MICHAEL J HALVONIK MD
NPI 1538249404
Internal Medicine - Pulmonary Disease in Cincinnati, OH

Active since October 16, 2006PECOS Enrolled
90.38/100
CMS Quality Rating
10496 MONTGOMERY ROAD, SUITE 103, CINCINNATI, OH 45242(513) 793-2654(513) 793-2962 Get Directions Write a Review

NPPES record last updated: November 26, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Michael J Halvonik Md NPPES

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

MICHAEL J HALVONIK MD (NPI 1538249404) is an individual pulmonary disease provider in Cincinnati, Ohio, licensed in Ohio (35048417) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1538249404
Entity TypeIndividualMale
Primary Taxonomy207RP1001X
Provider Legal NameMICHAEL J HALVONIKCredential: MD
Location Address10496 MONTGOMERY ROAD, SUITE 103Cincinnati, OH 45242-5220
Mailing Address10496 Montgomery Road, Suite 103Cincinnati, OH 45242-5220 · (513) 793-2654 · Fax (513) 793-2962
Fax(513) 793-2962
Sole ProprietorNo
Enumeration DateOctober 16, 2006
Last NPPES UpdateNovember 26, 2014
NPI 1538249404 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
License Licensed in OH · 35048417
Definition
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
Also ListedInternal Medicine · Critical Care MedicineTaxonomy 207RC0200X · License OH35048417 (OH)
10496 MONTGOMERY ROAD, Cincinnati, OH 45242

Other Identifiers 8

Other000000244057Anthem
Other0004091204Aetna
Other0402518United Healthcare
OtherP00164532Railroad Medicare
Other48417Humana
Medicare UPINA83077
Medicare ID-Type UnspecifiedHA0618535OH
Medicaid0664759OH

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 (PECOS)

Michael J Halvonik Md 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.

Areas of Expertise CMS Part B claims 10

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.

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.
230 services205 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.
139 services109 patients
Test to measure expiratory airflow and volume changes before and after medication administration 94060
This procedure measures how air flows in and out of your lungs. It's done before and after medication to see if the treatment improves your breathing. It's a simple, non-invasive test that involves breathing into a device called a spirometer.
81 services81 patients
Test to determine lung volumes using gas dilution or washout 94727
This test measures lung volumes by either diluting or washing out a known amount of gas in your lungs. You'll breathe in a harmless gas, then exhale. The exhaled air is analyzed to assess your lung capacity and function.
80 services80 patients
Test to examine how well the lungs exchange gases 94729
This is a test called a pulmonary function test, which helps understand the efficiency of your lungs. It measures how much air your lungs can hold, how quickly you can move air in and out of your lungs, and how well your lungs put oxygen into and remove carbon dioxide from your blood.
80 services80 patients
Test to measure expiratory airflow and volume changes before and after medication administration 94060
This procedure measures how air flows in and out of your lungs. It's done before and after medication to see if the treatment improves your breathing. It's a simple, non-invasive test that involves breathing into a device called a spirometer.
74 services69 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45242 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
$126.12 typical visit price
range $54.34 – $166.65
Typical copayment $31.53 (range $13.58 – $41.66)
Most-billed visit code 99204
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

90.38/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality80.76
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 13

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Administration set, with small volume nonfiltered pneumatic nebulizer, disposable A7003
DME-Other DME · category DE000N
7 suppliers27 claims53 services$1.33 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
5 suppliers11 claims11 services$49.64 avg. paid by Medicare
Headgear used with positive airway pressure device A7035
DME-Other DME · category DE001N
6 suppliers14 claims14 services$18.25 avg. paid by Medicare
Tubing used with positive airway pressure device A7037
DME-Other DME · category DE001N
4 suppliers14 claims14 services$10.65 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
7 suppliers18 claims108 services$1.84 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
7 suppliers195 claims196 services$14.44 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 5

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

Internal Medicine (Pulmonary Disease)
10496 MONTGOMERY ROAD, SUITE 103
CINCINNATI, OH 45242
Internal Medicine
10496 MONTGOMERY ROAD, #103
CINCINNATI, OH 45242
Internal Medicine (Pulmonary Disease)
10496 MONTGOMERY ROAD, SUITE 103
CINCINNATI, OH 45242
Internal Medicine (Gastroenterology)
10496 MONTGOMERY ROAD, SUITE 208
CINCINNATI, OH 45242
Internal Medicine (Pulmonary Disease)
10496 MONTGOMERY ROAD, SUITE #103
CINCINNATI, OH 45242

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 Halvonik's NPI number?

The NPI number for Michael Halvonik is 1538249404. It was assigned to this individual provider in the NPPES registry on October 16, 2006.

Where is Michael Halvonik located?

Michael Halvonik practices at 10496 Montgomery Road Suite 103, Cincinnati, OH 45242. The listed phone number is (513) 793-2654.

What is Michael Halvonik's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Michael Halvonik enrolled in Medicare?

Yes. Michael Halvonik is registered in the Medicare PECOS enrollment system.

What insurance does Michael Halvonik accept?

Health plans from Oscar Health Insurance list Michael Halvonik 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 Halvonik was last updated on November 26, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.