MICHAEL KALSMAN MD
NPI 1962475459
Family Medicine in Salamanca, NY

Active since February 07, 2006PECOS EnrolledAccepts Medicare Assignment
80.26/100
CMS Quality Rating
987 R C HOAG DR, SALAMANCA, NY 14779(716) 945-5894 Get Directions Write a Review

NPPES record last updated: March 19, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Michael Kalsman Md NPPES

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

MICHAEL KALSMAN MD (NPI 1962475459) is an individual family medicine provider in Salamanca, New York, licensed in New York (214568) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS, is affiliated with Musc Medical Center, and is a graduate of University Of Arizona College Of Medicine (1995).

NPPES Registry Identity

NPI1962475459
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameMICHAEL KALSMANCredential: MD
Location Address987 R C HOAG DRSalamanca, NY 14779-1365
Mailing AddressPo Box 10386Albany, NY 12201-5386 · (716) 945-5894
Sole ProprietorNo
Medical School CMSUniversity Of Arizona College Of MedicineGraduated 1995
Enumeration DateFebruary 7, 2006
Last NPPES UpdateMarch 19, 2009
NPI 1962475459 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in NY · 214568
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.
987 R C HOAG DR, Salamanca, NY 14779

Other Identifiers 3

Medicare UPINH04064NY
Medicare ID-Type UnspecifiedRA7960NY
Medicaid01977146NY

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 Kalsman 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 ID9335173285
PECOS Enrollment IDI20230705003391
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 17

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 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.
417 services228 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.
177 services135 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
152 services152 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
95 services67 patients
Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490
Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.
89 services14 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
71 services56 patients

Hospital Affiliations CMS Care Compare 2

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

Musc Medical Center

Acute Care Hospitals · Charleston, SC
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number420004
Location169 Ashley AveCharleston, SC 29425 · Charleston County
Emergency services Birthing friendly

Bon Secours-St Francis Xavier Hospital

Acute Care Hospitals · Charleston, SC
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number420065
Location2095 Henry Tecklenburg DriveCharleston, SC 29414 · Charleston County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 14779 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
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.08 typical visit price
range $17.54 – $136.14
Typical copayment $24.27 (range $4.38 – $34.03)
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.

80.26/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality80.8
Promoting Interoperability100
Improvement Activities40
Cost53.42

Referred Medical Equipment & Supplies CMS DME claims 10

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

For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe A5500
DME-Orthotic Devices · category DF000N
1 supplier11 claims18 services$55.34 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
2 suppliers11 claims11 services$107.77 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
1 supplier11 claims54 services$23.29 avg. paid by Medicare
Headgear used with positive airway pressure device A7035
DME-Other DME · category DE001N
2 suppliers12 claims12 services$19.37 avg. paid by Medicare
Tubing used with positive airway pressure device A7037
DME-Other DME · category DE001N
2 suppliers13 claims13 services$20.23 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
2 suppliers21 claims109 services$2.51 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.

Family Medicine
987 R C HOAG DR
SALAMANCA, NY 14779
Clinic/Center (Federally Qualified Health Center (FQHC))
987 R C HOAG DR
SALAMANCA, NY 14779
Dentist (General Practice)
987 R C HOAG DR, LIONEL R JOHN HEALTH CENTER
SALAMANCA, NY 14779
Family Medicine
987 R C HOAG DR
SALAMANCA, NY 14779
Clinic/Center (Radiology)
987 R C HOAG DR
SALAMANCA, NY 14779
Dentist
987 R C HOAG DR
SALAMANCA, NY 14779
Counselor (Mental Health)
987 R C HOAG DR
SALAMANCA, NY 14779
Nurse Practitioner (Adult Health)
987 R C HOAG DR, LIONEL R JOHN HEALTH CENTER
SALAMANCA, NY 14779

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 Kalsman's NPI number?

The NPI number for Michael Kalsman is 1962475459. It was assigned to this individual provider in the NPPES registry on February 7, 2006.

Where is Michael Kalsman located?

Michael Kalsman practices at 987 R C Hoag Dr, Salamanca, NY 14779. The listed phone number is (716) 945-5894.

What is Michael Kalsman's specialty?

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

Is Michael Kalsman enrolled in Medicare?

Yes. Michael Kalsman 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 Kalsman accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, BlueCross BlueShield of South Carolina, First Choice Next and Molina Healthcare and 1 other insurer list Michael Kalsman 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 Kalsman affiliated with any hospitals?

According to CMS data, Michael Kalsman is affiliated with Musc Medical Center and Bon Secours-St Francis Xavier Hospital.

When was this NPI record last updated?

The NPPES record for Michael Kalsman was last updated on March 19, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years 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.