Dr. John Michalak, MD
5 First Village DR, Pinehurst, NC 28374 • +1-576-555-9930
Medical Education: Accredited U.S. Medical School (Class of 1994)
What This Doctor Actually Performs: CMS Medicare Utilization & Pinehurst Percentiles
NPI #1295174928 • CBSA Regional • Urology
Anchored in Pinehurst, NC 28374, Dr. John Michalak, MD (NPI 1295174928) logged 9,809 annual procedures (mid-cohort balanced caseload (60th Pinehurst percentile), 86.97th NC percentile, +0.51σ) with sub-specialty concentration in 129 Active CMS HCPCS Codes.
Medicare Part B line-item claims for Dr. John Michalak (28374) place 99214 at the top of the practice ledger (2281 yearly units, 60th metro rank), rounded out by 51798 and 52000.
Direct cash-pay transparency modeling sets Dr. Michalak's baseline new-consult rate near $209.00 in Pinehurst, NC (cash-pay accepted, hybrid in-clinic and telehealth video consults, 13-minute average reception wait).
From 5 First Village DR in Pinehurst (+1-576-555-9930), Dr. Michalak, MD (32-year clinical track record) delivers 129 Active CMS HCPCS Codes care.
Compared against Pinehurst, NC Urology peers
9,809 annual services across 815 beneficiaries
Standard deviations from NC Urology mean utilization
Top Billed HCPCS/CPT Procedures & GPCI Self-Pay Cash Benchmarks
| HCPCS | Clinical Procedure Description | Annual Volume | Local Pct | Est. Cash Range |
|---|---|---|---|---|
| 99214 | Established Urologic, BPH & Androgen Evaluation | 2,281 | 60th | $90 – $124 |
| 51798 | Ultrasound Measurement of Post-Void Residual Urine Capacity | 1,710 | 65th | $38 – $53 |
| 52000 | Diagnostic Cystourethroscopy Lower Urinary Tract Inspection | 1,077 | 61th | $185 – $253 |
| 51741 | Complex Electronic Uroflowmetry Stream Calibration | 760 | 55th | $51 – $70 |
| 99204 | New Patient Urologic & Prostate Diagnostic Consultation | 507 | 57th | $127 – $175 |
| 96372 | Therapeutic Subcutaneous/Intramuscular Injection Administration (129 HCPCS billing breadth) | 3,474 | 60th | $82 – $119 |
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Dr. John Michalak, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Michalak National Provider Identifier | NPI #1295174928 (MD) | CMS NPPES Registry (28374) |
| Dr. Michalak Pinehurst CMS Volume Rank | 60.00th Pct (9,809 CMS svcs; Z +0.506σ) | CMS Medicare Part B (NC Urology) |
| Fair Cash-Pay New-Patient Benchmark | $209.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Pinehurst, NC) |
| Waiting-Room Wait Time & Cash Friendliness | $209.00 avg paid • 13 min lobby wait | 23 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.90/5 Listening • 4.49/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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