Dr. Michael R Goralka , MD
Internal Medicine • Carson City, NV
2874 N Carson St, Suite 200
Carson City, NV 897060177
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 Goralka is listed in NPPES under Internal Medicine.
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NPI assigned on January 26, 2007; this date does not establish years in practice.
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Published CMS data list 171 Original Medicare Part B services in 2024.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024. Published rows only; this is not a quality measure.
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Published Part B service records, 2024:
- 99232 — Subsequent hospital care with moderate levelof medical decision making: 87 service units.
- 99233 — Subsequent hospital care with moderate levelof medical decision making: 23 service units.
- 99223 — Initial hospital care with moderate level of medical decision making: 18 service units.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024. Units differ by code; these are not visits or a measure of quality.
CPT® only copyright 2023 American Medical Association. All rights reserved. Service names are shortened from CPT Consumer Friendly Descriptors (CMS data, 2024). CPT notice
See all 6 records in the table · Guide: How to read Medicare Part B data
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Fewer Medicare Part B services than 80% of clinicians listed under Internal Medicine in Nevada (2024, 693 clinicians with data). Median for this group: 650. Middle half: 242 to 1,383.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024. Billing and prescribing volume is not a quality rating.
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Medicare Part B services went from 183 in 2020 to 171 in 2024.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2020–2024.
Practice Location & Contact Primary Location
2874 N Carson St
Suite 200
Carson City, NV 897060177
Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.
CMS Doctors and Clinicians lists 2 distinct group names: Aspen Valley Hospital District; Valley View Hospital Association. See the list
Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.
Listings do not confirm current availability, employment or a shared ownership network.
Medicare Profile & Education
Source: CMS Doctors and Clinicians National Downloadable File
1990
What Public CMS Data Show
Internal Medicine: NPPES taxonomy is a reported classification, not proof of board certification.
Medicare patients
80 people with Original Medicare in 2024
It gives a sense of how many people with Medicare this clinician treated that year.
Source: CMS, Medicare Physician & Other Practitioners – by Provider, 2024.
Medicare-allowed amount
About $17,156 in 2024
The total amount Medicare approved for these services in 2024. 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, 2024.
Paid by Medicare
About $13,565 in 2024
The part of the Medicare-allowed amount that Medicare itself paid in 2024, 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, 2024.
Industry payments (Open Payments)
No Open Payments records are listed for this clinician for 2019–2025.
Years since graduation
36 years (graduated 1990)
CMS Doctors and Clinicians data list 1990 as the year this clinician finished professional school.
It tells you roughly how long ago the clinician finished school.
What this does not show: Years since graduation
It is not the number of years in practice, and more years does not mean better care.
Source: CMS Doctors and Clinicians National Downloadable File.
NPI first issued
2007
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.
Accepts Medicare assignment
CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.
With Original Medicare, you usually pay only your deductible and coinsurance, and the office sends the claim to Medicare for you.
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?”
Telehealth (some services)
Recent Medicare claims show this clinician provided some services by telehealth, such as a video or phone visit.
You may be able to have some visits without going to the office. Ask which visits can be done by telehealth.
What this does not show: Telehealth (some services)
It does not mean all services are offered by telehealth, or that telehealth is covered by your plan.
Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.
Enrolled in Medicare (PECOS)
Dr. Goralka has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.
It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Can order Medicare-covered services
CMS lists Dr. Goralka as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services 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 Carson City and Nevada
Billing and prescribing volume is not a quality rating.
Medicare Part B services
Fewer Medicare Part B services than 80% of clinicians listed under Internal Medicine in Nevada (2024, 693 clinicians with data). Median for this group: 650. Middle half: 242 to 1,383.
Too few clinicians listed under Internal Medicine in Carson City have Medicare Part B data for 2024 to compare.
Medicare-allowed amount
A lower Medicare-allowed amount than 80% of clinicians listed under Internal Medicine in Nevada (2024, 693 clinicians with data). Median for this group: $67,376. Middle half: $26,044 to $138,059.
