Deactivated NPI 1275574550 Deactivated / Inactive NPI Male Practitioner

Dr. Michael G. Persico , MD

Surgery • Valley Stream, NY

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Michael Persico has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date June 09, 2006

NPI Deactivation Date November 27, 2025

Total Practice Duration ~19 Years of Practice (2006 – 2025)

Professional Overview & Biography Verified Profile Summary

Dr. Michael Persico, MD was a registered Surgery practicing in Valley Stream, NY. Throughout an active medical career spanning 19 years, Dr. Persico provided care at the practice location at 260 W SUNRISE HWY until profile deactivation on 2025-11-27.

Historical Medicare Part B clinical services included subsequent hospital care with moderate levelof medical decision making, if using time, at least, subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least, initial hospital inpatient care per day. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

260 W Sunrise Hwy
Suite 200

Valley Stream, NY 115811011

Telephone 5168253600

Fax 5168232051

Associated Practice Facility / Clinic

🏢 Qlimg Valley Stream Med Office Facility NPI 1063592707

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Valley Stream, NY

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 30.3 Yrs

State Avg: 27.8 Yrs

Regional Practice Density

9 Specialists

Practicing in Valley Stream, NY (2269 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

76.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2023)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	36	30	$322.00	$90.55
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	16	11	$368.00	$86.39
99221 Initial hospital inpatient care per day, typically 30 minutes	15	15	$430.00	$96.93
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	13	13	$879.00	$198.35

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	159	59	$368.00	$81.56
99221 Initial hospital inpatient care per day, typically 30 minutes	104	103	$430.00	$123.10
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	95	70	$322.00	$84.42
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	51	43	$313.00	$68.05
99304 Initial nursing facility care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes	41	41	$470.00	$104.15
11042 Removal of skin and tissue, 20.0 sq cm or less	21	19	$694.00	$163.47
11042 Removal of skin and tissue, 20.0 sq cm or less	16	13	$694.00	$74.49
99213 Established patient office or other outpatient visit, typically 15 minutes	11	11	$494.00	$101.95
99202 New patient office or other outpatient visit, typically 20 minutes	11	11	$403.00	$89.33

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	200	103	$199.00	$67.37
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	189	139	$322.00	$85.22
99221 Initial hospital inpatient care per day, typically 30 minutes	185	184	$430.00	$123.79
99213 Established patient office or other outpatient visit, typically 15 minutes	104	81	$383.00	$108.06
11042 Removal of skin and tissue, 20.0 sq cm or less	64	48	$694.00	$161.24
99442 Telephone medical discussion with physician, 11-20 minutes	32	26	$405.00	$109.61
99202 New patient office or other outpatient visit, typically 20 minutes	28	28	$332.00	$88.24
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	26	26	$492.00	$129.97
11042 Removal of skin and tissue, 20.0 sq cm or less	24	22	$694.00	$76.53

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	407	275	$322.00	$85.23
99213 Established patient office or other outpatient visit, typically 15 minutes	162	95	$383.00	$89.42
11042 Removal of skin and tissue, 20.0 sq cm or less	31	23	$381.00	$76.10
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	24	24	$492.00	$126.08
99447 Telephone or internet assessment with verbal and written report by consulting physician, 11-20 minutes	16	12	$185.00	$43.44

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	374	182	$383.00	$86.21
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	335	239	$322.00	$83.69
99183 Management and supervision of oxygen chamber therapy per session	135	23	$1099.00	$130.72
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	71	71	$492.00	$122.04
11042 Removal of skin and tissue, 20.0 sq cm or less	64	43	$381.00	$147.45
11042 Removal of skin and tissue, 20.0 sq cm or less	34	24	$381.00	$74.08
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	11	11	$475.00	$116.76

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	318	245	$322.00	$80.75
99213 Established patient office or other outpatient visit, typically 15 minutes	219	116	$383.00	$79.96
99183 Management and supervision of oxygen chamber therapy per session	182	16	$1099.00	$126.21
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	44	44	$492.00	$111.68
11042 Removal of skin and tissue, 20.0 sq cm or less	42	33	$381.00	$135.37
11042 Removal of skin and tissue, 20.0 sq cm or less	18	16	$381.00	$71.90
75710 Radiological supervision and interpretation of imaging of artery of one arm or leg	13	11	$385.20	$98.39
15860 Injection of agent into vein to assess blood flow of skin graft or flap	13	11	$562.00	$129.26

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	331	251	$322.00	$81.70
99183 Management and supervision of oxygen chamber therapy per session	222	26	$1099.00	$130.30
99213 Established patient office or other outpatient visit, typically 15 minutes	163	97	$383.00	$84.51
11042 Removal of skin and tissue, 20.0 sq cm or less	160	70	$381.00	$138.64
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	137	86	$475.00	$123.77
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	57	57	$492.00	$126.51
11042 Removal of skin and tissue, 20.0 sq cm or less	33	26	$381.00	$73.76
99202 New patient office or other outpatient visit, typically 20 minutes	11	11	$332.00	$87.34

Medical Specialties & State Licenses

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License NY 140320

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Practice Associates & Co-Workers

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

40 Associated Practitioners

Dr. Qaiser Siddiqui , MD

Internal Medicine

NPI 1003857285

Doctor of Medicine (M.D.)

Alfonso Azucar , PA

Physician Assistant

NPI 1013257864

Physician Assistant

Abimbola Jaiyesimi , NP

Nurse Practitioner - Family

NPI 1013432905

Nurse Practitioner

Dr. Tony Cheung , MD

Internal Medicine - Hematology & Oncology

NPI 1033165824

Doctor of Medicine (M.D.)

Dr. Howard Isenberg , MD

Pediatrics

NPI 1053352203

Doctor of Medicine (M.D.)

Dr. Behnam Kohanim , MD

Obstetrics & Gynecology

NPI 1073541710

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

7 Historical Events

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NPI Profile Deactivated November 27, 2025

Record deactivated on November 27, 2025

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NPI Profile Active March 30, 2016

NPI status registered as active in NPPES database

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Updated Practice Location March 30, 2016

Registered at 260 W SUNRISE HWY, SUITE 200, VALLEY STREAM, NY 115811011 (Tel: 5168253600)

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Updated Business Mailing Address March 30, 2016

Registered at 441 9TH AVENUE, ACPNY CREDENTIALING OFFICE - 3RD FLOOR, NEW YORK, NY 10001 (Tel: 6466802894)

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Provider Name / Credentials Updated March 30, 2016

Recorded as MICHAEL PERSICO, MD

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Medical Taxonomy / Specialty Registered (Primary Specialty) March 30, 2016

Surgery (License #140320 in NY)

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Initial NPI Registration & Enumeration June 09, 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: 1275574550

Entity Type:

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

Enumeration Date: June 09, 2006

Last Update: March 30, 2016

Deactivation Date: November 27, 2025

Update or Correct Profile

Mailing Address

441 9th Avenue, Acpny Credentialing Office - 3rd Floor

New York, NY 10001

Phone: 6466802894

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.