NPI registry status
Active
2026 NPPES data Pulmonary Disease Physician NPI 1851555601 M.D.
Verify on CMS → Andrew Mihalek, M.D.
Pulmonary Disease Physician in Charlottesville, Virginia.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 9,271 in Pulmonary Disease Physician, and covers specialty classification, practice address, and Medicare Part D prescribing data when reported. According to CMS, every field reflects the provider's official federal registration, see our methodology.
Federal data, no proprietary rating.
We show these CMS records as-is - no composite score, no star rating, no editorial opinion layered on top.
Prescribing volume
2K
Medicare Part D claims · 188 beneficiaries · Pulmonary Disease Physician avg: 1K
MIPS score
79.4/100
▼ 4 pts below national avg 83.1 · Above neutral
Compiled from official public sources by the PlainDoctor editorial team.
What the federal data shows
Andrew Mihalek, M.D. reported a CMS MIPS final score of 79.4/100 - below the 83.1 national average - and filed 1,623 Medicare Part D claims in 2023.
- 79.4/100
- MIPS score · -4 vs avg
- 2K
- Part D claims, 2023
- Likely
- board-certified (heuristic)
Every figure on this page comes straight from federal CMS records (NPPES, Medicare Part D, MIPS, Open Payments) - no proprietary rating or editorial opinion is applied.
Andrew Mihalek, M.D.'s MIPS score vs every scored U.S. clinician
CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure
79 30th percentile higher than 30% of 477,587 scored providers
Each bar is a band; taller bars hold more scored providers. The dashed line + filled bar mark this entry. Hover or tap any bar for its full count, share, and where it sits relative to this entry.
Source CMS Merit-based Incentive Payment System (MIPS) · 2023
Where Andrew Mihalek, M.D. sits
This provider among pulmonary disease physician peers
Across the 2,676 pulmonary disease physician providers who report both Medicare Part D prescribing and a MIPS quality score, Andrew Mihalek, M.D. writes more Part D claims than 64% of them and scores higher on MIPS quality than 37% - placing this provider in the high-volume, lower-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.
Part D claim volume vs MIPS quality, by specialty percentile
Each dot is one pulmonary disease physician peer from a representative sample of 60; the gold marker is Andrew Mihalek, M.D.. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
✓
Board certification likely (heuristic, not verified)
Andrew Mihalek, M.D. practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 1 hospital affiliation - signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).
What does the federal data show about Andrew Mihalek, M.D.?
Near national averagePrimary specialty
Pulmonary Disease Physician
Medicare Part D claims
1,623 11% vs specialty avg
MIPS final score
79.4/100 3.7 pts vs avg
Specialty distribution in Virginia
How Pulmonary Disease Physician compares to other specialties among Virginia providers
Medicare quality performance, MIPS
Andrew Mihalek, M.D.'s 2023 MIPS final score plotted against the Pulmonary Disease Physician national average
- MIPS Final Score
- 79.4/100
- vs 83.1 national avg · 2023 performance year
MIPS final score (Pulmonary Disease Physician) - 79.4/100 vs national avg 83.1
How MIPS and board certification work
The Merit-based Incentive Payment System (MIPS) scores providers 0–100 across four performance categories: Quality, Cost, Promoting Interoperability, and Improvement Activities, weighted under 42 CFR §414.1380. Reporting is voluntary for many small practices, so absence of a MIPS score is not a quality signal.
Board certification through an ABMS or AOA member board signals voluntary post-licensure examination plus continuous Maintenance of Certification cycles. Verify any individual provider's status through certificationmatters.org (ABMS) or osteopathic.org (AOA).
Andrew Mihalek, M.D. appears in the CMS NPPES registry as a Pulmonary Disease Physician provider holding M.D. credentials at 1221 LEE ST, Charlottesville, VA, 22908, with a listed phone of (434) 924-5219. NPI 1851555601 was issued on 07/10/2008.
