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DR. MICHAEL GILINSKY M.D.
NPI 1154374270
Family Medicine in Aventura, FL

Active since May 18, 2006PECOS EnrolledAccepts Medicare Assignment
21000 NE 28TH AVE, 203-1, AVENTURA, FL 33180(305) 682-1186(305) 918-7005 Get Directions Write a Review

NPPES record last updated: August 3, 2012. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Dr. Michael Gilinsky M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. MICHAEL GILINSKY M.D. (NPI 1154374270) is an individual family medicine provider in Aventura, Florida, licensed in Florida (ME 42123) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Memorial Regional Hospital, and is a graduate of Other (1973).

NPPES Registry Identity

NPI1154374270
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. MICHAEL GILINSKYCredential: M.D.
Location Address21000 NE 28TH AVE, 203-1Aventura, FL 33180-1421
Mailing Address21000 Ne 28th Ave, #203-1Aventura, FL 33180-1421 · (305) 682-1186 · Fax (305) 918-7005
Phone(305) 682-1186
Fax(305) 918-7005
Sole ProprietorYes
Medical School CMSOtherGraduated 1973
Enumeration DateMay 18, 2006
Last NPPES UpdateAugust 3, 2012
✔ NPI 1154374270 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in FL · ME 42123
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
21000 NE 28TH AVE, Aventura, FL 33180
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Other Identifiers 2

Medicare UPIND63943
Medicare UPIND63943FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL).Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Michael Gilinsky M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3173556511
PECOS Enrollment IDI20050915000507
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 9

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
580 services136 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
260 services118 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
166 services75 patients
Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490
Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.
154 services17 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
62 services52 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
52 services11 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Memorial Regional Hospital

Acute Care Hospitals · Hollywood, FL
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number100038
Location3501 Johnson StHollywood, FL 33021 · Broward County
Emergency services Birthing friendly

Hca Florida Aventura Hospital

Acute Care Hospitals · Aventura, FL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100131
Location20900 Biscayne BlvdAventura, FL 33180 · Miami-Dade County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33180 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$96.13 typical visit price
range $60.92 – $187.05
Typical copayment $24.03 (range $15.23 – $46.76)
Most-billed visit code 99203
Established Patient
$107.17 typical visit price
range $18.99 – $150.24
Typical copayment $26.79 (range $4.74 – $37.56)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Breast Cancer Screening
Percentage of women 50-74 years of age who had a mammogram to screen for breast cancer
62%89 patients3/55-star benchmark: 92%
Cervical Cancer Screening
Percentage of women 21-64 years of age who were screened for cervical cancer using either of the following criteria: - Women age 21-64 who had cervical cytology performed every 3 years - Women age 30-64 who had cervical cytology/human papillomavirus (HPV)…
49%81 patients
Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
62%197 patients3/55-star benchmark: 85%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
96%1,872 patients4/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
94%4,574 patients4/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
Percentage of patients 65 years of age and older who were screened for future fall risk during the measurement period
67%254 patients3/55-star benchmark: 99%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
100%101 patients5/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
13%446 patients1/55-star benchmark: 100%
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
69%254 patients4/55-star benchmark: 90%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
44%437 patients2/55-star benchmark: 97%
Preventive Care and Screening: Influenza Immunization
Percentage of patients aged 6 months and older seen for a visit between October 1 and March 31 who received an influenza immunization OR who reported previous receipt of an influenza immunization
52%291 patients3/55-star benchmark: 88%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
Percentage of patients aged 12 years and older screened for depression on the date of the encounter using an age appropriate standardized depression screening tool AND if positive, a follow-up plan is documented on the date of the positive screen
86%421 patients4/55-star benchmark: 96%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
Patients tobacco: 100% · 347 patients
100%347 patients
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
78%446 patients4/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
4%446 patients1/55-star benchmark: 79%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 5

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Enteral formula, nutritionally complete, hydrolyzed proteins (amino acids and peptide chain), includes fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit B4153
Other-Enteral and Parenteral · category OB006N
1 supplier11 claims9,518 services$1.09 avg. paid by Medicare
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260
DME-Hospital Beds · category DB000N
2 suppliers13 claims13 services$37.26 avg. paid by Medicare
Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s) E0630
DME-Other DME · category DE000N
4 suppliers20 claims20 services$35.54 avg. paid by Medicare
Iv pole E0776
DME-Other DME · category DE000N
1 supplier12 claims14 services$4.87 avg. paid by Medicare
Standard wheelchair K0001
DME-Wheelchairs · category DD000N
3 suppliers15 claims15 services$14.01 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 17

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MATTHEW DZWONKIEWICZ PA-C
Physician Assistant
21000 NE 28TH AVE, SUITE 104
AVENTURA, FL 33180
Miami-Dade County (305) 937-1999
MRS. VANINA LORENA SERBER COPERNIK ARNP
Nurse Practitioner (Acute Care)
21000 NE 28TH AVE, SUITE 202
AVENTURA, FL 33180
Miami-Dade County (305) 932-7800
DR. JENNIFER ROSE MONTANTI MD
Hospitalist
21000 NE 28TH AVE, SUITE 205
AVENTURA, FL 33180
Miami-Dade County (305) 933-5993
DR. LUIS IGNACIO BECERRA-CABAL M.D.
Psychiatry & Neurology (Neurology)
21000 NE 28TH AVE, SUITE 205
AVENTURA, FL 33180
Miami-Dade County (305) 933-5993
AVENTURA NEUROLOGY CONSULTANTS
Specialist
21000 NE 28TH AVE, #205
AVENTURA, FL 33180
Miami-Dade County (305) 933-5993
FLOYD A OSTERMAN JR. MD
Radiology (Vascular & Interventional Radiology)
21000 NE 28TH AVE, SUITE 202
AVENTURA, FL 33180
Miami-Dade County (305) 932-7800
JULIE B. SCHWARTZBARD, M.D.
Specialist
21000 NE 28TH AVE, #205
AVENTURA, FL 33180
Miami-Dade County (305) 933-5993
DR. STEPHEN SAMUEL WENDER M.D.
Orthopaedic Surgery (Sports Medicine)
21000 NE 28TH AVE, STE 104
AVENTURA, FL 33180
Miami-Dade County (305) 937-1999

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Michael Gilinsky's NPI number?

The NPI number for Michael Gilinsky is 1154374270. It was assigned to this individual provider in the NPPES registry on May 18, 2006.

Where is Michael Gilinsky located?

Michael Gilinsky practices at 21000 NE 28th Ave 203-1, Aventura, FL 33180. The listed phone number is (305) 682-1186.

What is Michael Gilinsky's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Michael Gilinsky enrolled in Medicare?

Yes. Michael Gilinsky is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Michael Gilinsky accept?

Health plans from Florida Blue (BlueCross BlueShield FL) list Michael Gilinsky as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Michael Gilinsky affiliated with any hospitals?

According to CMS data, Michael Gilinsky is affiliated with Memorial Regional Hospital and Hca Florida Aventura Hospital.

When was this NPI record last updated?

The NPPES record for Michael Gilinsky was last updated on August 3, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.