MS. MICHELLE JOANNE DI FIORE M.D.
NPI 1790171072
Internal Medicine - Rheumatology in Santa Cruz, CA

Active since April 13, 2015PECOS EnrolledAccepts Medicare Assignment
96.5/100
CMS Quality Rating
1595 SOQUEL DR STE 411, SANTA CRUZ, CA 95065(831) 475-8834(831) 462-2058 Get Directions Write a Review

NPPES record last updated: July 18, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 18, 2022, Sep 10, 2021, Aug 21, 2018 (3 updates tracked since 2018).

About Ms. Michelle Joanne Di Fiore M.d. NPPES

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

MS. MICHELLE JOANNE DI FIORE M.D. (NPI 1790171072) is an individual rheumatology provider in Santa Cruz, California, licensed in California (A149040) and active in the NPI registry since April 2015. She is enrolled in Medicare PECOS and is a graduate of Other (2015).

NPPES Registry Identity

NPI1790171072
Entity TypeIndividualFemale
Primary Taxonomy207RR0500X
Provider Legal NameMS. MICHELLE JOANNE DI FIORECredential: M.D.
Location Address1595 SOQUEL DR STE 411Santa Cruz, CA 95065-1724
Mailing Address3400 Data DrRancho Cordova, CA 95670-7956
Fax(831) 462-2058
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateApril 13, 2015
Last NPPES UpdateJuly 18, 20223 updates tracked since enumeration
NPPES CertifiedJuly 18, 2022
NPI 1790171072 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · RheumatologyAllopathic & Osteopathic Physicians
Taxonomy Code207RR0500X
License Licensed in CA · A149040
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.

Also ListedInternal MedicineTaxonomy 207R00000X · License A149040 (CA)
1595 SOQUEL DR STE 411, Santa Cruz, CA 95065

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

Ms. Michelle Joanne Di Fiore 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 ID8628341187
PECOS Enrollment IDI20180514002887
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 10

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.

Injection, denosumab, 1 mg J0897
Denosumab is a medication given via injection to strengthen your bones. It works by slowing down the cells that break down bone, improving bone density and reducing the risk of fractures. It's often used for osteoporosis treatment.
1,080 services12 patients
Dxa bone density measurement of hip, pelvis, spine 77080
A DXA bone density measurement is a simple, quick, and non-invasive procedure that assesses the strength of your bones. This test uses X-rays to measure the amount of minerals, mainly calcium, in the hip, pelvis, and spine. It helps in early detection of osteoporosis or other bone diseases.
468 services468 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.
315 services171 patients
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.
115 services86 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.
81 services81 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.
80 services56 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95065 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
$141.77 typical visit price
range $62.97 – $186.69
Typical copayment $35.44 (range $15.74 – $46.67)
Most-billed visit code 99204
Established Patient
$109.72 typical visit price
range $21.02 – $153.16
Typical copayment $27.43 (range $5.25 – $38.29)
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.

96.5/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality80.34
Promoting Interoperability100
Improvement Activities40

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.

Internal Medicine (Infectious Disease)
1595 SOQUEL DR STE 411
SANTA CRUZ, CA 95065
Internal Medicine
1595 SOQUEL DR STE 411
SANTA CRUZ, CA 95065
Internal Medicine (Endocrinology, Diabetes & Metabolism)
1595 SOQUEL DR STE 411
SANTA CRUZ, CA 95065
Internal Medicine (Endocrinology, Diabetes & Metabolism)
1595 SOQUEL DR STE 411
SANTA CRUZ, CA 95065
Internal Medicine (Infectious Disease)
1595 SOQUEL DR STE 411
SANTA CRUZ, CA 95065
Internal Medicine (Infectious Disease)
1595 SOQUEL DR STE 411
SANTA CRUZ, CA 95065

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 Michelle Di Fiore's NPI number?

The NPI number for Michelle Di Fiore is 1790171072. It was assigned to this individual provider in the NPPES registry on April 13, 2015.

Where is Michelle Di Fiore located?

Michelle Di Fiore practices at 1595 Soquel Dr Ste 411, Santa Cruz, CA 95065. The listed phone number is (831) 475-8834.

What is Michelle Di Fiore's specialty?

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

Is Michelle Di Fiore enrolled in Medicare?

Yes. Michelle Di Fiore 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.

When was this NPI record last updated?

The NPPES record for Michelle Di Fiore was last updated on July 18, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.