DR. KARL B MICHALKO M.D.
NPI 1386686947
Orthopaedic Surgery - Hand Surgery in Rochester, NY

Q: What is Karl Michalko's NPI number?

The NPI number for Karl Michalko is 1386686947. It was assigned to this individual provider in the NPPES registry on June 11, 2006.

Q: What is Karl Michalko's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Hand Surgery, with taxonomy code 207XS0106X.

Q: When was this NPI record last updated?

The NPPES record for Karl Michalko was last updated on April 25, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.

Active since June 11, 2006PECOS EnrolledAccepts Medicare Assignment

360 LINDEN OAKS, SUITE 210, ROCHESTER, NY 14625(585) 641-0141(585) 641-0140 Get Directions Write a Review

NPPES record last updated: April 25, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Dr. Karl B Michalko M.d. NPPES

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

DR. KARL B MICHALKO M.D. (NPI 1386686947) is an individual hand surgery provider in Rochester, New York, licensed in New York (205358) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Rochester General Hospital, and is a graduate of University Of Rochester School Of Medicine And Dentistry (1995).

NPPES Registry Identity

NPI1386686947

Entity TypeIndividualMale

Primary Taxonomy207XS0106X

Provider Legal NameDR. KARL B MICHALKOCredential: M.D.

Location Address360 LINDEN OAKS, SUITE 210Rochester, NY 14625-2814

Mailing Address360 Linden Oaks, Suite 210Rochester, NY 14625-2814 · (585) 641-0141 · Fax (585) 641-0140

Phone(585) 641-0141

Fax(585) 641-0140

Sole ProprietorNo

Medical School CMSUniversity Of Rochester School Of Medicine And DentistryGraduated 1995

Enumeration DateJune 11, 2006

Last NPPES UpdateApril 25, 2022

NPPES CertifiedApril 25, 2022

✔ NPI 1386686947 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic Surgery · Hand SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code207XS0106X

License✔ Licensed in NY · 205358

Definition

An orthopaedic surgeon trained in the investigation, preservation and restoration by medical, surgical and rehabilitative means of all structures of the upper extremity directly affecting the form and function of the hand and wrist.

360 LINDEN OAKS, Rochester, NY 14625

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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

Dr. Karl B Michalko 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 ID8527059559

PECOS Enrollment IDI20040519001126

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 9

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

94 services67 patients

Injection into tendon or ligament 20550

An injection into a tendon or ligament involves placing medication directly into these areas to help reduce inflammation and pain. It's often used for conditions like arthritis or tendonitis. The procedure is quick and usually involves a local anesthetic.

71 services50 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

48 services48 patients

Aspiration and/or injection of fluid from small joint 20600

This procedure involves inserting a thin needle into a small joint to remove (aspirate) or inject fluid. It can help diagnose conditions, relieve discomfort, or administer medication directly into the joint. It's generally safe with minimal discomfort.

47 services33 patients

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.

39 services39 patients

Injection, methylprednisolone acetate, 40 mg J1030

Methylprednisolone acetate is a medication given through an injection. It's a type of corticosteroid, which reduces inflammation and immune responses. It can be used to treat various conditions like arthritis, allergies, and skin diseases. This dose is 40 mg.

30 services22 patients

Hospital Affiliations CMS Care Compare 2

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

Rochester General Hospital

Acute Care Hospitals · Rochester, NY

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number330125

Location1425 Portland AvenueRochester, NY 14621 · Monroe County

Emergency services Birthing friendly

Nicholas H Noyes Memorial Hospital

Acute Care Hospitals · Dansville, NY

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number330238

Location111 Clara Barton StreetDansville, NY 14437 · Livingston County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 14625 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

$84.93 typical visit price

range $54.87 – $166.88

Typical copayment $21.23 (range $13.71 – $41.72)

Most-billed visit code 99203

Established Patient

$68.57 typical visit price

range $17.54 – $136.14

Typical copayment $17.14 (range $4.38 – $34.03)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 16

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

PODIATRY ASSOCIATES OF ROCHESTER, LLP

Podiatrist

360 LINDEN OAKS, SUITE 120
ROCHESTER, NY 14625

Monroe County (585) 371-8600

ROBERT J TRIPP MD

Surgery

360 LINDEN OAKS, STE 300
ROCHESTER, NY 14625

Monroe County (585) 383-8830

DR. CHRISTINA EADIE TADDEO MD

Physical Medicine & Rehabilitation

360 LINDEN OAKS, SUITE 200
ROCHESTER, NY 14625

Monroe County (585) 922-8315

DR. ANDREW W SMITH M.D.

Plastic Surgery

360 LINDEN OAKS, SUITE 310
ROCHESTER, NY 14625

Monroe County (585) 922-5840

KEVIN LOUIS KOZARA D.O.

Otolaryngology

360 LINDEN OAKS, SUITE 220
ROCHESTER, NY 14625

Monroe County (585) 442-4200

DR. PETER JOHN RONCHETTI M.D.

Orthopaedic Surgery (Hand Surgery)

360 LINDEN OAKS, SUITE 210
ROCHESTER, NY 14625

Monroe County (585) 641-0141

CLAIRE RAE MACDOWELL PA-C

Physician Assistant (Medical)

360 LINDEN OAKS, SUITE 220
ROCHESTER, NY 14625

Monroe County (585) 442-4200

ROCHESTER GENERAL HOSPITAL

Clinic/Center (Health Service)

360 LINDEN OAKS
ROCHESTER, NY 14625

Monroe County (585) 922-7272

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 Karl Michalko's NPI number?

The NPI number for Karl Michalko is 1386686947. It was assigned to this individual provider in the NPPES registry on June 11, 2006.

Where is Karl Michalko located?

Karl Michalko practices at 360 Linden Oaks Suite 210, Rochester, NY 14625. The listed phone number is (585) 641-0141.

What is Karl Michalko's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Hand Surgery, with taxonomy code 207XS0106X.

Is Karl Michalko enrolled in Medicare?

Yes. Karl Michalko 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 Karl Michalko affiliated with any hospitals?

According to CMS data, Karl Michalko is affiliated with Rochester General Hospital and Nicholas H Noyes Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Karl Michalko was last updated on April 25, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.