MR. MICHAEL CHRISTOPHER SECALLUS FNP
NPI 1730787128
Nurse Practitioner in Marathon, NY

Active since October 16, 2020PECOS EnrolledAccepts Medicare Assignment
81.31/100
CMS Quality Rating
20 EAST MAIN STREET, MARATHON, NY 13803(607) 849-3271 Get Directions Write a Review

NPPES record last updated: June 27, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 13, 2023, Mar 16, 2023, Oct 12, 2021 and 1 more (4 updates tracked since 2020).

About Mr. Michael Christopher Secallus Fnp NPPES

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

MR. MICHAEL CHRISTOPHER SECALLUS FNP (NPI 1730787128) is an individual nurse practitioner in Marathon, New York, licensed in New York (339980) and active in the NPI registry since October 2020. He is enrolled in Medicare PECOS, is affiliated with Our Lady Of Lourdes Memorial Hospital, Inc, and is a graduate of Other (2005).

NPPES Registry Identity

NPI1730787128
Entity TypeIndividualMale
Primary Taxonomy363L00000X
Provider Legal NameMR. MICHAEL CHRISTOPHER SECALLUSCredential: FNP
Location Address20 EAST MAIN STREETMarathon, NY 13803
Mailing Address85 S West StHomer, NY 13077-1542 · (607) 753-3797
Sole ProprietorNo
Medical School CMSOtherGraduated 2005
Enumeration DateOctober 16, 2020
Last NPPES UpdateJune 27, 20234 updates tracked since enumeration
NPPES CertifiedJune 27, 2023
NPI 1730787128 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License Licensed in NY · 339980
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Also ListedFamily MedicineTaxonomy 207Q00000X · License F339980-1 (NY)
20 EAST MAIN STREET, Marathon, NY 13803

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

Mr. Michael Christopher Secallus Fnp 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 ID4284017948
PECOS Enrollment IDI20230123001649
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

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.
240 services231 patients

Hospital Affiliations CMS Care Compare

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

Our Lady Of Lourdes Memorial Hospital, Inc

Acute Care Hospitals · Binghamton, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330011
Location169 Riverside DriveBinghamton, NY 13905 · Broome County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 13803 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
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.08 typical visit price
range $17.54 – $136.14
Typical copayment $24.27 (range $4.38 – $34.03)
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.

81.31/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality73.57
Promoting Interoperability95
Improvement Activities40
Cost64.87

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Clinic/Center (Federally Qualified Health Center (FQHC))
20 EAST MAIN STREET
MARATHON, NY 13803
Nurse Practitioner (Family)
20 EAST MAIN STREET
MARATHON, NY 13803
Obstetrics & Gynecology
20 EAST MAIN STREET
MARATHON, NY 13803
Family Medicine
20 EAST MAIN STREET
MARATHON, NY 13803
Nurse Practitioner (Family)
20 EAST MAIN STREET
MARATHON, NY 13803

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 Secallus's NPI number?

The NPI number for Michael Secallus is 1730787128. It was assigned to this individual provider in the NPPES registry on October 16, 2020.

Where is Michael Secallus located?

Michael Secallus practices at 20 East Main Street, Marathon, NY 13803. The listed phone number is (607) 849-3271.

What is Michael Secallus's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Michael Secallus enrolled in Medicare?

Yes. Michael Secallus 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 Secallus affiliated with any hospitals?

According to CMS data, Michael Secallus is affiliated with Our Lady Of Lourdes Memorial Hospital, Inc.

When was this NPI record last updated?

The NPPES record for Michael Secallus was last updated on June 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.