Active NPI 1295174928 Individual Practitioner Male Practitioner

Dr. John Michalak , MD

Urology • Pinehurst, NC

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Dr. John Michalak, MD is a certified Urology practicing in Pinehurst, NC. With approximately 13 years of clinical experience since graduating from Brody School Of Medicine At East Carolina University in 2013, Dr. Michalak delivers high-quality medical care to the local community at 5 FIRST VILLAGE DR.

Dr. Michalak is affiliated with Pinehurst Surgical Clinic Pa and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include established patient outpatient office visit, ultrasound measurement of bladder capacity after voiding, manual urinalysis test with examination using microscope, automated. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

5 First Village Dr

Pinehurst, NC 28374

Telephone 9102956831

Associated Practice Facility / Clinic

🏢 Psc Commercial Bundle, Llc Facility NPI 1659836500

Medicare Profile & Education

Medical School

Brody School Of Medicine At East Carolina University

Graduation Year

2013

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Urology in Pinehurst, NC

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

13 Yrs -5.2 yrs vs City Avg

City Avg: 18.2 Yrs

State Avg: 25.7 Yrs

Regional Practice Density

8 Specialists

Practicing in Pinehurst, NC (528 Statewide)

Telehealth Adoption Rate

25.0% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

79.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Michalak (13 Years) 13 Yrs

Pinehurst Specialty Average (18.2 Years) 18.2 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	789	532	$514.00	$119.84
51798 Ultrasound measurement of bladder capacity after voiding	644	484	$40.00	$10.28
81001 Manual urinalysis test with examination using microscope, automated	498	376	$25.00	$3.10
G2211 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's	438	380	$62.00	$15.63
99213 Established patient office or other outpatient visit, typically 15 minutes	366	265	$363.00	$85.19
81003 Automated urinalysis test	307	265	$30.00	$2.19
74018 X-ray of abdomen, 1 view	285	211	$114.72	$27.74
36415 Insertion of needle into vein for collection of blood sample	247	205	$25.00	$8.62
J9217 Leuprolide acetate (for depot suspension), 7.5 mg	222	24	$1035.00	$178.23
88305 Pathology examination of tissue using a microscope, intermediate complexity	215	146	$236.00	$34.68
88112 Cell examination of specimen, selective cellular enhancement technique	201	145	$106.00	$25.68
52000 Diagnostic exam of bladder and urethra using an endoscope	189	156	$917.00	$217.28
84153 Psa (prostate specific antigen) measurement, total	143	118	$113.00	$18.02
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	115	76	$720.00	$166.94
51700 Simple bladder irrigation and/or instillation	112	50	$291.00	$69.31
71046 X-ray of chest, 2 views	104	93	$88.39	$21.19
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	89	89	$670.00	$157.53
51741 Electronic assessment of bladder emptying	81	79	$54.00	$6.65
93005 Routine electrocardiogram (ecg) using at least 12 leads with tracing	80	73	$24.00	$5.66
51728 Complex measurement of pressure of urine flow in bladder with voiding pressure studies	80	78	$1392.00	$143.03
76770 Complete ultrasound scan behind abdominal cavity	79	73	$280.00	$66.24
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	76	38	$317.00	$73.09
76872 Ultrasound scan of pelvic region through rectum	65	65	$350.00	$128.42
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	58	53	$37.00	$7.49
74420 Imaging of urinary tract	54	41	$96.00	$22.75
82565 Blood creatinine level	54	47	$31.00	$5.02
80053 Blood test, comprehensive group of blood chemicals	53	49	$74.00	$10.18
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	50	25	$129.00	$32.65
74178 Ct scan of abdomen and pelvis before and after contrast	42	42	$984.00	$233.80
52224 Destruction of (less than 0.5 centimeters) growths of the bladder and bladder canal (urethra) using an endoscope	39	27	$2984.00	$716.56
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	39	17	$462.00	$110.72
52601 Electro-removal of prostate through bladder canal (urethra) with control of bleeding using an endoscope	35	35	$2788.00	$659.89
51600 Injection procedure for X-ray imaging of the bladder or during voiding	32	32	$812.00	$111.77
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	32	32	$451.00	$104.75
74170 Ct scan of abdomen before and after contrast	32	23	$503.66	$163.13
74455 Review by radiologist of urinary bladder and urethra images with contrast and after passing urine	28	28	$399.00	$95.76
52332 Insertion of stent in urinary duct (ureter) using an endoscope	27	22	$1704.44	$89.82
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	27	27	$504.00	$120.45
52356 Crushing of stone of ureter with insertion of stent using an endoscope	26	25	$1637.65	$340.17
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	26	26	$673.00	$158.23
52310 Simple removal of foreign body, stone, or stent in urethra or bladder using an endoscope	26	26	$1220.00	$290.52
52344 Endoscope of the bladder, urethra and ureter to treat a stricture of ureter	24	19	$1545.83	$320.80
52315 Complicated removal of foreign body, stone, or stent in urethra or bladder using an endoscope	24	20	$1801.00	$436.22
74176 Ct scan of abdomen and pelvis without contrast	23	22	$403.00	$95.89
55700 Biopsy of prostate gland	19	19	$924.00	$224.12
G0416 Surgical pathology, gross and microscopic examinations, for prostate needle biopsy, any method	18	18	$670.00	$165.10
52240 Destruction and/or removal of large growth of bladder using an endoscope	13	11	$1488.00	$292.24
52318 Crushing, fragmenting, and removal of bladder stones, more than 2.5 cm	12	12	$1798.00	$236.37
51784 Non-needle measurement and recording of electrical activity of muscles at bladder and bowel openings	11	11	$246.00	$30.01
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	11	11	$884.00	$208.00