Too few clinicians listed under Internal Medicine in Carson City have Medicare Part B data for 2024 to compare.
Paid by Medicare
A lower Medicare payment amount than 75% of clinicians listed under Internal Medicine in Nevada (2024, 693 clinicians with data). Median for this group: $50,425. Middle half: $18,311 to $107,261.
Too few clinicians listed under Internal Medicine in Carson City have Medicare Part B data for 2024 to compare.
18 active clinicians are listed under Internal Medicine with a practice address in Carson City, NV (1,229 in Nevada).
Addresses are self-reported to NPPES and may be out of date.
Telehealth indicator in Carson City
27.8% of these 18 clinicians have the CMS telehealth indicator.
55.6% of these 18 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 varied from year to year: 183 in 2020 and 171 in 2024.
- 2020: 183
- 2021: 258
- 2022: 162
- 2023: 215
- 2024: 171
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Medicare-allowed amount
Medicare-allowed amount decreased 15% from $20,096 in 2020 to $17,156 in 2024.
- 2020: $20,096
- 2021: $26,012
- 2022: $15,091
- 2023: $21,478
- 2024: $17,156
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Paid by Medicare
Paid by Medicare decreased 15% from $15,918 in 2020 to $13,565 in 2024.
- 2020: $15,918
- 2021: $20,696
- 2022: $12,062
- 2023: $16,885
- 2024: $13,565
Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.
Text: T-MedInfo · Report an error.
Performed Procedures & Service Volume
CPT® is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2016–2023 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, 2017–2024; 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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99232
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes
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87 | 49 | $332.00 | $77.33 |
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99233
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes
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23 | 16 | $551.00 | $116.21 |
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99223
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes
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18 | 17 | $785.00 | $169.89 |
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99239
Hospital discharge day management, more than 30 minutes
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18 | 18 | $825.00 | $112.68 |
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99222
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes
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14 | 14 | $606.00 | $127.99 |
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99238
Hospital discharge day management, 30 minutes or less
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11 | 11 | $510.00 | $79.74 |
Source: CMS Part B by Provider and Service, 2024; services under 11 beneficiaries omitted by CMS. Privacy limits
Submitted charges are billed amounts, not a price quote for your visit.
Specialties & License Numbers Reported to NPPES
Self-certified to NPPES: 2021-03-04NUCC 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.
NUCC Taxonomy Code: 207RA0000X
An internist who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.
Additional State Medicaid & Healthcare Payer Identifiers
Medicare (PECOS) Enrollment & Ordering Eligibility
Source: CMS PECOSPRACTITIONER - INTERNAL MEDICINE
I20090330000725
CO
2769402486
Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.
Medicare Group Practice Enrollments
Source: CMS Doctors and Clinicians National Downloadable File
Valley View Hospital Association
978 Euclid Ave, Carbondale, CO 816231820
Phone: 9703848060
Aspen Valley Hospital District
401 Castle Creek Rd, Aspen, CO 816111159
Phone: 9709251120
Clinicians Sharing This Practice Address or Phone
Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.
Internal Medicine
Doctor of Medicine (M.D.)
Nurse Practitioner - Family
Advanced Practice Nurse, Registered Nurse
Pediatrics
Doctor of Medicine (M.D.)
Internal Medicine
Doctor of Medicine (M.D.)
Career & Practice History
NPI enumerated January 26, 2007.
No changes to the name, practice address, taxonomy or NPI status in this record have been observed in the monthly NPPES data files from January 2017 to August 2026.
NPI Administrative Meta
Other Internal Medicine Providers in Carson City
- Dr. Christopher Forman, MD
- Dr. Craig Rau, MD
- Dr. Peter Barnett, MD
- Dr. Jeffrey Basa, MD
- Dr. Robert Fliegler, MD
- Dr. Jayson Weir, MD
Mailing Address
2874 N Carson St, Suite 200
Carson City, NV 897060177
Phone: 7758839003