Active NPI 1528097169 Individual Practitioner Male Practitioner

Dr. Michael J Reilly , MD

Emergency Medicine • Schenectady, NY

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Michael Reilly, MD is a certified Emergency Medicine practicing in Schenectady, NY. With approximately 37 years of clinical experience since completing medical education in 1989, Dr. Reilly delivers high-quality medical care to the local community at 600 MCCLELLAN ST.

Dr. Reilly is affiliated with Mary Imogene Bassett Hospital and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, emergency department visit for life threatening or functioning severity, emergency department visit with moderate level of medical decision making. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

600 Mcclellan St
Department Of Emergency

Schenectady, NY 123041009

Telephone 5183822222

Associated Practice Facility / Clinic

🏢 St. Clares Hospital Facility NPI 1801886072

Medicare Profile & Education

Medical School

Other

Graduation Year

1989

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Emergency Medicine in Schenectady, NY

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

37 Yrs +12.3 yrs vs City Avg

City Avg: 24.7 Yrs

State Avg: 22.3 Yrs

Regional Practice Density

24 Specialists

Practicing in Schenectady, NY (5148 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

56.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Reilly (37 Years) 37 Yrs

Schenectady Specialty Average (24.7 Years) 24.7 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	23	23	$271.00	$88.58
99285 Emergency department visit for life threatening or functioning severity	15	14	$311.08	$166.51

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99284 Emergency department visit with moderate level of medical decision making	115	108	$212.13	$117.36
99213 Established patient office or other outpatient visit, typically 15 minutes	52	52	$271.00	$86.64
99283 Emergency department visit with low level of medical decision making	49	48	$140.71	$69.62
99285 Emergency department visit for life threatening or functioning severity	39	38	$320.00	$170.58
99202 New patient office or other outpatient visit, typically 20 minutes	24	24	$219.00	$69.60
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	20	19	$382.00	$122.60
71046 X-ray of chest, 2 views	19	19	$99.00	$31.67
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	13	13	$331.00	$107.30

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99284 Emergency department visit with moderate level of medical decision making	107	103	$200.00	$119.99
99285 Emergency department visit for life threatening or functioning severity	71	71	$300.00	$174.48
99283 Emergency department visit with low level of medical decision making	56	53	$130.00	$71.04
99213 Established patient office or other outpatient visit, typically 15 minutes	49	47	$271.00	$85.53
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	36	36	$382.00	$126.27
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	26	26	$331.00	$110.66
99202 New patient office or other outpatient visit, typically 20 minutes	14	14	$219.00	$71.96
81003 Automated urinalysis test	13	13	$16.00	$2.21
71046 X-ray of chest, 2 views	13	13	$99.00	$31.87

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99284 Emergency department visit with moderate level of medical decision making	76	73	$200.00	$121.90
99283 Emergency department visit with low level of medical decision making	48	47	$130.00	$71.71
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	45	45	$353.00	$126.69
99285 Emergency department visit for life threatening or functioning severity	41	41	$300.00	$177.59
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	36	36	$315.00	$111.42
99213 Established patient office or other outpatient visit, typically 15 minutes	27	27	$271.00	$90.41
99202 New patient office or other outpatient visit, typically 20 minutes	17	17	$219.00	$72.98
81003 Automated urinalysis test	13	13	$16.00	$2.25
71046 X-ray of chest, 2 views	12	12	$70.00	$30.66

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99284 Emergency department visit with moderate level of medical decision making	56	56	$200.00	$118.65
99213 Established patient office or other outpatient visit, typically 15 minutes	44	40	$271.00	$73.84
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	43	43	$315.00	$106.03
99285 Emergency department visit for life threatening or functioning severity	34	32	$300.00	$172.91
99283 Emergency department visit with low level of medical decision making	30	28	$130.00	$64.83
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	30	30	$353.00	$108.64
71046 X-ray of chest, 2 views	21	21	$70.00	$32.92

