NPPES file of Aug 9, 2026

Paul Joseph Micale, MD

Cardiovascular Disease Physician · Newport News, VA

Paul Joseph Micale, MD is a cardiovascular disease physician with a practice address in Newport News, Virginia, and NPI 1316933195, issued on Sep 27, 2005. Check the license (Virginia 0101039574, as entered in NPPES) on the Virginia Department of Health Professions; the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · Medicare files 2023 and 2024 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1316933195
Name
Paul Joseph Micale
Credential
MD
Primary taxonomy
Cardiovascular Disease Physician 207RC0000X
License number
0101039574 VA
Self-reported in NPPES; status is on the state search
Practice location
500 J Clyde Morris Blvd, Newport News, VA 23601
Phone
(757) 594-2074
Enumerated
Sep 27, 2005
Record last updated
Jan 30, 2014 (not updated in 12 years: call before relying on the address or phone)
Fax
(757) 594-3369
Medicare enrollment
Enrolled (PECOS I20090129000631); accepts Medicare assignment
Medical or professional school
Emory University School Of Medicine, 1980
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). Enrollment, assignment, school and telehealth: CMS Doctors and Clinicians file, Aug 2026. A record is not a license: verify it with the state board.
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Also registered at 500 J Clyde Morris Blvd

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Houston Aaron, M.D.Neuroradiology Physician1295949220
  2. Colby Adkins, RNCertified Registered Nurse Anesthetist1255277661
  3. Kodjo AgbowouStudent in an Organized Health Care Education/Training Program1558163543
  4. Morgan AgnerStudent in an Organized Health Care Education/Training Program1427997246
  5. Ivan Alger, DOHospitalist Physician1366861619
  6. Reem Alhashemi, MDHospitalist Physician1770044828

Verify Paul Joseph Micale in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersVirginia Department of Health Professions
    Search for license 0101039574
    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Open the Virginia license search

PlainDoctor does not match the HHS-OIG exclusion list to individual records: most entries carry no NPI. Search the OIG exclusion list by name.

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2.0 times the Medicare Part D claims of the average cardiovascular disease physician in 2024

6,217 Medicare Part D claims for 789 beneficiaries, against an average of 3,078 among the 20,728 providers of this specialty who prescribed in Part D. Brand-name drugs were 18% of claims.

  1. Paul Micale6,217
  2. Specialty average3,078

Most prescribed

  1. Metoprolol Succinate679 claims
  2. Atorvastatin Calcium635 claims
  3. Clopidogrel372 claims
  4. Xarelto335 claims
  5. Diltiazem 24hr Er (Cd)304 claims
  6. Carvedilol293 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 MIPS final score for 2023 (Medicare payment program): 94.1 of 100

The Merit-based Incentive Payment System score is reported for this clinician. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.

  1. Qualityout of 100 · 30% of the final score90.7
  2. Costnot scored (reweighted)
  3. Promoting interoperabilityout of 100 · 25%95.8
  4. Improvement activities40 of 40 points · 15%100.0

Source: CMS Quality Payment Program, MIPS performance year 2023; category weights for 2023 (qpp.cms.gov).

Industry payments in 2024: $139.29

7 payments; by number, the most common kind was food and beverage; the largest payer was Pfizer Inc. The 16,686 providers of this specialty with any payment received $3,819.56 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.

  1. Paul Micale$139.29
  2. Specialty average$3,819.56

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

  1. Riverside Physician Services IncNewport News, VA

Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).

Paul Joseph Micale among 637 cardiovascular disease physician records in Virginia

Paul Joseph Micale, MD is one of 637 cardiovascular disease physician records with a practice address in Virginia. 83% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2005, is newer than 0% of them.

  • NPI issued2005 · 0% of these records are older, 83% newer
  • In a Medicare fileYes · 83% of these records are
  • In the CMS Doctors and Clinicians fileYes · 71% of these records are
  • Graduated1980 · median 2000 among the 452 with a school on file
  • Record last updated2014 · 49% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207RC0000X and a Virginia practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

Cardiovascular Disease Physician providers in Virginia

There are 637 cardiovascular disease physician records in Virginia.

The 8 cardiovascular disease physician records with the nearest ZIP codes

  1. Stgeorge Lee, M.D.Newport News, VA 236011942636014
  2. Anthony Lombardo, M.D.Newport News, VA 236011801008420
  3. Andrew Rashkow, MDNewport News, VA 236011811974207
  4. Fnu Vikram, MDNewport News, VA 236011962831149
  5. Rafic Zaitoun, M.D.Newport News, VA 236011588651228
  6. Allen Nichols, MDNewport News, VA 236021407998420
  7. Richard Edwards, MDNewport News, VA 236061447246160
  8. William Gillen, MDNewport News, VA 236061386630093

Common questions

What is Paul Joseph Micale, MD's NPI number?

Paul Joseph Micale, MD's National Provider Identifier (NPI) is 1316933195, issued on Sep 27, 2005. An NPI identifies a provider in billing; it is not a license.

Where is Paul Joseph Micale, MD located?

The NPPES record lists a practice address at 500 J Clyde Morris Blvd, Newport News, VA, 23601. Phone: (757) 594-2074. Providers update this record themselves, so call before visiting.

How can I verify Paul Joseph Micale, MD's license?

NPPES lists Virginia license number 0101039574, as entered by the provider. Search the Virginia Department of Health Professions at https://dhp.virginiainteractive.org/lookup/index. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.

How much does Paul Joseph Micale, MD prescribe under Medicare Part D?

In 2024, Paul Joseph Micale, MD had 6,217 Medicare Part D claims for 789 beneficiaries; the average among cardiovascular disease physician prescribers was 3,078. Part D covers Medicare prescriptions only.

What is Paul Joseph Micale, MD's MIPS final score?

The 2023 MIPS final score is 94.1 of 100. 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.