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MICHAEL ROBERT ALLEN M.D.
NPI 1770947889
Internal Medicine - Rheumatology in Troy, NY

Active since April 06, 2016PECOS EnrolledAccepts Medicare Assignment
90.59/100
CMS Quality Rating

NPPES record last updated: February 27, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Michael Robert Allen M.d. NPPES

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

MICHAEL ROBERT ALLEN M.D. (NPI 1770947889) is an individual rheumatology provider in Troy, New York, licensed in New York (299123) and active in the NPI registry since April 2016. He is enrolled in Medicare PECOS, is affiliated with Albany Medical Center Hospital, and maintains a secondary practice location in Clifton Park.

NPPES Registry Identity

NPI1770947889
Entity TypeIndividualMale
Primary Taxonomy207RR0500X
Provider Legal NameMICHAEL ROBERT ALLENCredential: M.D.
Location Address2414 15TH STTroy, NY 12180-1701
Mailing Address2414 15th StTroy, NY 12180-1701 · (518) 271-1813 · Fax (518) 271-1931
Phone(518) 271-1813
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateApril 6, 2016
Last NPPES UpdateFebruary 27, 2023
NPPES CertifiedMarch 5, 2021
✔ NPI 1770947889 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · RheumatologyAllopathic & Osteopathic Physicians
Taxonomy Code207RR0500X
License✔ Licensed in NY · 299123
Definition
An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases.
2414 15TH ST, Troy, NY 12180
Open in Google Maps ↗

Secondary Practice Location 1

Location 12B Emma LnClifton Park, NY 12065-3763 · Phone (518) 271-1813 · Fax (518) 271-1931

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

Michael Robert Allen M.d. 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 ID42556904
PECOS Enrollment IDI20210528001746
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

3

Medicare enrollment records show Michael Allen reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Arthritis Care, P.C.
Same address
Rheumatology
2414 15TH ST
Troy, NY 12180
  • Reassigned Medicare billing, New York enrollment
  • 6 clinicians in this Medicare group
NPI 1235183294 (518) 271-1813
Albany Medical College
8.0 mi
Allergy & Immunology
47 NEW SCOTLAND AVE
Albany, NY 12208
  • Reassigned Medicare billing, New York enrollment
  • 1,640 clinicians in this Medicare group
NPI 1497921688 (518) 262-9600
Columbia Memorial Hospital
22 mi
Multi-Specialty
2827 US ROUTE 9
Valatie, NY 12184
  • Reassigned Medicare billing, New York enrollment
  • 215 clinicians in this Medicare group
NPI 1093061277 (518) 758-4300

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 9

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 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.
142 services87 patients
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.
45 services40 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.
33 services33 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
33 services22 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
25 services12 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.
23 services23 patients

Hospital Affiliations CMS Care Compare 5

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

Albany Medical Center Hospital

Acute Care Hospitals · Albany, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330013
Location43 New Scotland Avenue, Mail Code 34Albany, NY 12208 · Albany County
Emergency services Birthing friendly

Columbia Memorial Hospital

Acute Care Hospitals · Hudson, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330094
Location71 Prospect AvenueHudson, NY 12534 · Columbia County
Emergency services

Samaritan Hospital Of Troy, New York

Acute Care Hospitals · Troy, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330180
Location2215 Burdett AvenueTroy, NY 12180 · Rensselaer County
Emergency services Birthing friendly

Glens Falls Hospital

Acute Care Hospitals · Glens Falls, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330191
Location100 Park StreetGlens Falls, NY 12801 · Warren County
Emergency services Birthing friendly

Saratoga Hospital

Acute Care Hospitals · Saratoga Springs, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330222
Location211 Church StreetSaratoga Springs, NY 12866 · Saratoga County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 12180 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
$126.40 typical visit price
range $54.87 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
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.

90.59/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality80.83
Improvement Activities40
Cost94.2

Other Providers at the Same Location NPPES 6

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

MR. CHARLES WARREN DEWING PA
Physician Assistant (Medical)
2414 15TH ST
TROY, NY 12180
Rensselaer County (518) 271-1813
MR. CHRISTOPHER JON HUYCK M.D.
Internal Medicine (Rheumatology)
2414 15TH ST
TROY, NY 12180
Rensselaer County (518) 271-1813
ARTHRITIS CARE, P.C.
Internal Medicine (Rheumatology)
2414 15TH ST
TROY, NY 12180
Rensselaer County (518) 271-1813
ELIZABETH GENTILE NP
Nurse Practitioner (Family)
2414 15TH ST
TROY, NY 12180
Rensselaer County (518) 271-1813
ANAMIKA KHARB PA-C
Physician Assistant
2414 15TH ST
TROY, NY 12180
Rensselaer County (518) 271-1813
MR. RONALD STEPHEN MONSON RPA-C
Physician Assistant (Medical)
2414 15TH ST
TROY, NY 12180
Rensselaer County (518) 271-1813

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 Allen's NPI number?

The NPI number for Michael Allen is 1770947889. It was assigned to this individual provider in the NPPES registry on April 6, 2016.

Where is Michael Allen located?

Michael Allen practices at 2414 15th St, Troy, NY 12180. The listed phone number is (518) 271-1813.

What is Michael Allen's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Rheumatology, with taxonomy code 207RR0500X.

Is Michael Allen enrolled in Medicare?

Yes. Michael Allen 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 Allen's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Michael Allen reassigns Medicare benefits to 3 organizations: Arthritis Care, P.C. (Troy, NY), Albany Medical College (Albany, NY) and Columbia Memorial Hospital (Valatie, NY). 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 Allen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Michael Allen affiliated with any hospitals?

According to CMS data, Michael Allen is affiliated with Albany Medical Center Hospital, Columbia Memorial Hospital, Samaritan Hospital Of Troy, New York, Glens Falls Hospital and Saratoga Hospital.

When was this NPI record last updated?

The NPPES record for Michael Allen was last updated on February 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.