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Daniel James Migliaccio

Emergency Medicine · Chapel Hill

NPI 1215356407

Medicare standing
Clear
Enrolled, allowed to bill and order, not excluded
Plans that list them
Not verified
Not the same as out of network.
Office
1
Since medical school
12 years
Graduated 2014

Offices

1 location · University of North Carolina at Chapel Hill · 2,028 clinicians in this group

Looking this up.

Hospitals listed: Unc Hospitals. That is not proof they admit you there this week.

Plan participation

Not verified

We could not verify current plan participation for this doctor. This does not mean they are out of network. Call Daniel James Migliaccio’s office at (984) 974-1000 to ask if they take your plan before you enroll.

Hospitals they work in

1 hospital

These rate the hospital, not this clinician. Most measures at most hospitals are no different from the national rate.

  • Unc HospitalsChapel Hill, NCAcute Care Hospital · Government - State · Has an emergency department · Birthing-friendlyPart of UNC Health Care System, which runs 15 hospitalsHome of UNC Lineberger Comprehensive Cancer Center, a National Cancer Institute designated comprehensive cancer centrePatients rate it 4 of 5 · 80% would definitely recommend it
    Overall rating: 5 of 5 starsBetter than the national rate — Catheter Associated Urinary Tract Infections (ICU + select Wards): 0.685, Oct 2024 – Sep 2025Better than the national rate — Clostridium Difficile (C.Diff): 0.606, Oct 2024 – Sep 2025
See every measure and the patient survey for Unc Hospitals

Behind the star rating — Deaths: 1 better, 7 the same, 0 worse of 8 measures. Safety: 2 better, 6 the same, 0 worse of 8 measures. Readmissions: 5 better, 6 the same, 0 worse of 11 measures. The star rating is worked out from an earlier period than the measures below, so the two can disagree.

Every scored measure at Unc Hospitals
Catheter Associated Urinary Tract Infections (ICU + select Wards)Infections0.685BetterOct 2024 – Sep 2025
Clostridium Difficile (C.Diff)Infections0.606BetterOct 2024 – Sep 2025
Abdominopelvic accidental puncture or laceration rateComplications and deaths0.77 (0.02 to 1.52) · 2,693 casesNo differentJul 2022 – Jun 2024
CMS Medicare PSI 90: Patient safety and adverse events compositeComplications and deaths0.92 (0.71 to 1.12)No differentJul 2022 – Jun 2024
Death rate among surgical inpatients with serious treatable complicationsComplications and deaths161.89 (128.51 to 195.27) · 264 casesNo differentJul 2022 – Jun 2024
Death rate for CABG surgery patientsComplications and deaths2.8 · 50 casesNoneJul 2022 – Jun 2025
Death rate for COPD patientsComplications and deaths7.2 · 118 casesNoneJul 2022 – Jun 2025
Death rate for heart attack patientsComplications and deaths11.4 · 139 casesNoneJul 2022 – Jun 2025
Death rate for heart failure patientsComplications and deaths10.6 · 408 casesNoneJul 2022 – Jun 2025
Death rate for pneumonia patientsComplications and deaths12.1 · 405 casesNoneJul 2022 – Jun 2025
Death rate for stroke patientsComplications and deaths12 · 493 casesNoneJul 2023 – Jun 2025
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality RateComplications and deaths3 · 5,907 casesNoneJul 2024 – Jun 2025
Iatrogenic pneumothorax rateComplications and deaths0.31 (0.13 to 0.49) · 10,696 casesNo differentJul 2022 – Jun 2024
In-hospital fall-associated fracture rateComplications and deaths0.32 (0.15 to 0.5) · 11,495 casesNo differentJul 2022 – Jun 2024
Perioperative pulmonary embolism or deep vein thrombosis rateComplications and deaths3.29 (1.79 to 4.79) · 3,768 casesNo differentJul 2022 – Jun 2024
Postoperative acute kidney injury requiring dialysis rateComplications and deaths1.04 (0 to 2.24) · 1,925 casesNo differentJul 2022 – Jun 2024
Postoperative hemorrhage or hematoma rateComplications and deaths2.11 (1.06 to 3.17) · 3,512 casesNo differentJul 2022 – Jun 2024
Postoperative respiratory failure rateComplications and deaths8.88 (4.9 to 12.87) · 1,760 casesNo differentJul 2022 – Jun 2024
Postoperative sepsis rateComplications and deaths3.44 (1.13 to 5.76) · 1,918 casesNo differentJul 2022 – Jun 2024
Postoperative wound dehiscence rateComplications and deaths1.52 (0.22 to 2.82) · 1,003 casesNo differentJul 2022 – Jun 2024
Pressure ulcer rateComplications and deaths0.71 (0.29 to 1.12) · 9,900 casesNo differentJul 2022 – Jun 2024
Rate of complications for hip/knee replacement patientsComplications and deaths3.4 · 189 casesNoneApr 2023 – Mar 2025
Central Line Associated Bloodstream Infection (ICU + select Wards)Infections1.018No differentOct 2024 – Sep 2025
MRSA BacteremiaInfections0.697No differentOct 2024 – Sep 2025
SSI - Abdominal HysterectomyInfections0.637No differentOct 2024 – Sep 2025
SSI - Colon SurgeryInfections0.796No differentOct 2024 – Sep 2025
Acute Myocardial Infarction (AMI) 30-Day Readmission RateUnplanned return visits15 · 399 casesNoneJul 2023 – Jun 2025
Heart failure (HF) 30-Day Readmission RateUnplanned return visits18.8 · 897 casesNoneJul 2023 – Jun 2025
Hospital return days for heart attack patientsUnplanned return visits-10.4 · 186 casesNoneJul 2022 – Jun 2025
Hospital return days for heart failure patientsUnplanned return visits-12.4 · 451 casesNoneJul 2022 – Jun 2025
Hospital return days for pneumonia patientsUnplanned return visits-5.8 · 428 casesNoneJul 2022 – Jun 2025
Pneumonia (PN) 30-Day Readmission RateUnplanned return visits14.5 · 698 casesNoneJul 2023 – Jun 2025
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapyUnplanned return visits5.8 (4.6 to 7.2) · 922 casesNo differentJan 2024 – Dec 2024
Rate of inpatient admissions for patients receiving outpatient chemotherapyUnplanned return visits9.8 (8.2 to 11.7) · 922 casesNo differentJan 2024 – Dec 2024
Rate of readmission after hip/knee replacementUnplanned return visits4.6 · 184 casesNoneJul 2023 – Jun 2025
Rate of readmission for CABGUnplanned return visits11.9 · 54 casesNoneJul 2023 – Jun 2025
Rate of readmission for chronic obstructive pulmonary disease (COPD) patientsUnplanned return visits18.7 · 334 casesNoneJul 2023 – Jun 2025
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)Unplanned return visits10.8 (8.4 to 13.9) · 2,091 casesNo differentJan 2022 – Dec 2024
Ratio of unplanned hospital visits after hospital outpatient surgeryUnplanned return visits0.9 (0.7 to 1.1) · 1,351 casesNo differentJan 2024 – Dec 2024

