MR. MICHAEL A MALFATTO PA-C
NPI 1992904148
Physician Assistant in New Albany, OH

Active since July 17, 2007PECOS EnrolledAccepts Medicare Assignment
7277 SMITHS MILL RD STE 200, NEW ALBANY, OH 43054(614) 221-6331(614) 221-9042 Get Directions Write a Review

NPPES record last updated: November 9, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 9, 2023, May 9, 2022, Dec 14, 2021 and 1 more (4 updates tracked since 2020).

About Mr. Michael A Malfatto Pa-c NPPES

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

MR. MICHAEL A MALFATTO PA-C (NPI 1992904148) is an individual physician assistant in New Albany, Ohio, licensed in Ohio (1911) and active in the NPI registry since July 2007. He is enrolled in Medicare PECOS, is affiliated with Mount Carmel New Albany Surgical Hospital, and is a graduate of Other (2002).

NPPES Registry Identity

NPI1992904148
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameMR. MICHAEL A MALFATTOCredential: PA-C
Location Address7277 SMITHS MILL RD STE 200New Albany, OH 43054-8195
Mailing Address6480 Harrison Ave Ste 201Cincinnati, OH 45247-7961 · (513) 713-1779 · Fax (513) 854-9921
Fax(614) 221-9042
Sole ProprietorNo
Medical School CMSOtherGraduated 2002
Enumeration DateJuly 17, 2007
Last NPPES UpdateNovember 9, 20234 updates tracked since enumeration
NPPES CertifiedNovember 9, 2023
NPI 1992904148 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in OH · 1911
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
7277 SMITHS MILL RD STE 200, New Albany, OH 43054

Other Names 1

Former Name (1)Mr. Michael A Malfatt Pa-c

Other Identifiers 1

Medicaid0103872OH

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

Mr. Michael A Malfatto Pa-c 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 ID8527008820
PECOS Enrollment IDI20080922000369
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 6

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.

Partial removal of spine bone with release of spinal cord and/or nerves, each additional segment 63048
This procedure involves the partial removal of a bone in your spine to alleviate pressure on your spinal cord or nerves. It may be performed on multiple spine segments depending on your condition. The aim is to improve mobility and reduce pain or discomfort.
48 services26 patients
Fusion of additional segment of spine 22614
Fusion of an additional segment of the spine is a surgical procedure to join two or more vertebrae together. This is done to stabilize the spine and reduce pain or correct a deformity. The procedure involves using bone grafts, rods, or screws to secure the spine.
43 services21 patients
Partial removal of spine bone with release of lower spinal cord and/or nerves, 1 segment 63047
This procedure involves removing part of a spine bone to alleviate pressure on the lower spinal cord and/or nerves. It targets a single segment of the spine, improving mobility and reducing pain. It's a common treatment for conditions like herniated discs or spinal stenosis.
43 services43 patients
Fusion of spine in lower back 22612
Fusion of the spine in the lower back, also known as lumbar spinal fusion, is a surgery aimed to join, or fuse, two or more vertebrae in your lower back. This procedure can help alleviate pain and improve stability by reducing movement between the vertebrae.
33 services33 patients
Placement of stabilizing device to back, 3-6 spine bone segments 22842
This procedure involves placing a device on your back to stabilize 3-6 spine bone segments. It aids in maintaining spine alignment and reducing pain. The device is secured to the bones, providing support and promoting healing.
23 services23 patients
Placement of stabilizing device to back of 1 spine bone in neck 22840
This procedure involves positioning a stabilizing device onto a single spinal bone in the neck. The goal is to provide support and prevent movement that could cause discomfort or further injury. It's performed by trained specialists under anesthesia.
11 services11 patients

Hospital Affiliations CMS Care Compare 2

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

Mount Carmel New Albany Surgical Hospital

Acute Care Hospitals · New Albany, OH
OwnershipProprietary
CMS Certification Number360266
Location7333 Smith's Mill RoadNew Albany, OH 43054 · Franklin County

Wheeling Hospital, Inc

Acute Care Hospitals · Wheeling, WV
1/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number510050
Location1 Medical ParkWheeling, WV 26003 · Ohio County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43054 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$68.07 typical visit price
range $17.10 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
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.

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.

Orthopaedic Surgery (Adult Reconstructive Orthopaedic Surgery)
7277 SMITHS MILL RD STE 200
NEW ALBANY, OH 43054
Orthopaedic Surgery
7277 SMITHS MILL RD STE 200
NEW ALBANY, OH 43054
Physician Assistant
7277 SMITHS MILL RD STE 200
NEW ALBANY, OH 43054
Orthopaedic Surgery
7277 SMITHS MILL RD STE 200
NEW ALBANY, OH 43054
Physical Therapist
7277 SMITHS MILL RD STE 200
NEW ALBANY, OH 43054
Orthopaedic Surgery
7277 SMITHS MILL RD STE 200
NEW ALBANY, OH 43054
Orthopaedic Surgery
7277 SMITHS MILL RD STE 200
NEW ALBANY, OH 43054
Physician Assistant
7277 SMITHS MILL RD STE 200
NEW ALBANY, OH 43054

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 Malfatto's NPI number?

The NPI number for Michael Malfatto is 1992904148. It was assigned to this individual provider in the NPPES registry on July 17, 2007. The provider is also known as Mr. Michael A Malfatt Pa-C.

Where is Michael Malfatto located?

Michael Malfatto practices at 7277 Smiths Mill Rd Ste 200, New Albany, OH 43054. The listed phone number is (614) 221-6331.

What is Michael Malfatto's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Michael Malfatto enrolled in Medicare?

Yes. Michael Malfatto 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 Malfatto accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, CareSource and MedMutual and 1 other insurer list Michael Malfatto 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 Malfatto affiliated with any hospitals?

According to CMS data, Michael Malfatto is affiliated with Mount Carmel New Albany Surgical Hospital and Wheeling Hospital, Inc.

When was this NPI record last updated?

The NPPES record for Michael Malfatto was last updated on November 9, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.