Karl B. Michalko, M.D.
NPI 1386686947ActiveIndividual· Orthopaedic Surgery, Hand Surgery· Rochester, NY
Orthopaedic Surgery, Hand Surgery (M.D.) in Rochester, New York, trained at University of Rochester School of Medicine and Dentistry (class of 1995). 159 Medicare patients in 2024, $53,673 paid; nearly all of their 151 Part D prescriptions were generic (99%). Ensemble Orthopedics, Inc was the largest of 2 companies reporting payments in 2025, $418.08 in all, mostly food and beverage.
Overview
| NPI | 1386686947 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | M.D. |
| Sole proprietor | No |
| NPI issued | Jun 11, 2006 |
| Last updated in NPPES | Apr 25, 2022 |
| Certified by provider | Apr 25, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Orthopaedic Surgery, Hand Surgery Primary | 207XS0106X | 205358 | NY |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Hand Surgery (NY) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 159 |
|---|---|
| Services billed | 2,266 across 42 procedure codes |
| Paid by Medicare | $53,673 |
Part D prescriptions in 2024
| Prescriptions (claims) | 151 · 151 30-day fills |
|---|---|
| Patients | 122 |
| Total drug cost | $862.04 |
| Generic share | 99% of claims |
Education and affiliations
| Medical school | University of Rochester School of Medicine and Dentistry |
|---|---|
| Graduation year | 1995 |
| Medicare specialty | Hand Surgery |
Medical group
- Hand Surgery Associates LLPRochester, NY · 2 clinicians
Hospital affiliations
- Nicholas H Noyes Memorial HospitalDansville, NY
- Rochester General HospitalRochester, NY
- Strong Memorial HospitalRochester, NY
Industry payments (Open Payments)
- 2025$418.08 · 3 payments from 2 companies
- 2024$444.07 · 4 payments from 2 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Ensemble Orthopedics, Inc | $263.22 | 2 |
| Axogen | $154.86 | 1 |
What the 2025 payments were for
- Food and Beverage$418.08 · 3 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 15 Orthopaedic Surgery, Hand Surgery providers in Rochester · All Orthopaedic Surgery, Hand Surgery providers in New York