Michael Tworkowski , PA
Physician Assistant โข Amherst, NY
1416 Sweet Home Rd Ste 12
Amherst, NY 142282784
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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Michael Tworkowski is listed in NPPES under Physician Assistant.
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NPI assigned on July 8, 2014; this date does not establish years in practice.
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Published CMS data list 61 Original Medicare Part B services in 2024.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024. Published rows only; this is not a quality measure.
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Published Part B service records, 2024:
- 99213 โ Established patient outpatient office visit: 38 service units.
- 99203 โ New patient outpatient office visit: 23 service units.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024. Units differ by code; these are not visits or a measure of quality.
CPTยฎ only copyright 2023 American Medical Association. All rights reserved. Service names are shortened from CPT Consumer Friendly Descriptors (CMS data, 2024). CPT notice
See the full table ยท Guide: How to read Medicare Part B data
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Published CMS data list 433 Medicare Part D prescriptions, including refills, in 2024.
Source: CMS, Medicare Part D Prescribers โ by Provider and Drug, 2024. Published rows only; this is not a quality measure.
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Published Part D records, 2024:
- Gabapentin โ 178 prescription fills, including refills.
- Pregabalin โ 50 prescription fills, including refills.
- Baclofen โ 35 prescription fills, including refills.
Source: CMS, Medicare Part D Prescribers โ by Provider and Drug, 2024. Drug names come from pharmacy claims. Listing a drug here is not an endorsement or a recommendation.
See all 12 records in the table ยท Guide: How to read Medicare Part D prescriber data
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Fewer Medicare Part B services than 85% of clinicians listed under Physician Assistant in Amherst, NY (2024, 78 clinicians with data). Median for this group: 297. Middle half: 109 to 809.
Fewer Medicare Part B services than 70% of clinicians listed under Physician Assistant in New York (2024, 5,025 clinicians with data). Median for this group: 151. Middle half: 53 to 410.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024. Billing and prescribing volume is not a quality rating.
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Medicare Part B services went from 455 in 2020 to 61 in 2024.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2020โ2024.
Practice Location & Contact Primary Location
1416 Sweet Home Rd Ste 12
Amherst, NY 142282784
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 1 group name: Buffalo Pain Medicine Pc. 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
2014
What Public CMS Data Show
Physician Assistant: NPPES taxonomy is a reported classification, not proof of board certification.
Medicare patients
46 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 โ by Provider, 2024.
Medicare-allowed amount
About $4,627 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 โ by Provider and Service, 2024.
Paid by Medicare
About $3,462 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 โ by Provider and Service, 2024.
30-day fills
521 standardized 30-day fills in 2024
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
$8,456 in 2024
The total cost of these prescriptions in 2024, 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 โ by Provider and Drug, 2024.
Open Payments general payments, program year 2025
All general payments: $1,136.45 across 22 records.
By nature of payment
- Food and Beverage: $1,136.45 across 22 records.
Reporting-company totals (3 largest of 6)
- Abbott Laboratories: $538.07 across 9 records.
- Globus Medical, Inc.: $340.50 across 4 records.
- Saluda Medical Americas, Inc.: $152.22 across 3 records.
A reported payment does not necessarily mean the financial relationship is improper and is not a measure of care quality. Clinicians can review and dispute these records.
Source: Calculated by T-MedInfo from CMS Open Payments general-payment records for program year 2025 (published June 30, 2026).
Years since graduation
12 years (graduated 2014)
CMS Doctors and Clinicians data list 2014 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
2014
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, โDoes your provider accept Medicare as full payment?โ
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.
Enrolled in Medicare (PECOS)
Michael Tworkowski 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 Michael Tworkowski 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 Amherst and New York
Billing and prescribing volume is not a quality rating.
Medicare Part B services
Fewer Medicare Part B services than 85% of clinicians listed under Physician Assistant in Amherst, NY (2024, 78 clinicians with data). Median for this group: 297. Middle half: 109 to 809.