What patients said (2,558 patients answered, 21% of those asked)

Patient survey stars by topic at Unc Hospitals
Cleanliness3
Nurse communication4
Doctor communication4
Communication about medicines3
Discharge information4
Overall hospital rating4
Quietness4
Recommend hospital5
Share of patients giving the best answer at Unc Hospitals
Room was "always" clean71%
Nurses "always" communicated well79%
Doctors "always" communicated well81%
Staff "always" explained61%
Yes, staff "did" give patients this information89%
Yes, staff "did" give patients information about help after discharge89%
Doctors "always" explained things so they could understand77%
Doctors "always" listened carefully80%
Doctors "always" treated them with courtesy and respect87%
Patients who gave a rating of "9" or "10" (high)77%
Staff "always" explained new medications74%
Nurses "always" explained things so they could understand76%
Nurses "always" listened carefully76%
Nurses "always" treated them with courtesy and respect86%
"Always" quiet at night62%
"YES", patients would definitely recommend the hospital80%
Staff "always" explained possible side effects47%
Yes, staff "did" give patients information about possible symptoms89%

Original Medicare doctor bills

$54,551

Medicare paid this office $54,551 for 406 people.

This is what Medicare paid the clinician — not Medicare Advantage, and not the pharmacy.

Largest Original Medicare bills
Emergency department visit with high level of medical decision making287$36,461$126
Critical care, first 30-74 minutes75$12,012$156
Emergency department visit with moderate level of medical decision making33$2,592$79
Ultrasound of heart, follow-up52$978$18

Who their Medicare patients are

406 Original Medicare patients in 2024. Average age 74 · Under 65 16% · 85 and older 18% · Women 55% · Also on Medicaid 22% · Health risk score 2.05. Above the middle of the specialty; the typical emergency medicine clinician is at 2.01.

Conditions among them: High blood pressure 75% · Depression 43% · Chronic kidney disease 37% · Coronary heart disease 36% · Heart failure 34% · Diabetes 33% · Atrial fibrillation 25% · Dementia 25% · COPD 21% · Cancer 20% · Stroke 18%.

