DALE A MICHALAK (M.D.) – Family Medicine Physician, NPI 1972500494

DALE A MICHALAK (M.D.) is a healthcare provider. based in Worthington, Ohio. specializing in Family Medicine Physician. They hold the professional credentials M.D.. They hold a License No. 35060494 (OH). The NPI Number for DALE A MICHALAK (M.D.) is 1972500494

Main info

Male
Sole Proprietor
37 Years Of Experience
Accepts Medicare Assignment
Name
DALE A MICHALAK (M.D.)
NPI
1972500494
Phone
(614) 885-9405
Address
874 PROPRIETORS RD
Enumeration Date
30 June 2005
Last Update Date
8 April 2015

Doctor Profile

Medical School Name
OHIO STATE UNIVERSITY COLLEGE OF MEDICINE
Secondary Phone
6148859405
Graduation Year
1989 (37 years ago)
PAC ID
6800876541
Group Practice PAC ID
2769383785
Professional Enrollment ID
I20070807000091
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

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Provider Addresses for DALE A MICHALAK (M.D.)

  • Proprietors Road, Worthington Villiage Apartments, Worthington, Sharon Township, Franklin County, Ohio, 43085, United States

    WORTHINGTON, OH 430852668

    Phone: (614) 885-9405

    Fax: (614) 885-9481

    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 2 Open Payments records for all available years, with a total value of $33.

Total Amount is formed as General ($33) + Research ($0) + Ownership ($0) = $33.

Last reported payment date: 2023-10-26 • Largest payer in this snapshot: ABBVIE INC. ($33).

Total Amount

$33

General + Research + Ownership

Payments

2

Total payment records

General Amount

$33

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-10-26

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
ABBVIE INC.$33
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: 2007-08-07

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
I20070807000091IFamily PracticeOHTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 43085)

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Provider's Procedures

DALE A MICHALAK (M.D.) performs procedures in Family Medicine Physician. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
FAMILY MEDICINEOH85610Blood test, clotting time12120
FAMILY MEDICINEOH90670Pneumococcal vaccine for injection into muscle8989

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: 2769383785View full group profile
NameSpecialtyState
Pediatric Medicine, Internal MedicineOH
Endocrinology, Internal MedicineOH
-OH
Internal MedicineOH
Internal MedicineOH
Family PracticeOH
Internal MedicineOH
Family PracticeOH
Internal MedicineOH
Family PracticeOH

Reviews

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Frequently asked questions

Can I use this page to confirm DALE A MICHALAK (M.D.)'s NPI?
Yes. DALE A MICHALAK (M.D.) is listed with NPI 1972500494 in the public NPI dataset.
Can I rely on DALE A MICHALAK (M.D.) being an active provider?
As of the registry snapshot, DALE A MICHALAK (M.D.) is marked active.
What is DALE A MICHALAK (M.D.)'s specialty?
The listing groups DALE A MICHALAK (M.D.) with Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Where should I expect DALE A MICHALAK (M.D.) on a map?
Expect Worthington, Ohio as a primary anchor for DALE A MICHALAK (M.D.) unless the record lists multiple sites.
Is the information about DALE A MICHALAK (M.D.) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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