MICHAEL SETH BUCHHOLTZ MD FACP
NPI 1861467425
Internal Medicine - Hematology in Huntington, NY

Active since February 17, 2006PECOS EnrolledAccepts Medicare Assignment
84.47/100
CMS Quality Rating
789 PARK AVE, HUNTINGTON, NY 11743(631) 425-2280(631) 549-4858 Get Directions Write a Review

NPPES record last updated: March 1, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Michael Seth Buchholtz Md Facp NPPES

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

MICHAEL SETH BUCHHOLTZ MD FACP (NPI 1861467425) is an individual hematology provider in Huntington, New York, licensed in New York (166089) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS, is affiliated with Ns/lij Hs Huntington Hospital, and is a graduate of Other (1983).

NPPES Registry Identity

NPI1861467425
Entity TypeIndividualMale
Primary Taxonomy207RH0000X
Provider Legal NameMICHAEL SETH BUCHHOLTZCredential: MD FACP
Location Address789 PARK AVEHuntington, NY 11743-3912
Mailing Address270 Pulaski Rd, Suite DGreenlawn, NY 11740-1601 · (631) 427-6060 · Fax (631) 549-4858
Fax(631) 549-4858
Sole ProprietorNo
Medical School CMSOtherGraduated 1983
Enumeration DateFebruary 17, 2006
Last NPPES UpdateMarch 1, 2021
NPPES CertifiedMarch 1, 2021
NPI 1861467425 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · HematologyAllopathic & Osteopathic Physicians
Taxonomy Code207RH0000X
License Licensed in NY · 166089
Definition

An internist with additional training who specializes in diseases of the blood, spleen and lymph. This specialist treats conditions such as anemia, clotting disorders, sickle cell disease, hemophilia, leukemia and lymphoma.

789 PARK AVE, Huntington, NY 11743

Other Identifiers 1

Medicaid01568890NY

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

Michael Seth Buchholtz Md Facp 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 ID345284063
PECOS Enrollment IDI20080710000267
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 9

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
448 services216 patients
Established patient office or other outpatient visit, 30-39 minutes 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.
401 services203 patients
Established patient office or other outpatient visit, 40-54 minutes 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.
150 services91 patients
New patient office or other outpatient visit, 60-74 minutes 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.
86 services86 patients
Follow-up hospital inpatient care per day, typically 35 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
56 services28 patients
Initial hospital inpatient care per day, typically 70 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
43 services39 patients

Hospital Affiliations CMS Care Compare 3

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

Ns/Lij Hs Huntington Hospital

Acute Care Hospitals · Huntington, NY
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330045
Location270 Park AvenueHuntington, NY 11743 · Suffolk County
Emergency services Birthing friendly

North Shore University Hospital

Acute Care Hospitals · Manhasset, NY
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330106
Location300 Community DriveManhasset, NY 11030 · Nassau County
Emergency services Birthing friendly

Nyu Langone Hospitals

Acute Care Hospitals · New York, NY
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330214
Location550 First AvenueNew York, NY 10016 · New York County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11743 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
$203.53 typical visit price
range $67.40 – $203.53
Typical copayment $50.88 (range $16.85 – $50.88)
Most-billed visit code 99205
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.

84.47/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality93.33
Promoting Interoperability100
Improvement Activities40
Cost54.91

Other Providers at the Same Location NPPES 8

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

Pharmacist
789 PARK AVE
HUNTINGTON, NY 11743
Pharmacy (Community/Retail Pharmacy)
789 PARK AVE
HUNTINGTON, NY 11743
Internal Medicine (Rheumatology)
789 PARK AVE
HUNTINGTON, NY 11743
Physical Medicine & Rehabilitation
789 PARK AVE
HUNTINGTON, NY 11743
Nurse Practitioner (Family)
789 PARK AVE
HUNTINGTON, NY 11743
Internal Medicine (Gastroenterology)
789 PARK AVE
HUNTINGTON, NY 11743
Clinical Medical Laboratory
789 PARK AVE
HUNTINGTON, NY 11743
Nurse Practitioner (Family)
789 PARK AVE
HUNTINGTON, NY 11743

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1861467425, enumerated as an "individual" on February 17, 2006.

The provider is located at 789 PARK AVE HUNTINGTON, NY 11743 and the phone number is (631) 425-2280.

Internal Medicine with taxonomy code 207RH0000X and a focus in Hematology.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.

Michael Buchholtz is affiliated with: NS/LIJ HS HUNTINGTON HOSPITAL, NORTH SHORE UNIVERSITY HOSPITAL and NYU LANGONE HOSPITALS.