The office billed $244,521, Medicare allowed $70,484 and paid $54,551; for 509 services of 30 kinds.

Original Medicare patients only. A risk score of 1.0 is the average Medicare patient; higher means sicker. Any count under 11 is hidden.

Year by year

Original Medicare by year
2024406509742.05$244,521$54,551
2023408518722.04$239,789$57,255
2022410545722.17$228,802$60,881
2021319455702.32$198,981$51,794
2020460601692.86$270,504$68,966
2019518766692.36$300,018$69,351
2018573951682.38$365,857$83,964
2017274458672.38$175,631$41,544

Original Medicare only. A service billed for fewer than 11 people in a year is hidden, so the lines can add up to less than the year's total.

See the services billed each year

2023: 5 services

Original Medicare services billed in 2023
Emergency department visit with high level of medical decision making234$32,435$136
Critical care, first 30-74 minutes93$16,312$170
Emergency department visit with moderate level of medical decision making56$5,109$91
Ultrasound of heart, follow-up58$1,091$19
Limited ultrasound scan of abdomen13$273$21

2022: 7 services

Original Medicare services billed in 2022
Emergency department visit with high level of medical decision making195$30,790$156
Critical care, first 30-74 minutes65$13,064$201
Emergency department visit with moderate level of medical decision making119$11,408$94
Ultrasound of heart, follow-up60$1,159$19
Emergency department visit with low level of medical decision making18$1,081$57
Limited ultrasound scan of abdomen12$264$22
Ultrasound scan of chest11$234$21

2021: 8 services

Original Medicare services billed in 2021
Emergency department visit with high level of medical decision making162$25,624$155
Critical care, first 30-74 minutes88$16,926$192
Emergency department visit with moderate level of medical decision making42$4,006$93
Ultrasound of heart, follow-up55$1,075$20
Emergency department visit with low level of medical decision making19$1,038$55
Limited ultrasound scan of abdomen20$442$22
Ultrasound scan of chest19$407$21
Limited ultrasound scan behind abdominal cavity11$237$22

2020: 6 services

Original Medicare services billed in 2020
Emergency department visit with high level of medical decision making218$32,138$144
Critical care, first 30-74 minutes111$21,695$194
Emergency department visit with moderate level of medical decision making94$9,461$95
Emergency department visit with low level of medical decision making39$1,614$40
Ultrasound of heart, follow-up47$976$21
Limited ultrasound scan of abdomen16$368$23

2019: 9 services

Original Medicare services billed in 2019
Emergency department visit with high level of medical decision making194$25,225$127
Critical care, first 30-74 minutes130$22,182$169
Emergency department visit with moderate level of medical decision making154$13,580$87
Emergency department visit with low level of medical decision making35$1,722$43
Ultrasound of heart, follow-up75$1,520$20
Limited ultrasound scan of abdomen46$1,004$22
Ultrasound scan of chest42$876$20
Limited ultrasound scan of joint or other extremity structure except blood vessels14$268$19
Limited ultrasound scan behind abdominal cavity12$258$21

2018: 8 services

Original Medicare services billed in 2018
Emergency department visit with high level of medical decision making262$35,260$129
Critical care, first 30-74 minutes170$29,059$167
Emergency department visit with moderate level of medical decision making105$9,412$86
Ultrasound of heart, follow-up110$2,288$20
Limited ultrasound scan of abdomen88$1,985$22
Ultrasound scan of chest89$1,870$20
Emergency department visit with low level of medical decision making26$1,243$44
Limited ultrasound scan behind abdominal cavity21$450$21

2017: 6 services

Original Medicare services billed in 2017
Emergency department visit with high level of medical decision making133$17,869$133
Critical care, first 30-74 minutes76$13,080$172
Emergency department visit with moderate level of medical decision making60$5,274$88
Ultrasound of heart, follow-up46$922$20
Limited ultrasound scan of abdomen40$905$22
Ultrasound scan of chest44$892$20

Medicaid work

$180,682 in 2024

Medicaid paid $180,682 for 2,317 billed services this clinician did in 2024, up to 41 people in a month for one service.

Medicaid and CHIP claims where this clinician did the service, fee-for-service and managed care together. Any month with fewer than 11 patients is hidden, so small Medicaid practices undercount.

