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DR. MICHAEL JAMES BUCHANAN M.D.
NPI 1457533010
Internal Medicine in Lakeland, FL

Active since December 05, 2007PECOS EnrolledAccepts Medicare Assignment
80.96/100
CMS Quality Rating
1831 GILMORE AVE, LAKELAND, FL 33805(863) 519-0575(863) 582-9251 Get Directions Write a Review

NPPES record last updated: April 8, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 8, 2026, Aug 9, 2022, Jul 31, 2019 (3 updates tracked since 2019).

About Dr. Michael James Buchanan M.d. NPPES

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

DR. MICHAEL JAMES BUCHANAN M.D. (NPI 1457533010) is an individual internal medicine provider in Lakeland, Florida, licensed in Florida (ME46086) and active in the NPI registry since December 2007. He is enrolled in Medicare PECOS and is a graduate of Albert Einstein College Of Medicine Of Yeshiva University (1982).

NPPES Registry Identity

NPI1457533010
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. MICHAEL JAMES BUCHANANCredential: M.D.
Location Address1831 GILMORE AVELakeland, FL 33805-3017
Mailing Address1831 Gilmore AveLakeland, FL 33805-3017 · (863) 519-0575 · Fax (863) 582-9251
Phone(863) 519-0575
Fax(863) 582-9251
Sole ProprietorNo
Medical School CMSAlbert Einstein College Of Medicine Of Yeshiva UniversityGraduated 1982
Enumeration DateDecember 5, 2007
Last NPPES UpdateApril 8, 20263 updates tracked since enumeration
NPPES CertifiedApril 8, 2026
✔ NPI 1457533010 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in FL · ME46086
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
1831 GILMORE AVE, Lakeland, FL 33805
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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 James Buchanan 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 ID3577645985
PECOS Enrollment IDI20100903000709
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 Michael Buchanan reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Central Florida Health Care, Inc.
1.0 mi
Federally Qualified Health Center (FQHC)
1129 N MISSOURI AVE
Lakeland, FL 33805
  • Reassigned Medicare billing, Florida enrollment
  • 165 clinicians in this Medicare group
NPI 1386835064 (863) 413-8600
Peace River Center For Personal Development Inc
14 mi
Mental Health (Including Community Mental Health Center)
1239 E MAIN ST
Bartow, FL 33830
  • Reassigned Medicare billing, Florida enrollment
  • 53 clinicians in this Medicare group
NPI 1821097767 (863) 519-0575
Florida Post Acute Care Clinicians, LLC
174 mi
Family Medicine
3601 SW 160TH AVE STE 250
Miramar, FL 33027
  • Reassigned Medicare billing, Florida enrollment
  • 88 clinicians in this Medicare group
NPI 1043760473 (877) 866-7123

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33805 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
$130.04 typical visit price
range $56.00 – $171.84
Typical copayment $32.51 (range $14.00 – $42.96)
Most-billed visit code 99204
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

80.96/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality78.44
Promoting Interoperability100
Improvement Activities40
Cost24.77

Other Providers at the Same Location NPPES 9

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

HEATHER ALLYN WILLIAMS LPN
Licensed Practical Nurse
1831 GILMORE AVE
LAKELAND, FL 33805
Polk County (863) 519-0575
PEACE RIVER CENTER FOR PERSONAL DEVELOPMENT INC
Community/Behavioral Health
1831 GILMORE AVE
LAKELAND, FL 33805
Polk County (863) 519-0575
PEACE RIVER CENTER FOR PERSONAL DEVELOPMENT INC
Internal Medicine
1831 GILMORE AVE
LAKELAND, FL 33805
Polk County (863) 519-0575
MAVRA E KEAR PHD, ARNP, BC
Nurse Practitioner (Primary Care)
1831 GILMORE AVE
LAKELAND, FL 33805
Polk County (863) 519-0575
KAREN MOORE
Registered Nurse
1831 GILMORE AVE
LAKELAND, FL 33805
Polk County (863) 519-0575
JEANETTE LEWIS LPN
Licensed Practical Nurse
1831 GILMORE AVE
LAKELAND, FL 33805
Polk County (863) 519-0575
SHAMBREA L SMITH LPN, AS
Licensed Practical Nurse
1831 GILMORE AVE
LAKELAND, FL 33805
Polk County (863) 519-0575
SONIA LABOY
Case Manager/Care Coordinator
1831 GILMORE AVE
LAKELAND, FL 33805
Polk County (863) 519-0575

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 Buchanan's NPI number?

The NPI number for Michael Buchanan is 1457533010. It was assigned to this individual provider in the NPPES registry on December 5, 2007.

Where is Michael Buchanan located?

Michael Buchanan practices at 1831 Gilmore Ave, Lakeland, FL 33805. The listed phone number is (863) 519-0575.

What is Michael Buchanan's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Michael Buchanan enrolled in Medicare?

Yes. Michael Buchanan 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 Buchanan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Michael Buchanan reassigns Medicare benefits to 3 organizations: Central Florida Health Care, Inc. (Lakeland, FL), Peace River Center For Personal Development Inc (Bartow, FL) and Florida Post Acute Care Clinicians, LLC (Miramar, FL). 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 Buchanan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Michael Buchanan was last updated on April 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.