Doctor profile · Federal record
Dr. MICHAEL DESTEFANO, MICHAEL DESTEFANO
Diagnostic Radiology Physician (CMS: DIAGNOSTIC RADIOLOGY) · Diagnostic Radiology Physician · NEW YORK, NY
- NPI 1326369943
- Accepts Medicare
- MIPS 93.4 / 100 · 2023
- 16 yrs in practice
- Licensed in 2 states
- Male
- Group practice
- No sanctions
Practice & contact
Operates at 3 locations .
- Primary practice
-
1300 YORK AVE
NEW YORK, NY 100654805
(646) 962-9649 - Additional location
-
1 Gustave L Levy Pl
New York, NY 100296504
(212) 241-6500 - Additional location
-
1 Cooper Plz
Camden, NJ 08103
(856) 342-2383 - Mailing address
-
1 FEDERAL ST STE SW200
CAMDEN, NJ 081031155
Credentials & registration
- NPI registered
- June 2010 — 16 yrs on file
- Profile last updated
- April 12, 2023
- Year of graduation
- 2010 — 16 yrs since
- Specialty taxonomy
- 2085R0202X — NUCC code
- State licenses (2)
- New Jersey #25MA10390300 · New York #278012-1
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1326369943. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
2,687
Distinct HCPCS
10
Medicare allowed
$143,187
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
A9585 |
Injection, gadobutrol, 0.1 ml | 1,524 | 23 | $0 | |
77063 |
Screening 3d breast mammography | 318 | 318 | $60 | |
77067 |
Screening mammography | 318 | 318 | $149 | |
76641 |
Complete ultrasound scan of 1 breast | 174 | 172 | $179 | |
77065 |
Diagnostic mammography of 1 breast | 43 | 42 | $146 | |
77063 |
Screening 3d breast mammography | 42 | 42 | $33 | |
77067 |
Screening mammography | 42 | 42 | $41 | |
G0279 |
Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) | 40 | 40 | $61 | |
76641 |
Complete ultrasound scan of 1 breast | 33 | 33 | $56 | |
76642 |
Limited ultrasound scan of 1 breast | 20 | 20 | $105 |
In context: peer comparison
Among 315 peers in this city , average services per provider: 372. This provider delivers 7.2× the peer median.