DR. PAUL MICHAEL MD
NPI 1477879229
Internal Medicine - Interventional Cardiology in Sebring, FL

Q: What is Paul Michael's NPI number?

The NPI number for Paul Michael is 1477879229. It was assigned to this individual provider in the NPPES registry on April 18, 2010.

Q: What is Paul Michael's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Interventional Cardiology, with taxonomy code 207RI0011X.

Q: When was this NPI record last updated?

The NPPES record for Paul Michael was last updated on December 26, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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 April 18, 2010PECOS EnrolledAccepts Medicare Assignment

15.44/100

CMS Quality Rating

4240 SUN N LAKE BLVD STE 202, SEBRING, FL 33872(863) 471-3926(863) 385-3093 Get Directions Write a Review

NPPES record last updated: December 26, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 9, 2023, Mar 7, 2023, Jan 28, 2021 and 7 more (10 updates tracked since 2019).

On this page

About Dr. Paul Michael Md NPPES

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

DR. PAUL MICHAEL MD (NPI 1477879229) is an individual interventional cardiology provider in Sebring, Florida, licensed in Florida (ME124220) and active in the NPI registry since April 2010. He is enrolled in Medicare PECOS, is affiliated with Winter Haven Hospital, and is a graduate of University Of Miami, Lm Miller School Of Medicine (2007).

NPPES Registry Identity

NPI1477879229

Entity TypeIndividualMale

Primary Taxonomy207RI0011X

Provider Legal NameDR. PAUL MICHAELCredential: MD

Location Address4240 SUN N LAKE BLVD STE 202Sebring, FL 33872-1944

Mailing Address4240 Sun N Lake Blvd Ste 202Sebring, FL 33872-1944 · (863) 471-3926 · Fax (863) 385-3093

Phone(863) 471-3926

Fax(863) 385-3093

Sole ProprietorNo

Medical School CMSUniversity Of Miami, Lm Miller School Of MedicineGraduated 2007

Enumeration DateApril 18, 2010

Last NPPES UpdateDecember 26, 202310 updates tracked since enumeration

NPPES CertifiedDecember 26, 2023

✔ NPI 1477879229 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal Medicine · Interventional CardiologyAllopathic & Osteopathic Physicians

Taxonomy Code207RI0011X

License✔ Licensed in FL · ME124220

Definition

An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system.

Also ListedInternal MedicineTaxonomy 207R00000X · License ME124220 (FL)

Also ListedInternal Medicine · Cardiovascular DiseaseTaxonomy 207RC0000X · License ME124220 (FL)

4240 SUN N LAKE BLVD STE 202, Sebring, FL 33872

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Other Identifiers 2

OtherME124220FL · Md Medical License

Medicaid015021200FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Health First Commercial Plans, 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 and accepts Medicare assignment

Dr. Paul Michael Md 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 ID1658553607

PECOS Enrollment IDI20150904002348

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 14

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.

Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes 99152

This procedure involves a doctor administering a medication to reduce your consciousness during a procedure. This helps in managing discomfort and anxiety. The initial application lasts for 15 minutes and is for individuals aged 5 years or older.

179 services161 patients

Insertion of tube in left lower heart chamber and coronary artery for diagnosis with review by radiologist 93458

This procedure involves placing a tube into your left lower heart chamber and coronary artery. It helps doctors diagnose heart conditions by allowing them to view these areas in detail. A radiologist will review the images to ensure accurate diagnosis.

111 services110 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.

56 services56 patients

Insertion of stents with balloon dilation of coronary artery or branch, single artery or branch 92928

This procedure involves placing a small, mesh tube (stent) in your coronary artery to keep it open. A balloon is used to expand the stent and artery, improving blood flow to your heart. It's typically done for a single artery or branch.

50 services40 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.

37 services31 patients

Insertion of tube in left lower heart chamber, coronary artery and bypass graft for diagnosis with review by radiologist 93459

This procedure involves placing a tube into your left lower heart chamber, coronary artery, and bypass graft. It's done for diagnostic purposes and is carefully reviewed by a radiologist. This helps determine the health of your heart and arteries, aiding in future treatment plans.

27 services27 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

23 services23 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.

