Dr. Michael Alexander Last , MD
Internal Medicine • Margate, FL
5430 W Sample Rd.
Margate, FL 330733453
This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.
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Dr. Michael Last is listed in NPPES under Internal Medicine.
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NPI assigned on November 21, 2005; this date does not establish years in practice.
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Published CMS data list 38 Original Medicare Part B services in 2020.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2020. Published rows only; this is not a quality measure.
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Published Part B service records, 2020:
- 99214 — Established patient outpatient office visit: 38 service units.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2020. Units differ by code; these are not visits or a measure of quality.
CPT® only copyright 2019 American Medical Association. All rights reserved. Service names are shortened from CPT Consumer Friendly Descriptors (CMS data, 2020). CPT notice
See the full table · Guide: How to read Medicare Part B data
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Published CMS data list 595 Medicare Part D prescriptions, including refills, in 2020.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2020. Published rows only; this is not a quality measure.
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Published Part D records, 2020:
- Amlodipine Besylate — 54 prescription fills, including refills.
- Levothyroxine Sodium — 47 prescription fills, including refills.
- Atorvastatin Calcium — 41 prescription fills, including refills.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2020. Drug names come from pharmacy claims. Listing a drug here is not an endorsement or a recommendation.
See all 25 records in the table · Guide: How to read Medicare Part D prescriber data
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Medicare Part B services went from 2,198 in 2017 to 38 in 2020.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2017–2020.
Practice Location & Contact Primary Location
5430 W Sample Rd.
Margate, FL 330733453
Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.
What Public CMS Data Show
Internal Medicine: NPPES taxonomy is a reported classification, not proof of board certification.
Medicare-allowed amount
About $4,328 in 2020
The total amount Medicare approved for these services in 2020. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.
It shows the total cost of this clinician's Original Medicare services under Medicare's fee rules.
What this does not show: Medicare-allowed amount
This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2020.
Paid by Medicare
About $1,594 in 2020
The part of the Medicare-allowed amount that Medicare itself paid in 2020, after patients' deductibles and coinsurance.
The gap between the allowed amount and this number is roughly what patients and their other insurance paid.
What this does not show: Paid by Medicare
This is not the clinician's income and not a measure of quality.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2020.
30-day fills
1,067 standardized 30-day fills in 2020
CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.
What this does not show: 30-day fills
It is not a count of patients and not a measure of quality.
Part D drug cost
$15,378 in 2020
The total cost of these prescriptions in 2020, paid by Medicare drug plans, patients and other payers together.
It shows the total spending on drugs this clinician prescribed, not what any one patient paid.
What this does not show: Part D drug cost
A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2020.
Industry payments (Open Payments)
Fewer than 11 payment records totaling $11.91 in 2019
Drug and medical device companies must report certain payments to doctors and some other clinicians to CMS, such as meals, travel, speaking fees or research funding.
It shows reported financial ties between this clinician and companies. You can ask your clinician about them.
These records are submitted by drug and medical device companies, and a reported payment does not necessarily mean the financial relationship is improper.
General: payments not tied to research, such as meals, travel, consulting or speaking fees.
A reported payment does not necessarily mean the financial relationship is improper. Research payments can go to a hospital or university for a study the clinician leads, not to the clinician personally. Clinicians can dispute records with the company that reported them.
Source: CMS Open Payments, program year 2019.
NPI first issued
2005
The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.
What this does not show: NPI first issued
NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.
Source: CMS NPPES NPI Registry.
Medicare assignment not listed
CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.
Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.
Source: CMS Doctors and Clinicians; Medicare.gov, “Does your provider accept Medicare as full payment?”
No telehealth indicator
CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.
Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.
Can order Medicare-covered services
CMS lists Dr. Last as eligible to order or refer durable medical equipment (DME) for people with Medicare.
Medicare pays for these items and services only when they are ordered by an eligible clinician.
