DR. MICHAEL JAMES PALAZZOLO M.D.
NPI 1659486033
Internal Medicine in Huntingdon Valley, PA
NPI Status: Active since August 19, 2006
Contact Information
821 HUNTINGDON PIKE
SUITE 205
HUNTINGDON VALLEY, PA
ZIP 19006
Phone: (215) 379-4001
Fax: (215) 379-8153
- Individual
- Male
- Years of Experience 41
- Internal Medicine
- Accepts Medicare Approved Payment
- PECOS Enrolled
- Medicare Quality Reporting
About MICHAEL PALAZZOLO
This page provides the complete NPI Profile along with additional information for Michael Palazzolo, an internist established in Huntingdon Valley, Pennsylvania with a medical specialization in Internal Medicine and more than 41 years of experience. He graduated from Hahnemann University College Of Medicine in 1985. The healthcare provider is registered in the NPI registry with number 1659486033 assigned on August 2006. The practitioner's primary taxonomy code is 207R00000X with license number MD-036710E (PA). The provider is registered as an individual and his NPI record was last updated 14 years ago.
- NPI
- 1659486033
- Provider Name
- DR. MICHAEL JAMES PALAZZOLO M.D.
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 821 HUNTINGDON PIKE SUITE 205 HUNTINGDON VALLEY, PA 19006
- Location Phone
- (215) 379-4001
- Location Fax
- (215) 379-8153
- Mailing Address
- 1021 WELLINGTON RD JENKINTOWN, PA 19046
- Mailing Phone
- (215) 884-7411
- Medical School Name
- HAHNEMANN UNIVERSITY COLLEGE OF MEDICINE
- Graduation Year
- 1985
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 08-19-2006
- Last Update Date
- 08-29-2011
- Code Navigator
An internist like Michael Palazzolo is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Internal Medicine
- Taxonomy Code
- 207R00000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- MD-036710E
- License State
- PA
- Taxonomy Description
- A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 174759 | MEDICARE PIN (08) | PA | |
| B40667 | MEDICARE UPIN (02) | PA | |
| 1198848 | MEDICAID (05) | PA |
Medicare Participation & PECOS Enrollment Status
Michael Palazzolo is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.
Michael Palazzolo is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
PECOS PAC ID: 1254504046
What is the PECOS Associate Control ID?
A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.PECOS Enrollment ID: I20111021000285
What is the Provider Enrollment ID?
The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.Accepts Medicare Assignment? Yes
What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Provider Referred Orders for Durable Medical Equipment, Devices & Supplies
The following list reflects the services, supplies or durable medical equipment ordered by this provider to a DME supplier on behalf of patients. The information below is derived from Medicare claims data and reflects the BETOS category, HCPCS code information and the number times each service was submitted under the Medicare fee-for-service program.
Durable Medical Equipment
DME-Other DME (DE017N)
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips (HCPCS:A4253)
4 DME suppliers used 13 Medicare Claims 38 Services Paid
DME-Hospital Beds (DB000N)
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress (HCPCS:E0260)
2 DME suppliers used 30 Medicare Claims 30 Services Paid
DME-Oxygen and Supplies (DC000N)
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing (HCPCS:E0431)
2 DME suppliers used 11 Medicare Claims 11 Services Paid
DME-Wheelchairs (DD021N)
Wheelchair accessory, manual fully reclining back, (recline greater than 80 degrees), each (HCPCS:E1226)
1 DME suppliers used 14 Medicare Claims 14 Services Paid
DME-Oxygen and Supplies (DC002N)
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate (HCPCS:E1390)
2 DME suppliers used 11 Medicare Claims 11 Services Paid
DME-Wheelchairs (DD000N)
Lightweight wheelchair (HCPCS:K0003)
2 DME suppliers used 34 Medicare Claims 34 Services Paid
DME-Wheelchairs (DD021N)
Elevating leg rests, pair (for use with capped rental wheelchair base) (HCPCS:K0195)
3 DME suppliers used 42 Medicare Claims 42 Services Paid
Areas of Expertise
The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.
Administration of influenza virus vaccine
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit
Established patient office or other outpatient visit, 20-29 minutes
Established patient office or other outpatient visit, 30-39 minutes
Follow-up nursing facility visit per day, typically 15 minutes
Influenza vaccine split virus, preservative free
Influenza vaccine, quadrivalent, preservative free, 0.5 ml dosage
Initial nursing facility visit per day, typically 35 minutes
New patient office or other outpatient visit, 45-59 minutes
Nursing facility discharge day management, 30 minutes or less
Physician or allowed practitioner supervision of a patient receiving medicare-covered services provided by a participating home health agency (patient not present) requiring complex and multidisciplinary care modalities involving regular physician or allow
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
This service was performed 127 times for 125 patientsAn annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
This service was performed 138 times for 138 patientsThis 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.
