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MARC P. MICHALSKY M.D.
NPI 1326098708
Surgery - Pediatric Surgery in Columbus, OH

Active since May 10, 2006PECOS EnrolledAccepts Medicare Assignment
555 S. 18TH STREET, COLUMBUS, OH 43205(614) 722-6200 Get Directions Write a Review

NPPES record last updated: November 19, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Nov 19, 2024, Dec 9, 2022, Feb 22, 2022 (3 updates tracked since 2022).

About Marc P. Michalsky M.d. NPPES

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

MARC P. MICHALSKY M.D. (NPI 1326098708) is an individual pediatric surgery provider in Columbus, Ohio, licensed in Ohio (35075797) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, maintains 6 additional practice locations, and is a graduate of Rutgers New Jersey Medical School (1992).

NPPES Registry Identity

NPI1326098708
Entity TypeIndividualMale
Primary Taxonomy2086S0120X
Provider Legal NameMARC P. MICHALSKYCredential: M.D.
Location Address555 S. 18TH STREETColumbus, OH 43205
Mailing Address700 Childrens DrColumbus, OH 43205-2664 · (614) 722-2000
Phone(614) 722-6200
Sole ProprietorNo
Medical School CMSRutgers New Jersey Medical SchoolGraduated 1992
Enumeration DateMay 10, 2006
Last NPPES UpdateNovember 19, 20243 updates tracked since enumeration
NPPES CertifiedNovember 19, 2024
✔ NPI 1326098708 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgery · Pediatric SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0120X
License✔ Licensed in OH · 35075797
Definition
A surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents.
555 S. 18TH STREET, Columbus, OH 43205
Open in Google Maps ↗

Secondary Practice Locations 6

Location 15665 Venture DrDublin, OH 43017-2159 · Phone (614) 722-6200
Location 2536 S Trimble RdMansfield, OH 44906-3418 · Phone (614) 722-6200
Location 3455 Executive Campus DrWesterville, OH 43082-8870 · Phone (614) 722-6200
Location 42213 Cherry StToledo, OH 43608-2603 · Phone (419) 251-4300
Location 52222 Cherry St Ste 1800Toledo, OH 43608-2679 · Phone (419) 251-4300
Location 626 Hospital DrAthens, OH 45701-2471 · Phone (614) 722-2000

Other Identifiers 1

Medicaid2478975OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Antidote Health Plan of Ohio, Inc., CareSource and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Marc P. Michalsky M.d. 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 ID648257337
PECOS Enrollment IDI20040630001054
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.

Medicare Billing Reassignments

3

Medicare enrollment records show Marc Michalsky reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Children's Surgical Associates, Corporation
0.1 mi
Pediatric Surgery
700 CHILDREN'S DRIVE
Columbus, OH 43205
  • Reassigned Medicare billing, Ohio enrollment
  • 211 clinicians in this Medicare group
NPI 1417905324 (614) 722-2000
Nationwide Children's Hospital
0.1 mi
Multi-Specialty
700 CHILDRENS DR
Columbus, OH 43205
  • Reassigned Medicare billing, Ohio enrollment
  • 976 clinicians in this Medicare group
NPI 1851179873 (614) 722-2055
Northwest Pediatric Specialists, LLC
122 mi
Pediatrics
2213 CHERRY ST
Toledo, OH 43608
  • Reassigned Medicare billing, Ohio enrollment
  • 233 clinicians in this Medicare group
NPI 1033709100 (419) 251-3232

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BRIAN D KENNEY M.D.
Surgery (Pediatric Surgery)
555 S. 18TH STREET
COLUMBUS, OH 43205
Franklin County (614) 722-6200
TIMOTHY FOLLOWELL DMD
Dentist (Pediatric Dentistry)
555 S. 18TH STREET
COLUMBUS, OH 43205
Franklin County (614) 722-4579
RENATA FABIA MD
Surgery (Pediatric Surgery)
555 S. 18TH STREET
COLUMBUS, OH 43205
Franklin County (614) 722-2000
MARCIO A DAFONSECA DDS
Dentist (Pediatric Dentistry)
555 S. 18TH STREET
COLUMBUS, OH 43205
Franklin County (614) 722-4579
DR. DONNA A. CANIANO M.D.
Surgery (Pediatric Surgery)
555 S. 18TH STREET
COLUMBUS, OH 43205
Franklin County (614) 722-3900
JOHNNA JORGENSEN DDS
Dentist (Pediatric Dentistry)
555 S. 18TH STREET
COLUMBUS, OH 43205
Franklin County (614) 722-4579

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 Marc Michalsky's NPI number?

The NPI number for Marc Michalsky is 1326098708. It was assigned to this individual provider in the NPPES registry on May 10, 2006.

Where is Marc Michalsky located?

Marc Michalsky practices at 555 S. 18th Street, Columbus, OH 43205. The listed phone number is (614) 722-6200.

What is Marc Michalsky's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Pediatric Surgery, with taxonomy code 2086S0120X.

Is Marc Michalsky enrolled in Medicare?

Yes. Marc Michalsky 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.

Which organizations bill Medicare for Marc Michalsky's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Marc Michalsky reassigns Medicare benefits to 3 organizations: Children's Surgical Associates, Corporation (Columbus, OH), Nationwide Children's Hospital (Columbus, OH) and Northwest Pediatric Specialists, LLC (Toledo, OH). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Marc Michalsky's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Marc Michalsky accept?

Health plans from Anthem Blue Cross and Blue Shield, Antidote Health Plan of Ohio, Inc., CareSource, Molina Healthcare and UnitedHealthcare list Marc Michalsky as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Marc Michalsky was last updated on November 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.