What this does not show: Can order Medicare-covered services
It does not mean the clinician offers these services directly.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Compared with the same specialty in Margate and Florida
Billing and prescribing volume is not a quality rating.
Medicare Part B
Comparisons use 2024 data. The latest CMS data for Dr. Last are from 2020.
Medicare Part D
Comparisons use 2024 data. The latest CMS data for Dr. Last are from 2020.
29 active clinicians are listed under Internal Medicine with a practice address in Margate, FL (10,165 in Florida).
Addresses are self-reported to NPPES and may be out of date.
Telehealth indicator in Margate
20.7% of these 29 clinicians have the CMS telehealth indicator.
58.6% of these 29 clinicians are listed by CMS as accepting Medicare assignment.
CMS data by year
Changes may reflect reporting, coverage or privacy limits, not changes in care quality.
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Medicare Part B services
Medicare Part B services decreased 98% from 2,198 in 2017 to 38 in 2020.
- 2017: 2,198
- 2018: 860
- 2019: 102
- 2020: 38
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Medicare-allowed amount
Medicare-allowed amount decreased 98% from $176,565 in 2017 to $4,328 in 2020.
- 2017: $176,565
- 2018: $69,422
- 2019: $11,475
- 2020: $4,328
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Paid by Medicare
Paid by Medicare decreased 99% from $127,731 in 2017 to $1,594 in 2020.
- 2017: $127,731
- 2018: $44,627
- 2019: $8,892
- 2020: $1,594
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Medicare Part D prescriptions
Medicare Part D prescriptions decreased 91% from 6,617 in 2016 to 595 in 2020.
- 2016: 6,617
- 2017: 9,072
- 2018: 7,092
- 2019: 799
- 2020: 595
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30-day fills
30-day fills decreased 92% from 14,171 in 2016 to 1,067 in 2020.
- 2016: 14,171
- 2017: 20,638
- 2018: 17,079
- 2019: 1,800
- 2020: 1,067
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Part D drug cost
Part D drug cost decreased 97% from $477,080 in 2016 to $15,378 in 2020.
- 2016: $477,080
- 2017: $686,378
- 2018: $541,545
- 2019: $27,983
- 2020: $15,378
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Industry payments (Open Payments)
CMS data for industry payments (Open Payments) are available for 2019 only.
Sources: CMS Medicare Physician & Other Practitioners (2020), CMS Medicare Part D Prescribers (2020), CMS Open Payments (2019), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.
Text: T-MedInfo · Report an error.
Pharma & Medical Device Financial Disclosures
Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments
Program year 2019 (payments made January 1 – December 31, 2019): fewer than 11 records totaling $11.91.
| Manufacturer | Payment Nature | Product | Type | Amount ($) |
|---|---|---|---|---|
| Amgen Inc. |
Food and Beverage
In-kind items and services
|
Aimovig | General | $11.91 |
Source: CMS Open Payments, program year 2019, released June 30, 2026.
Performed Procedures & Service Volume
CPT® is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2016–2019 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners – by Provider and Service data, 2017–2020; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.
| HCPCS Code | Services | Patients | Submitted Charge | Medicare Allowed |
|---|---|---|---|---|
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99214
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
|
38 | 28 | $227.00 | $113.89 |
Source: CMS Part B by Provider and Service, 2020; services under 11 beneficiaries omitted by CMS. Privacy limits
Submitted charges are billed amounts, not a price quote for your visit.
Medicare Part D Prescribing Profile & Medications
Medicare Part D prescriptions filled, including refills, in 2020.
