PAUL JOSEPH MICALE (MD) – Cardiovascular Disease Physician, NPI 1316933195
Cardiovascular Disease Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
922 CARDIOVASCULAR DISEASE (CARDIOLOGY) in VA
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Provider Addresses for PAUL JOSEPH MICALE (MD)
856, J Clyde Morris Boulevard, Newport News, Virginia, 23601, United States
SUITE A
NEWPORT NEWS, VA 236011318
Phone:
Type: Mailing
Riverside Regional Medical Center, 500, J Clyde Morris Boulevard, Deer Park, Beaconsdale, Newport News, Virginia, 23601, United States
NEWPORT NEWS, VA 236011929
Phone: (757) 594-2074
Fax: (757) 594-3369
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 17 Open Payments records for all available years, with a total value of $376.
Total Amount is formed as General ($376) + Research ($0) + Ownership ($0) = $376.
Last reported payment date: 2024-12-19 • Largest payer in this snapshot: Janssen Pharmaceuticals, Inc ($74).
Total Amount
$376
General + Research + Ownership
Payments
17
Total payment records
General Amount
$376
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-19
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2009-01-29
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20090129000631 | I | Cardiovascular Disease (Cardiology) | VA | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 93010 | Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only | 2,773 | 2,169 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 615 | 548 | $0 |
| 93306 | Ultrasound of heart with color-depicted blood flow, rate, direction and valve function | 541 | 534 | $0 |
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 140 | 85 | $0 |
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | 136 | 117 | $0 |
Insurance plans in this area (ZIP 23601)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| CARDIOVASCULAR DISEASE (CARDIOLOGY) | VA | 92928 | Catheter insertion of stents in major coronary artery or branch, accessed through the skin | 24 | 21 |
| CARDIOVASCULAR DISEASE (CARDIOLOGY) | VA | 93010 | Routine electrocardiogram (EKG) using at least 12 leads with interpretation and report | 107 | 100 |
| CARDIOVASCULAR DISEASE (CARDIOLOGY) | VA | 93458 | Insertion of catheter in left heart for imaging of blood vessels or grafts and left lower heart | 47 | 47 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | VA | |
| - | VA | |
| Family Practice | VA | |
| - | VA | |
| H O S P I T A L I S T | WV | |
| - | PA | |
| G A S T R O E N T E R O L O G Y | VA | |
| General Surgery | VA | |
| Internal Medicine | VA | |
| Internal Medicine | VA |
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