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
81001 Manual urinalysis test with examination using microscope, automated	1,299	708	$22.29	$3.10
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	915	538	$371.15	$122.47
51798 Ultrasound measurement of bladder capacity after voiding	701	514	$75.24	$10.02
36415 Insertion of needle into vein for collection of blood sample	412	301	$22.98	$8.40
99213 Established patient office or other outpatient visit, typically 15 minutes	320	243	$271.71	$86.46
74018 X-ray of abdomen, 1 view	306	221	$108.82	$27.67
J9217 Leuprolide acetate (for depot suspension), 7.5 mg	225	29	$918.52	$169.16
84153 Psa (prostate specific antigen) measurement, total	218	163	$104.33	$18.02
52000 Diagnostic exam of bladder and urethra using an endoscope	179	147	$725.80	$227.67
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	173	120	$485.92	$168.88
71046 X-ray of chest, 2 views	122	112	$80.71	$22.15
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	122	122	$498.85	$160.49
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	121	40	$288.78	$115.65
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	116	100	$37.00	$7.61
88305 Pathology examination of tissue using a microscope, intermediate complexity	115	104	$236.00	$35.80
80053 Blood test, comprehensive group of blood chemicals	109	96	$78.40	$10.30
93005 Routine electrocardiogram (ecg) using at least 12 leads with tracing	108	102	$36.89	$5.92
88112 Cell examination of specimen, selective cellular enhancement technique	108	102	$106.00	$26.52
76770 Complete ultrasound scan behind abdominal cavity	97	87	$332.92	$69.20
82565 Blood creatinine level	96	87	$31.00	$4.86
51741 Electronic assessment of bladder emptying	92	90	$152.00	$6.74
51728 Complex measurement of pressure of urine flow in bladder with voiding pressure studies	92	90	$1077.87	$156.21
74420 Imaging of urinary tract	79	56	$85.37	$23.84
51720 Instillation of anti-cancer drug into bladder	77	12	$383.57	$83.97
51700 Simple bladder irrigation and/or instillation	76	42	$300.26	$72.77
76872 Ultrasound scan of pelvic region through rectum	74	70	$434.86	$130.63
52224 Destruction of (less than 0.5 centimeters) growths of the bladder and bladder canal (urethra) using an endoscope	50	41	$3406.00	$747.52
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	47	42	$514.70	$168.56
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	45	29	$118.73	$32.14
51705 Removal of skin suture with change of bladder tube	43	12	$383.91	$92.83
74178 Ct scan of abdomen and pelvis before and after contrast	42	41	$1136.95	$246.39
52356 Crushing of stone of ureter with insertion of stent using an endoscope	39	34	$1799.12	$379.92
52332 Insertion of stent in urinary duct (ureter) using an endoscope	39	31	$1708.72	$99.32
51784 Non-needle measurement and recording of electrical activity of muscles at bladder and bowel openings	38	38	$579.95	$30.75
52310 Simple removal of foreign body, stone, or stent in urethra or bladder using an endoscope	37	36	$1187.65	$305.44
74176 Ct scan of abdomen and pelvis without contrast	34	30	$586.44	$100.94
74170 Ct scan of abdomen before and after contrast	29	24	$810.34	$167.70
52601 Electro-removal of prostate through bladder canal (urethra) with control of bleeding using an endoscope	29	29	$2795.24	$698.53
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	28	28	$328.04	$107.71
51600 Injection procedure for X-ray imaging of the bladder or during voiding	26	26	$707.00	$113.43
55700 Biopsy of prostate gland	25	24	$851.28	$222.65
74455 Review by radiologist of urinary bladder and urethra images with contrast and after passing urine	24	24	$347.08	$99.88
52315 Complicated removal of foreign body, stone, or stent in urethra or bladder using an endoscope	23	23	$1830.96	$451.27
52344 Endoscope of the bladder, urethra and ureter to treat a stricture of ureter	23	21	$1738.26	$324.53
52240 Destruction and/or removal of large growth of bladder using an endoscope	20	17	$1733.60	$275.78
51797 Insertion of device into abdomen with pressure and urine flow rate study	20	20	$709.35	$183.48
52001 Irrigation and removal of multiple blood clots from bladder and urethra using an endoscope	12	12	$1399.50	$327.73
74177 Ct scan of abdomen and pelvis with contrast	12	12	$934.67	$200.14
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	12	12	$595.83	$211.95

