DR. MICHAEL JAMES POLIZZOTTO M.D.
NPI 1871595371
Family Medicine in Rockford, IL

Active since August 15, 2005PECOS EnrolledAccepts Medicare Assignment
74.98/100
CMS Quality Rating
1221 E STATE ST, ROCKFORD, IL 61104(815) 972-1000 Get Directions Write a Review

NPPES record last updated: September 8, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Michael James Polizzotto M.d. NPPES

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

DR. MICHAEL JAMES POLIZZOTTO M.D. (NPI 1871595371) is an individual family medicine provider in Rockford, Illinois, licensed in Illinois (36113709) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS, is affiliated with Uw Health, and is a graduate of University Of Vermont College Of Medicine (1994).

NPPES Registry Identity

NPI1871595371
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. MICHAEL JAMES POLIZZOTTOCredential: M.D.
Location Address1221 E STATE STRockford, IL 61104-2231
Mailing Address1221 E State StRockford, IL 61104-2231 · (815) 972-1000
Sole ProprietorNo
Medical School CMSUniversity Of Vermont College Of MedicineGraduated 1994
Enumeration DateAugust 15, 2005
Last NPPES UpdateSeptember 8, 2011
NPI 1871595371 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in IL · 36113709
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1221 E STATE ST, Rockford, IL 61104

Accepted Insurance

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

Dr. Michael James Polizzotto 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 ID9739125592
PECOS Enrollment IDI20050701000103
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 2

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.
21 services20 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.
20 services19 patients

Hospital Affiliations CMS Care Compare

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

Uw Health

Acute Care Hospitals · Rockford, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140228
Location1401 East State StreetRockford, IL 61104 · Winnebago County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61104 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
$85.71 typical visit price
range $54.80 – $168.44
Typical copayment $21.42 (range $13.70 – $42.11)
Most-billed visit code 99203
Established Patient
$97.25 typical visit price
range $17.16 – $136.56
Typical copayment $24.31 (range $4.29 – $34.14)
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.

74.98/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality79.92
Promoting Interoperability78
Improvement Activities40
Cost55.01

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.

Student in an Organized Health Care Education/Training Program
1221 E STATE ST
ROCKFORD, IL 61104
Student in an Organized Health Care Education/Training Program
1221 E STATE ST
ROCKFORD, IL 61104
Student in an Organized Health Care Education/Training Program
1221 E STATE ST
ROCKFORD, IL 61104
Nurse Practitioner
1221 E STATE ST
ROCKFORD, IL 61104
Family Medicine
1221 E STATE ST
ROCKFORD, IL 61104
Nurse Practitioner (Family)
1221 E STATE ST
ROCKFORD, IL 61104
Family Medicine
1221 E STATE ST
ROCKFORD, IL 61104
Family Medicine
1221 E STATE ST
ROCKFORD, IL 61104

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 Polizzotto's NPI number?

The NPI number for Michael Polizzotto is 1871595371. It was assigned to this individual provider in the NPPES registry on August 15, 2005.

Where is Michael Polizzotto located?

Michael Polizzotto practices at 1221 E State St, Rockford, IL 61104. The listed phone number is (815) 972-1000.

What is Michael Polizzotto's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Michael Polizzotto enrolled in Medicare?

Yes. Michael Polizzotto 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.

What insurance does Michael Polizzotto accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health and Quartz list Michael Polizzotto 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 Polizzotto affiliated with any hospitals?

According to CMS data, Michael Polizzotto is affiliated with Uw Health.

When was this NPI record last updated?

The NPPES record for Michael Polizzotto was last updated on September 8, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.