John Michalak, M.D.
NPI 1295174928 · Urology Physician · Pinehurst, NC
Enrolled with Medicare as Practitioner - Urology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
John Michalak, M.D. is a Urology Physician provider in Pinehurst, NC (NPI 1295174928).
Provider details
- NPI number
- 1295174928
- Entity type
- Individual
- Primary specialty
- Urology PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 2018-00235 (NC)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
13 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)25% of score
6,038 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 789 | $120 |
| Ultrasound Measurement of Bladder Capacity After Voiding51798 | 644 | $10 |
| Manual Urinalysis Test With Examination Using Microscope, Automated81001 | 498 | $3 |
| Visit Complexity Inherent to Evaluation and Management Associated With Medical Care Services That Serve As the Continuing Focal Point for All Needed Health Care Services And/Or With Medical Care Services That Are Part of Ongoing Care Related to a Patient'SG2211 | 438 | $16 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 366 | $85 |
| Automated Urinalysis Test |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 34 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Tamsulosin Hcl | 512 | 176 |
| Ciprofloxacin Hcl | 176 | 144 |
| Vibegronbrand: Gemtesa | 149 | 48 |
| Mirabegronbrand: Myrbetriq | 145 | 36 |
| Sulfamethoxazole/Trimethoprimbrand: Sulfamethoxazole-Trimethoprim | 137 | 85 |
| Finasteride | 107 | 36 |
| Methenamine Hippurate | 80 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$1,116 across 50 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Registry dates
- Enumerated
- 2013-06-15
- Last updated
- 2018-09-27
Frequently asked questions
- What is John Michalak's NPI number?
- John Michalak's National Provider Identifier (NPI) is 1295174928, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is John Michalak's specialty?
- John Michalak is listed in the NPPES registry with a primary specialty of Urology Physician (Allopathic & Osteopathic Physicians).
- Where is John Michalak located?
- John Michalak's practice location on file with NPPES is 5 First Village Dr, Pinehurst, NC 28374.
- What is John Michalak's phone number?
- The practice phone number listed in the NPPES registry for John Michalak is (910) 295-6831.
- Does John Michalak accept Medicare?
- John Michalak is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is John Michalak's NPI active?
- Yes — John Michalak's NPI (1295174928) is active in the NPPES registry as of the last update on 2018-09-27.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.