Individual provider Active NPI

Michele R Piccone, M.D.

  • Ophthalmology Physician
  • Wayne, PA
National Provider Identifier
1023028396
Registry record updated Nov 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
MD034243E Issued in PA
Practice address
230 Sugartown Rd
Wayne, PA 19087-3029
Phone
(484) 367-7346
Fax
(484) 367-7359
NPI assigned
Aug 9, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 4, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 25MA05469100 NJ
Ophthalmology Physician 207W00000X MD034243E PA Primary

Addresses

Primary practice location

230 Sugartown Rd
Wayne, PA 19087-3029

Mailing address

68 E Lancaster Ave FL 1
Paoli, PA 19301-1420
Phone (484) 367-7346

Other identifiers 1

IdentifierTypeStateIssuer
0153125MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060316000144 PA Practitioner - Ophthalmology 4789654443 Practice locations: Philadelphia, PA; Paoli, PA

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Albany Medical College of Union University, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

68 E Lancaster Ave
FL 1
Paoli, PA 19301-1420

68 E Lancaster Ave FL
1 Michele R Piccone MD
Paoli, PA 19301-1420
Phone (484) 367-7346

Hospital & facility affiliations

  • Paoli Hospital Hospital, Paoli, PA, CCN 390153
  • Main Line Hospital Lankenau Hospital, Wynnewood, PA, CCN 390195

Merit-based Incentive Payment System (MIPS)

Final score
91.74 of 100Reported as individual
Quality
98
Improvement activities
40
Cost
75.13

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery232
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
25MA05469100NJMDOphthalmology Physician
MD034243EPAMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Eye Physicians PC Ophthalmology Past Accepting new patients
Shields and Shields PC Ophthalmology Past Accepting new patients
W Reed Kindermann, M.D. P.a. Ophthalmology PastSince Sep 13, 2016 Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1155081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699056000000",
    "number": "1023028396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "68 E LANCASTER AVE FL 1",
            "city": "PAOLI",
            "state": "PA",
            "postal_code": "193011420",
            "telephone_number": "484-367-7346",
            "fax_number": "484-367-7359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 SUGARTOWN RD",
            "city": "WAYNE",
            "state": "PA",
            "postal_code": "190873029",
            "telephone_number": "484-367-7346",
            "fax_number": "484-367-7359"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PICCONE",
        "first_name": "MICHELE",
        "middle_name": "R",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-09",
        "last_updated": "2023-11-04",
        "certification_date": "2023-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NJ",
            "license": "25MA05469100",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "PA",
            "license": "MD034243E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0153125",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wayne, PA

Sources for this page

Verify at the official NPI Registry.