Medicare Part D records for calendar year 2023 show 1,623 prescription claims written by this provider, covering 188 Medicare beneficiaries and totaling roughly $6.2 million in drug spend. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 79.4/100 for the 2023 performance year (Quality 73.7, Cost 57.7), compared with the national average of 83.1.
Pulmonary Disease Physician is a mid-sized specialty nationwide, with 9,271 enrolled providers across 53 states and an average of 1,457 Part D claims per prescriber, so the context for interpreting these metrics differs meaningfully from a primary-care baseline.
Important: PlainDoctor is a directory of publicly available government data, not medical advice, a malpractice database, or a quality rating. Inclusion here does not imply a recommendation, and absence of complaints or sanctions on this page does not mean none exist, always verify credentials through the NPPES NPI Registry, your state medical board, and the ABMS or AOA before making healthcare decisions.
Practice Address
Provider Details
| NPI | 1851555601 |
|---|---|
| Specialty | Pulmonary Disease Physician |
| Credentials | M.D. |
| Gender | Male |
| NPI Issued | 07/10/2008 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
79.3949
Final Score
Avg: 83.1
73.6607
Quality
57.6556
Cost
100
Promoting Interoperability
Reporting: Group practice
Hospital and facility affiliations
Facilities where Andrew Mihalek, M.D. bills Medicare from. Star ratings (1-5) are CMS Hospital Compare's "Hospital overall rating" - a composite of mortality, readmission, patient experience, safety, timely care, and efficient use of medical imaging measures. Source: CMS Care Compare.
University OF Virginia Physicians Group
Charlottesville, VA
Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).
Medicare Part D Prescribing Data
CMS Medicare Part D prescriber-level data for calendar year 2023.
1,623
Total Claims
$6.2M
Total Drug Cost
188
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 2,513
- Total Day Supply
- 72,302
- Generic Drug Cost
- $1.0M
- Antibiotic Claims
- 50
Patient Demographics
- Average Patient Age
- 69.8 years
- Avg HCC Risk Score
- 2.21
- Gender Split
- 64% female / 36% male
- Age Distribution
- <65: 50, 65-74: 72, 75-84: 54, 85+: 12
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
What Andrew Mihalek, M.D. prescribes most
Top Medicare Part D drugs by claim count, 2023
- Ambrisentan
Ambrisentan
139 claims
- Uptravi
Uptravi
113 claims
- Sildenafil Citrate
Sildenafil Citrate
99 claims
- Albuterol Sulfate …
Albuterol Sulfate Hfa
93 claims
- Furosemide
Furosemide
91 claims
- Adempas
Adempas
89 claims
- Symbicort
Symbicort
72 claims
- Ventolin Hfa
Ventolin Hfa
66 claims
| Drug | Claims |
|---|---|
| Ambrisentan | 139 |
| Uptravi Selexipag | 113 |
| Sildenafil Citrate | 99 |
| Albuterol Sulfate Hfa Albuterol Sulfate | 93 |
| Furosemide | 91 |
| Adempas Riociguat | 89 |
| Symbicort Budesonide/Formoterol Fumarate | 72 |
| Ventolin Hfa Albuterol Sulfate | 66 |
| Trelegy Ellipta Fluticasone/Umeclidin/Vilanter | 61 |
| Prednisone | 56 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Pulmonary Disease Physician Overview
How Andrew Mihalek, M.D. fits within the Pulmonary Disease Physician landscape nationally.
9,271
Pulmonary Disease Physician Providers in US
53
States with Pulmonary Disease Physician
1,457
Avg Claims per Provider
Andrew Mihalek, M.D.'s 1,623 claims are above the specialty average of 1,457.
Nearby Pulmonary Disease Physician Providers in Virginia
Other clinicians with the same primary specialty enrolled in Virginia, drawn from the same CMS NPPES roster as Mihalek.
Dr. Nathalie Abi Hatem
M.D.
