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DR. RICHARD G MICHAL M.D.
NPI 1558413757
Family Medicine in Rocky Mount, NC

Active since January 17, 2007PECOS EnrolledAccepts Medicare Assignment
804 ENGLISH RD, SUITE 100, ROCKY MOUNT, NC 27804(252) 443-3133(252) 443-6726 Get Directions Write a Review

NPPES record last updated: January 14, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Richard G Michal M.d. NPPES

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

DR. RICHARD G MICHAL M.D. (NPI 1558413757) is an individual family medicine provider in Rocky Mount, North Carolina, licensed in North Carolina (00-27066) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS, is affiliated with Unc Health Nash, and is a graduate of Duke University School Of Medicine (1980).

NPPES Registry Identity

NPI1558413757
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. RICHARD G MICHALCredential: M.D.
Location Address804 ENGLISH RD, SUITE 100Rocky Mount, NC 27804-6032
Mailing Address804 English Rd, Suite 100Rocky Mount, NC 27804-6032 · (252) 443-3133 · Fax (252) 443-6726
Phone(252) 443-3133
Fax(252) 443-6726
Sole ProprietorNo
Medical School CMSDuke University School Of MedicineGraduated 1980
Enumeration DateJanuary 17, 2007
Last NPPES UpdateJanuary 14, 2010
✔ NPI 1558413757 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in NC · 00-27066
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
804 ENGLISH RD, Rocky Mount, NC 27804
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Other Identifiers 3

Medicare UPINC85535NC
Medicare ID-Type Unspecified208847NC
Medicaid8958779NC

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC.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. Richard G Michal 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 ID9537050190
PECOS Enrollment IDI20100201000645
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 8

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 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.
382 services108 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
64 services63 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
63 services62 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
49 services49 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.
26 services22 patients
Administration of psychological or neuropsychological test by technician, first 30 minutes 96138
This procedure involves a trained technician administering a psychological or neuropsychological test. It's a process that assesses your mental function and behavior. The initial session will last 30 minutes. The aim is to understand your cognitive abilities better.
23 services21 patients

Hospital Affiliations CMS Care Compare

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

Unc Health Nash

Acute Care Hospitals · Rocky Mount, NC
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number340147
Location2460 Curtis Ellis DriveRocky Mount, NC 27804 · Nash County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27804 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
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.

Referred Medical Equipment & Supplies CMS DME claims 7

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
6 suppliers15 claims36 services$6.81 avg. paid by Medicare
Tubing used with positive airway pressure device A7037
DME-Other DME · category DE001N
3 suppliers14 claims14 services$15.85 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
3 suppliers12 claims63 services$2.25 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
1 supplier12 claims12 services$16.15 avg. paid by Medicare
Continuous positive airway pressure (cpap) device E0601
DME-Other DME · category DE001N
3 suppliers17 claims17 services$39.82 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier12 claims12 services$85.83 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 9

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

CAROLINA OTOLARYNGOLOGY CONSULTANTS PA
Hearing Aid Equipment
804 ENGLISH RD, SUITE 200
ROCKY MOUNT, NC 27804
Nash County (252) 937-4103
DR. MARK S ABEL M.D.
Family Medicine
804 ENGLISH RD, SUITE 100
ROCKY MOUNT, NC 27804
Nash County (252) 443-3133
WOMEN'S HEALTH OF ROCKY MOUNT
Obstetrics & Gynecology
804 ENGLISH RD, SUITE 210
ROCKY MOUNT, NC 27804
Nash County (252) 451-7060
MR. HARRY MARQUETTE MATTHEWS P.A.
Physician Assistant (Medical)
804 ENGLISH RD
ROCKY MOUNT, NC 27804
Nash County (252) 937-4100
WOMEN'S HEALTH OF ROCKY MOUNT, PA
Obstetrics & Gynecology
804 ENGLISH RD, SUITE 210
ROCKY MOUNT, NC 27804
Nash County (252) 451-7060
ROCKY MOUNT FAMILY MEDICAL CENTER PA
Clinic/Center (Primary Care)
804 ENGLISH RD, SUITE 100
ROCKY MOUNT, NC 27804
Nash County (252) 443-3133
MRS. RACHEL L PERRY P.A.-C
Physician Assistant (Medical)
804 ENGLISH RD, SUITE 100
ROCKY MOUNT, NC 27804
Nash County (252) 443-3133
DR. JENNIFER M HART M.D.
Family Medicine
804 ENGLISH RD, SUITE 100
ROCKY MOUNT, NC 27804
Nash County (252) 443-3133

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 Richard Michal's NPI number?

The NPI number for Richard Michal is 1558413757. It was assigned to this individual provider in the NPPES registry on January 17, 2007.

Where is Richard Michal located?

Richard Michal practices at 804 English Rd Suite 100, Rocky Mount, NC 27804. The listed phone number is (252) 443-3133.

What is Richard Michal's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Richard Michal enrolled in Medicare?

Yes. Richard Michal 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 Richard Michal accept?

Health plans from Blue Cross and Blue Shield of NC list Richard Michal 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 Richard Michal affiliated with any hospitals?

According to CMS data, Richard Michal is affiliated with Unc Health Nash.

When was this NPI record last updated?

The NPPES record for Richard Michal was last updated on January 14, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.