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
81001 Manual urinalysis test with examination using microscope, automated	1,318	683	$20.00	$3.12
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	884	517	$205.00	$123.90
51798 Ultrasound measurement of bladder capacity after voiding	680	477	$104.00	$9.93
36415 Insertion of needle into vein for collection of blood sample	435	306	$21.00	$2.96
99213 Established patient office or other outpatient visit, typically 15 minutes	331	248	$140.00	$88.16
84153 Psa (prostate specific antigen) measurement, total	261	183	$95.00	$18.11
74018 X-ray of abdomen, 1 view	241	178	$104.00	$27.94
52000 Diagnostic exam of bladder and urethra using an endoscope	233	189	$545.00	$237.25
J9217 Leuprolide acetate (for depot suspension), 7.5 mg	216	27	$811.00	$170.46
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	202	111	$275.00	$175.67
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	165	41	$200.00	$99.98
80053 Blood test, comprehensive group of blood chemicals	128	103	$82.00	$10.38
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	124	104	$37.00	$7.66
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	122	122	$310.00	$163.47
71046 X-ray of chest, 2 views	121	114	$73.71	$22.17
93005 Routine electrocardiogram (ecg) using at least 12 leads with tracing	108	105	$48.00	$5.71
51741 Electronic assessment of bladder emptying	103	99	$238.00	$7.01
76872 Ultrasound scan of pelvic region through rectum	99	94	$507.00	$135.74
51728 Complex measurement of pressure of urine flow in bladder with voiding pressure studies	97	95	$814.00	$190.02
51784 Non-needle measurement and recording of electrical activity of muscles at bladder and bowel openings	95	92	$716.00	$31.11
82565 Blood creatinine level	80	76	$31.00	$4.99
74420 Imaging of urinary tract	74	50	$72.00	$24.46
76770 Complete ultrasound scan behind abdominal cavity	74	66	$367.00	$71.33
51705 Removal of skin suture with change of bladder tube	61	12	$386.00	$94.63
51700 Simple bladder irrigation and/or instillation	51	42	$313.00	$72.04
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	50	50	$205.00	$109.48
52442 Insertion of implant in urethra within prostate gland using an endoscope, each additional implant	49	12	$3649.00	$877.07
52332 Insertion of stent in urinary duct (ureter) using an endoscope	47	39	$1848.00	$139.57
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	45	29	$107.00	$31.99
74178 Ct scan of abdomen and pelvis before and after contrast	44	43	$1276.00	$256.44
52356 Crushing of stone of ureter with insertion of stent using an endoscope	40	33	$1921.13	$395.05
55700 Biopsy of prostate gland	40	40	$823.00	$238.38
52224 Destruction of (less than 0.5 centimeters) growths of the bladder and bladder canal (urethra) using an endoscope	39	31	$3828.00	$782.15
52601 Electro-removal of prostate through bladder canal (urethra) with control of bleeding using an endoscope	35	35	$2803.00	$712.03
51600 Injection procedure for X-ray imaging of the bladder or during voiding	35	34	$630.00	$121.44
51797 Insertion of device into abdomen with pressure and urine flow rate study	35	35	$690.00	$192.76
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	35	33	$363.00	$193.55
52310 Simple removal of foreign body, stone, or stent in urethra or bladder using an endoscope	34	32	$1157.00	$315.17
74176 Ct scan of abdomen and pelvis without contrast	30	29	$700.00	$103.38
74455 Review by radiologist of urinary bladder and urethra images with contrast and after passing urine	30	30	$310.00	$103.37
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	27	27	$390.00	$216.36
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	18	13	$50.00	$13.89
52281 Dilation of bladder canal (urethra) using an endoscope	16	13	$995.00	$324.88
78306 Nuclear medicine study of bone and/or joint whole body	15	15	$812.00	$225.39
52353 Crushing of stone of ureter using an endoscope	15	14	$1977.67	$93.43
52240 Destruction and/or removal of large growth of bladder using an endoscope	14	12	$2102.00	$294.11
74170 Ct scan of abdomen before and after contrast	13	12	$1284.00	$169.38
52315 Complicated removal of foreign body, stone, or stent in urethra or bladder using an endoscope	13	13	$1580.92	$466.00
52344 Endoscope of the bladder, urethra and ureter to treat a stricture of ureter	13	11	$2081.85	$340.78
52441 Insertion of implant in urethra within prostate gland using an endoscope, 1 implant	12	12	$4882.00	$1280.57
74177 Ct scan of abdomen and pelvis with contrast	12	12	$966.00	$228.01

