ALEXANDER ROBERT GHINCEA MD
NPI 1174977938
Internal Medicine - Pulmonary Disease in North Haven, CT

Active since April 19, 2016PECOS EnrolledAccepts Medicare Assignment
73.56/100
CMS Quality Rating
6 DEVINE ST, NORTH HAVEN, CT 06473(203) 495-2410 Get Directions Write a Review

NPPES record last updated: May 15, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 15, 2023, May 8, 2020 (2 updates tracked since 2020).

About Alexander Robert Ghincea Md NPPES

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

ALEXANDER ROBERT GHINCEA MD (NPI 1174977938) is an individual pulmonary disease provider in North Haven, Connecticut, licensed in Connecticut (65271) and active in the NPI registry since April 2016. He is enrolled in Medicare PECOS and is a graduate of University Of Colorado School Of Medicine, Denver (2016).

NPPES Registry Identity

NPI1174977938
Entity TypeIndividualMale
Primary Taxonomy207RP1001X
Provider Legal NameALEXANDER ROBERT GHINCEACredential: MD
Location Address6 DEVINE STNorth Haven, CT 06473-2195
Mailing Address300 Cedar St # S425New Haven, CT 06519-1612 · (203) 785-3207 · Fax (203) 785-5952
Sole ProprietorNo
Medical School CMSUniversity Of Colorado School Of Medicine, DenverGraduated 2016
Enumeration DateApril 19, 2016
Last NPPES UpdateMay 15, 20232 updates tracked since enumeration
NPPES CertifiedMay 15, 2023
NPI 1174977938 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
License Licensed in CT · 65271
Definition
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
6 DEVINE ST, North Haven, CT 06473

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

Alexander Robert Ghincea Md 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 ID4789976580
PECOS Enrollment IDI20230828002327
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 7

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.

Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
35 services21 patients
Test to measure rate of airflow 94375
This test, known as spirometry, measures how much air you can breathe in and out, and how quickly you can do so. It helps assess your lung function and can be used to diagnose or monitor conditions like asthma or COPD.
24 services17 patients
Test to examine how well the lungs exchange gases 94729
This is a test called a pulmonary function test, which helps understand the efficiency of your lungs. It measures how much air your lungs can hold, how quickly you can move air in and out of your lungs, and how well your lungs put oxygen into and remove carbon dioxide from your blood.
24 services16 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
24 services17 patients
Test to determine lung volumes using gas dilution or washout 94727
This test measures lung volumes by either diluting or washing out a known amount of gas in your lungs. You'll breathe in a harmless gas, then exhale. The exhaled air is analyzed to assess your lung capacity and function.
19 services15 patients
Test for exercise-induced lung stress 94618
An exercise-induced lung stress test assesses how your lungs respond to physical activity. During the test, you'll exercise on a treadmill or stationary bike while your heart rate, breathing, blood pressure, and oxygen levels are monitored. This helps identify any abnormal lung responses to exercise.
15 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06473 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
$138.84 typical visit price
range $60.82 – $183.10
Typical copayment $34.71 (range $15.20 – $45.77)
Most-billed visit code 99204
Established Patient
$106.68 typical visit price
range $19.76 – $149.26
Typical copayment $26.67 (range $4.94 – $37.31)
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.

73.56/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality75.84
Promoting Interoperability74
Improvement Activities40
Cost51.43

Referred Medical Equipment & Supplies CMS DME claims

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

Nebulizer, with compressor E0570
DME-Other DME · category DE000N
2 suppliers15 claims15 services$4.57 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 20

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

Pharmacist (Oncology)
6 DEVINE ST
NORTH HAVEN, CT 06473
Student in an Organized Health Care Education/Training Program
6 DEVINE ST
NORTH HAVEN, CT 06473
Nurse Practitioner (Family)
6 DEVINE ST
NORTH HAVEN, CT 06473
Pharmacist
6 DEVINE ST
NORTH HAVEN, CT 06473
Student in an Organized Health Care Education/Training Program
6 DEVINE ST
NORTH HAVEN, CT 06473
Allergy & Immunology
6 DEVINE ST
NORTH HAVEN, CT 06473
Psychiatry & Neurology (Neurology)
6 DEVINE ST, SUITE 2B
NORTH HAVEN, CT 06473
Internal Medicine (Rheumatology)
6 DEVINE ST, SUITE 2B
NORTH HAVEN, CT 06473

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 Alexander Ghincea's NPI number?

The NPI number for Alexander Ghincea is 1174977938. It was assigned to this individual provider in the NPPES registry on April 19, 2016.

Where is Alexander Ghincea located?

Alexander Ghincea practices at 6 Devine St, North Haven, CT 06473. The listed phone number is (203) 495-2410.

What is Alexander Ghincea's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Alexander Ghincea enrolled in Medicare?

Yes. Alexander Ghincea 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.

When was this NPI record last updated?

The NPPES record for Alexander Ghincea was last updated on May 15, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.