Fewer Medicare Part B services than 70% of clinicians listed under Physician Assistant in New York (2024, 5,025 clinicians with data). Median for this group: 151. Middle half: 53 to 410.
Medicare-allowed amount
A lower Medicare-allowed amount than 80% of clinicians listed under Physician Assistant in Amherst, NY (2024, 78 clinicians with data). Median for this group: $15,404. Middle half: $7,123 to $28,504.
A lower Medicare-allowed amount than 70% of clinicians listed under Physician Assistant in New York (2024, 5,025 clinicians with data). Median for this group: $12,004. Middle half: $4,378 to $28,196.
Paid by Medicare
A lower Medicare payment amount than 80% of clinicians listed under Physician Assistant in Amherst, NY (2024, 78 clinicians with data). Median for this group: $10,522. Middle half: $5,198 to $19,543.
A lower Medicare payment amount than 70% of clinicians listed under Physician Assistant in New York (2024, 5,025 clinicians with data). Median for this group: $8,890. Middle half: $3,209 to $20,987.
Medicare Part D prescriptions
Close to the middle for clinicians listed under Physician Assistant in Amherst, NY (2024, 77 clinicians with data). Median for this group: 458. Middle half: 126 to 1,620.
More Part D prescriptions than 65% of clinicians listed under Physician Assistant in New York (2024, 6,800 clinicians with data). Median for this group: 172. Middle half: 46 to 640.
Part D drug cost
Close to the middle for clinicians listed under Physician Assistant in Amherst, NY (2024, 77 clinicians with data). Median for this group: $6,736. Middle half: $768 to $157,605.
Close to the middle for clinicians listed under Physician Assistant in New York (2024, 6,800 clinicians with data). Median for this group: $2,860. Middle half: $381 to $63,975.
120 active clinicians are listed under Physician Assistant with a practice address in Amherst, NY (15,558 in New York).
Addresses are self-reported to NPPES and may be out of date.
Telehealth indicator in Amherst
11.7% of these 120 clinicians have the CMS telehealth indicator.
76.7% of these 120 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 87% from 455 in 2020 to 61 in 2024.
- 2020: 455
- 2021: 396
- 2022: 389
- 2023: 261
- 2024: 61
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Medicare-allowed amount
Medicare-allowed amount decreased 84% from $28,703 in 2020 to $4,627 in 2024.
- 2020: $28,703
- 2021: $34,408
- 2022: $29,337
- 2023: $19,686
- 2024: $4,627
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Paid by Medicare
Paid by Medicare decreased 83% from $20,300 in 2020 to $3,462 in 2024.
- 2020: $20,300
- 2021: $24,817
- 2022: $20,237
- 2023: $13,436
- 2024: $3,462
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Medicare Part D prescriptions
Medicare Part D prescriptions decreased 69% from 1,417 in 2020 to 433 in 2024.
- 2020: 1,417
- 2021: 1,422
- 2022: 1,569
- 2023: 999
- 2024: 433
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30-day fills
30-day fills decreased 67% from 1,559 in 2020 to 521 in 2024.
- 2020: 1,559
- 2021: 1,578
- 2022: 1,690
- 2023: 1,100
- 2024: 521
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Part D drug cost
Part D drug cost decreased 90% from $83,972 in 2020 to $8,456 in 2024.
- 2020: $83,972
- 2021: $79,440
- 2022: $59,476
- 2023: $37,478
- 2024: $8,456
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Industry payments (Open Payments)
Industry payments (Open Payments) decreased 24% from $1,500.18 in 2021 to $1,136.45 in 2025.
- 2021: $1,500.18
- 2022: $943.02
- 2023: $591.99
- 2024: $1,177.99
- 2025: $1,136.45
Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Medicare Part D Prescribers (2024), CMS Open Payments (2025), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.