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
81001 Manual urinalysis test with examination using microscope, automated	1,461	706	$20.00	$3.16
51798 Ultrasound measurement of bladder capacity after voiding	728	503	$104.00	$9.76
99213 Established patient office or other outpatient visit, typically 15 minutes	620	421	$140.00	$88.57
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	539	364	$205.00	$126.72
36415 Insertion of needle into vein for collection of blood sample	406	295	$21.00	$2.99
52000 Diagnostic exam of bladder and urethra using an endoscope	252	200	$545.00	$214.78
52442 Insertion of implant in urethra within prostate gland using an endoscope, each additional implant	246	48	$3649.00	$948.64
84153 Psa (prostate specific antigen) measurement, total	223	164	$95.00	$18.39
74018 X-ray of abdomen, 1 view	204	153	$104.00	$27.44
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	197	125	$275.00	$177.45
J3315 Injection, triptorelin pamoate, 3.75 mg	144	19	$650.00	$442.26
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	132	110	$37.00	$7.77
80053 Blood test, comprehensive group of blood chemicals	125	105	$82.00	$10.56
51741 Electronic assessment of bladder emptying	114	110	$238.00	$6.90
71046 X-ray of chest, 2 views	107	102	$73.40	$21.93
76872 Ultrasound scan of pelvic region through rectum	104	101	$507.00	$134.65
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	101	101	$310.00	$165.45
93005 Routine electrocardiogram (ecg) using at least 12 leads with tracing	100	97	$48.00	$6.19
74420 Imaging of urinary tract	96	69	$72.00	$24.70
82565 Blood creatinine level	87	79	$31.00	$5.06
51728 Complex measurement of pressure of urine flow in bladder with voiding pressure studies	79	76	$814.00	$226.90
76770 Complete ultrasound scan behind abdominal cavity	71	65	$367.00	$73.27
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	70	26	$200.00	$101.74
51700 Simple bladder irrigation and/or instillation	69	56	$313.00	$74.33
51784 Non-needle measurement and recording of electrical activity of muscles at bladder and bowel openings	68	68	$716.00	$32.99
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	65	65	$205.00	$110.41
52332 Insertion of stent in urinary duct (ureter) using an endoscope	62	55	$1613.16	$124.56
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	56	33	$164.00	$70.80
51797 Insertion of device into abdomen with pressure and urine flow rate study	54	54	$690.00	$181.35
74178 Ct scan of abdomen and pelvis before and after contrast	49	49	$1276.00	$261.60
52441 Insertion of implant in urethra within prostate gland using an endoscope, 1 implant	48	48	$4882.00	$1335.89
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	48	48	$363.00	$197.05
52310 Simple removal of foreign body, stone, or stent in urethra or bladder using an endoscope	40	39	$1157.00	$307.60
52356 Crushing of stone of ureter with insertion of stent using an endoscope	39	38	$1844.62	$383.72
51729 Complex measurement of pressure of urine flow in bladder with urethra pressure and voiding pressure studies	34	34	$877.00	$386.88
55700 Biopsy of prostate gland	32	32	$823.00	$246.46
52224 Destruction of (less than 0.5 centimeters) growths of the bladder and bladder canal (urethra) using an endoscope	32	28	$3828.00	$786.56
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	31	31	$390.00	$218.68
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	29	22	$107.00	$31.58
51600 Injection procedure for X-ray imaging of the bladder or during voiding	29	29	$630.00	$129.34
74176 Ct scan of abdomen and pelvis without contrast	26	25	$700.00	$106.25
74455 Review by radiologist of urinary bladder and urethra images with contrast and after passing urine	24	24	$310.00	$102.22
52601 Electro-removal of prostate through bladder canal (urethra) with control of bleeding using an endoscope	23	23	$2803.00	$724.65
52281 Dilation of bladder canal (urethra) using an endoscope	19	11	$995.00	$312.03
52240 Destruction and/or removal of large growth of bladder using an endoscope	17	15	$2102.00	$331.05
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	17	17	$246.00	$133.89
74177 Ct scan of abdomen and pelvis with contrast	15	15	$966.00	$234.67
52315 Complicated removal of foreign body, stone, or stent in urethra or bladder using an endoscope	15	15	$1499.00	$443.85
71250 Ct scan of chest without contrast	14	11	$745.00	$84.18
78306 Nuclear medicine study of bone and/or joint whole body	14	14	$812.00	$249.72
52344 Endoscope of the bladder, urethra and ureter to treat a stricture of ureter	13	13	$2204.31	$350.05
52353 Crushing of stone of ureter using an endoscope	13	13	$1879.23	$92.14
52351 Diagnostic examination of the bladder, bladder canal (urethra), and urinary duct (ureter) or kidney using an endoscope	12	12	$1288.00	$261.98
50590 Shock wave crushing of kidney stones	12	12	$3138.00	$566.52
99152 Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 15 minutes	11	11	$196.00	$12.38

