DR. TOMASZ MICHALSKI MD
NPI 1639393044
Family Medicine in Sturgeon Bay, WI

Active since April 13, 2007PECOS EnrolledAccepts Medicare Assignment
323 S 18TH AVE, STURGEON BAY, WI 54235(920) 746-0510(920) 746-0099 Get Directions Write a Review

NPPES record last updated: March 10, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Mar 10, 2026, Nov 17, 2023, Oct 28, 2019 (3 updates tracked since 2019).

About Dr. Tomasz Michalski Md NPPES

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

DR. TOMASZ MICHALSKI MD (NPI 1639393044) is an individual family medicine provider in Sturgeon Bay, Wisconsin, licensed in Wisconsin (51311) and active in the NPI registry since April 2007. He is enrolled in Medicare PECOS, is affiliated with Bellin Memorial Hospital, and is a graduate of Other (2003).

NPPES Registry Identity

NPI1639393044
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. TOMASZ MICHALSKICredential: MD
Location Address323 S 18TH AVESturgeon Bay, WI 54235-1401
Mailing Address323 S 18th AveSturgeon Bay, WI 54235-1401 · (920) 746-0510
Fax(920) 746-0099
Sole ProprietorNo
Medical School CMSOtherGraduated 2003
Enumeration DateApril 13, 2007
Last NPPES UpdateMarch 10, 20263 updates tracked since enumeration
NPPES CertifiedMarch 10, 2026
NPI 1639393044 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in WI · 51311
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.
323 S 18TH AVE, Sturgeon Bay, WI 54235

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

Dr. Tomasz Michalski 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 ID9638262777
PECOS Enrollment IDI20080807000382
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.

Hospital Affiliations CMS Care Compare 2

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

Bellin Memorial Hospital

Acute Care Hospitals · Green Bay, WI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520049
Location744 S Webster AveGreen Bay, WI 54305 · Brown County
Emergency services Birthing friendly

Door County Medical Center

Critical Access Hospitals · Sturgeon Bay, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number521358
Location323 South 18th AvenueSturgeon Bay, WI 54235 · Door County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54235 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
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$95.41 typical visit price
range $17.40 – $133.76
Typical copayment $23.85 (range $4.35 – $33.44)
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 9

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 suppliers92 claims269 services$6.27 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
5 suppliers30 claims40 services$1.08 avg. paid by Medicare
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260
DME-Hospital Beds · category DB000N
1 supplier11 claims11 services$66.26 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
2 suppliers14 claims14 services$48.38 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
1 supplier21 claims21 services$7.94 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
4 suppliers40 claims40 services$106.18 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 20

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

Registered Nurse (Lactation Consultant)
323 S 18TH AVE
STURGEON BAY, WI 54235
Pediatrics
323 S 18TH AVE
STURGEON BAY, WI 54235
Specialist/Technologist (Athletic Trainer)
323 S 18TH AVE
STURGEON BAY, WI 54235
Pharmacist
323 S 18TH AVE
STURGEON BAY, WI 54235
Internal Medicine
323 S 18TH AVE
STURGEON BAY, WI 54235
Obstetrics & Gynecology
323 S 18TH AVE
STURGEON BAY, WI 54235
Emergency Medicine
323 S 18TH AVE
STURGEON BAY, WI 54235
Skilled Nursing Facility
323 S 18TH AVE
STURGEON BAY, WI 54235

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 Tomasz Michalski's NPI number?

The NPI number for Tomasz Michalski is 1639393044. It was assigned to this individual provider in the NPPES registry on April 13, 2007.

Where is Tomasz Michalski located?

Tomasz Michalski practices at 323 S 18th Ave, Sturgeon Bay, WI 54235. The listed phone number is (920) 746-0510.

What is Tomasz Michalski's specialty?

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

Is Tomasz Michalski enrolled in Medicare?

Yes. Tomasz Michalski 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 Tomasz Michalski accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource (Common Ground Healthcare), Network Health and Security Health Plan list Tomasz Michalski 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 Tomasz Michalski affiliated with any hospitals?

According to CMS data, Tomasz Michalski is affiliated with Bellin Memorial Hospital and Door County Medical Center.

When was this NPI record last updated?

The NPPES record for Tomasz Michalski was last updated on March 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.