Text: T-MedInfo ยท 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 2025 (payments made January 1 โ December 31, 2025): 22 records totaling $1,136.45.
| Manufacturer | Payment Nature | Product | Type | Amount ($) |
|---|---|---|---|---|
| Abbott Laboratories |
Food and Beverage
In-kind items and services
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ETERNA | General | $173.10 |
| Abbott Laboratories |
Food and Beverage
In-kind items and services
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PROCLAIM | General | $143.25 |
| Globus Medical, Inc. |
Food and Beverage
Cash or cash equivalent
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Senza | General | $140.88 |
| Globus Medical, Inc. |
Food and Beverage
Cash or cash equivalent
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Senza | General | $134.43 |
| Abbott Laboratories |
Food and Beverage
In-kind items and services
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PENTA | General | $111.58 |
| Saluda Medical Americas, Inc. |
Food and Beverage
In-kind items and services
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Evoke | General | $106.56 |
| Globus Medical, Inc. |
Food and Beverage
Cash or cash equivalent
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Senza | General | $40.43 |
| Saluda Medical Americas, Inc. |
Food and Beverage
In-kind items and services
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Evoke | General | $26.08 |
| Abbott Laboratories |
Food and Beverage
In-kind items and services
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OCTRODE | General | $24.79 |
| Globus Medical, Inc. |
Food and Beverage
Cash or cash equivalent
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Senza | General | $24.76 |
| Abbott Laboratories |
Food and Beverage
In-kind items and services
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OCTRODE | General | $24.74 |
| Avanos Medical |
Food and Beverage
In-kind items and services
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โ | General | $21.98 |
| SCILEX PHARMACEUTICALS INC. |
Food and Beverage
In-kind items and services
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ZTLido | General | $21.57 |
| Abbott Laboratories |
Food and Beverage
In-kind items and services
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OCTRODE | General | $20.60 |
| Saluda Medical Americas, Inc. |
Food and Beverage
In-kind items and services
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Evoke | General | $19.58 |
| IBSA Pharma Inc. |
Food and Beverage
Cash or cash equivalent
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Tirosint | General | $18.23 |
| Abbott Laboratories |
Food and Beverage
In-kind items and services
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PROCLAIM | General | $16.48 |
| IBSA Pharma Inc. |
Food and Beverage
Cash or cash equivalent
|
Tirosint | General | $15.46 |
| Abbott Laboratories |
Food and Beverage
In-kind items and services
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OCTRODE | General | $14.56 |
| IBSA Pharma Inc. |
Food and Beverage
Cash or cash equivalent
|
Tirosint | General | $14.23 |
| SCILEX PHARMACEUTICALS INC. |
Food and Beverage
In-kind items and services
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ZTLido | General | $14.19 |
| Abbott Laboratories |
Food and Beverage
In-kind items and services
|
OCTRODE | General | $8.97 |
Source: CMS Open Payments, program year 2025, released June 30, 2026.
Performed Procedures & Service Volume
CPTยฎ is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2016โ2023 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 โ by Provider and Service data, 2017โ2024; 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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99213
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more
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38 | 29 | $114.00 | $66.83 |
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99203
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
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23 | 23 | $180.00 | $90.77 |
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.
Medicare Part D Prescribing Profile & Medications
Medicare Part D prescriptions filled, including refills, in 2024.
