1. Home
  2. Directory
  3. Pennsylvania
  4. Sellersville
  5. Surgery
  6. NPI Profile

DR. MICHAEL KALMAN FISHMAN M.D.
NPI 1447454269
Surgery in Sellersville, PA

Active since June 14, 2007PECOS EnrolledAccepts Medicare Assignment
915 LAWN AVE, SUITE 203, SELLERSVILLE, PA 18960(215) 257-3697(215) 453-3410 Get Directions Write a Review

NPPES record last updated: September 25, 2016. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Michael Kalman Fishman M.d. NPPES

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

DR. MICHAEL KALMAN FISHMAN M.D. (NPI 1447454269) is an individual surgery provider in Sellersville, Pennsylvania, licensed in Pennsylvania (MD436456) and active in the NPI registry since June 2007. He is enrolled in Medicare PECOS, is affiliated with St Luke's Hospital Bethlehem, and is a graduate of Temple University School Of Medicine (2005).

NPPES Registry Identity

NPI1447454269
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameDR. MICHAEL KALMAN FISHMANCredential: M.D.
Location Address915 LAWN AVE, SUITE 203Sellersville, PA 18960-1551
Mailing AddressPo Box 1111Harleysville, PA 19438-0907 · (215) 453-4995 · Fax (215) 453-4646
Phone(215) 257-3697
Fax(215) 453-3410
Sole ProprietorNo
Medical School CMSTemple University School Of MedicineGraduated 2005
Enumeration DateJune 14, 2007
Last NPPES UpdateSeptember 25, 2016
✔ NPI 1447454269 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in PA · MD436456
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
915 LAWN AVE, Sellersville, PA 18960
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware.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

Dr. Michael Kalman Fishman 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 ID840322657
PECOS Enrollment IDI20100714000515
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

2

Medicare enrollment records show Michael Fishman reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Grand View Hospital
Same address
Surgery
915 LAWN AVE, SUITE 203
Sellersville, PA 18960
  • Reassigned Medicare billing, Pennsylvania enrollment
  • Also billed through NPI 1588137525 (Pennsylvania)
  • 25 clinicians in this Medicare group
NPI 1821286097 (215) 453-3400
St Luke's Physician Group Inc
0.1 mi
Surgery
915 LAWN AVE STE 203
Sellersville, PA 18960
  • Reassigned Medicare billing, Pennsylvania enrollment
  • Medicare enrollment name: St Lukes Physician Group Inc
  • 2,851 clinicians in this Medicare group
NPI 1154216562 (215) 453-3400

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

Areas of Expertise CMS Part B claims 8

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.
36 services36 patients
Repair of groin hernia using an endoscope 49650
This procedure involves the use of an endoscope, a thin tube with a camera, to repair a hernia in the groin area. The surgeon makes small incisions, inserts the endoscope, and uses special tools to fix the hernia. This minimally invasive technique often results in quicker recovery times.
31 services31 patients
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.
26 services22 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
20 services20 patients
Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes 99221
Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.
19 services19 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
19 services18 patients

Hospital Affiliations CMS Care Compare 2

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

St Luke's Hospital Bethlehem

Acute Care Hospitals · Bethlehem, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390049
Location801 Ostrum StreetBethlehem, PA 18015 · Northampton County
Emergency services Birthing friendly

Grand View Health

Acute Care Hospitals · Sellersville, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number390057
Location700 Lawn AvenueSellersville, PA 18960 · Bucks County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 18960 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
$92.69 typical visit price
range $59.88 – $180.99
Typical copayment $23.17 (range $14.97 – $45.24)
Most-billed visit code 99203
Established Patient
$74.47 typical visit price
range $19.30 – $147.29
Typical copayment $18.61 (range $4.82 – $36.82)
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 20

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

HOLLY MCFADDEN CRNP
Nurse Practitioner (Primary Care)
915 LAWN AVE, SUIE 202
SELLERSVILLE, PA 18960
Bucks County (215) 453-3300
DR. JAMES CHRISTOPHER WATSON M.D.
Surgery (Surgical Oncology)
915 LAWN AVE, SUITE 203
SELLERSVILLE, PA 18960
Bucks County (215) 453-3400
LORRAINE C SNYDER DOUGHERTY MD
Internal Medicine (Hematology & Oncology)
915 LAWN AVE, SUITE 202
SELLERSVILLE, PA 18960
Bucks County (215) 453-3300
DR. ARTHUR FLATAU III M.D.
Surgery
915 LAWN AVE, SUITE 203
SELLERSVILLE, PA 18960
Bucks County (215) 257-3697
ERIC V OLIVERO MD
Surgery (Vascular Surgery)
915 LAWN AVE, SUITE 203
SELLERSVILLE, PA 18960
Bucks County (215) 453-3400
DR. DANIEL RYAN LATTA M.D.
Colon & Rectal Surgery
915 LAWN AVE
SELLERSVILLE, PA 18960
Bucks County (215) 453-3400
DR. LEWIS M GILL MD
Surgery
915 LAWN AVE, SUITE 203
SELLERSVILLE, PA 18960
Bucks County (215) 453-3400
KELLY A. WILLIAMSON PA-C
Physician Assistant (Medical)
915 LAWN AVE, SUITE 203
SELLERSVILLE, PA 18960
Bucks County (215) 453-3400

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 Michael Fishman's NPI number?

The NPI number for Michael Fishman is 1447454269. It was assigned to this individual provider in the NPPES registry on June 14, 2007.

Where is Michael Fishman located?

Michael Fishman practices at 915 Lawn Ave Suite 203, Sellersville, PA 18960. The listed phone number is (215) 257-3697.

What is Michael Fishman's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Michael Fishman enrolled in Medicare?

Yes. Michael Fishman 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 Michael Fishman's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Michael Fishman reassigns Medicare benefits to 2 organizations: Grand View Hospital (Sellersville, PA) and St Luke's Physician Group Inc (Sellersville, PA). 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 Michael Fishman's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Michael Fishman accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Michael Fishman 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.

Is Michael Fishman affiliated with any hospitals?

According to CMS data, Michael Fishman is affiliated with St Luke's Hospital Bethlehem and Grand View Health.

When was this NPI record last updated?

The NPPES record for Michael Fishman was last updated on September 25, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.