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
81001 Manual urinalysis test with examination using microscope, automated	1,432	629	$20.00	$3.13
99213 Established patient office or other outpatient visit, typically 15 minutes	822	482	$140.00	$71.93
J9280 Injection, mitomycin, 5 mg	664	13	$1000.00	$55.97
51798 Ultrasound measurement of bladder capacity after voiding	553	367	$104.00	$9.62
36415 Insertion of needle into vein for collection of blood sample	398	305	$21.00	$2.96
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	354	256	$205.00	$103.92
52000 Diagnostic exam of bladder and urethra using an endoscope	233	204	$545.00	$198.98
74018 X-ray of abdomen, 1 view	201	139	$104.00	$26.45
52442 Insertion of implant in urethra within prostate gland using an endoscope, each additional implant	177	31	$3649.00	$945.54
84153 Psa (prostate specific antigen) measurement, total	166	127	$95.00	$18.19
80053 Blood test, comprehensive group of blood chemicals	151	129	$82.00	$10.49
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	150	130	$37.00	$7.72
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	133	133	$310.00	$159.16
71046 X-ray of chest, 2 views	129	122	$74.00	$20.10
93005 Routine electrocardiogram (ecg) using at least 12 leads with tracing	116	113	$48.00	$7.82
J9217 Leuprolide acetate (for depot suspension), 7.5 mg	105	14	$811.00	$222.39
51741 Electronic assessment of bladder emptying	104	103	$238.00	$6.90
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	95	95	$205.00	$103.37
51720 Instillation of anti-cancer drug into bladder	89	16	$435.00	$81.34
76872 Ultrasound scan of pelvic region through rectum	88	88	$507.00	$137.12
51784 Non-needle measurement and recording of electrical activity of muscles at bladder and bowel openings	84	84	$716.00	$32.40
82565 Blood creatinine level	82	78	$31.00	$5.03
51797 Insertion of device into abdomen with pressure and urine flow rate study	80	80	$690.00	$153.71
51729 Complex measurement of pressure of urine flow in bladder with urethra pressure and voiding pressure studies	80	80	$877.00	$357.15
74420 Imaging of urinary tract	72	55	$72.00	$25.24
85610 Blood test, clotting time	69	63	$33.00	$4.26
51700 Simple bladder irrigation and/or instillation	64	54	$313.00	$70.75
74178 Ct scan of abdomen and pelvis before and after contrast	60	60	$1276.00	$250.10
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	58	25	$164.00	$71.22
76770 Complete ultrasound scan behind abdominal cavity	46	45	$367.00	$71.52
52332 Insertion of stent in urinary duct (ureter) using an endoscope	42	38	$1880.00	$142.36
74176 Ct scan of abdomen and pelvis without contrast	40	37	$700.00	$100.78
52356 Crushing of stone of ureter with insertion of stent using an endoscope	39	36	$1802.69	$422.63
52224 Destruction of (less than 0.5 centimeters) growths of the bladder and bladder canal (urethra) using an endoscope	33	28	$3828.00	$733.18
52441 Insertion of implant in urethra within prostate gland using an endoscope, 1 implant	32	32	$4882.00	$1302.21
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	32	29	$275.00	$139.93
52310 Simple removal of foreign body, stone, or stent in urethra or bladder using an endoscope	32	31	$1157.00	$273.37
52281 Dilation of bladder canal (urethra) using an endoscope	30	22	$995.00	$311.37
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	28	28	$246.00	$130.19
55700 Biopsy of prostate gland	26	24	$823.00	$241.42
52601 Electro-removal of prostate through bladder canal (urethra) with control of bleeding using an endoscope	25	25	$2803.00	$728.05
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	21	21	$698.00	$55.65
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	20	15	$107.00	$30.04
50590 Shock wave crushing of kidney stones	18	16	$3138.00	$547.53
80048 Blood test, basic group of blood chemicals (calcium, total)	18	18	$57.00	$8.31
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	17	16	$363.00	$199.09
99152 Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 15 minutes	17	15	$196.00	$12.23
74177 Ct scan of abdomen and pelvis with contrast	15	14	$966.00	$215.80
76870 Ultrasound scan of scrotum	14	14	$355.00	$68.84
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	12	12	$390.00	$202.20

