JAROSLAW MICHALIK – Surgery Physician, NPI 1093826950

JAROSLAW MICHALIK is a healthcare provider. based in Saint louis, Missouri. specializing in GENERAL SURGERY. They hold a License No. 114756 (MO). The NPI Number for JAROSLAW MICHALIK is 1093826950

Main info

Male
40 Years Of Experience
Accepts Medicare Assignment
Name
JAROSLAW MICHALIK
NPI
1093826950
Phone
(573) 860-6000
Address
670 MASON RIDGE CENTER DR
Enumeration Date
31 August 2006
Last Update Date
17 May 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5738606000
Graduation Year
1986 (40 years ago)
PAC ID
4284648783
Group Practice PAC ID
2668380148
Professional Enrollment ID
I20100714000266
Address ID
MO630802365SU965XXDRXX300

Contacts

FHIR Endpoint
https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness85
Years active:19State licenses:1Other namesUpdated within 12 months

785 GENERAL SURGERY in MO

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Provider Addresses for JAROSLAW MICHALIK

  • 670, Mason Ridge Center Drive, Town and Country, Saint Louis County, Missouri, 63141, United States

    STE 300

    SAINT LOUIS, MO 631418573

    Phone: (573) 860-6000

    Fax: (573) 860-6016

    Type: Mailing

  • 965 MATTOX DR

    SULLIVAN, MO 630802365

    Phone: (573) 860-6000

    Fax: (573) 860-6016

    Type: Mailing

  • 965, Mattox Drive, Sullivan, Crawford County, Missouri, 63080, United States

    SULLIVAN, MO 630802365

    Phone: (573) 860-6000

    Fax: (573) 860-6016

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 21 Open Payments records for all available years, with a total value of $681.

Total Amount is formed as General ($681) + Research ($0) + Ownership ($0) = $681.

Last reported payment date: 2024-12-18 • Largest payer in this snapshot: Davol Inc. ($344).

Total Amount

$681

General + Research + Ownership

Payments

21

Total payment records

General Amount

$681

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-18

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: 2010-07-14

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
I20100714000266IGeneral SurgeryMOTBD

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
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes1313$0
View full utilization report →

Insurance plans in this area (ZIP 63141)

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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: 2668380148View full group profile
NameSpecialtyState
Nurse PractitionerMO
Nurse PractitionerMO
Internal MedicineMO
-MO
Hospitalist, Internal MedicineAR
Nurse PractitionerMO
Physician AssistantMO
Nurse PractitionerMO
Nurse PractitionerMO
Nurse PractitionerMO

Reviews

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Frequently asked questions

What is the registry number for JAROSLAW MICHALIK?
The registry entry for JAROSLAW MICHALIK shows NPI 1093826950.
Does the public listing show JAROSLAW MICHALIK as active?
JAROSLAW MICHALIK's NPI record reflects an active status in NPPES.
What does the directory say JAROSLAW MICHALIK does?
Insurance directories may phrase it differently, but here JAROSLAW MICHALIK maps to Surgery Physician. Clinical services aligned with this taxonomy classification.
What geographic area is tied to JAROSLAW MICHALIK?
JAROSLAW MICHALIK is associated with Saint Louis, Missouri in the same public data insurers reference.
Who maintains JAROSLAW MICHALIK's record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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