Active NPI 1023028396 Individual Practitioner Female Practitioner

Dr. Michele R Piccone , MD

Ophthalmology • Wayne, PA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Michele Piccone, MD is a certified Ophthalmology practicing in Wayne, PA. With approximately 42 years of clinical experience since graduating from Albany Medical College Of Union University in 1984, Dr. Piccone delivers high-quality medical care to the local community at 230 SUGARTOWN RD.

Dr. Piccone accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, established patient complete exam of visual system, closure of tear duct opening using plug. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

230 Sugartown Rd

Wayne, PA 190873029

Telephone 4843677346

Fax 4843677359

Associated Practice Facility / Clinic

🏢 Westside Wellness Chiropractic Center Facility NPI 1952461683

Medicare Profile & Education

Medical School

Albany Medical College Of Union University

Graduation Year

1984

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Ophthalmology in Wayne, PA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

42 Yrs +15.5 yrs vs City Avg

City Avg: 26.5 Yrs

State Avg: 30.9 Yrs

Regional Practice Density

7 Specialists

Practicing in Wayne, PA (1152 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

54.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Piccone (42 Years) 42 Yrs

Wayne Specialty Average (26.5 Years) 26.5 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	450	426	$120.00	$122.55
99213 Established patient office or other outpatient visit, typically 15 minutes	306	231	$85.00	$86.89
92014 Established patient complete exam of visual system	147	145	$134.90	$132.72
68761 Closure of tear duct opening using plug	137	55	$225.00	$168.29
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	125	81	$55.00	$56.18
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	118	118	$180.00	$177.11
92136 Measurement of corneal curvature and depth of eye	101	52	$200.00	$26.93
92250 Photography of the retina	76	75	$150.00	$40.58
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	53	53	$120.00	$118.71
66984 Removal of cataract with insertion of lens	51	36	$2213.73	$567.51
92004 New patient complete exam of visual system	51	51	$160.00	$157.10
76514 Ultrasound scan of cornea to determine thickness	50	49	$100.00	$11.99
92201 Extended exam of the back part of the eye with retinal drawing	43	25	$98.49	$26.07
92020 Examination of cornea and iris using lens device and slit lamp	35	33	$60.00	$28.98
92083 Exam of visual field with extended testing	27	27	$100.00	$67.60
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	23	23	$300.00	$181.86

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	382	350	$120.00	$119.68
99213 Established patient office or other outpatient visit, typically 15 minutes	329	243	$85.00	$84.77
92014 Established patient complete exam of visual system	134	134	$135.00	$133.38
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	125	125	$180.00	$175.30
68761 Closure of tear duct opening using plug	94	39	$225.00	$164.83
92136 Measurement of corneal curvature and depth of eye	88	48	$200.00	$29.27
92250 Photography of the retina	66	66	$150.00	$39.53
92201 Extended exam of the back part of the eye with retinal drawing	61	36	$95.74	$25.82
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	59	48	$55.00	$54.85
66984 Removal of cataract with insertion of lens	57	40	$2215.00	$568.00
92004 New patient complete exam of visual system	51	51	$160.00	$157.72
92020 Examination of cornea and iris using lens device and slit lamp	36	35	$60.00	$29.07
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	35	35	$120.00	$118.48
92083 Exam of visual field with extended testing	27	19	$100.00	$66.46
66761 Creation of eye fluid drainage tracts in iris using a laser, per session	26	17	$1000.00	$247.20
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	25	25	$300.00	$180.84
76514 Ultrasound scan of cornea to determine thickness	20	20	$100.00	$12.01
66821 Removal of recurring cataract in lens capsule using a laser	15	14	$1000.00	$327.46

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	352	327	$120.00	$118.85
99213 Established patient office or other outpatient visit, typically 15 minutes	261	199	$85.00	$84.10
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	147	147	$180.00	$176.67
92250 Photography of the retina	83	82	$150.00	$39.65
92014 Established patient complete exam of visual system	76	76	$135.00	$133.68
68761 Closure of tear duct opening using plug	66	26	$225.00	$166.24
92136 Measurement of corneal curvature and depth of eye	49	32	$200.00	$31.52
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	44	37	$55.00	$54.49
92201 Extended exam of the back part of the eye with retinal drawing	40	25	$96.38	$25.92
66984 Removal of cataract with insertion of lens	38	27	$2183.03	$568.99
92004 New patient complete exam of visual system	35	35	$160.00	$158.58
76514 Ultrasound scan of cornea to determine thickness	27	27	$100.00	$12.24
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	25	25	$120.00	$118.50
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	22	22	$300.00	$205.51
92020 Examination of cornea and iris using lens device and slit lamp	19	18	$60.00	$29.71
66821 Removal of recurring cataract in lens capsule using a laser	16	13	$1000.00	$328.77
92083 Exam of visual field with extended testing	11	11	$100.00	$67.64

