MICHAEL III COLUCCIELLO (M.D.) – Ophthalmology Physician, NPI 1215934146

MICHAEL III COLUCCIELLO (M.D.) is a healthcare provider. based in Moorestown, New Jersey. specializing in OPHTHALMOLOGY. They hold the professional credentials M.D.. They hold a License No. 25MA06592100 (NJ). The NPI Number for MICHAEL III COLUCCIELLO (M.D.) is 1215934146

Main info

Male
40 Years Of Experience
Accepts Medicare Assignment
Name
MICHAEL III COLUCCIELLO (M.D.)
NPI
1215934146
Phone
(856) 234-0258
Address
509 S LENOLA RD STE 11A
Enumeration Date
7 July 2005
Last Update Date
12 April 2021

Doctor Profile

Medical School Name
STATE UNIVERSITY OF NY UPSTATE MEDICAL UNIVERSITY
Secondary Phone
2018377300
Graduation Year
1986 (40 years ago)
PAC ID
2264400555
Group Practice PAC ID
2961509161
Professional Enrollment ID
I20100729000776
Address ID
NJ076661704TE628XXLNXX300

Contacts

Secure Messaging
michael.colucciello@direct.sjeye.nextgenshare.com
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience73
Completeness85
Years active:20State licenses:2Other namesUpdated within 12 months

605 OPHTHALMOLOGY in NJ

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Provider Addresses for MICHAEL III COLUCCIELLO (M.D.)

  • 11, South Lenola Road, Maple Shade, Moorestown Township, Burlington County, New Jersey, 08057, United States

    MOORESTOWN, NJ 080571561

    Phone: (856) 234-0258

    Fax: (856) 727-9518

    Type: Mailing

  • 25 Homestead Dr Ste A

    Columbus, NJ 080221005

    Phone: (609) 298-0888

    Fax: (609) 291-1972

    Type: Location

  • 103 Old Marlton Pike Ste 216

    Medford, NJ 080558772

    Phone: (609) 714-8761

    Fax: (609) 714-8759

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 24 Open Payments records for all available years, with a total value of $1,017.

Total Amount is formed as General ($1,017) + Research ($0) + Ownership ($0) = $1,017.

Last reported payment date: 2024-11-18 • Largest payer in this snapshot: Lupin Inc. ($500).

Total Amount

$1,017

General + Research + Ownership

Payments

24

Total payment records

General Amount

$1,017

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-18

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2010-07-29

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20100729000776IOphthalmologyNJTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
J2777Injection, faricimab-svoa, 0.1 mg27,30099$0
J0178Injection, aflibercept, 1 mg1,766181$0
67028Injection of drug into eye1,702306$0
92134Imaging of retina1,653449$0
J2778Injection, ranibizumab, 0.1 mg1,25471$0
View full utilization report →

Insurance plans in this area (ZIP 08057)

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Provider's Procedures

MICHAEL III COLUCCIELLO (M.D.) performs procedures in OPHTHALMOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
OPHTHALMOLOGYNJ92134Diagnostic imaging of retina2829824

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2961509161View full group profile
NameSpecialtyState
O P T O M E T R YNJ
O P H T H A L M O L O G YNJ
O P H T H A L M O L O G YIA
O P H T H A L M O L O G YMD
O P H T H A L M O L O G YNJ
O P H T H A L M O L O G YNJ
-NJ
O P T O M E T R YNJ
O P T O M E T R YNJ
Ophthalmology, Plastic And Reconstructive SurgeryPA

Reviews

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Frequently asked questions

What identifier follows MICHAEL III COLUCCIELLO (M.D.) across health systems?
The NPI 1215934146 uniquely identifies MICHAEL III COLUCCIELLO (M.D.) in U.S. healthcare data.
Does the public listing show MICHAEL III COLUCCIELLO (M.D.) as active?
MICHAEL III COLUCCIELLO (M.D.)'s NPI record reflects an active status in NPPES.
What services align with MICHAEL III COLUCCIELLO (M.D.)'s listing?
MICHAEL III COLUCCIELLO (M.D.)'s public classification highlights Ophthalmology Physician. Clinical services aligned with this taxonomy classification.
Can patients visit MICHAEL III COLUCCIELLO (M.D.) in Moorestown, New Jersey?
For routing, start with Moorestown, New Jersey for MICHAEL III COLUCCIELLO (M.D.), then verify phone and hours locally.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.