Salem, VA
Dr. Youssef Abouleish
MD
Suffolk, VA
Dr. Jawed Abubaker
MD
Petersburg, VA
Dr. Richard Ackart
MD
Williamsburg, VA
Dr. Choi Mei Adams
FNP
Charlottesville, VA
Compare Pulmonary Disease Physician nationally: see state-by-state distribution →
Before you book an appointment
Use this federal record as your verification checklist, not as a recommendation.
- Confirm the NPI record is current in the official CMS registry, providers update their own NPPES details, and moves can lag. Verify this NPI
- Check the active license and any disciplinary history with the Virginia medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby Pulmonary Disease Physician peer on Medicare volume and prescribing patterns. Compare providers
Medicare Part D and MIPS figures describe practice patterns in federal programs only, they are not quality ratings, and PlainDoctor does not rate, rank, or recommend providers.
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Frequently Asked Questions
What is Andrew Mihalek, M.D.'s specialty? ▼
Andrew Mihalek, M.D. specializes in Pulmonary Disease Physician and practices in Charlottesville, Virginia. Credentials: M.D..
How much does Andrew Mihalek, M.D. prescribe under Medicare Part D? ▼
In 2023, Andrew Mihalek, M.D. wrote 1,623 Medicare Part D claims totaling $6.2M in drug costs for 188 beneficiaries.
What is Andrew Mihalek, M.D.'s Medicare quality score? ▼
Andrew Mihalek, M.D. has a CMS MIPS Final Score of 79.4/100 (Quality: 73.7, Cost: 57.7). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Andrew Mihalek, M.D. located? ▼
Andrew Mihalek, M.D. is located at 1221 LEE ST, Charlottesville, VA, 22908. Phone: (434) 924-5219.
What is Andrew Mihalek, M.D.'s NPI number? ▼
Andrew Mihalek, M.D.'s National Provider Identifier (NPI) is 1851555601, issued on 07/10/2008.
How many Pulmonary Disease Physician providers are there in the US? ▼
There are 9,271 Pulmonary Disease Physician providers across 53 states in the US. The average Pulmonary Disease Physician provider writes 1,457 Medicare Part D claims per year.
What drugs does Andrew Mihalek, M.D. prescribe most often? ▼
Based on 2023 Medicare Part D data, Andrew Mihalek, M.D.'s most frequently prescribed drugs include Ambrisentan, Uptravi, Sildenafil Citrate. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Andrew Mihalek, M.D. accept Medicare? ▼
Andrew Mihalek, M.D. appears in CMS Medicare data with 1,623 Part D claims and 188 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Andrew Mihalek, M.D.'s credentials? ▼
Andrew Mihalek, M.D.'s NPI is 1851555601 with credentials M.D.. You can verify this through the NPPES NPI Registry, check state medical board records, and confirm board certification through the ABMS or AOA.
Data Sources
View source datasets and methodology notes
- Provider Directory
- CMS National Plan and Provider Enumeration System (NPPES), download.cms.gov/nppes, updated monthly. Contains NPI, specialty, credentials, and practice location.
- Specialty Classification
- NUCC Health Care Provider Taxonomy (nucc.org), the industry standard for classifying provider specialties in Medicare and Medicaid billing.
- Prescribing Data
- CMS Medicare Part D Prescriber Public Use File (2023). Includes claims, drug costs, beneficiaries, and opioid prescribing rates.
- Quality Performance
- CMS Merit-based Incentive Payment System (MIPS) - 2023 performance year.
- Limitations
- Provider data is self-reported to CMS. Prescribing data reflects Medicare Part D only and does not include commercial insurance, Medicaid, or cash prescriptions. Claims below 11 beneficiaries are suppressed by CMS for privacy.
See our complete data methodology for details on how we collect and process government data.
Data as of April 2026 (NPPES) / 2023 (Medicare Part D). Source: Centers for Medicare & Medicaid Services (CMS).
Disclaimer: Data from CMS NPPES and Medicare Part D. PlainDoctor does not rate or rank providers. Provider information is self-reported and may not be current. Always verify information directly with the provider. About · Methodology
Compiled from official public sources by the PlainDoctor editorial team.