Active NPI 1457446692 Individual Practitioner Male Practitioner

Dr. Michael Philip Cafaro , MD

Internal Medicine • Trumbull, CT

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Dr. Michael Cafaro, MD is a certified Internal Medicine practicing in Trumbull, CT. With approximately 36 years of clinical experience since completing medical education in 1990, Dr. Cafaro delivers high-quality medical care to the local community at 4719 MADISON AVE.

Dr. Cafaro is affiliated with Northeast Medical Group Inc and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include established patient outpatient office visit, visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's, blood glucose (sugar) level. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

4719 Madison Ave

Trumbull, CT 066111733

Telephone 2032683816

Fax 2032610566

Medicare Profile & Education

Medical School

Other

Graduation Year

1990

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Trumbull, CT

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

36 Yrs +10.3 yrs vs City Avg

City Avg: 25.7 Yrs

State Avg: 30.4 Yrs

Regional Practice Density

49 Specialists

Practicing in Trumbull, CT (2753 Statewide)

Telehealth Adoption Rate

46.9% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

53.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Cafaro (36 Years) 36 Yrs

Trumbull Specialty Average (25.7 Years) 25.7 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	446	199	$268.00	$138.69
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's	246	151	$51.00	$17.60
99213 Established patient office or other outpatient visit, typically 15 minutes	165	105	$182.00	$98.59
82947 Blood glucose (sugar) level	160	62	$10.00	$3.85
81003 Automated urinalysis test	159	122	$6.00	$2.20
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	154	154	$400.00	$142.68
82570 Creatinine level to test for kidney function or muscle injury	138	104	$12.00	$5.08
93000 Routine ekg using at least 12 leads including interpretation and report	120	111	$90.00	$15.58
G0008 Administration of influenza virus vaccine	88	86	$51.00	$33.90
90653 Vaccine for influenza for injection into muscle	81	81	$86.00	$81.82
83036 Hemoglobin A1C level	75	47	$23.00	$9.52
G0181 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	35	21	$211.00	$113.19
92567 Eardrum testing using ear probe	20	16	$44.00	$17.81
87428 Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza	19	15	$111.00	$64.82
90677 Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use	14	14	$402.00	$288.80
99496 Transitional care management services for problem of high complexity	14	13	$734.00	$304.95
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	13	13	$600.00	$180.96
87807 Detection test by immunoassay with direct visual observation for respiratory syncytial virus	13	11	$30.00	$12.84
G0009 Administration of pneumococcal vaccine	13	13	$51.00	$33.90

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	497	214	$268.00	$135.64
99213 Established patient office or other outpatient visit, typically 15 minutes	179	103	$182.00	$96.03
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	175	175	$400.00	$137.01
82947 Blood glucose (sugar) level	172	66	$10.00	$3.85
81003 Automated urinalysis test	164	114	$6.00	$2.20
82570 Creatinine level to test for kidney function or muscle injury	137	103	$12.00	$5.08
93000 Routine ekg using at least 12 leads including interpretation and report	116	111	$90.00	$15.50
G0008 Administration of influenza virus vaccine	97	96	$51.00	$32.50
90662 Influenza vaccine split virus, preservative free	89	88	$131.00	$71.74
83036 Hemoglobin A1C level	87	55	$23.00	$9.52
G0181 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	45	28	$211.00	$109.73
G0009 Administration of pneumococcal vaccine	33	33	$51.00	$32.50
90677 Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use	29	29	$395.00	$281.72
99496 Transitional care management services for problem of high complexity	26	16	$734.00	$294.47
92567 Eardrum testing using ear probe	15	14	$44.00	$17.64

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	433	201	$268.00	$138.16
99213 Established patient office or other outpatient visit, typically 15 minutes	219	125	$182.00	$98.41
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	151	151	$400.00	$142.05
82947 Blood glucose (sugar) level	133	61	$10.00	$3.88
81003 Automated urinalysis test	131	103	$6.00	$2.22
93000 Routine ekg using at least 12 leads including interpretation and report	122	120	$90.00	$15.61
G0008 Administration of influenza virus vaccine	118	117	$51.00	$31.99
90662 Influenza vaccine split virus, preservative free	107	106	$130.47	$68.51
82570 Creatinine level to test for kidney function or muscle injury	100	79	$12.00	$5.11
83036 Hemoglobin A1C level	73	53	$23.00	$9.59
G0181 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	53	30	$211.00	$112.78
99496 Transitional care management services for problem of high complexity	48	34	$734.00	$302.27
99442 Telephone medical discussion with physician, 11-20 minutes	28	17	$107.86	$97.51
99497 Advance care planning, first 30 minutes	26	25	$181.00	$91.27
G0009 Administration of pneumococcal vaccine	24	24	$51.00	$32.16
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	11	11	$600.00	$181.81
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	11	11	$209.09	$132.50
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	11	11	$58.00	$20.99