Largest Medicaid services in 2024
EMERGENCY DEPT VISIT MOD MDM309$68,718
EMERGENCY DEPARTMENT VISIT HIGH MDM440$62,743
EMERGENCY DEPT VISIT LOW MDM118$23,734
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report136$8,558
Critical care, evaluation and management of the critically ill or critically injured patient; first 30-74 minutes35$4,399
Unclassified drugs486$4,063
Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count) and automated differential WBC count299$2,534
COMPREHENSIVE METABOLIC PANEL270$2,452
Therapeutic, prophylactic, or diagnostic injection (specify substance or drug); intravenous push, single or initial substance/drug28$2,391
Urinalysis, by dip stick or tablet reagent for bilirubin, glucose, hemoglobin, ketones, leukocytes, nitrite, pH, protein, specific gravity, urobilinogen, any number of these constituents; automated, with microscopy123$437
Troponin, quantitative29$331
ASSAY OF LIPASE13$136
Medicaid work by year
20242,3171441$180,682
20232,1361441$165,157
20221,8261331$140,630
20217891125$60,246
20201,4002148$63,977
20191,5421636$73,658
20181,6001736$80,202
See the largest Medicaid services in earlier years

2023

Largest Medicaid services in 2023
EMERGENCY DEPT VISIT MOD MDM330$63,184
EMERGENCY DEPARTMENT VISIT HIGH MDM414$50,941
EMERGENCY DEPT VISIT LOW MDM132$24,215
Critical care, evaluation and management of the critically ill or critically injured patient; first 30-74 minutes47$7,393
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report131$6,565
Therapeutic, prophylactic, or diagnostic injection (specify substance or drug); intravenous push, single or initial substance/drug42$3,570
Unclassified drugs362$3,089
Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count) and automated differential WBC count303$2,492
COMPREHENSIVE METABOLIC PANEL209$1,840
Therapeutic, prophylactic, or diagnostic injection (specify substance or drug); each additional sequential intravenous push of a new substance/drug (List separately in addition to code for primary procedure)18$796
ECHO TRANSTHORC R-T 2D W/WO M-MODE REC F-UP/LMTD23$368
Urinalysis, by dip stick or tablet reagent for bilirubin, glucose, hemoglobin, ketones, leukocytes, nitrite, pH, protein, specific gravity, urobilinogen, any number of these constituents; automated, with microscopy95$349

2022

Largest Medicaid services in 2022
EMERGENCY DEPT VISIT MOD MDM367$58,144
EMERGENCY DEPARTMENT VISIT HIGH MDM325$40,410
EMERGENCY DEPT VISIT LOW MDM146$24,057
Critical care, evaluation and management of the critically ill or critically injured patient; first 30-74 minutes31$4,384
Infectious disease (viral respiratory tract infection), pathogen-specific RNA, 4 targets (severe acute respiratory syndrome coronavirus 2 [SARS-CoV-2], influenza A, influenza B, respiratory syncytial virus [RSV]), upper respiratory specimen, each pathogen reported as detected or not detected21$3,483
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report85$2,686
Unclassified drugs320$2,223
Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count) and automated differential WBC count230$1,642
COMPREHENSIVE METABOLIC PANEL176$1,523
Therapeutic, prophylactic, or diagnostic injection (specify substance or drug); intravenous push, single or initial substance/drug16$1,464
Urinalysis, by dip stick or tablet reagent for bilirubin, glucose, hemoglobin, ketones, leukocytes, nitrite, pH, protein, specific gravity, urobilinogen, any number of these constituents; automated, with microscopy79$256
Ringers lactate infusion, up to 1000 cc13$243

2021

Largest Medicaid services in 2021
EMERGENCY DEPT VISIT MOD MDM114$23,195
EMERGENCY DEPARTMENT VISIT HIGH MDM193$22,018
Unclassified drugs118$4,248
EMERGENCY DEPT VISIT LOW MDM13$2,654
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report83$2,443
Critical care, evaluation and management of the critically ill or critically injured patient; first 30-74 minutes17$2,363
Intravenous infusion, hydration; each additional hour (List separately in addition to code for primary procedure)15$1,861
Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count) and automated differential WBC count110$691
COMPREHENSIVE METABOLIC PANEL80$590
Urinalysis, by dip stick or tablet reagent for bilirubin, glucose, hemoglobin, ketones, leukocytes, nitrite, pH, protein, specific gravity, urobilinogen, any number of these constituents; automated, with microscopy34$122
ASSAY OF LIPASE12$61