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	317	293	$120.00	$120.00
99213 Established patient office or other outpatient visit, typically 15 minutes	290	195	$85.00	$85.00
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	154	154	$180.00	$179.43
99310 Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes	71	69	$300.00	$141.85
68761 Closure of tear duct opening using plug	62	32	$225.00	$178.28
92014 Established patient complete exam of visual system	58	58	$135.00	$135.00
92201 Extended exam of the back part of the eye with retinal drawing	53	38	$98.77	$26.44
92004 New patient complete exam of visual system	45	45	$160.00	$160.00
92136 Measurement of corneal curvature and depth of eye	44	34	$200.00	$33.98
76514 Ultrasound scan of cornea to determine thickness	44	44	$100.00	$12.53
66984 Removal of cataract with insertion of lens	41	31	$2215.00	$580.17
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	40	29	$55.00	$55.00
92083 Exam of visual field with extended testing	37	35	$100.00	$68.55
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	36	32	$200.00	$95.74
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	27	27	$300.00	$209.83
92020 Examination of cornea and iris using lens device and slit lamp	26	24	$60.00	$29.86
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	18	18	$120.00	$120.00
66821 Removal of recurring cataract in lens capsule using a laser	13	12	$1000.00	$334.97

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	260	242	$120.06	$116.64
99213 Established patient office or other outpatient visit, typically 15 minutes	253	177	$85.00	$80.57
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	135	135	$180.00	$176.56
68761 Closure of tear duct opening using plug	75	37	$225.00	$167.81
92201 Extended exam of the back part of the eye with retinal drawing	51	33	$97.45	$26.92
76514 Ultrasound scan of cornea to determine thickness	42	42	$100.00	$12.99
92014 Established patient complete exam of visual system	38	38	$135.00	$134.97
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	35	35	$300.00	$215.49
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	30	30	$120.00	$115.64
92004 New patient complete exam of visual system	29	29	$160.00	$159.86
92083 Exam of visual field with extended testing	29	27	$100.00	$68.38
99310 Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes	27	27	$300.00	$141.63
92136 Measurement of corneal curvature and depth of eye	26	20	$223.08	$34.36
92020 Examination of cornea and iris using lens device and slit lamp	26	26	$60.00	$29.63
66984 Removal of cataract with insertion of lens	22	17	$2214.99	$586.40
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	20	19	$200.00	$96.15
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	15	13	$55.00	$48.98

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	266	175	$85.01	$76.39
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	261	246	$120.00	$112.26
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	165	99	$212.13	$93.71
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	119	119	$180.00	$169.58
99310 Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes	117	103	$299.91	$138.45
76514 Ultrasound scan of cornea to determine thickness	70	68	$100.00	$13.26
68761 Closure of tear duct opening using plug	64	36	$309.38	$175.45
92136 Measurement of corneal curvature and depth of eye	56	38	$216.07	$34.16
66984 Removal of cataract with insertion of lens	54	37	$2215.00	$660.80
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	42	29	$154.76	$70.33
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	38	37	$300.00	$206.76
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	25	25	$120.00	$112.24
99306 Initial nursing facility visit, typically 45 minutes per day	24	24	$320.00	$169.83
92004 New patient complete exam of visual system	23	23	$160.00	$154.10
92225 Examination of eye by ophthalmoscope with retinal drawing	22	20	$100.00	$28.40
92020 Examination of cornea and iris using lens device and slit lamp	22	22	$60.00	$28.21
92014 Established patient complete exam of visual system	22	22	$135.00	$128.84
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	18	14	$55.00	$46.65
92083 Exam of visual field with extended testing	17	16	$100.00	$66.24

