MATTHEW TERRENCE MICHALSKI (MD) – Emergency Medicine Physician, NPI 1114129483

MATTHEW TERRENCE MICHALSKI (MD) is a healthcare provider. based in South bend, Indiana. specializing in EMERGENCY MEDICINE. They hold the professional credentials MD. They hold a License No. 01063796 (IN). The NPI Number for MATTHEW TERRENCE MICHALSKI (MD) is 1114129483

Main info

Male
22 Years Of Experience
Accepts Medicare Assignment
Name
MATTHEW TERRENCE MICHALSKI (MD)
NPI
1114129483
Phone
(885) 691-9888
Address
PO BOX 1241
Enumeration Date
31 May 2007
Last Update Date
5 April 2016

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3177730760
Graduation Year
2004 (22 years ago)
PAC ID
0143320358
Group Practice PAC ID
1153216627
Professional Enrollment ID
I20070717000114
Address ID
IN460372838FI9690XSTXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

1,268 EMERGENCY MEDICINE in IN

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Provider Addresses for MATTHEW TERRENCE MICHALSKI (MD)

  • PO BOX 1241

    SOUTH BEND, IN 466241241

    Phone: (885) 691-9888

    Type: Mailing

  • Elkhart General Hospital, 600, East Boulevard, Elkhart, Elkhart County, Indiana, 46514, United States

    ELKHART, IN 465142483

    Phone: (574) 523-3160

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2007-07-17

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
I20070717000114IEmergency MedicineINTBD

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
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only235223$0
99285Emergency department visit with high level of medical decision making229223$0
99284Emergency department visit with moderate level of medical decision making9290$0
99291Critical care, first 30-74 minutes5858$0
99213Established patient office or other outpatient visit, 20-29 minutes3129$0
View full utilization report →

Insurance plans in this area (ZIP 46624)

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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: 1153216627View full group profile
NameSpecialtyState
-IL
Emergency MedicineIN
Internal MedicineIL
-OH
Emergency MedicineIN
Emergency MedicineIL
Physician AssistantIN
Physician AssistantPA
Emergency MedicineIN
Physician AssistantIN

Reviews

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Frequently asked questions

Where can patients find MATTHEW TERRENCE MICHALSKI (MD)'s NPI?
You can confirm MATTHEW TERRENCE MICHALSKI (MD) with NPI 1114129483; it appears in the national provider directory.
Is MATTHEW TERRENCE MICHALSKI (MD) active in the national directory?
MATTHEW TERRENCE MICHALSKI (MD)'s public NPI profile is in an active state.
What field does MATTHEW TERRENCE MICHALSKI (MD) work in?
You can think of MATTHEW TERRENCE MICHALSKI (MD) as practicing within Emergency Medicine Physician. Clinical services aligned with this taxonomy classification.
Where does public data place MATTHEW TERRENCE MICHALSKI (MD)?
The snapshot lists South Bend, Indiana for MATTHEW TERRENCE MICHALSKI (MD); download NPPES for the complete set.
What if South Bend, Indiana seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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