JOSEPH MICHALISIN MD
NPI 1093347270
Family Medicine - Sports Medicine in New York, NY

Active since February 06, 2020PECOS EnrolledAccepts Medicare Assignment
525 WEST 36TH STREET, 7TH FLOOR, NEW YORK, NY 10018(646) 429-0018 Get Directions Write a Review

NPPES record last updated: October 2, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 2, 2024, Feb 6, 2020 (2 updates tracked since 2020).

About Joseph Michalisin Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JOSEPH MICHALISIN MD (NPI 1093347270) is an individual sports medicine provider in New York, New York, licensed in New York (323898) and active in the NPI registry since February 2020. He is enrolled in Medicare PECOS, is affiliated with Lenox Hill Hospital, and maintains a secondary practice location in Allentown.

NPPES Registry Identity

NPI1093347270
Entity TypeIndividualMale
Primary Taxonomy207QS0010X
Provider Legal NameJOSEPH MICHALISINCredential: MD
Location Address525 WEST 36TH STREET, 7TH FLOORNew York, NY 10018
Mailing Address525 West 36th Street, 7th FloorNew York, NY 10018 · (646) 429-0018
Sole ProprietorYes
Medical School CMSOtherGraduated 2019
Enumeration DateFebruary 6, 2020
Last NPPES UpdateOctober 2, 20242 updates tracked since enumeration
NPPES CertifiedSeptember 30, 2024
NPI 1093347270 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily Medicine · Sports MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QS0010X
License Licensed in NY · 323898
Definition
A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation.
525 WEST 36TH STREET, 7TH FLOOR, New York, NY 10018

Secondary Practice Location 1

Location 1450 Chew St Ste 101Allentown, PA 18102-3434 · Phone (610) 776-4888 · Fax (833) 690-3863

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Joseph Michalisin Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7113459116
PECOS Enrollment IDI20241015004270
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
16 services16 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Lenox Hill Hospital

Acute Care Hospitals · New York, NY
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330119
Location100 East 77th StreetNew York, NY 10021 · New York County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10018 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$102.04 typical visit price
range $65.69 – $198.19
Typical copayment $25.51 (range $16.42 – $49.54)
Most-billed visit code 99203
Established Patient
$114.88 typical visit price
range $21.20 – $160.66
Typical copayment $28.72 (range $5.30 – $40.16)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Joseph Michalisin's NPI number?

The NPI number for Joseph Michalisin is 1093347270. It was assigned to this individual provider in the NPPES registry on February 6, 2020.

Where is Joseph Michalisin located?

Joseph Michalisin practices at 525 West 36th Street, 7th Floor, New York, NY 10018. The listed phone number is (646) 429-0018.

What is Joseph Michalisin's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Sports Medicine, with taxonomy code 207QS0010X.

Is Joseph Michalisin enrolled in Medicare?

Yes. Joseph Michalisin is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Joseph Michalisin affiliated with any hospitals?

According to CMS data, Joseph Michalisin is affiliated with Lenox Hill Hospital.

When was this NPI record last updated?

The NPPES record for Joseph Michalisin was last updated on October 2, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.