John Michalak, M.D.
Urology Physician · Pinehurst, NC
John Michalak, M.D. is a urology physician with a practice address in Pinehurst, North Carolina, and NPI 1295174928, issued on Jun 15, 2013. Check the license (North Carolina 2018-00235, as entered in NPPES) on the North Carolina Medical Board; the Medicare figures below come from public CMS files.
- Name
- John Michalak
- Credential
- M.D.
- Primary taxonomy
- Urology Physician 208800000X
- License number
- 2018-00235 NC
Self-reported in NPPES; status is on the state search - Practice location
- 5 First Village Dr, Pinehurst, NC 28374
- Phone
- (910) 295-6831
- Enumerated
- Jun 15, 2013
- Record last updated
- Sep 27, 2018 (not updated in 8 years: call before relying on the address or phone)
- Medicare enrollment
- Enrolled (PECOS I20180430001308); accepts Medicare assignment
- Medical or professional school
- Brody School Of Medicine At East Carolina University, 2013
- Telehealth
- Offers telehealth (CMS)
- Entity
- Type 1 · individual
8 nearest urology physician records → All 506 in North Carolina → Look up another NPI →
Also registered at 5 First Village Dr
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Jennifer Ballinger, MDUrology Physician1427599653
- Steve Balos, NPFamily Nurse Practitioner1093458663
- Raymond Beaman, PA-CPhysician Assistant1548852718
- Joel Berman, M.D.Vascular Surgery Physician1952382707
- Lorraine Berman, M.D.Vascular Surgery Physician1366423170
- McKenley Byrd, PT, DPTPhysical Therapist1073296836
Verify John Michalak in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersNorth Carolina Medical Board
Search for license 2018-00235Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
69% more Medicare Part D claims than the average urology physician in 2024
2,264 Medicare Part D claims for 636 beneficiaries, against an average of 1,340 among the 10,782 providers of this specialty who prescribed in Part D. Brand-name drugs were 16% of claims. 113 claims were for opioids.
Most prescribed
- Tamsulosin Hcl512 claims
- Ciprofloxacin Hcl176 claims
- Gemtesa149 claims
- Myrbetriq145 claims
- Sulfamethoxazole-Trimethoprim137 claims
- Finasteride107 claims
Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.
The practice group's MIPS final score for 2023 (Medicare payment program): 88 of 100
The Merit-based Incentive Payment System score is reported for the practice group, not for one clinician alone. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.
Source: CMS Quality Payment Program, MIPS performance year 2023, group reporting; category weights for 2023 (qpp.cms.gov).
Industry payments in 2024: $1,116.18
50 payments; by number, the most common kind was food and beverage; the largest payer was Sumitomo Pharma America, Inc. The 9,340 providers of this specialty with any payment received $3,800.04 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.
Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.
Bills Medicare through one group practice
- Pinehurst Surgical Clinic PAPinehurst, NC
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
John Michalak among 506 urology physician records in North Carolina
John Michalak, M.D. is one of 506 urology physician records with a practice address in North Carolina. 77% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2013, is newer than 75% of them.
- NPI issued2013 · 75% of these records are older, 22% newer
- In a Medicare fileYes · 77% of these records are
- In the CMS Doctors and Clinicians fileYes · 65% of these records are
- Graduated2013 · median 2005 among the 329 with a school on file
- Record last updated2018 · 59% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 208800000X and a North Carolina practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
Urology Physician providers in North Carolina
There are 506 urology physician records in North Carolina.
All 506 in North Carolina → Every provider in Pinehurst → Urology Physician nationwide →
The 8 urology physician records with the nearest ZIP codes
- Jennifer Ballinger, MDPinehurst, NC 283741427599653
- Manlio Goetzl, M.D.Pinehurst, NC 283741932229853
- Greg Griewe, M.D.Pinehurst, NC 283741205841079
- Charles Lenahan, M.D.Pinehurst, NC 283741467468538
- Joshua Sesek, MDPinehurst, NC 283741912318692
- Bernard Stanfield, M.D.Pinehurst, NC 283741144236340
- Geoffrey White, M.D.Pinehurst, NC 283741376559443
- Victor Pereira, PA-CPembroke, NC 283721336879642
Common questions
What is John Michalak, M.D.'s NPI number?
John Michalak, M.D.'s National Provider Identifier (NPI) is 1295174928, issued on Jun 15, 2013. An NPI identifies a provider in billing; it is not a license.
Where is John Michalak, M.D. located?
The NPPES record lists a practice address at 5 First Village Dr, Pinehurst, NC, 28374. Phone: (910) 295-6831. Providers update this record themselves, so call before visiting.
How can I verify John Michalak, M.D.'s license?
NPPES lists North Carolina license number 2018-00235, as entered by the provider. Search the North Carolina Medical Board at https://portal.ncmedboard.org/verification/search.aspx. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
How much does John Michalak, M.D. prescribe under Medicare Part D?
In 2024, John Michalak, M.D. had 2,264 Medicare Part D claims for 636 beneficiaries; the average among urology physician prescribers was 1,340. Part D covers Medicare prescriptions only.
What is John Michalak, M.D.'s MIPS final score?
The 2023 MIPS final score is 88 of 100, reported for the practice group. The average among 454,083 clinicians with a measured score was 83.5.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.