2020

Largest Medicaid services in 2020
EMERGENCY DEPARTMENT VISIT HIGH MDM299$34,021
EMERGENCY DEPT VISIT MOD MDM160$15,294
Critical care, evaluation and management of the critically ill or critically injured patient; first 30-74 minutes44$5,507
EMERGENCY DEPT VISIT LOW MDM53$3,585
Intravenous infusion, hydration; each additional hour (List separately in addition to code for primary procedure)24$995
Therapeutic, prophylactic, or diagnostic injection (specify substance or drug); intravenous push, single or initial substance/drug23$707
Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count) and automated differential WBC count137$532
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report61$525
Infectious agent detection by nucleic acid (DNA or RNA); influenza virus, for multiple types or sub-types, includes multiplex reverse transcription, when performed, and multiplex amplified probe technique, first 2 types or sub-types12$467
Therapeutic, prophylactic, or diagnostic injection (specify substance or drug); each additional sequential intravenous push of a new substance/drug (List separately in addition to code for primary procedure)15$441
COMPREHENSIVE METABOLIC PANEL85$418
Radiologic examination, chest; 2 views21$379

2019

Largest Medicaid services in 2019
EMERGENCY DEPT VISIT MOD MDM351$31,615
EMERGENCY DEPARTMENT VISIT HIGH MDM270$26,054
EMERGENCY DEPT VISIT LOW MDM78$5,678
Therapeutic, prophylactic, or diagnostic injection (specify substance or drug); intravenous push, single or initial substance/drug37$2,003
Critical care, evaluation and management of the critically ill or critically injured patient; first 30-74 minutes17$1,812
Intravenous infusion, hydration; each additional hour (List separately in addition to code for primary procedure)22$1,748
Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count) and automated differential WBC count213$1,226
Unclassified drugs252$962
COMPREHENSIVE METABOLIC PANEL102$859
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report70$814
Infusion, normal saline solution, sterile (500 ml = 1 unit)26$330
Culture, bacterial; quantitative colony count, urine18$188

2018

Largest Medicaid services in 2018
EMERGENCY DEPARTMENT VISIT HIGH MDM388$35,278
EMERGENCY DEPT VISIT MOD MDM210$26,986
Critical care, evaluation and management of the critically ill or critically injured patient; first 30-74 minutes71$8,899
EMERGENCY DEPT VISIT LOW MDM27$2,306
Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count) and automated differential WBC count230$1,440
COMPREHENSIVE METABOLIC PANEL123$1,226
Unclassified drugs257$1,133
ECHO TRANSTHORC R-T 2D W/WO M-MODE REC F-UP/LMTD84$996
ECHO EXAM OF ABDOMEN44$631
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report45$485
Radiologic examination, chest; 2 views12$246
Infusion, normal saline solution, sterile (500 ml = 1 unit)13$153

Drugs they prescribed that Part D paid

$1,022

Pharmacies billed $1,022 in 2024.

This is pharmacy cost, not the office bill, and not what patients paid.

Opioids were 16% of their Part D prescriptions (13 of 82) in 2024. Above the middle of the specialty; the typical emergency medicine clinician is at 12%.

77 generic and fewer than 11 brand-name prescriptions · $1,022 in drug cost · 30 antibiotic prescriptions to 26 people.

Part D prescriptions only. The opioid rate is opioid prescriptions as a share of all this clinician's Part D prescriptions; surgeons and pain specialists run higher than others, so it is shown against the same specialty.

Largest Part D drug costs
Oxycodone11$21$2

Year by year

Part D prescribing by year
2024825816% (13)None$1,022
202310869NoneNone$4,872
2022118799% (11)None$3,862
20215136NoneNone$1,150
20206848NoneNone$2,725
20194231NoneNone$395
2018564223% (13)None$1,889
20175541NoneNone$4,216
20162619NoneNone$2,316

Part D prescriptions only. A drug prescribed to fewer than 11 people in a year is hidden.

See the drugs prescribed each year

2023: 1 drug

Part D drugs prescribed in 2023
Doxycycline Hyclate14$177$13

2022: 3 drugs

Part D drugs prescribed in 2022
Doxycycline Hyclate15$222$15
Cefdinir11$221$20
Cephalexin11$144$13

Money from drug and device companies

$15 in 2023

A payment is not proof that care is biased.

Payments by company
CSL BehringKcentra$15
1 payment
  • Meals for Kcentra · 2023-10-09 · $15
See the published payment
Every published payment
CSL BehringMeals · 2023-10-09Kcentra$15

Professional record

NPI
1215356407
Licence
NC 2017-00290
Gender
Male
More record details
Sole proprietor
No
Taxonomy
Federal specialty code 207P00000X (207P00000X)
Mailing address
170 Manning Drive, Chapel Hill, NC, 27599
NPI first listed
2014-04-15
NPI last updated
2019-11-12

This is when the NPI record was last certified, not a medical board exam.

Extra NPI addresses: 300 Pasteur Dr, Stanford, CA, 94305