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	519	224	$268.00	$139.46
82947 Blood glucose (sugar) level	189	77	$10.00	$3.93
99213 Established patient office or other outpatient visit, typically 15 minutes	181	112	$182.00	$98.82
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	165	165	$400.00	$145.11
93000 Routine ekg using at least 12 leads including interpretation and report	140	139	$90.00	$16.29
81003 Automated urinalysis test	135	93	$6.00	$2.25
G0008 Administration of influenza virus vaccine	116	115	$51.00	$18.52
83036 Hemoglobin A1C level	112	69	$23.00	$9.71
90662 Influenza vaccine split virus, preservative free	108	107	$74.00	$65.14
82570 Creatinine level to test for kidney function or muscle injury	107	77	$12.00	$5.18
99497 Advance care planning, first 30 minutes	91	90	$181.00	$92.30
G0181 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	44	27	$211.00	$114.53
85018 Blood count, hemoglobin	42	36	$6.00	$2.37
99496 Transitional care management services for problem of high complexity	36	28	$734.00	$305.81
82465 Cholesterol level	36	33	$10.00	$4.35
99442 Telephone medical discussion with physician, 11-20 minutes	27	17	$95.00	$95.96
G0009 Administration of pneumococcal vaccine	24	24	$51.00	$17.72
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	21	21	$164.00	$124.49
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	18	18	$600.00	$183.40
99495 Transitional care management services for problem of at least moderate complexity	13	11	$541.00	$225.90

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	467	228	$268.00	$118.59
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	158	158	$400.00	$127.56
G0008 Administration of influenza virus vaccine	151	150	$51.00	$18.32
82947 Blood glucose (sugar) level	143	76	$10.00	$3.90
93000 Routine ekg using at least 12 leads including interpretation and report	140	138	$90.00	$18.93
81003 Automated urinalysis test	118	91	$6.00	$2.23
99213 Established patient office or other outpatient visit, typically 15 minutes	116	76	$182.00	$82.24
83036 Hemoglobin A1C level	69	58	$23.00	$9.61
90682 Influenza vaccine, quadrivalent derived from recombinant dna	55	55	$94.00	$60.65
99497 Advance care planning, first 30 minutes	55	54	$181.00	$92.76
82570 Creatinine level to test for kidney function or muscle injury	54	44	$12.00	$5.16
99443 Telephone medical discussion with physician, 21-30 minutes	52	42	$140.00	$118.88
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	48	48	$58.00	$19.58
G0181 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	47	27	$271.19	$116.74
90662 Influenza vaccine split virus, preservative free	46	46	$74.00	$60.85
85018 Blood count, hemoglobin	45	41	$6.00	$2.34
G0009 Administration of pneumococcal vaccine	42	42	$51.00	$18.25
82465 Cholesterol level	36	34	$10.00	$4.29
99442 Telephone medical discussion with physician, 11-20 minutes	36	23	$95.00	$82.32
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	25	25	$164.00	$118.96
90670 Pneumococcal vaccine for injection into muscle	17	17	$305.00	$223.15
99496 Transitional care management services for problem of high complexity	16	14	$734.00	$268.92
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	13	13	$600.00	$186.61
92567 Eardrum testing using ear probe	12	12	$44.00	$17.49

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	682	280	$268.00	$116.98
82947 Blood glucose (sugar) level	188	88	$10.00	$4.28
93000 Routine ekg using at least 12 leads including interpretation and report	186	178	$90.00	$18.75
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	184	184	$400.00	$126.72
99213 Established patient office or other outpatient visit, typically 15 minutes	146	90	$182.00	$80.81
G0008 Administration of influenza virus vaccine	131	130	$51.00	$17.96
81003 Automated urinalysis test	84	64	$6.00	$2.44
83036 Hemoglobin A1C level	62	51	$23.00	$10.57
90662 Influenza vaccine split virus, preservative free	57	57	$74.00	$54.80
85018 Blood count, hemoglobin	51	43	$6.00	$2.58
82570 Creatinine level to test for kidney function or muscle injury	50	40	$12.00	$5.63
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	48	48	$58.00	$18.65
82465 Cholesterol level	47	42	$10.00	$4.74
G0181 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	43	30	$280.00	$114.23
G0009 Administration of pneumococcal vaccine	37	37	$51.00	$17.96
94010 Test to measure expiratory airflow and volume	37	33	$105.00	$39.55
92567 Eardrum testing using ear probe	26	24	$44.00	$16.60
90682 Influenza vaccine, quadrivalent derived from recombinant dna	26	26	$94.00	$54.89
99496 Transitional care management services for problem of high complexity	25	24	$734.00	$251.85
90670 Pneumococcal vaccine for injection into muscle	21	21	$305.00	$210.54
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	19	19	$600.00	$186.36
99495 Transitional care management services for problem of at least moderate complexity	19	19	$541.00	$178.57
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	16	16	$147.00	$111.14
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	14	14	$415.00	$178.36
82271 Specimen analysis for blood	11	11	$9.00	$5.21

