DR. MICHAEL THOMAS GUPPENBERGER M.D.
NPI 1912169681
Psychiatry & Neurology - Child & Adolescent Psychiatry in Bowmansville, NY

Active since June 25, 2008PECOS EnrolledAccepts Medicare Assignment
90.03/100
CMS Quality Rating
5360 GENESEE ST, SUITE 200, BOWMANSVILLE, NY 14026(716) 681-5077(716) 887-5801 Get Directions Write a Review

NPPES record last updated: August 18, 2011. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Michael Thomas Guppenberger M.d. NPPES

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

DR. MICHAEL THOMAS GUPPENBERGER M.D. (NPI 1912169681) is an individual child & adolescent psychiatry provider in Bowmansville, New York, licensed in New York (249112-1) and active in the NPI registry since June 2008. He is enrolled in Medicare PECOS, is affiliated with Erie County Medical Center, and is a graduate of State University Of New York At Buffalo School Of Medicine (2005).

NPPES Registry Identity

NPI1912169681
Entity TypeIndividualMale
Primary Taxonomy2084P0804X
Provider Legal NameDR. MICHAEL THOMAS GUPPENBERGERCredential: M.D.
Location Address5360 GENESEE ST, SUITE 200Bowmansville, NY 14026-1044
Mailing Address1526 Walden Avenue, Suite 400Cheektowaga, NY 14225-4985 · (716) 655-0541
Fax(716) 887-5801
Sole ProprietorNo
Medical School CMSState University Of New York At Buffalo School Of MedicineGraduated 2005
Enumeration DateJune 25, 2008
Last NPPES UpdateAugust 18, 2011
✔ NPI 1912169681 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · Child & Adolescent PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0804X
License✔ Licensed in NY · 249112-1
Definition
Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.
5360 GENESEE ST, Bowmansville, NY 14026

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

Dr. Michael Thomas Guppenberger 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 ID2769536788
PECOS Enrollment IDI20090811000016
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

2

Medicare enrollment records show Michael Guppenberger reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Psychiatry
462 GRIDER ST, ECMC, ROOM 1168
Buffalo, NY 14215
  • Reassigned Medicare billing, New York enrollment
  • 40 clinicians in this Medicare group
Clinic/Center
462 GRIDER ST
Buffalo, NY 14215
  • Reassigned Medicare billing, New York enrollment
  • 302 clinicians in this Medicare group

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

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.

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.
70 services15 patients

Hospital Affiliations CMS Care Compare

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

Erie County Medical Center

Acute Care Hospitals · Buffalo, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number330219
Location462 Grider StreetBuffalo, NY 14215 · Erie County
Emergency services

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.

90.03/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality83.88
Improvement Activities40
Cost63.01

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.

Counselor (Mental Health)
5360 GENESEE ST
BOWMANSVILLE, NY 14026
Social Worker
5360 GENESEE ST
BOWMANSVILLE, NY 14026
Counselor (School)
5360 GENESEE ST
BOWMANSVILLE, NY 14026
Social Worker (Clinical)
5360 GENESEE ST
BOWMANSVILLE, NY 14026
Psychologist (School)
5360 GENESEE ST
BOWMANSVILLE, NY 14026
Counselor (School)
5360 GENESEE ST
BOWMANSVILLE, NY 14026
Case Manager/Care Coordinator
5360 GENESEE ST
BOWMANSVILLE, NY 14026
Speech-Language Pathologist
5360 GENESEE ST
BOWMANSVILLE, NY 14026

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 Guppenberger's NPI number?

The NPI number for Michael Guppenberger is 1912169681. It was assigned to this individual provider in the NPPES registry on June 25, 2008.

Where is Michael Guppenberger located?

Michael Guppenberger practices at 5360 Genesee St Suite 200, Bowmansville, NY 14026. The listed phone number is (716) 681-5077.

What is Michael Guppenberger's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Child & Adolescent Psychiatry, with taxonomy code 2084P0804X.

Is Michael Guppenberger enrolled in Medicare?

Yes. Michael Guppenberger 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 Guppenberger's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Michael Guppenberger reassigns Medicare benefits to 2 organizations: University Psychiatric Practice, Inc (Buffalo, NY) and Erie County Medical Center Corporation (Buffalo, 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 Guppenberger's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Michael Guppenberger affiliated with any hospitals?

According to CMS data, Michael Guppenberger is affiliated with Erie County Medical Center.

When was this NPI record last updated?

The NPPES record for Michael Guppenberger was last updated on August 18, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.