency Medicine
241 NORTH RD
Poughkeepsie, NY 12601
  • Reassigned Medicare billing, New York enrollment
  • 235 clinicians in this Medicare group
NPI 1487409702 (845) 483-5000
Clifton Springs Sanitarium Co
200 mi
General Acute Care Hospital
2 COULTER RD
Clifton Springs, NY 14432
  • Reassigned Medicare billing, New York enrollment
  • 872 clinicians in this Medicare group
NPI 1366505463 (315) 462-9561
Newark Wayne Community Hospital
203 mi
General Acute Care Hospital
1200 DRIVING PARK AVE
Newark, NY 14513
  • Reassigned Medicare billing, New York enrollment
  • 679 clinicians in this Medicare group
NPI 1346369212 (315) 332-2022
Rochester General Hospital
211 mi
Internal Medicine
6692 MIDDLE RD
Sodus, NY 14551
  • Reassigned Medicare billing, New York enrollment
  • 2,285 clinicians in this Medicare group
NPI 1821163718 (315) 483-9135
The Unity Hospital Of Rochester
228 mi
General Acute Care Hospital
100 KINGS HWY S
Rochester, NY 14617
  • Reassigned Medicare billing, New York enrollment
  • 1,442 clinicians in this Medicare group
NPI 1457395766 (585) 922-1900
United Memorial Medical Center
246 mi
Family Medicine
127 NORTH ST
Batavia, NY 14020
  • Reassigned Medicare billing, New York enrollment
  • 782 clinicians in this Medicare group
NPI 1669747085 (585) 343-6030
Cep America LLC
609 mi
Emergency Medicine
200 HIGH PARK AVE
Goshen, IN 46526
  • Reassigned Medicare billing, Indiana enrollment
  • 598 clinicians in this Medicare group
NPI 1154125698 (574) 364-2608

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 4

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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
303 services297 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
69 services67 patients
Electrocardiogram (ecg) 1 to 3 leads with review by physician only 93042
An Electrocardiogram (ECG) is a non-invasive test that records the electrical activity of your heart. 1 to 3 leads or sensors are placed on your body to capture this data. A physician then reviews the results to evaluate your heart's health.
27 services27 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
23 services23 patients

Hospital Affiliations CMS Care Compare

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

Methodist Hospitals Inc

Acute Care Hospitals · Gary, IN
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150002
Location600 Grant StGary, IN 46402 · Lake County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10901 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
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
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.

98.07/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality86.62
Promoting Interoperability100
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.

DR. ANDREW JOSEPH NAJOVITS MD
Internal Medicine (Cardiovascular Disease)
257 LAFAYETTE AVE, SUITE 300
SUFFERN, NY 10901
Rockland County (845) 368-0330
DR. SETH ERIC HURWITZ MD
Internal Medicine (Cardiovascular Disease)
257 LAFAYETTE AVE, SUITE 300
SUFFERN, NY 10901
Rockland County (845) 368-0330
SAKINA KHAN M.D.
Family Medicine
257 LAFAYETTE AVE, SUITE 340
SUFFERN, NY 10901
Rockland County (845) 353-5600
TUXEDO PEDIATRICS PLLC
Pediatrics
257 LAFAYETTE AVE, SUITE 290
SUFFERN, NY 10901
Rockland County (845) 369-3550
JORDAN S. DUBOW MD
Psychiatry & Neurology (Neurology)
257 LAFAYETTE AVE, SUITE 330
SUFFERN, NY 10901
Rockland County (845) 368-8808
DR. CARY LESLIE HIRSCH MD
Internal Medicine (Interventional Cardiology)
257 LAFAYETTE AVE, SUITE 300
SUFFERN, NY 10901
Rockland County (845) 368-0330
LAURA ANN RACHLEFF PA-C
Physician Assistant
257 LAFAYETTE AVE
SUFFERN, NY 10901
Rockland County (845) 368-5000
METROPOLITAN CARDIOLOGY CONSULTANTS, LLC
Internal Medicine (Cardiovascular Disease)
257 LAFAYETTE AVE, SUITE 300
SUFFERN, NY 10901
Rockland County (845) 368-0330

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 Reilly's NPI number?

The NPI number for Michael Reilly is 1720564172. It was assigned to this individual provider in the NPPES registry on July 18, 2018.

Where is Michael Reilly located?

Michael Reilly practices at 257 Lafayette Ave, Suffern, NY 10901. The listed phone number is (845) 368-5029.

What is Michael Reilly's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Michael Reilly enrolled in Medicare?

Yes. Michael Reilly 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.

Which organizations bill Medicare for Michael Reilly's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Michael Reilly reassigns Medicare benefits to 7 organizations: Physicians Medical Associates New York PC (Poughkeepsie, NY), Clifton Springs Sanitarium Co (Clifton Springs, NY), Newark Wayne Community Hospital (Newark, NY), Rochester General Hospital (Sodus, NY), The Unity Hospital Of Rochester (Rochester, NY) and 2 more organizations, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Michael Reilly's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Michael Reilly accept?

Health plans from Oscar Health list Michael Reilly as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Michael Reilly affiliated with any hospitals?

According to CMS data, Michael Reilly is affiliated with Methodist Hospitals Inc.

When was this NPI record last updated?

The NPPES record for Michael Reilly was last updated on August 8, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.