MICHAEL R TOWARNICKY MD
NPI 1740273242
Internal Medicine in Jacksonville, NC

Active since August 30, 2005PECOS EnrolledAccepts Medicare Assignment
47.59/100
CMS Quality Rating
4275 WESTERN BLVD, JACKSONVILLE, NC 28546(910) 938-3099(910) 938-3243 Get Directions Write a Review

NPPES record last updated: March 17, 2017. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Michael R Towarnicky Md NPPES

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

MICHAEL R TOWARNICKY MD (NPI 1740273242) is an individual internal medicine provider in Jacksonville, North Carolina, licensed in North Carolina (3598) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS, is affiliated with Onslow Memorial Hospital, and is a graduate of Ohio State University College Of Medicine (1983).

NPPES Registry Identity

NPI1740273242
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameMICHAEL R TOWARNICKYCredential: MD
Location Address4275 WESTERN BLVDJacksonville, NC 28546-1100
Mailing AddressPo Box 896206Charlotte, NC 28289-6206 · (252) 633-1010 · Fax (252) 224-3071
Fax(910) 938-3243
Sole ProprietorNo
Medical School CMSOhio State University College Of MedicineGraduated 1983
Enumeration DateAugust 30, 2005
Last NPPES UpdateMarch 17, 2017
NPI 1740273242 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in NC · 3598
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
4275 WESTERN BLVD, Jacksonville, NC 28546

Other Identifiers 5

Other211019DNC · Medicare Ptan
Medicaid7983651NC
Medicare UPINC86808
Other83651NC · Blue Cross
Medicare PIN110090042NC

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

Michael R Towarnicky 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 ID2769425487
PECOS Enrollment IDI20050603000553
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 53

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.

Injection, denosumab, 1 mg J0897
Denosumab is a medication given via injection to strengthen your bones. It works by slowing down the cells that break down bone, improving bone density and reducing the risk of fractures. It's often used for osteoporosis treatment.
1,260 services15 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.
978 services413 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.
812 services425 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
594 services377 patients
Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count 85025
A Complete Blood Cell Count is a common test that measures various components of the blood, including red cells (carry oxygen), white cells (fight infection), and platelets (help blood clot). An automated test ensures accuracy. The differential count provides detailed information about white cell types.
489 services399 patients
Blood test, thyroid stimulating hormone (tsh) 84443
A TSH blood test measures the level of thyroid stimulating hormone in your body. This hormone is produced by the pituitary gland and regulates how your thyroid works. It's a simple procedure where a small amount of blood is drawn from your arm for analysis.
424 services374 patients

Hospital Affiliations CMS Care Compare 3

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

Onslow Memorial Hospital

Acute Care Hospitals · Jacksonville, NC
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number340042
Location317 Western BoulevardJacksonville, NC 28540 · Onslow County
Emergency services Birthing friendly

Unc Hospitals

Acute Care Hospitals · Chapel Hill, NC
5/5 CMS rating
OwnershipGovernment - State
CMS Certification Number340061
Location101 Manning DriveChapel Hill, NC 27514 · Orange County
Emergency services Birthing friendly

Carolina East Medical Center

Acute Care Hospitals · New Bern, NC
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number340131
Location2000 Neuse BlvdNew Bern, NC 28560 · Craven County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28546 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
$125.01 typical visit price
range $54.12 – $165.09
Typical copayment $31.25 (range $13.53 – $41.27)
Most-billed visit code 99204
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.

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.

47.59/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality43.48
Promoting Interoperability0
Improvement Activities40
Cost65.16

Referred Medical Equipment & Supplies CMS DME claims 16

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

Supplies for maintenance of insulin infusion catheter, per week A4224
DME-Other DME · category DE017N
3 suppliers15 claims176 services$17.57 avg. paid by Medicare
Supplies for external insulin infusion pump, syringe type cartridge, sterile, each A4225
DME-Other DME · category DE017N
3 suppliers14 claims420 services$2.35 avg. paid by Medicare
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
18 suppliers89 claims277 services$6.19 avg. paid by Medicare
Normal, low and high calibrator solution / chips A4256
DME-Other DME · category DE000N
2 suppliers17 claims17 services$2.78 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
11 suppliers27 claims37 services$1.12 avg. paid by Medicare
Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
3 suppliers12 claims12 services$38.54 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 8

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

Internal Medicine (Cardiovascular Disease)
4275 WESTERN BLVD
JACKSONVILLE, NC 28546
Family Medicine
4275 WESTERN BLVD
JACKSONVILLE, NC 28546
Physician Assistant
4275 WESTERN BLVD
JACKSONVILLE, NC 28546
Internal Medicine
4275 WESTERN BLVD
JACKSONVILLE, NC 28546
Internal Medicine
4275 WESTERN BLVD
JACKSONVILLE, NC 28546
Internal Medicine (Cardiovascular Disease)
4275 WESTERN BLVD
JACKSONVILLE, NC 28546
Internal Medicine (Cardiovascular Disease)
4275 WESTERN BLVD
JACKSONVILLE, NC 28546
Physician Assistant
4275 WESTERN BLVD
JACKSONVILLE, NC 28546

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 Towarnicky's NPI number?

The NPI number for Michael Towarnicky is 1740273242. It was assigned to this individual provider in the NPPES registry on August 30, 2005.

Where is Michael Towarnicky located?

Michael Towarnicky practices at 4275 Western Blvd, Jacksonville, NC 28546. The listed phone number is (910) 938-3099.

What is Michael Towarnicky's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Michael Towarnicky enrolled in Medicare?

Yes. Michael Towarnicky 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 Michael Towarnicky accept?

Health plans from Blue Cross and Blue Shield of NC and UnitedHealthcare list Michael Towarnicky 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 Michael Towarnicky affiliated with any hospitals?

According to CMS data, Michael Towarnicky is affiliated with Onslow Memorial Hospital, Unc Hospitals and Carolina East Medical Center.

When was this NPI record last updated?

The NPPES record for Michael Towarnicky was last updated on March 17, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.