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DR. MICHAEL KALINA DO
NPI 1861574329
Surgery - Surgical Critical Care in Pennington, NJ

Active since October 20, 2006PECOS EnrolledAccepts Medicare Assignment
95.77/100
CMS Quality Rating
TWO CAPITAL WAY, SUITE 356, PENNINGTON, NJ 08534(609) 537-6000(609) 537-6002 Get Directions Write a Review

NPPES record last updated: April 26, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 26, 2021, Aug 22, 2017, Jan 19, 2017 and 1 more (4 updates tracked since 2016).

About Dr. Michael Kalina Do NPPES

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

DR. MICHAEL KALINA DO (NPI 1861574329) is an individual surgical critical care provider in Pennington, New Jersey, licensed in New Jersey (25MB09222800) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS, is affiliated with Capital Health Medical Center - Hopewell, and maintains a secondary practice location in Bordentown.

NPPES Registry Identity

NPI1861574329
Entity TypeIndividualMale
Primary Taxonomy2086S0102X
Provider Legal NameDR. MICHAEL KALINACredential: DO
Location AddressTWO CAPITAL WAY, SUITE 356Pennington, NJ 08534-2519
Mailing Address2 Capital Way, Ste 356Pennington, NJ 08534-2521
Phone(609) 537-6000
Fax(609) 537-6002
Sole ProprietorNo
Medical School CMSNew York College Of Osteo Medicine Of New York Institute Of TechnologyGraduated 2000
Enumeration DateOctober 20, 2006
Last NPPES UpdateApril 26, 20214 updates tracked since enumeration
NPPES CertifiedApril 26, 2021
✔ NPI 1861574329 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtySurgery · Surgical Critical CareAllopathic & Osteopathic Physicians
Taxonomy Code2086S0102X
Licenses✔ Licensed in NJ · 25MB09222800✔ Licensed in DE · C2-0008301
Definition
A surgeon with expertise in the management of the critically ill and postoperative patient, particularly the trauma victim, who specializes in critical care medicine diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.
Also ListedSurgeryTaxonomy 208600000X · License H0063165 (MD)
Also ListedSurgery · Trauma SurgeryTaxonomy 2086S0127X · License 235063 (NY)
TWO CAPITAL WAY, Pennington, NJ 08534
Open in Google Maps ↗

Secondary Practice Location 1

Location 1100 K Johnson Blvd Fl 2Bordentown, NJ 08505-2275 · Phone (609) 537-6000

Other Identifiers 1

Other2143677MD · United Healthcare

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware.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. Michael Kalina Do 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 ID7214951631
PECOS Enrollment IDI20130304000497
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.

Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
98 services37 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
92 services87 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
82 services49 patients
Critical care, each additional 30 minutes 99292
Critical care refers to special attention given to patients facing life-threatening conditions. Each additional 30 minutes indicates the extension of this specialized care. This might include close monitoring, medication adjustments, and immediate interventions as needed.
67 services11 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.
38 services38 patients
Removal of external hemorrhoids by rubber banding 46221
Rubber band ligation is a procedure used to treat external hemorrhoids. A doctor places small rubber bands around the base of the hemorrhoids. This cuts off blood supply, causing them to shrink and fall off, typically within a week.
31 services11 patients

Hospital Affiliations CMS Care Compare 2

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

Capital Health Medical Center - Hopewell

Acute Care Hospitals · Pennington, NJ
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310044
LocationOne Capital WayPennington, NJ 08534 · Mercer County
Emergency services Birthing friendly

Capital Health Regional Medical Center

Acute Care Hospitals · Trenton, NJ
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310092
Location750 Brunswick AveTrenton, NJ 08638 · Mercer County
Emergency services

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.

95.77/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality76.75
Promoting Interoperability100
Improvement Activities40

Reported Quality Measures

Breast Cancer Screening
58%106 patients3/55-star benchmark: 93%
Colorectal Cancer Screening
68%320 patients4/55-star benchmark: 88%
Controlling High Blood Pressure
62%165 patients3/55-star benchmark: 91%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
27%73 patients4/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
59%1,112 patients2/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
98%159 patients4/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
46%566 patients2/55-star benchmark: 98%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
91%527 patients4/55-star benchmark: 97%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 89% · 702 patients
Patients screened: 96% · 702 patients
36%78 patients2/55-star benchmark: 100%
Provide Patients Electronic Access to Their Health Information
74%193 patients3/55-star benchmark: 100%
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 6

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

HOPEWELL SURGERY CENTER LIMITED LIABILITY COMPANY
Clinic/Center (Ambulatory Surgical)
TWO CAPITAL WAY, SUITE 250
PENNINGTON, NJ 08534
Mercer County (609) 537-6300
DR. NENITA PARRILLA MCINTOSH MD
Internal Medicine (Hematology & Oncology)
TWO CAPITAL WAY, SUITE 220
PENNINGTON, NJ 08534
Mercer County (609) 303-0747
DR. SATVINDER K DHILLON MD
Internal Medicine
TWO CAPITAL WAY, SUITE 315
PENNINGTON, NJ 08534
Mercer County (609) 730-0010
CYNTHIA MATOSSIAN, M.D., P.A.
Ophthalmology
TWO CAPITAL WAY, SUITE 326
PENNINGTON, NJ 08534
Mercer County (609) 882-8833
DR. JYOTI KAMLESH BHATIA M.D.
Internal Medicine (Gastroenterology)
TWO CAPITAL WAY, SUITE 487
PENNINGTON, NJ 08534
Mercer County (609) 818-1900
DR. ARMEN JOHN SIMONIAN M.D.
Internal Medicine (Gastroenterology)
TWO CAPITAL WAY, SUITE 487
PENNINGTON, NJ 08534
Mercer County (609) 818-1900

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 Kalina's NPI number?

The NPI number for Michael Kalina is 1861574329. It was assigned to this individual provider in the NPPES registry on October 20, 2006.

Where is Michael Kalina located?

Michael Kalina practices at Two Capital Way Suite 356, Pennington, NJ 08534. The listed phone number is (609) 537-6000.

What is Michael Kalina's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Surgical Critical Care, with taxonomy code 2086S0102X.

Is Michael Kalina enrolled in Medicare?

Yes. Michael Kalina 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 Kalina accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Michael Kalina 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 Kalina affiliated with any hospitals?

According to CMS data, Michael Kalina is affiliated with Capital Health Medical Center - Hopewell and Capital Health Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Michael Kalina was last updated on April 26, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.