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
81001 Manual urinalysis test with examination using microscope, automated	1,326	602	$20.00	$3.43
99213 Established patient office or other outpatient visit, typically 15 minutes	593	393	$117.91	$70.67
36415 Insertion of needle into vein for collection of blood sample	433	310	$21.00	$2.94
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	332	237	$179.79	$102.86
51798 Ultrasound measurement of bladder capacity after voiding	323	235	$98.67	$11.81
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	239	239	$281.59	$156.30
52000 Diagnostic exam of bladder and urethra using an endoscope	196	189	$545.00	$179.17
84153 Psa (prostate specific antigen) measurement, total	171	122	$95.00	$19.93
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	134	113	$37.00	$8.46
80053 Blood test, comprehensive group of blood chemicals	129	110	$82.00	$11.51
80048 Blood test, basic group of blood chemicals (calcium, total)	118	112	$57.00	$9.14
71046 X-ray of chest, 2 views	117	115	$73.00	$19.10
74018 X-ray of abdomen, 1 view	112	88	$103.39	$25.30
J9217 Leuprolide acetate (for depot suspension), 7.5 mg	109	11	$811.00	$224.76
93005 Routine electrocardiogram (ecg) using at least 12 leads with tracing	108	106	$48.00	$7.71
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	89	89	$171.97	$101.44
74178 Ct scan of abdomen and pelvis before and after contrast	86	85	$1276.00	$237.48
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	73	37	$164.00	$70.25
74420 Imaging of urinary tract	72	56	$72.00	$25.21
51741 Electronic assessment of bladder emptying	60	58	$238.00	$7.36
52310 Simple removal of foreign body, stone, or stent in urethra or bladder using an endoscope	49	49	$1157.00	$257.76
51729 Complex measurement of pressure of urine flow in bladder with urethra pressure and voiding pressure studies	48	48	$877.00	$334.20
51784 Non-needle measurement and recording of electrical activity of muscles at bladder and bowel openings	47	47	$716.00	$32.49
51797 Insertion of device into abdomen with pressure and urine flow rate study	46	46	$690.00	$131.79
52332 Insertion of stent in urinary duct (ureter) using an endoscope	45	43	$1549.96	$129.95
51700 Simple bladder irrigation and/or instillation	45	43	$313.00	$69.41
52356 Crushing of stone of ureter with insertion of stent using an endoscope	42	39	$1673.93	$395.79
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	40	40	$698.00	$54.46
55700 Biopsy of prostate gland	40	40	$823.00	$239.07
85610 Blood test, clotting time	37	34	$33.00	$4.28
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	34	34	$246.00	$132.07
52601 Electro-removal of prostate through bladder canal (urethra) with control of bleeding using an endoscope	33	33	$2803.00	$712.77
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	31	26	$247.90	$139.50
74176 Ct scan of abdomen and pelvis without contrast	27	27	$700.00	$104.63
52224 Destruction of (less than 0.5 centimeters) growths of the bladder and bladder canal (urethra) using an endoscope	27	23	$3828.00	$696.06
76770 Complete ultrasound scan behind abdominal cavity	26	26	$367.00	$67.74
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	24	24	$363.00	$195.34
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	22	12	$107.00	$29.15
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	21	21	$351.90	$197.92
76872 Ultrasound scan of pelvic region through rectum	17	17	$507.00	$120.95
74177 Ct scan of abdomen and pelvis with contrast	15	14	$966.00	$211.06
52240 Destruction and/or removal of large growth of bladder using an endoscope	15	14	$2102.00	$347.35
82565 Blood creatinine level	14	14	$31.00	$5.58
71250 Ct scan of chest without contrast	12	11	$745.00	$92.69
50590 Shock wave crushing of kidney stones	12	11	$3138.00	$550.08

