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

Active since December 05, 2007PECOS Enrolled
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: August 02, 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.

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
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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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health Insurance, Oscar Health Maintenance Organization of Florida, Oscar Health Plan of North Carolina, Inc and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Michael James Buchanan M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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 enrollment system.

What insurance does Michael Buchanan accept?

Health plans from Oscar Health Insurance, Oscar Health Maintenance Organization of Florida, Oscar Health Plan of North Carolina, Inc, Oscar Health Plan, Inc. and Oscar Insurance Company and 1 other insurer list Michael Buchanan 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 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 3 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.