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	807	304	$268.00	$114.81
93000 Routine ekg using at least 12 leads including interpretation and report	235	207	$90.00	$18.49
99213 Established patient office or other outpatient visit, typically 15 minutes	222	145	$182.00	$78.38
82947 Blood glucose (sugar) level	213	108	$10.00	$4.75
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	189	189	$400.00	$125.55
G0008 Administration of influenza virus vaccine	174	167	$51.00	$22.26
90653 Vaccine for influenza for injection into muscle	136	136	$48.00	$47.04
81003 Automated urinalysis test	123	85	$6.00	$2.71
92567 Eardrum testing using ear probe	104	72	$44.00	$15.60
83036 Hemoglobin A1C level	84	73	$23.00	$11.75
85018 Blood count, hemoglobin	82	69	$6.00	$2.87
82465 Cholesterol level	80	68	$10.00	$5.26
82570 Creatinine level to test for kidney function or muscle injury	70	53	$12.00	$6.26
94010 Test to measure expiratory airflow and volume	59	46	$105.00	$39.83
G0181 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	30	19	$280.00	$115.91
G0009 Administration of pneumococcal vaccine	26	26	$51.00	$22.26
90662 Influenza vaccine split virus, preservative free	23	23	$74.00	$52.12
87804 Detection test by immunoassay with direct visual observation for influenza virus	18	15	$30.00	$16.22
99496 Transitional care management services for problem of high complexity	15	14	$734.00	$249.99
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	14	14	$147.00	$105.59
87880 Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)	14	14	$30.00	$16.20
90670 Pneumococcal vaccine for injection into muscle	14	14	$305.00	$200.14
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	13	13	$58.00	$18.65
99495 Transitional care management services for problem of at least moderate complexity	12	11	$541.00	$176.63
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	11	11	$403.00	$178.12

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	910	316	$268.00	$112.56
82947 Blood glucose (sugar) level	313	172	$10.00	$4.24
99213 Established patient office or other outpatient visit, typically 15 minutes	263	140	$182.00	$77.48
93000 Routine ekg using at least 12 leads including interpretation and report	211	195	$89.83	$18.14
85018 Blood count, hemoglobin	191	146	$6.00	$3.18
83036 Hemoglobin A1C level	189	146	$23.00	$13.05
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	187	187	$400.00	$121.98
82465 Cholesterol level	187	143	$10.00	$3.54
81003 Automated urinalysis test	178	120	$5.99	$3.02
G0008 Administration of influenza virus vaccine	156	154	$51.00	$27.77
90662 Influenza vaccine split virus, preservative free	130	130	$74.00	$48.05
82570 Creatinine level to test for kidney function or muscle injury	127	86	$12.00	$6.96
92567 Eardrum testing using ear probe	124	82	$44.00	$15.41
94010 Test to measure expiratory airflow and volume	80	58	$105.00	$38.91
G0181 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	68	37	$279.94	$107.79
G0009 Administration of pneumococcal vaccine	32	32	$51.00	$27.77
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	26	26	$58.00	$18.65
90670 Pneumococcal vaccine for injection into muscle	21	21	$305.00	$183.93
87880 Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)	16	14	$30.00	$16.11
69210 Removal of impacted ear wax	12	12	$200.00	$50.33
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	11	11	$147.00	$92.91
93701 Measurement of heart blood flow and respiration	11	11	$75.00	$26.85

Medical Specialties & State Licenses

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License CT 036037

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.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID State Welfare

001360370 (CT)

Hospital & Practice Group Affiliations

Northeast Medical Group Inc

4719 Madison Ave, Trumbull, CT 066111733

Phone: 2032683816

Northeast Medical Group Inc

95 Armory Rd, Stratford, CT 066141702

Phone: 2033843388

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active May 31, 2013

NPI status registered as active in NPPES database

📍

Updated Practice Location May 31, 2013

Registered at 4719 MADISON AVE, TRUMBULL, CT 066111733 (Tel: 2032683816)

📍

Updated Business Mailing Address May 31, 2013

Registered at 4719 MADISON AVE, TRUMBULL, CT 066111733 (Tel: 2032683816)

👤

Provider Name / Credentials Updated May 31, 2013

Recorded as MICHAEL CAFARO, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) May 31, 2013

Internal Medicine (License #036037 in CT)

🟢

Initial NPI Registration & Enumeration October 04, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1457446692

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: October 04, 2006

Last Update: May 31, 2013

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

4719 Madison Ave

Trumbull, CT 066111733

Phone: 2032683816

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.