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
81001 Manual urinalysis test with examination using microscope, automated	392	263	$20.00	$3.82
36415 Insertion of needle into vein for collection of blood sample	152	131	$21.00	$2.93
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	147	123	$178.00	$103.10
99213 Established patient office or other outpatient visit, typically 15 minutes	114	96	$115.00	$69.51
51798 Ultrasound measurement of bladder capacity after voiding	95	76	$94.00	$14.76
84153 Psa (prostate specific antigen) measurement, total	87	78	$95.00	$22.10
52000 Diagnostic exam of bladder and urethra using an endoscope	53	51	$545.00	$158.02
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	49	49	$279.00	$157.45
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	49	49	$350.00	$198.26
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	39	34	$37.00	$9.40
71046 X-ray of chest, 2 views	39	39	$74.10	$17.87
93005 Routine electrocardiogram (ecg) using at least 12 leads with tracing	38	38	$48.00	$7.62
80053 Blood test, comprehensive group of blood chemicals	38	35	$82.00	$12.44
74018 X-ray of abdomen, 1 view	35	33	$104.00	$24.49
52332 Insertion of stent in urinary duct (ureter) using an endoscope	22	20	$1734.73	$115.46
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	21	14	$164.00	$70.50
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	21	20	$240.00	$139.12
82565 Blood creatinine level	18	18	$31.00	$6.20
84520 Urea nitrogen level to assess kidney function	17	17	$28.00	$4.78
52310 Simple removal of foreign body, stone, or stent in urethra or bladder using an endoscope	17	17	$1157.00	$236.12
99407 Smoking and tobacco use intensive counseling, more than 10 minutes	16	12	$50.00	$26.83
51700 Simple bladder irrigation and/or instillation	15	13	$313.00	$70.55
52356 Crushing of stone of ureter with insertion of stent using an endoscope	15	14	$1744.00	$410.06
74178 Ct scan of abdomen and pelvis before and after contrast	14	14	$1276.00	$231.35
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	13	12	$363.00	$196.31
52601 Electro-removal of prostate through bladder canal (urethra) with control of bleeding using an endoscope	12	12	$2803.00	$633.77