| Brand Name | Generic Name | Prescriptions | Day Supply | Total Cost | Patients |
|---|---|---|---|---|---|
| Gabapentin | Gabapentin | 178 | 7,099 | $2,121.75 | 58 |
| Pregabalin | Pregabalin | 50 | 1,665 | $679.29 | 17 |
| Baclofen | Baclofen | 35 | 797 | $196.36 | 21 |
| Methylprednisolone | Methylprednisolone | 33 | 198 | $223.97 | 31 |
| Celecoxib | Celecoxib | 29 | 986 | $315.82 | โ |
| Alprazolam | Alprazolam | 21 | 25 | $12.07 | 17 |
| Tramadol Hcl | Tramadol Hcl | 18 | 265 | $54.24 | โ |
| Meloxicam | Meloxicam | 16 | 600 | $33.34 | โ |
| Ibuprofen | Ibuprofen | 15 | 450 | $117.90 | โ |
| Tizanidine Hcl | Tizanidine Hcl | 14 | 370 | $87.55 | โ |
| Ztlido | Lidocaine | 13 | 390 | $4,559.48 | โ |
| Cyclobenzaprine Hcl | Cyclobenzaprine Hcl | 11 | 151 | $54.55 | โ |
Source: CMS Part D by Provider and Drug, 2024; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits
Specialties & License Numbers Reported to NPPES
Self-certified to NPPES: 2026-03-18NUCC Taxonomy Code: 363A00000X
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
NUCC Taxonomy Code: 208VP0000X
Pain Medicine is a primary medical specialty based on a distinct body of knowledge and a well-defined scope of clinical practice that is founded on science, research and education. It is concerned with the study of pain, the prevention of pain, and the evaluation, treatment, and rehabilitation of persons in pain. A comprehensive evaluation incorporates the physical, psychological, cognitive and socio-cultural contributions to pain. The treatment protocol may include pharmacological, invasive, behavioral, cognitive, rehabilitative and complementary strategies provided in a concurrent focused and patient specific manner. The pain medicine physician often serves the patient as a frontline physician regarding their pain, but also may serve as a consultant to other physicians, direct an interdisciplinary/multidisciplinary treatment team, conduct research, or advocate for the patient's pain care with public and private agencies. The Pain Medicine physician may work in variety of settings including office, clinic, hospital, university, or governmental/public agencies.
Medicare (PECOS) Enrollment & Ordering Eligibility
Source: CMS PECOSPRACTITIONER - PHYSICIAN ASSISTANT
I20140829000767
NY
1658599816
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
Buffalo Pain Medicine Pc
1416 Sweet Home Rd, Amherst, NY 142282784
Phone: 7166885088
Clinicians Sharing This Practice Address or Phone
Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.
Family Medicine
Doctor of Osteopathic Medicine (D.O.)
Career & Practice History Timeline
Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status
Registered at 1416 SWEET HOME RD STE 12, AMHERST, NY 142282784 (Tel: 7166885088)
Registered at 1416 SWEET HOME RD STE 12, AMHERST, NY 142282784 (Tel: 7166885088)
Pain Medicine (license number reported to NPPES: NY 017678)
Registered at 40 GEORGE KARL BLVD, WILLIAMSVILLE, NY 142217183 (Tel: 7162181000)
Physician Assistant (license number reported to NPPES: NY 017678)
Registered at 180 PARK CLUB LN STE 250, WILLIAMSVILLE, NY 142215259 (Tel: 7168399402)
Pain Medicine (license number reported to NPPES: NY 017678)
NPI status registered as active in NPPES database
Registered at 19 LIMESTONE DR., SUITE 11, WILLIAMSVILLE, NY 14221 (Tel: 7166343500)
Registered at 19 LIMESTONE DR., SUITE 11., WILLIAMSVILLE, NY 14221 (Tel: (716) 634-3500)
Recorded as MICHAEL TWORKOWSKI, PA
Physician Assistant (license number reported to NPPES: NY 017678)
NPI status registered as active in NPPES database
Registered at 3925 SHERIDAN DR, AMHERST, NY 142261738 (Tel: 7162509999)
Registered at 3925 SHERIDAN DR, AMHERST, NY 142261738
Recorded as MICHAEL TWORKOWSKI
Physician Assistant (license number reported to NPPES: NY 017678)
First registered as active Individual Practitioner in NPPES Database.
NPI Administrative Meta
Other Physician Assistants in Amherst
- Chelsea Cantie, PA
- Andrea Laudisio, PA
- Jason Santiago, PA
- Darcie Neaverth, PA
- Emily Ludwig
- Karen Baetzhold, RPA
Mailing Address
1416 Sweet Home Rd Ste 12
Amherst, NY 142282784
Phone: 7166885088