Active NPI 1003801366 Individual Practitioner Male Practitioner

Dr. Leo Michael Michalek , MD

General Practice • Hamburg, NY

Professional Overview & Biography Verified Profile Summary

Dr. Leo Michalek, MD is a registered healthcare professional specializing in General Practice in Hamburg, NY. Practice services are available at 6946 E EDEN RD under active NPI credentials.

Frequently performed procedures and clinical services include established patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

6946 E Eden Rd

Hamburg, NY 140756408

Telephone 7166495180

Specialty Benchmarks & Practice Insights

Comparative analytics for General Practice in Hamburg, NY

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 10.5 Yrs

State Avg: 30.3 Yrs

Regional Practice Density

1 Specialists

Practicing in Hamburg, NY (818 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

6.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

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	40	19	$125.59	$116.08
99213 Established patient office or other outpatient visit, typically 15 minutes	12	11	$87.34	$82.20

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	37	19	$125.59	$116.54

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	27	15	$125.59	$118.57
99213 Established patient office or other outpatient visit, typically 15 minutes	20	14	$87.34	$84.36

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	35	18	$110.43	$110.43

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	63	29	$110.43	$100.91

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	68	26	$104.47	$99.50

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	63	26	$104.47	$93.28
99213 Established patient office or other outpatient visit, typically 15 minutes	15	12	$70.81	$63.12

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	58	26	$104.47	$92.35
99213 Established patient office or other outpatient visit, typically 15 minutes	25	13	$70.81	$62.85

Medical Specialties & State Licenses

CMS Verified: 2025-01-02

General Practice Primary Specialty

NUCC Taxonomy Code: 208D00000X

State License NY 094920

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

00601643 (NY)

Commercial Insurance / Payer ID Bcbs

000505334001

Commercial Insurance / Payer ID Iha

1700291

Commercial Insurance / Payer ID Univera

00010118401

Career & Practice History Timeline

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

8 Historical Events

📍

Updated Practice Location January 02, 2025

Registered at 6946 E EDEN RD, HAMBURG, NY 140756408 (Tel: 7166495180)

📍

Updated Business Mailing Address January 02, 2025

Registered at 6946 E EDEN RD, HAMBURG, NY 140756408 (Tel: 7166495180)

✅

NPI Profile Active May 05, 2010

NPI status registered as active in NPPES database

📍

Updated Practice Location May 05, 2010

Registered at 561 RIDGE RD, LACKAWANNA, NY 142181319 (Tel: 7168230141)

📍

Updated Business Mailing Address May 05, 2010

Registered at 550 CENTER RD, WEST SENECA, NY 14224 (Tel: 7166770100)

👤

Provider Name / Credentials Updated May 05, 2010

Recorded as LEO MICHALEK, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) May 05, 2010

General Practice (License #094920 in NY)

🟢

Initial NPI Registration & Enumeration September 13, 2005

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: 1003801366

Entity Type:

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

Enumeration Date: September 13, 2005

Last Update: January 02, 2025

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

6946 E Eden Rd

Hamburg, NY 140756408

Phone: 7166495180

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.