DR. MATTHEW MICHAEL MICHALOWICZ M.D.
NPI 1811281942
Otolaryngology in New Bern, NC

Q: What is Matthew Michalowicz's NPI number?

The NPI number for Matthew Michalowicz is 1811281942. It was assigned to this individual provider in the NPPES registry on June 7, 2011.

Q: What is Matthew Michalowicz's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Active since June 07, 2011PECOS EnrolledAccepts Medicare Assignment

47.59/100

CMS Quality Rating

3110 WELLONS BLVD, NEW BERN, NC 28562(252) 638-2515(252) 638-8538 Get Directions Write a Review

NPPES record last updated: June 14, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 14, 2023, Jan 4, 2022, May 18, 2021 and 1 more (4 updates tracked since 2016).

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About Dr. Matthew Michael Michalowicz M.d. NPPES

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

DR. MATTHEW MICHAEL MICHALOWICZ M.D. (NPI 1811281942) is an individual otolaryngology provider in New Bern, North Carolina, licensed in North Carolina (2023-01306) and active in the NPI registry since June 2011. He is enrolled in Medicare PECOS, is affiliated with Onslow Memorial Hospital, and maintains a secondary practice location in Camp Lejeune.

NPPES Registry Identity

NPI1811281942

Entity TypeIndividualMale

Primary Taxonomy207Y00000X

Provider Legal NameDR. MATTHEW MICHAEL MICHALOWICZCredential: M.D.

Location Address3110 WELLONS BLVDNew Bern, NC 28562-5247

Mailing AddressPo Box 68Pollocksville, NC 28573-0068 · (252) 638-2515 · Fax (252) 638-8538

Phone(252) 638-2515

Fax(252) 638-8538

Sole ProprietorNo

Medical School CMSUniformed Services Uhs Fe Hebert School Of MedGraduated 2011

Enumeration DateJune 7, 2011

Last NPPES UpdateJune 14, 20234 updates tracked since enumeration

NPPES CertifiedMay 17, 2023

✔ NPI 1811281942 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians

Taxonomy Code207Y00000X

Licenses✔ Licensed in NC · 2023-01306✔ Licensed in VA · 0101252364

Definition

An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.

3110 WELLONS BLVD, New Bern, NC 28562

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Secondary Practice Location 1

Location 1Naval Medical Center, 100 Brewster BlvdCamp Lejeune, NC 28584-2538 · Phone (910) 450-4721

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC, UnitedHealthcare.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. Matthew Michael Michalowicz 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 ID2365748647

PECOS Enrollment IDI20230831001258

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 9

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.

283 services199 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

145 services145 patients

Exam of ear using a microscope 92504

An exam of the ear using a microscope allows a detailed view of the ear structures. This non-invasive procedure helps identify issues such as infections, blockages, or ear damage. It's a safe, quick, and painless way to evaluate ear health.

100 services77 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

99 services99 patients

Diagnostic exam of voice box using a flexible endoscope 31575

This procedure involves a doctor examining your voice box using a flexible endoscope, a thin tube with a light and camera. It's inserted through your nose or mouth to visualize your throat area. It helps detect any abnormalities in your voice box, ensuring optimal vocal health.

92 services83 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.

86 services73 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

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

Carteret General Hospital

Acute Care Hospitals · Morehead City, NC

3/5 CMS rating

OwnershipProprietary

CMS Certification Number340142

Location3500 Arendell StMorehead City, NC 28557 · Carteret County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28562 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

$67.72 typical visit price

range $17.21 – $134.61

Typical copayment $16.93 (range $4.30 – $33.65)

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.

47.59/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

43.48

Promoting Interoperability

Improvement Activities

Cost

65.16

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Other Providers at the Same Location NPPES 18

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

DR. THOMAS R GRANT MD

Otolaryngology