Active NPI 1750354346 Individual Practitioner Male Practitioner

Dr. Philip L Micale , MD

Specialist • Teaneck, NJ

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Dr. Philip Micale, MD is a certified Specialist practicing in Teaneck, NJ. With approximately 33 years of clinical experience since graduating from New York University School Of Medicine in 1993, Dr. Micale delivers high-quality medical care to the local community at 1086 TEANECK RD.

Dr. Micale is affiliated with Allied Digestive Health Llc 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, follow-up hospital inpatient care per day, biopsy of large bowel using an endoscope. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1086 Teaneck Rd
Suite 4c

Teaneck, NJ 076664854

Telephone 2018379449

Fax 2015781699

Associated Practice Facility / Clinic

🏢 I Paltrowitz Md J Goldfarb Md Mschmidt Md Pa Facility NPI 1295701233

Medicare Profile & Education

Medical School

New York University School Of Medicine

Graduation Year

1993

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Teaneck, NJ

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

33 Yrs +0.3 yrs vs City Avg

City Avg: 32.7 Yrs

State Avg: 35.6 Yrs

Regional Practice Density

71 Specialists

Practicing in Teaneck, NJ (1802 Statewide)

Telehealth Adoption Rate

8.5% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

80.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Micale (33 Years) 33 Yrs

Teaneck Specialty Average (32.7 Years) 32.7 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
99213 Established patient office or other outpatient visit, typically 15 minutes	150	123	$155.07	$101.50
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	116	96	$216.91	$143.25
99231 Follow-up hospital inpatient care per day, typically 15 minutes	111	75	$124.00	$53.90
45380 Biopsy of large bowel using an endoscope	102	100	$1804.85	$196.03
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	96	95	$1528.70	$136.63
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	95	55	$248.11	$85.73
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	67	67	$325.07	$186.10
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	49	47	$299.00	$188.48
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	30	30	$2129.42	$268.45
45378 Diagnostic exam of large bowel using a flexible endoscope	30	29	$1654.40	$200.25
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	29	29	$295.72	$125.29
99221 Initial hospital inpatient care per day, typically 30 minutes	22	22	$325.00	$90.23
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	16	16	$438.00	$142.47
91065 Measurement of hydrogen in breath to test for stomach and bowel symptoms	15	13	$339.19	$86.56
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	11	11	$1674.00	$201.37

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	189	144	$125.00	$99.40
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	159	128	$150.00	$139.45
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	143	140	$1500.00	$131.22
45380 Biopsy of large bowel using an endoscope	142	142	$1800.00	$173.75
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	120	120	$300.00	$183.18
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	62	24	$250.00	$84.89
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	54	54	$2200.00	$256.79
45378 Diagnostic exam of large bowel using a flexible endoscope	49	49	$1650.00	$197.78
91065 Measurement of hydrogen in breath to test for stomach and bowel symptoms	28	21	$400.00	$98.82
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	25	25	$300.00	$186.10
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	20	20	$250.00	$124.00
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	12	12	$1650.00	$197.08
43251 Removal of polyps or growths of esophagus, stomach, and/or upper small bowel using an endoscope with mechanical snare	11	11	$1850.00	$189.12

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	161	127	$150.00	$143.08
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	152	142	$1500.00	$132.50
99213 Established patient office or other outpatient visit, typically 15 minutes	144	118	$125.00	$101.88
45380 Biopsy of large bowel using an endoscope	127	126	$1800.00	$182.48
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	106	52	$250.00	$76.46
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	96	96	$300.00	$185.40
45378 Diagnostic exam of large bowel using a flexible endoscope	48	48	$1650.00	$201.96
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	40	39	$2200.00	$238.00
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	36	36	$300.00	$212.48
91065 Measurement of hydrogen in breath to test for stomach and bowel symptoms	31	26	$400.00	$110.36

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	148	141	$1500.00	$134.10
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	140	127	$150.00	$144.35
99213 Established patient office or other outpatient visit, typically 15 minutes	137	115	$125.00	$103.23
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	124	77	$250.00	$78.07
45380 Biopsy of large bowel using an endoscope	121	121	$1800.00	$181.86
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	109	109	$300.00	$188.21
36415 Insertion of needle into vein for collection of blood sample	81	70	$20.00	$3.00
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	69	66	$300.00	$217.60
45378 Diagnostic exam of large bowel using a flexible endoscope	51	50	$1650.00	$205.42
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	45	45	$2200.00	$253.59
91065 Measurement of hydrogen in breath to test for stomach and bowel symptoms	19	16	$400.00	$111.75

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	124	103	$125.00	$85.07
45380 Biopsy of large bowel using an endoscope	115	114	$1820.87	$143.95
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	114	103	$150.00	$122.83
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	112	106	$1500.00	$127.45
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	100	56	$250.00	$79.78
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	93	93	$300.00	$184.45
36415 Insertion of needle into vein for collection of blood sample	64	54	$20.00	$2.98
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	64	64	$2200.00	$257.39
45378 Diagnostic exam of large bowel using a flexible endoscope	30	30	$1650.00	$200.15
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	26	26	$300.00	$222.65
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	18	18	$250.00	$122.03
99442 Telephone medical discussion with physician, 11-20 minutes	15	11	$136.67	$55.91
99443 Telephone medical discussion with physician, 21-30 minutes	14	11	$182.14	$85.67