19 services17 patients

Insertion of tube into abdominal, pelvic, or leg artery, each first order branch 36245

This procedure involves inserting a tube into an artery in your abdomen, pelvis, or leg. The tube is placed into the first order branch of the artery. It's done to investigate or treat conditions affecting blood flow. It's a safe, common procedure.

18 services18 patients

Insertion of tube in coronary artery for diagnosis with review by radiologist 93454

This procedure involves placing a small tube into your coronary artery. It helps to identify any blockages or issues within the artery. A radiologist, a doctor specialized in medical imaging, will review the results to ensure accurate diagnosis.

14 services13 patients

Balloon dilation of artery of leg, initial vessel 37228

Balloon dilation of the artery of the leg is a procedure to improve blood flow. A small balloon is inserted into the leg artery and inflated to widen the vessel, allowing better circulation. This is typically the first vessel treated.

13 services13 patients

Review by radiologist of abdominal aorta image 75625

This is a procedure where a radiologist, a doctor specialized in medical imaging, examines an image of your abdominal aorta. The abdominal aorta is the large blood vessel that carries blood to your lower body. The radiologist checks for any abnormalities to ensure your overall vascular health.

13 services13 patients

New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205

This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.

13 services13 patients

Review by radiologist of both arms or legs arteries image 75716

This procedure involves a radiologist examining images of your arm or leg arteries. These images help identify any blockages or abnormalities in the blood vessels that could affect circulation. It's a vital step in diagnosing conditions related to blood flow.

11 services11 patients

Hospital Affiliations CMS Care Compare 3

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

Winter Haven Hospital

Acute Care Hospitals · Winter Haven, FL

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number100052

Location200 Ave F NEWinter Haven, FL 33881 · Polk County

Emergency services Birthing friendly

Adventhealth Sebring

Acute Care Hospitals · Sebring, FL

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number100109

Location4200 Sun N Lake BlvdSebring, FL 33872 · Highlands County

Emergency services Birthing friendly

Adventhealth Wauchula

Critical Access Hospitals · Wauchula, FL

OwnershipVoluntary non-profit - Private

CMS Certification Number101300

Location735 S 5th AveWauchula, FL 33873 · Hardee County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33872 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.

15.44/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Individually scored

Quality

Improvement Activities

Cost

51.48

Other Providers at the Same Location NPPES 4

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

DR. LAURA GRUEN MOSHER MD

Internal Medicine (Interventional Cardiology)

4240 SUN N LAKE BLVD STE 202
SEBRING, FL 33872

Highlands County (863) 471-3926

MARIKIT PASAMBA MASIGLA APRN

Nurse Practitioner (Family)

4240 SUN N LAKE BLVD STE 202
SEBRING, FL 33872

Highlands County (863) 471-3926

KRISTEN GREEN BLOODWORTH APRN, FNP- C

Nurse Practitioner (Family)

4240 SUN N LAKE BLVD STE 202
SEBRING, FL 33872

Highlands County (863) 471-3926

SHAHNAZ PUNJANI M.D

Internal Medicine (Cardiovascular Disease)

4240 SUN N LAKE BLVD STE 202
SEBRING, FL 33872

Highlands County (863) 471-3926

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 Paul Michael's NPI number?

The NPI number for Paul Michael is 1477879229. It was assigned to this individual provider in the NPPES registry on April 18, 2010.

Where is Paul Michael located?

Paul Michael practices at 4240 Sun N Lake Blvd Ste 202, Sebring, FL 33872. The listed phone number is (863) 471-3926.

What is Paul Michael's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Interventional Cardiology, with taxonomy code 207RI0011X.

Is Paul Michael enrolled in Medicare?

Yes. Paul Michael 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.

What insurance does Paul Michael accept?

Health plans from Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Health First Commercial Plans, Inc., UnitedHealthcare and Wellpoint list Paul Michael 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 Paul Michael affiliated with any hospitals?

According to CMS data, Paul Michael is affiliated with Winter Haven Hospital, Adventhealth Sebring and Adventhealth Wauchula.

When was this NPI record last updated?

The NPPES record for Paul Michael was last updated on December 26, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.