| Brand Name | Generic Name | Prescriptions | Day Supply | Total Cost | Patients |
|---|---|---|---|---|---|
| Amlodipine Besylate | Amlodipine Besylate | 54 | 2,871 | $424.00 | 23 |
| Levothyroxine Sodium | Levothyroxine Sodium | 47 | 2,397 | $840.82 | 15 |
| Atorvastatin Calcium | Atorvastatin Calcium | 41 | 3,090 | $496.10 | 22 |
| Omeprazole | Omeprazole | 40 | 2,112 | $562.59 | 13 |
| Alendronate Sodium | Alendronate Sodium | 33 | 1,148 | $260.30 | — |
| Hydrochlorothiazide | Hydrochlorothiazide | 31 | 2,075 | $211.19 | 12 |
| Furosemide | Furosemide | 29 | 1,044 | $214.27 | — |
| Metformin Hcl | Metformin Hcl | 29 | 1,698 | $169.15 | 12 |
| Rosuvastatin Calcium | Rosuvastatin Calcium | 29 | 2,253 | $613.12 | 15 |
| Losartan Potassium | Losartan Potassium | 26 | 2,160 | $458.63 | 14 |
| Metoprolol Succinate | Metoprolol Succinate | 24 | 1,326 | $637.49 | — |
| Lisinopril | Lisinopril | 21 | 1,232 | $140.24 | 11 |
| Simvastatin | Simvastatin | 19 | 877 | $104.16 | — |
| Montelukast Sodium | Montelukast Sodium | 19 | 815 | $304.87 | — |
| Gabapentin | Gabapentin | 18 | 894 | $391.43 | — |
| Pantoprazole Sodium | Pantoprazole Sodium | 17 | 754 | $328.77 | — |
| Baclofen | Baclofen | 16 | 488 | $638.68 | — |
| Metoprolol Tartrate | Metoprolol Tartrate | 15 | 754 | $105.65 | — |
| Xarelto | Rivaroxaban | 14 | 424 | $6,725.73 | — |
| Sertraline Hcl | Sertraline Hcl | 13 | 541 | $187.64 | — |
| Potassium Chloride | Potassium Chloride | 13 | 754 | $276.58 | — |
| Enalapril Maleate | Enalapril Maleate | 12 | 363 | $242.68 | — |
| Tamsulosin Hcl | Tamsulosin Hcl | 12 | 1,080 | $181.81 | — |
| Oxybutynin Chloride | Oxybutynin Chloride | 12 | 367 | $186.94 | — |
| Duloxetine Hcl | Duloxetine Hcl | 11 | 334 | $675.57 | — |
Source: CMS Part D by Provider and Drug, 2020; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits
Specialties & License Numbers Reported to NPPES
NUCC Taxonomy Code: 207R00000X
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Additional State Medicaid & Healthcare Payer Identifiers
Medicare (PECOS) Enrollment & Ordering Eligibility
Source: CMS PECOSSources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.
Clinicians Sharing This Practice Address or Phone
Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.
Nurse Practitioner - Family
Advanced Registered Nurse Practitioner
Career & Practice History Timeline
Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status
Registered at 5430 W SAMPLE RD., MARGATE, FL 330733453 (Tel: 9543203303)
Registered at 1700 NW 49TH ST STE 125, FORT LAUDERDALE, FL 333093750 (Tel: 9543203303)
Registered at 14300 ORCHARD PKWY, WESTMINSTER, CO 800239206 (Tel: 7206274200)
Registered at PO BOX 911057, DENVER, CO 802911057 (Tel: 8882697001)
NPI status registered as active in NPPES database
Registered at 12201 PECOS ST, SUITE 200, WESTMINSTER, CO 802343888 (Tel: 3037366677)
Registered at 12201 PECOS ST, SUITE 200, WESTMINSTER, CO 802343888 (Tel: 3037366677)
Recorded as MICHAEL LAST, MD
Internal Medicine (license number reported to NPPES: CO 37447)
First registered as active Individual Practitioner in NPPES Database.
NPI Administrative Meta
Other Internal Medicine Providers in Margate
- Dr. Poonam Choudhry, MD
- Evan Garrod
- Dr. Kristal Wolfe, MD
- Dr. Juan Loy, MD
- Dr. Sergey Petrov, MD
- Dr. Amanda Kowalski, DO
Mailing Address
1700 Nw 49th St Ste 125
Fort Lauderdale, FL 333093750
Phone: 9543203303