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	198	169	$150.00	$120.96
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	173	159	$1500.00	$147.01
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	161	87	$250.00	$78.79
45380 Biopsy of large bowel using an endoscope	150	150	$1800.00	$175.43
99213 Established patient office or other outpatient visit, typically 15 minutes	116	93	$125.00	$82.89
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	112	112	$300.00	$181.73
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	73	72	$300.00	$219.06
36415 Insertion of needle into vein for collection of blood sample	68	57	$20.00	$2.94
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	53	53	$2200.00	$231.56
45378 Diagnostic exam of large bowel using a flexible endoscope	44	44	$1650.00	$208.39
45382 Control of bleeding of upper large bowel using a flexible endoscope	16	16	$2500.00	$291.77
91065 Measurement of hydrogen in breath to test for stomach and bowel symptoms	16	12	$400.00	$85.88

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	220	180	$150.00	$118.53
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	181	171	$1500.00	$143.91
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	173	86	$250.00	$78.42
45380 Biopsy of large bowel using an endoscope	160	158	$1710.63	$174.04
99213 Established patient office or other outpatient visit, typically 15 minutes	115	95	$125.00	$80.83
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	103	103	$300.00	$180.76
36415 Insertion of needle into vein for collection of blood sample	92	70	$20.00	$2.92
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	57	56	$296.93	$216.82
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	51	50	$2200.00	$220.01
45378 Diagnostic exam of large bowel using a flexible endoscope	37	37	$1650.00	$202.37
76700 Ultrasound of abdomen	22	21	$300.00	$141.48
76770 Complete ultrasound scan behind abdominal cavity	22	21	$200.00	$83.43
45382 Control of bleeding of upper large bowel using a flexible endoscope	20	20	$2000.00	$290.51

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	249	200	$150.00	$118.10
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	201	90	$248.76	$77.68
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	170	160	$1476.47	$145.72
45380 Biopsy of large bowel using an endoscope	155	153	$1523.23	$176.24
36415 Insertion of needle into vein for collection of blood sample	106	82	$20.00	$2.94
99213 Established patient office or other outpatient visit, typically 15 minutes	101	86	$125.00	$80.89
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	93	92	$300.00	$218.24
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	80	80	$300.00	$179.89
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	59	57	$2193.22	$236.41
45378 Diagnostic exam of large bowel using a flexible endoscope	39	39	$1650.00	$201.28
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	16	16	$250.00	$119.52
45382 Control of bleeding of upper large bowel using a flexible endoscope	15	15	$633.33	$291.22
76770 Complete ultrasound scan behind abdominal cavity	15	15	$200.00	$83.23
76700 Ultrasound of abdomen	15	15	$300.00	$140.87
91065 Measurement of hydrogen in breath to test for stomach and bowel symptoms	12	11	$400.00	$87.14

Medical Specialties & State Licenses

Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

State License NJ 25MA06867100

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Railroad Medicare

100012576 (NJ)

Commercial Insurance / Payer ID Oxford

P1895724 (NJ)

Hospital & Practice Group Affiliations

Allied Digestive Health Llc

1086 Teaneck Rd, Teaneck, NJ 076664855

Phone: 2018379449

Allied Digestive Health Llc

42 Throckmorton Ln, Old Bridge, NJ 088572572

Phone: 7326798808

Allied Digestive Health Llc

1640 Route 88 W 202, Brick, NJ 087243068

Phone: 7324588300

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

7 Associated Practitioners

Dr. Judy Lin , MD

Internal Medicine - Gastroenterology

NPI 1033123161

Doctor of Medicine (M.D.)

Dr. Joel Goldfarb , MD

Internal Medicine - Gastroenterology

NPI 1093788986

Doctor of Medicine (M.D.)

Dr. Adam Palance , MD

Specialist

NPI 1205032224

Doctor of Medicine (M.D.)

Dr. Vincent Rigoglioso , MD

Internal Medicine - Gastroenterology

NPI 1356376719

Doctor of Medicine (M.D.)

Lacey Herald , PA

Physician Assistant

NPI 1578841045

Physician Assistant

Dr. Irving Paltrowitz , MD

Specialist

NPI 1598738569

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active August 26, 2014

NPI status registered as active in NPPES database

📍

Updated Practice Location August 26, 2014

Registered at 1086 TEANECK RD, SUITE 4C, TEANECK, NJ 076664854 (Tel: 2018379449)

📍

Updated Business Mailing Address August 26, 2014

Registered at 1086 TEANECK RD, SUITE 4C, TEANECK, NJ 076664854 (Tel: 2018379449)

👤

Provider Name / Credentials Updated August 26, 2014

Recorded as PHILIP MICALE, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) August 26, 2014

Specialist (License #25MA06867100 in NJ)

🟢

Initial NPI Registration & Enumeration February 13, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1750354346

Entity Type:

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

Enumeration Date: February 13, 2006

Last Update: August 26, 2014

Sole Proprietor: No

Update or Correct Profile

Mailing Address

1086 Teaneck Rd, Suite 4c

Teaneck, NJ 076664854

Phone: 2018379449

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.