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DR. MARK MICHNIK MD
NPI 1841397650
Obstetrics & Gynecology in N Miami Beach, FL

Active since September 20, 2006PECOS EnrolledAccepts Medicare Assignment
1 NE 167TH ST, N MIAMI BEACH, FL 33162(786) 300-7330(772) 264-8106 Get Directions Write a Review

NPPES record last updated: December 11, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Dec 11, 2024, Jul 5, 2021, Feb 7, 2020 and 1 more (4 updates tracked since 2016).

About Dr. Mark Michnik Md NPPES

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

DR. MARK MICHNIK MD (NPI 1841397650) is an individual obstetrics & gynecology provider in N Miami Beach, Florida, licensed in Florida (ME117870) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS, maintains a secondary practice location in Parrish, and is a graduate of Other (1982).

NPPES Registry Identity

NPI1841397650
Entity TypeIndividualMale
Primary Taxonomy207V00000X
Provider Legal NameDR. MARK MICHNIKCredential: MD
Location Address1 NE 167TH STN Miami Beach, FL 33162-3402
Mailing Address101 Riverfront Blvd Ste 710Bradenton, FL 34205-8812 · (941) 776-4000
Phone(786) 300-7330
Fax(772) 264-8106
Sole ProprietorYes
Medical School CMSOtherGraduated 1982
Enumeration DateSeptember 20, 2006
Last NPPES UpdateDecember 11, 20244 updates tracked since enumeration
NPPES CertifiedDecember 11, 2024
✔ NPI 1841397650 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
Licenses✔ Licensed in FL · ME117870✔ Licensed in NY · 236807
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
1 NE 167TH ST, N Miami Beach, FL 33162
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Secondary Practice Location 1

Location 112271 US Highway 301 NParrish, FL 34219 · Phone (941) 776-4050 · Fax (941) 776-4057

Other Identifiers 2

Medicaid102817900FL
Medicaid02694448NY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include 22 Health, Ambetter from Superior HealthPlan, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Mark Michnik 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 ID4880608868
PECOS Enrollment IDI20060130000100
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.

Medicare Billing Reassignments

5

Medicare enrollment records show Mark Michnik reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Soma Medical Center PA #9
50 mi
Obstetrics & Gynecology
3325 FOREST HILL BLVD STE B
Palm Springs, FL 33406
  • Reassigned Medicare billing, Florida enrollment
  • 6 clinicians in this Medicare group
NPI 1982379442 (561) 964-4577
Mcr Health, Inc.
180 mi
Federally Qualified Health Center (FQHC)
12271 US HIGHWAY 301 N
Parrish, FL 34219
  • Reassigned Medicare billing, Florida enrollment
  • 709 clinicians in this Medicare group
NPI 1255376000 (941) 776-4050
Arnot Medical Services PLLC
1,131 mi
Internal Medicine
600 ROE AVE
Elmira, NY 14905
  • Reassigned Medicare billing, New York enrollment
  • 122 clinicians in this Medicare group
NPI 1427326768 (607) 737-4500
Arnot Ogden Medical Center
1,131 mi
General Acute Care Hospital
600 ROE AVE
Elmira, NY 14905
  • Reassigned Medicare billing, New York enrollment
  • 245 clinicians in this Medicare group
NPI 1083605661 (607) 737-4100
Canton-Potsdam Hospital
1,325 mi
General Acute Care Hospital
50 LEROY STREET
Potsdam, NY 13676
  • Reassigned Medicare billing, New York enrollment
  • 414 clinicians in this Medicare group
NPI 1568548782 (315) 265-3300

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33162 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
$141.56 typical visit price
range $60.92 – $187.05
Typical copayment $35.39 (range $15.23 – $46.76)
Most-billed visit code 99204
Established Patient
$75.86 typical visit price
range $18.99 – $150.24
Typical copayment $18.96 (range $4.74 – $37.56)
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.

Reported Quality Measures

Breast Cancer Screening
Percentage of women 50-74 years of age who had a mammogram to screen for breast cancer
55%95 patients3/55-star benchmark: 92%
Cervical Cancer Screening
Percentage of women 21-64 years of age who were screened for cervical cancer using either of the following criteria: - Women age 21-64 who had cervical cytology performed every 3 years - Women age 30-64 who had cervical cytology/human papillomavirus (HPV)…
74%463 patients
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
96%214 patients4/55-star benchmark: 99%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
86%140 patients2/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
83%706 patients4/55-star benchmark: 97%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
38%348 patients2/55-star benchmark: 97%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
Patients screenedForUse: 98% · 306 patients
Patients tobacco: 70% · 37 patients
94%306 patients4/55-star benchmark: 98%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
61%706 patients3/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
3%706 patients1/55-star benchmark: 89%
View, Download, or Transmit (VDT)
At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.
31%706 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 11

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

FOUNTAIN IMAGING GROUP,LLC
Clinic/Center
1 NE 167TH ST
NORTH MIAMI BEACH, FL 33162
Miami-Dade County (305) 770-4343
EPIC MEDICAL CENTERS
Internal Medicine
1 NE 167TH ST
NORTH MIAMI BEACH, FL 33162
Miami-Dade County (786) 317-2377
INTERVENTIONAL SPINE SPECIALISTS OF SOUTH FLORIDA LLC
Anesthesiology (Pain Medicine)
1 NE 167TH ST
NORTH MIAMI BEACH, FL 33162
Miami-Dade County (305) 432-9565
DR. LILLIANA VAZQUEZ RIVERA MD
Internal Medicine (Infectious Disease)
1 NE 167TH ST
NORTH MIAMI BEACH, FL 33162
Miami-Dade County (305) 432-9565
WOMEN SPECIAL CARE ASSOCIATES PA
Obstetrics & Gynecology
1 NE 167TH ST
N MIAMI BEACH, FL 33162
Miami-Dade County (786) 300-7330
FOUNTAIN IMAGING OF NORTH MIAMI BEACH,LLC
Clinic/Center (Magnetic Resonance Imaging (MRI))
1 NE 167TH ST
NORTH MIAMI BEACH, FL 33162
Miami-Dade County (305) 770-4343
PRX INC
Pharmacy (Community/Retail Pharmacy)
1 NE 167TH ST
NORTH MIAMI BEACH, FL 33162
Miami-Dade County (305) 573-3314
AYLIN VALDES GONZALEZ FNP
Nurse Practitioner (Family)
1 NE 167TH ST
NORTH MIAMI BEACH, FL 33162
Miami-Dade County (305) 432-9565

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 Mark Michnik's NPI number?

The NPI number for Mark Michnik is 1841397650. It was assigned to this individual provider in the NPPES registry on September 20, 2006.

Where is Mark Michnik located?

Mark Michnik practices at 1 NE 167th St, N Miami Beach, FL 33162. The listed phone number is (786) 300-7330.

What is Mark Michnik's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Mark Michnik enrolled in Medicare?

Yes. Mark Michnik 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.

Which organizations bill Medicare for Mark Michnik's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mark Michnik reassigns Medicare benefits to 5 organizations: Soma Medical Center PA #9 (Palm Springs, FL), Mcr Health, Inc. (Parrish, FL), Arnot Medical Services PLLC (Elmira, NY), Arnot Ogden Medical Center (Elmira, NY) and Canton-Potsdam Hospital (Potsdam, NY). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Mark Michnik's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mark Michnik accept?

Health plans from 22 Health, Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama and Molina Healthcare and 1 other insurer list Mark Michnik 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 Mark Michnik was last updated on December 11, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.