Medical Specialties & State Licenses

Urology Primary Specialty

NUCC Taxonomy Code: 208800000X

State License NC 2018-00235

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

Hospital & Practice Group Affiliations

Pinehurst Surgical Clinic Pa

5 1st Village Dr, Pinehurst, NC 283749495

Phone: 9102956831

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners

Dr. Toni Anne Washington , MD

Anesthesiology

NPI 1003877218

Doctor of Medicine (M.D.)

Dr. Olufunsho Adamolekun , DO

Surgery - Vascular Surgery

NPI 1013210459

Doctor of Osteopathic Medicine (D.O.)

Chad Cole , PA

Physician Assistant

NPI 1013975481

Physician Assistant

Stephen Bush , PA-C

Physician Assistant

NPI 1033532791

Physician Assistant (Certified)

James Nichols , PA-C

Physician Assistant - Surgical

NPI 1043241763

Physician Assistant (Certified)

Dr. Reid Vegeler , MD

Surgery

NPI 1043471121

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

10 Historical Events

📍

Updated Business Mailing Address September 27, 2018

Registered at 5 FIRST VILLAGE DRIVE, PO BOX 2000, PINEHURST, NC 28374 (Tel: 9102956831)

📍

Updated Practice Location June 25, 2018

Registered at 5 FIRST VILLAGE DR, PINEHURST, NC 28374 (Tel: 9102956831)

📍

Updated Business Mailing Address June 25, 2018

Registered at 5 FIRST VILLAGE DR, PINEHURST, NC 283749495 (Tel: 9102956831)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) June 25, 2018

Urology (License #2018-00235 in NC)

✅

NPI Profile Active June 27, 2014

NPI status registered as active in NPPES database

📍

Updated Practice Location June 27, 2014

Registered at 1501 N CAMPBELL AVE, ROOM 4334 D, TUCSON, AZ 857245058 (Tel: 5206267747)

📍

Updated Business Mailing Address June 27, 2014

Registered at 1501 N CAMPBELL AVE, ROOM 5325, TUCSON, AZ 857245077 (Tel: 5206262016)

👤

Provider Name / Credentials Updated June 27, 2014

Recorded as JOHN MICHALAK, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) June 27, 2014

Surgery (License #R73907 in AZ)

🟢

Initial NPI Registration & Enumeration June 15, 2013

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1295174928

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: June 15, 2013

Last Update: September 27, 2018

Sole Proprietor: No

Update or Correct Profile

Mailing Address

5 First Village Drive, Po Box 2000

Pinehurst, NC 28374

Phone: 9102956831

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.