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	99	97	$271.00	$71.40
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	71	71	$315.00	$104.86
71046 X-ray of chest, 2 views	26	25	$70.00	$29.60
99284 Emergency department visit with moderate level of medical decision making	25	25	$200.00	$115.10
99285 Emergency department visit for life threatening or functioning severity	25	25	$300.00	$163.51
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	19	19	$353.00	$100.23
99283 Emergency department visit with low level of medical decision making	17	17	$130.00	$60.64
81003 Automated urinalysis test	15	14	$16.00	$2.44
87880 Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)	13	13	$43.00	$14.95

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	82	79	$259.88	$67.87
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	76	76	$315.00	$100.56
99284 Emergency department visit with moderate level of medical decision making	72	70	$200.00	$110.27
99285 Emergency department visit for life threatening or functioning severity	56	55	$300.00	$162.04
99283 Emergency department visit with low level of medical decision making	49	48	$130.00	$58.08
81003 Automated urinalysis test	17	17	$16.00	$2.71

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99285 Emergency department visit for life threatening or functioning severity	82	79	$300.00	$162.78
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	79	79	$261.00	$101.20
99213 Established patient office or other outpatient visit, typically 15 minutes	72	70	$176.53	$69.71
99284 Emergency department visit with moderate level of medical decision making	63	63	$200.00	$110.49
99283 Emergency department visit with low level of medical decision making	58	58	$130.00	$58.16
81003 Automated urinalysis test	17	17	$16.00	$3.02
71020 X-ray of chest, 2 views, front and side	13	13	$90.00	$22.77

Medical Specialties & State Licenses

Emergency Medicine Primary Specialty

NUCC Taxonomy Code: 207P00000X

State License NY 189470-1

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

Family Medicine

NUCC Taxonomy Code: 207Q00000X

State License NY 189470-1

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

01378692 (NY)

Commercial Insurance / Payer ID Bsneny

000912740003 (NY)

Commercial Insurance / Payer ID Mvp

3002305

Hospital & Practice Group Affiliations

Mary Imogene Bassett Hospital

460 Andes Rd, Delhi, NY 137537407

Phone: 6077460300

Practice Associates & Co-Workers

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

9 Associated Practitioners

Dr. Craig Todd , MD

Emergency Medicine

NPI 1033170873

Doctor of Medicine (M.D.)

Dr. Hedva Shamir , MD

Emergency Medicine

NPI 1043249618

Doctor of Medicine (M.D.)

Eugene Guidarelli , PA

Physician Assistant

NPI 1164452660

Physician Assistant

Terry Tompkins , PA

Physician Assistant

NPI 1205876794

Physician Assistant

Dr. Rachel Weber , PharmD

Pharmacist

NPI 1275721565

Doctor of Pharmacy (Pharm.D.)

Dr. Sirus Kermani , MD

Emergency Medicine

NPI 1508895434

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 April 01, 2008

NPI status registered as active in NPPES database

📍

Updated Practice Location April 01, 2008

Registered at 600 MCCLELLAN ST, DEPARTMENT OF EMERGENCY, SCHENECTADY, NY 123041009 (Tel: 5183822222)

📍

Updated Business Mailing Address April 01, 2008

Registered at 1462 ERIE BLVD, ATTN: THE MEDICAL GROUP, SCHENECTADY, NY 123051026 (Tel: 5182431020)

👤

Provider Name / Credentials Updated April 01, 2008

Recorded as MICHAEL REILLY, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) April 01, 2008

Emergency Medicine (License #189470-1 in NY)

🟢

Initial NPI Registration & Enumeration July 03, 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: 1528097169

Entity Type:

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

Enumeration Date: July 03, 2006

Last Update: April 01, 2008

Sole Proprietor: No

Update or Correct Profile

Mailing Address

1462 Erie Blvd, Attn: The Medical Group

Schenectady, NY 123051026

Phone: 5182431020

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.