DR. JEFFREY EVAN MICHAELSON (MD) – Pulmonary Disease Physician, NPI 1063495521

DR. JEFFREY EVAN MICHAELSON (MD) is a healthcare provider. based in Marietta, Georgia. specializing in PULMONARY DISEASE. They hold the professional credentials MD. They hold a License No. 037623 (GA). The NPI Number for DR. JEFFREY EVAN MICHAELSON (MD) is 1063495521

Main info

Male
34 Years Of Experience
Accepts Medicare Assignment
Name
DR. JEFFREY EVAN MICHAELSON (MD)
NPI
1063495521
Phone
(770) 422-1372
Address
55 WHITCHER ST NE
Enumeration Date
29 November 2005
Last Update Date
17 October 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
1992 (34 years ago)
PAC ID
7911077359
Group Practice PAC ID
3779707856
Professional Enrollment ID
I20250416002097
Address ID
CO815018209GR2635XSTXX400
Telehealth
Yes

Contacts

Secure Messaging
jmichaelson62589@directwellstar.org
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness85
Years active:20State licenses:1Other namesUpdated within 12 months

503 PULMONARY DISEASE in GA

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Provider Addresses for DR. JEFFREY EVAN MICHAELSON (MD)

  • 55, Whitcher Street Northwest, Elizabeth, Marietta, Cobb, Georgia, 30060, United States

    SUITE 160

    MARIETTA, GA 300601155

    Phone: (770) 422-1372

    Fax: (770) 423-9651

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 140 Open Payments records for all available years, with a total value of $10,766.

Total Amount is formed as General ($10,766) + Research ($0) + Ownership ($0) = $10,766.

Last reported payment date: 2024-12-05 • Largest payer in this snapshot: Boehringer Ingelheim Pharmaceuticals, Inc. ($7,894).

Total Amount

$10,766

General + Research + Ownership

Payments

140

Total payment records

General Amount

$10,766

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-05

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-04-16

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20250416002097IPulmonary DiseaseCOTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes299255$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes263100$0
99214Established patient office or other outpatient visit, 30-39 minutes218156$0
99231Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes13253$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes12662$0
View full utilization report →

Insurance plans in this area (ZIP 30060)

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Provider's Procedures

DR. JEFFREY EVAN MICHAELSON (MD) performs procedures in PULMONARY DISEASE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PULMONARY DISEASEGA94060Measurement and graphic recording of the amount and speed of breathed air, before and following medication administration1414

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3779707856View full group profile
NameSpecialtyState
Nephrology, Internal MedicineCO
Internal MedicineTX
Nurse PractitionerCO
-CO
-CO
Cardiovascular Disease (Cardiology)VA
Physician AssistantCO
Physician AssistantWV
Internal MedicineNJ
-CO

Reviews

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Frequently asked questions

What is the 10-digit NPI for DR. JEFFREY EVAN MICHAELSON (MD)?
DR. JEFFREY EVAN MICHAELSON (MD) — NPI 1063495521 — is the standard way to identify this listing.
Can I rely on DR. JEFFREY EVAN MICHAELSON (MD) being an active provider?
As of the registry snapshot, DR. JEFFREY EVAN MICHAELSON (MD) is marked active.
What is DR. JEFFREY EVAN MICHAELSON (MD)'s primary classification?
Pulmonary Disease Physician is the headline specialty for DR. JEFFREY EVAN MICHAELSON (MD) here. Clinical services aligned with this taxonomy classification.
Does DR. JEFFREY EVAN MICHAELSON (MD) list a practice location?
Patients near Marietta, Georgia may find DR. JEFFREY EVAN MICHAELSON (MD) in results; validate coverage separately.
Is the information about DR. JEFFREY EVAN MICHAELSON (MD) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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