MICHAEL JAMES SHEALY M.D.
NPI 1972778488
Pathology - Anatomic Pathology & Clinical Pathology in Charlotte, NC

Active since April 25, 2008PECOS EnrolledAccepts Medicare Assignment
2001 VAIL AVE, CHARLOTTE, NC 28207(704) 973-5500 Get Directions Write a Review

NPPES record last updated: April 17, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Michael James Shealy M.d. NPPES

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

MICHAEL JAMES SHEALY M.D. (NPI 1972778488) is an individual anatomic pathology & clinical pathology provider in Charlotte, North Carolina, licensed in North Carolina (2011-01411) and active in the NPI registry since April 2008. He is enrolled in Medicare PECOS, is affiliated with Atrium Health Pineville, and is a graduate of Medical University Of South Carolina College Of Medicine (2005).

NPPES Registry Identity

NPI1972778488
Entity TypeIndividualMale
Primary Taxonomy207ZP0102X
Provider Legal NameMICHAEL JAMES SHEALYCredential: M.D.
Location Address2001 VAIL AVECharlotte, NC 28207-1248
Mailing AddressPo Box 30637Charlotte, NC 28230-0637 · (704) 973-5500
Sole ProprietorNo
Medical School CMSMedical University Of South Carolina College Of MedicineGraduated 2005
Enumeration DateApril 25, 2008
Last NPPES UpdateApril 17, 2018
NPI 1972778488 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPathology · Anatomic Pathology & Clinical PathologyAllopathic & Osteopathic Physicians
Taxonomy Code207ZP0102X
License Licensed in NC · 2011-01411
Definition
A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.
2001 VAIL AVE, Charlotte, NC 28207

Other Identifiers 2

Other2011-01411NC · State Medical Board
Other27907SC · State Medical Board

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 James Shealy 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 ID2163681214
PECOS Enrollment IDI20120308000273, I20250414000188
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 10

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.

Pathology examination of tissue using a microscope, intermediate complexity 88305
A pathology examination of tissue with intermediate complexity involves studying a small sample of your body tissue under a microscope. This helps in identifying any abnormal cells or signs of disease. It's a detailed process requiring expert analysis to ensure accurate results.
1,187 services640 patients
Cell examination of specimen, selective cellular enhancement technique 88112
Cell examination of a specimen using selective cellular enhancement technique is a lab process that improves the visibility of certain cells in a sample. It helps in identifying abnormalities or diseases. The process is non-invasive, safe, and aids in accurate diagnosis.
400 services356 patients
Evaluation of fine needle aspirate with interpretation and report 88173
This procedure involves using a thin needle to collect a small sample from an abnormal area or lump. The sample is then examined under a microscope to identify any potential issues. A report of the findings is provided for further analysis.
229 services140 patients
Special stained specimen slides to examine tissue, each additional procedure 88341
Special stained specimen slides are used to analyze tissue in detail. In this process, extra procedures may be needed for a more thorough examination. These involve applying special stains to the tissue on slides, enhancing specific elements for closer study.
206 services52 patients
Special stained specimen slides to examine tissue, initial procedure 88342
This procedure involves the use of specially stained slides to examine tissue samples. The initial process involves obtaining a small tissue sample from your body. This sample is then placed on a slide and stained with special dyes to highlight different structures and elements. The stained slide is then examined under a microscope to help diagnose any potential health issues.
100 services94 patients
Pathology examination of tissue using a microscope, moderately low complexity 88304
A pathology examination of tissue, moderately low complexity, involves studying a small sample of your body tissue under a microscope. It helps to identify any abnormal cells or diseases. It's a routine procedure, not complex, and provides crucial insights for your diagnosis.
39 services37 patients

Hospital Affiliations CMS Care Compare 5

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

Atrium Health Pineville

Acute Care Hospitals · Charlotte, NC
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number340098
Location10628 Park RdCharlotte, NC 28210 · Mecklenburg County
Emergency services Birthing friendly

Carolinas Medical Center/Behav Health

Acute Care Hospitals · Charlotte, NC
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number340113
Location1000 Blythe BlvdCharlotte, NC 28203 · Mecklenburg County
Emergency services Birthing friendly

Atrium Health Union

Acute Care Hospitals · Monroe, NC
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number340130
Location600 Hospital DrMonroe, NC 28112 · Union County
Emergency services Birthing friendly

Atrium Health Lincoln

Acute Care Hospitals · Lincolnton, NC
5/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number340145
Location433 Mcalister RdLincolnton, NC 28092 · Lincoln County
Emergency services Birthing friendly

Atrium Health University City

Acute Care Hospitals · Charlotte, NC
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number340166
Location8800 North Tyron StreetCharlotte, NC 28262 · Mecklenburg County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28207 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.

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
2001 VAIL AVE, STE 400
CHARLOTTE, NC 28207
Anesthesiology
2001 VAIL AVE
CHARLOTTE, NC 28207
Physical Therapist
2001 VAIL AVE
CHARLOTTE, NC 28207
Family Medicine
2001 VAIL AVE, STE 400
CHARLOTTE, NC 28207
Physician Assistant
2001 VAIL AVE
CHARLOTTE, NC 28207
Family Medicine
2001 VAIL AVE, STE 400
CHARLOTTE, NC 28207
Physical Therapist
2001 VAIL AVE
CHARLOTTE, NC 28207
Family Medicine (Geriatric Medicine)
2001 VAIL AVE, STE 400
CHARLOTTE, NC 28207

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 Shealy's NPI number?

The NPI number for Michael Shealy is 1972778488. It was assigned to this individual provider in the NPPES registry on April 25, 2008.

Where is Michael Shealy located?

Michael Shealy practices at 2001 Vail Ave, Charlotte, NC 28207. The listed phone number is (704) 973-5500.

What is Michael Shealy's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Anatomic Pathology & Clinical Pathology, with taxonomy code 207ZP0102X.

Is Michael Shealy enrolled in Medicare?

Yes. Michael Shealy 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 Shealy accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, BlueCross BlueShield of South Carolina, InStil Health and Molina Healthcare list Michael Shealy 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 Shealy affiliated with any hospitals?

According to CMS data, Michael Shealy is affiliated with Atrium Health Pineville, Carolinas Medical Center/Behav Health, Atrium Health Union, Atrium Health Lincoln and Atrium Health University City.

When was this NPI record last updated?

The NPPES record for Michael Shealy was last updated on April 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.