SCOTT A MIHALIK P.A.-C.
NPI 1518128073
Physician Assistant in Saint Joseph, MI

Active since June 18, 2008PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
3950 HOLLYWOOD RD STE 110, SAINT JOSEPH, MI 49085(269) 985-1000(269) 983-3181 Get Directions Write a Review

NPPES record last updated: April 22, 2019. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Scott A Mihalik P.a.-c. NPPES

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

SCOTT A MIHALIK P.A.-C. (NPI 1518128073) is an individual physician assistant in Saint Joseph, Michigan, licensed in Michigan (5601005294) and active in the NPI registry since June 2008. He is enrolled in Medicare PECOS, is affiliated with Lakeland Hospital, St Joseph, and is a graduate of Other (2008).

NPPES Registry Identity

NPI1518128073
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameSCOTT A MIHALIKCredential: P.A.-C.
Location Address3950 HOLLYWOOD RD STE 110Saint Joseph, MI 49085-9151
Mailing AddressPo Box 11091South Bend, IN 46634-0091
Fax(269) 983-3181
Sole ProprietorNo
Medical School CMSOtherGraduated 2008
Enumeration DateJune 18, 2008
Last NPPES UpdateApril 22, 2019
NPI 1518128073 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in MI · 5601005294
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
3950 HOLLYWOOD RD STE 110, Saint Joseph, MI 49085

Other Identifiers 1

Other5601005294MI · State License

Accepted 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

Scott A Mihalik P.a.-c. 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 ID2961577572
PECOS Enrollment IDI20080816000020
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

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.

Blood test, clotting time 85610
A clotting time blood test helps determine how quickly your blood forms clots, a process crucial to stop bleeding. During the test, a small blood sample is taken from your arm. The sample is then analyzed in a lab to see how long it takes for a clot to form.
23 services18 patients

Hospital Affiliations CMS Care Compare

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

Lakeland Hospital, St Joseph

Acute Care Hospitals · St Joseph, MI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230021
Location1234 Napier AvenueSt Joseph, MI 49085 · Berrien County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49085 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
$84.74 typical visit price
range $54.34 – $166.68
Typical copayment $21.18 (range $13.58 – $41.67)
Most-billed visit code 99203
Established Patient
$68.07 typical visit price
range $17.09 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
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.

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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality87.54
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 13

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

Internal Medicine (Clinical Cardiac Electrophysiology)
3950 HOLLYWOOD RD STE 110
SAINT JOSEPH, MI 49085
Physician Assistant (Medical)
3950 HOLLYWOOD RD STE 110
SAINT JOSEPH, MI 49085
Internal Medicine (Clinical Cardiac Electrophysiology)
3950 HOLLYWOOD RD STE 110
SAINT JOSEPH, MI 49085
Physician Assistant
3950 HOLLYWOOD RD STE 110
SAINT JOSEPH, MI 49085
Nurse Practitioner
3950 HOLLYWOOD RD STE 110
SAINT JOSEPH, MI 49085
Nurse Practitioner
3950 HOLLYWOOD RD STE 110
SAINT JOSEPH, MI 49085
Internal Medicine (Cardiovascular Disease)
3950 HOLLYWOOD RD STE 110
SAINT JOSEPH, MI 49085
Nurse Practitioner
3950 HOLLYWOOD RD STE 110
SAINT JOSEPH, MI 49085

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 Scott Mihalik's NPI number?

The NPI number for Scott Mihalik is 1518128073. It was assigned to this individual provider in the NPPES registry on June 18, 2008.

Where is Scott Mihalik located?

Scott Mihalik practices at 3950 Hollywood Rd Ste 110, Saint Joseph, MI 49085. The listed phone number is (269) 985-1000.

What is Scott Mihalik's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Scott Mihalik enrolled in Medicare?

Yes. Scott Mihalik 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 Scott Mihalik accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, McLaren Health Plan Community and Priority Health list Scott Mihalik 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 Scott Mihalik affiliated with any hospitals?

According to CMS data, Scott Mihalik is affiliated with Lakeland Hospital, St Joseph.

When was this NPI record last updated?

The NPPES record for Scott Mihalik was last updated on April 22, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.