This service was performed 44 times for 40 patientsThis 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.
This service was performed 423 times for 203 patientsA follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
This service was performed 159 times for 41 patientsThe Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
This service was performed 109 times for 108 patientsThe quadrivalent influenza vaccine is a shot to protect you from four different flu viruses. It's preservative-free and given in a 0.5 ml dose. It helps your body build immunity to the flu, reducing your risk of getting sick.
This service was performed 16 times for 16 patientsAn initial nursing facility visit per day is a service where a healthcare professional spends about 35 minutes assessing a patient's health status. This includes reviewing medical history, conducting a physical exam, and developing a care plan based on the patient's needs.
This service was performed 47 times for 39 patientsThis is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
This service was performed 13 times for 13 patientsNursing facility discharge day management involves organizing your transition from the nursing facility to your home or another facility. This service, taking 30 minutes or less, includes finalizing medical instructions, arranging follow-up care, and answering any questions.
This service was performed 20 times for 20 patientsThis service involves a physician overseeing your care while you receive Medicare-covered services from a home health agency. The care you're receiving is complex and involves various disciplines. The physician isn't physically present but regularly supervises your treatment to ensure optimal health outcomes.
This service was performed 21 times for 17 patientsPhysician Visit Costs
The typical physician office visit costs for Medicare beneficiaries in this area are: $34.29 for a new patient copayment and $26.3 for an established patient copayment.
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 19006 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99204
- Average New Patient Price $137.17
- Minimum New Patient Price $59.88
- Maximum New Patient Price $180.99
- Average New Patient Copayment $34.29
- Minimum New Patient Copayment $14.97
- Maximum New Patient Copayment $45.24
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99214
- Average Established Patient Price $105.21
- Minimum Established Patient Price $19.3
- Maximum Established Patient Price $147.29
- Average Established Patient Copayment $26.3
- Minimum Established Patient Copayment $4.82
- Maximum Established Patient Copayment $36.82
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
Quality Reporting
The provider participated in CMS Quality Payment Program. The Quality Payment Program aims to improve population health, reduce costs and improve the care received by Medicare beneficiaries. The following quality measures meet Medicare's statistical reporting standards. Not all providers report the same information, because not all providers give the same services to patients. The quality information is just a snapshot of some the care providers give to their patients. Reporting more or less information is not a reflection of quality.
| Quality Measure | Performance | Number of Patients |
|---|---|---|
| e-Prescribing | 73% | 1560 |
| At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology. | ||
| Patient-Specific Education | 7% | 622 |
| The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician. | ||
| Provide Patient Access | 71% | 622 |
| At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold certain information. | ||
| Secure Messaging | 17% | 622 |
| For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure message sent by the patient (or the patient-authorized representative) during the performance period. | ||
| Security Risk Analysis | Yes | N/A |
| Conduct or review a security risk analysis in accordance with the requirements in 45 CFR 164.308(a)(1), including addressing the security (to include encryption) of ePHI data created or maintained by certified EHR technology in accordance with requirements in 45 CFR164.312(a)(2)(iv) and 45 CFR 164.306(d)(3), and implement security updates as necessary and correct identified security deficiencies as part of the MIPS eligible clinician's risk management process. | ||
Find Provider Hospital Affiliations - Privileges
Doctors and physicians must apply for hospital privileges to treat patients at hospitals. Find out if your doctor has privileges to practice at your preferred hospital by using the hospital affiliation information below based on recent medical claims.
Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Michael Palazzolo is affiliated with the following medical facilities:
| Hospital Name | Address | Phone | Hospital Type | Overall Rating |
|---|---|---|---|---|
| TEMPLE UNIVERSITY HOSPITAL | 3401 NORTH BROAD STREET PHILADELPHIA, PA 19140 | (215) 707-2000 | Acute Care Hospitals | |
| HOLY REDEEMER HOSPITAL AND MEDICAL CENTER | 1648 HUNTINGDON PIKE MEADOWBROOK, PA 19046 | (215) 947-3000 | Acute Care Hospitals | |
| DOYLESTOWN HOSPITAL | 595 WEST STATE ST DOYLESTOWN, PA 18901 | (215) 345-2200 | Acute Care Hospitals |
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 6 | 5 | 9 | 4 | 8 | 6 | 0 | 3 | 3 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 6 | 10 | 9 | 8 | 8 | 12 | 0 | 6 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 6 + 1 + 0 + 9 + 8 + 8 + 1 + 2 + 0 + 6 + 24 = 67 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 67 = 3 | 3 | ||||||||
The NPI number 1659486033 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 13 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1811930639 | MANSTEIN SURGICAL ASSOC Organization | Surgery (Plastic and Reconstructive Surgery) | 821 HUNTINGDON PIKE SUITE 120 HUNTINGDON VALLEY, PA 19006 (215) 379-5700 |
| 1477589398 | AGNES M SHAUGHNESSY CRNA Individual | Nurse Anesthetist, Certified Registered | 821 HUNTINGDON PIKE HUNTINGDON VALLEY, PA 19006 (215) 938-3413 |
| 1063449833 | MARIA COSTANZO CRNA Individual | Nurse Anesthetist, Certified Registered | 821 HUNTINGDON PIKE HUNTINGDON VALLEY, PA 19006 (215) 938-3413 |
| 1881880508 | BALSAMO BONE AND JOINT SPECIALISTS Organization | Orthopaedic Surgery | 821 HUNTINGDON PIKE SUITE 130 HUNTINGDON VALLEY, PA 19006 (215) 663-0300 |
| 1376825588 | JENNIFER L SIPE CRNP Individual | Nurse Practitioner (Adult Health) | 821 HUNTINGDON PIKE SUITE 205 HUNTINGDON VALLEY, PA 19006 (215) 379-4001 |
| 1467442657 | HOLY REDEEMER AMBULATORY SURGERY CENTER, LLC Organization | Clinic/Center (Ambulatory Surgical) | 821 HUNTINGDON PIKE SUITE 100 HUNTINGDON VALLEY, PA 19006 (215) 214-0500 |
| 1033168729 | MARK ERIC MANSTEIN MD Individual | Surgery (Plastic and Reconstructive Surgery) | 821 HUNTINGDON PIKE SUITE 120 HUNTINGDON VALLEY, PA 19006 (215) 379-5700 |
| 1235517921 | MRS. CAITLIN PILEGGI CRNP Individual | Nurse Practitioner | 821 HUNTINGDON PIKE HUNTINGDON VALLY, PA 19006 (215) 379-4001 |
| 1053350165 | DR. ELGIE ROSE MCLAUGHLIN M.D. Individual | Pediatrics | 821 HUNTINGDON PIKE SUITE 204 HUNTINGDON VALLEY, PA 19006 (215) 663-1779 |
| 1184714586 | KRISTINA CICCOTELLI MD Individual | Anesthesiology | 821 HUNTINGDON PIKE HUNTINGDON VALLEY, PA 19006 (215) 938-3413 |
| 1700987898 | HOLY REDEEMER COUNSELING CENTER Organization | Counselor (Mental Health) | 821 HUNTINGDON PIKE SUITE 140 HUNTINGDON VALLEY, PA 19006 (215) 914-4190 |
| 1326077454 | HUNTINGDON VALLEY PEDIATRICS,PC Organization | Pediatrics | 821 HUNTINGDON PIKE SUITE 204 HUNTINGDON VALLEY, PA 19006 (215) 663-1779 |
| 1861441644 | CARL HOWARD MANSTEIN MD Individual | Plastic Surgery | 821 HUNTINGDON PIKE SUITE 120 HUNTINGDON VALLEY, PA 19006 (215) 379-5700 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1659486033, enumerated in the NPI registry as an "individual" on August 19, 2006
The provider is located at 821 Huntingdon Pike Suite 205 Huntingdon Valley, Pa 19006 and the phone number is (215) 379-4001
The provider's speciality is Internal Medicine with taxonomy code 207R00000X
The provider has more than 41 years of experience. He graduated from Hahnemann University College Of Medicine in 1985.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
Medicare beneficiaries should expect a typical cost of $137.17 with an average copayment of $34.29 for new patient appointments. Established patients should expect a typical charge of $105.21 and an average copayment of 26.3. Please review your insurance plan or contact the provider directly to determine your specific costs.
The most common procedures or services performed by this practitioner are: Administration of influenza virus vaccine, Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit, Established patient office or other outpatient visit, 20-29 minutes, Established patient office or other outpatient visit, 30-39 minutes, Follow-up nursing facility visit per day, typically 15 minutes, Influenza vaccine split virus, preservative free, Influenza vaccine, quadrivalent, preservative free, 0.5 ml dosage, Initial nursing facility visit per day, typically 35 minutes, New patient office or other outpatient visit, 45-59 minutes, Nursing facility discharge day management, 30 minutes or less and Physician or allowed practitioner supervision of a patient receiving medicare-covered services provided by a participating home health agency (patient not present) requiring complex and multidisciplinary care modalities involving regular physician or allow.
The practitioner is affiliated to the following hospital(s): TEMPLE UNIVERSITY HOSPITAL, HOLY REDEEMER HOSPITAL AND MEDICAL CENTER and DOYLESTOWN HOSPITAL. Hospital affiliations are identified through self-reporting data and service claims based on the place of service.
This NPI record was last updated on August 19, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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