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	295	179	$85.48	$73.11
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	211	202	$120.46	$107.86
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	129	88	$205.42	$91.66
99310 Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes	126	111	$323.79	$136.00
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	109	109	$180.00	$165.48
68761 Closure of tear duct opening using plug	53	33	$352.36	$185.61
76514 Ultrasound scan of cornea to determine thickness	52	48	$99.96	$15.70
92136 Measurement of corneal curvature and depth of eye	49	34	$218.37	$32.11
66984 Removal of cataract with insertion of lens	44	30	$2215.00	$645.45
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	33	33	$120.00	$108.73
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	31	31	$300.00	$202.46
92083 Exam of visual field with extended testing	25	24	$104.00	$64.63
92004 New patient complete exam of visual system	25	25	$160.00	$151.64
99306 Initial nursing facility visit, typically 45 minutes per day	24	24	$320.00	$166.55
92014 Established patient complete exam of visual system	23	23	$135.00	$126.99
92225 Examination of eye by ophthalmoscope with retinal drawing	17	15	$100.00	$27.10
92020 Examination of cornea and iris using lens device and slit lamp	16	16	$60.00	$26.84
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	13	13	$55.00	$44.23

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	226	148	$91.93	$72.38
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	186	173	$120.00	$106.64
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	154	107	$200.56	$90.17
99310 Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes	111	102	$298.24	$133.91
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	100	100	$180.00	$163.63
68761 Closure of tear duct opening using plug	76	35	$245.72	$158.68
76514 Ultrasound scan of cornea to determine thickness	62	61	$100.19	$15.20
92136 Measurement of corneal curvature and depth of eye	40	24	$230.00	$36.71
66984 Removal of cataract with insertion of lens	36	22	$2768.75	$636.04
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	36	36	$120.00	$107.64
99306 Initial nursing facility visit, typically 45 minutes per day	29	29	$320.00	$164.48
92225 Examination of eye by ophthalmoscope with retinal drawing	28	26	$100.00	$27.54
92083 Exam of visual field with extended testing	28	28	$100.00	$64.43
92004 New patient complete exam of visual system	26	26	$160.00	$147.70
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	23	20	$150.00	$68.02
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	22	22	$300.00	$199.98
92020 Examination of cornea and iris using lens device and slit lamp	19	19	$58.95	$26.64
92226 Examination of eye by ophthalmoscope with retinal drawing	16	12	$90.00	$24.53
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	16	16	$55.00	$43.34
92014 Established patient complete exam of visual system	13	13	$135.00	$122.34

Medical Specialties & State Licenses

CMS Verified: 2023-11-04

Ophthalmology Primary Specialty

NUCC Taxonomy Code: 207W00000X

State License PA MD034243E

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

Ophthalmology

NUCC Taxonomy Code: 207W00000X

State License NJ 25MA05469100

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

0153125 (NJ)

Practice Associates & Co-Workers

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

4 Associated Practitioners

Dr. Thomas Goyne , AuD

Audiologist

NPI 1346273513

Doctor of Audiology

Dr. Todd Serinsky , DC

Chiropractor

NPI 1376601013

Doctor of Chiropractic

Antonina Ranieri , MSS

Social Worker - Clinical

NPI 1447311634

Dr. Jennifer Hitt , PhD

Psychologist - Clinical

NPI 1518023852

Doctor of Philosophy (Ph.D.)

Career & Practice History Timeline

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

7 Historical Events

📍

Updated Business Mailing Address November 04, 2023

Registered at 68 E LANCASTER AVE FL 1, PAOLI, PA 193011420 (Tel: 4843677346)

✅

NPI Profile Active July 01, 2012

NPI status registered as active in NPPES database

📍

Updated Practice Location July 01, 2012

Registered at 230 SUGARTOWN RD, WAYNE, PA 190873029 (Tel: 4843677346)

📍

Updated Business Mailing Address July 01, 2012

Registered at 230 SUGARTOWN RD, WAYNE, PA 190873029 (Tel: 4843677346)

👤

Provider Name / Credentials Updated July 01, 2012

Recorded as MICHELE PICCONE, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 01, 2012

Ophthalmology (License #MD034243E in PA)

🟢

Initial NPI Registration & Enumeration August 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: 1023028396

Entity Type:

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

Enumeration Date: August 09, 2006

Last Update: November 04, 2023

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

68 E Lancaster Ave Fl 1

Paoli, PA 193011420

Phone: 4843677346

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.