DR. VALENTINA T GHERGHINA MD
NPI 1346271566
Family Medicine in Boynton Beach, FL

Q: What is Valentina Gherghina's NPI number?

The NPI number for Valentina Gherghina is 1346271566. It was assigned to this individual provider in the NPPES registry on July 5, 2006.

Q: What is Valentina Gherghina's specialty?

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

Active since July 05, 2006PECOS EnrolledAccepts Medicare Assignment

1101 N CONGRESS AVE, SUITE 100, BOYNTON BEACH, FL 33426(561) 737-9996(561) 737-8583 Get Directions Write a Review

NPPES record last updated: February 29, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

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About Dr. Valentina T Gherghina Md NPPES

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

DR. VALENTINA T GHERGHINA MD (NPI 1346271566) is an individual family medicine provider in Boynton Beach, Florida, licensed in Florida (ME70942) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS, is affiliated with Bethesda Hospital Inc, and is a graduate of Other (1980).

NPPES Registry Identity

NPI1346271566

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameDR. VALENTINA T GHERGHINACredential: MD

Location Address1101 N CONGRESS AVE, SUITE 100Boynton Beach, FL 33426-3336

Mailing Address1101 N Congress Ave, Suite 100Boynton Beach, FL 33426-3336 · (561) 737-9996 · Fax (561) 737-8583

Phone(561) 737-9996

Fax(561) 737-8583

Sole ProprietorNo

Medical School CMSOtherGraduated 1980

Enumeration DateJuly 5, 2006

Last NPPES UpdateFebruary 29, 2024

NPPES CertifiedFebruary 29, 2024

✔ NPI 1346271566 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 · ME70942

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.

1101 N CONGRESS AVE, Boynton Beach, FL 33426

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Other Identifiers 2

Other31487FL · Blue Cross Blue Shield

Medicaid251889900FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AvMed, Cigna Healthcare, Cigna HealthCare of Florida, Inc. and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Valentina T Gherghina 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 ID3274629373

PECOS Enrollment IDI20071022000134

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.

Medicare Billing Reassignment

Medicare enrollment records show Valentina Gherghina reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Valentina Gherghina MD PA

Same address

Family Medicine

1101 N CONGRESS AVE STE 100
Boynton Beach, FL 33426

Reassigned Medicare billing, Florida enrollment
5 clinicians in this Medicare group

NPI 1033140314 (561) 737-9996

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 19

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.

704 services344 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.

608 services347 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.

547 services287 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

295 services295 patients

Annual depression screening, 5 to 15 minutes G0444

An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.

280 services280 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.

187 services174 patients

Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional 99211

This service involves an outpatient visit for established patients who may not need direct interaction with a healthcare professional. It could include reviewing test results, monitoring existing conditions, or adjusting treatment plans. It's typically done remotely, ensuring your comfort and convenience.

157 services123 patients

Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes G0446

This is a yearly, personal consultation focused on behaviors affecting heart health. It lasts 15 minutes and may cover topics like diet, exercise, and stress management. It's about learning healthy habits to protect your heart.

132 services132 patients

Advance care planning, first 30 minutes 99497

Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.

74 services74 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.

66 services61 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

46 services46 patients

Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit G0438

An annual wellness visit is a yearly appointment with your doctor to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's an opportunity to discuss your health status and goals and get a plan tailored for you.

38 services38 patients

Transitional care management services for problem of high complexity 99496

Transitional care management services are designed to ensure a smooth transition from a hospital to home or another care setting for patients with complex health issues. These services include medication management, patient education, and coordination with healthcare providers.

35 services34 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

25 services25 patients

Face-to-face behavioral counseling for obesity, 15 minutes G0447

This is a 15-minute consultation where a healthcare professional discusses your eating habits, physical activity, and goals to help manage your weight. The aim is to provide personalized strategies to promote a healthier lifestyle and combat obesity.

25 services19 patients

Urinalysis, manual test 81002

A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.

21 services18 patients

Transitional care management services for problem of at least moderate complexity 99495

Transitional care management services focus on coordinating and managing your care after you leave the hospital. For moderate complexity problems, this involves managing your medications, arranging further treatments, and ensuring you have the necessary follow-ups.

18 services18 patients

Administration of vaccine 90471

Administering a vaccine involves injecting a small, safe piece of a virus or bacteria into your body. This triggers your immune system to recognize and fight off the disease in the future. It's a vital tool in preventing serious illnesses and maintaining public health.

17 services17 patients

Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment G0402

An Initial Preventive Physical Examination, also known as a "Welcome to Medicare" visit, is a one-time, face-to-face visit during your first 12 months of Medicare enrollment. It includes a review of your health, as well as education and counseling about preventive services and further screenings.

15 services15 patients

Hospital Affiliations CMS Care Compare 2

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

Bethesda Hospital Inc

Acute Care Hospitals · Boynton Beach, FL

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number100002

Location2815 S Seacrest BlvdBoynton Beach, FL 33435 · Palm Beach County

Emergency services Birthing friendly

Boca Raton Regional Hospital

Acute Care Hospitals · Boca Raton, FL

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number100168

Location800 Meadows RdBoca Raton, FL 33486 · Palm Beach County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33426 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

$91.69 typical visit price

range $58.56 – $179.05

Typical copayment $22.92 (range $14.64 – $44.76)

Most-billed visit code 99203

Established Patient

$103.21 typical visit price

range $18.44 – $144.68

Typical copayment $25.80 (range $4.61 – $36.17)

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.

Referred Medical Equipment & Supplies CMS DME claims 4

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

4 suppliers14 claims40 services$6.75 avg. paid by Medicare

Filter, disposable, used with positive airway pressure device A7038

DME-Other DME · category DE001N

3 suppliers13 claims78 services$1.94 avg. paid by Medicare

Continuous positive airway pressure (cpap) device E0601

DME-Other DME · category DE001N

1 supplier13 claims13 services$33.71 avg. paid by Medicare

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553

DME-Other DME · category DE017N

2 suppliers21 claims21 services$202.32 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 7

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

REHAB SOLUTIONS, LLC

Clinic/Center (Rehabilitation)

1101 N CONGRESS AVE, STE 208
BOYNTON BEACH, FL 33426

Palm Beach County (561) 736-0294

THERAPY SOLUTIONS LLC

Clinic/Center (Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF))

1101 N CONGRESS AVE, SUITE 208
BOYNTON BEACH, FL 33426

Palm Beach County (561) 736-0294

CANDICE KRISTIN BEHAN AP

Acupuncturist

1101 N CONGRESS AVE, SUITE 207
BOYNTON BEACH, FL 33426

Palm Beach County (561) 244-5424

JAMES GREEN

Acupuncturist

1101 N CONGRESS AVE, SUITE 207
BOYNTON BEACH, FL 33426

Palm Beach County (561) 244-5424

KENNETH HUEBNER PT

Clinic/Center (Physical Therapy)

1101 N CONGRESS AVE, SUITE 208
BOYNTON BEACH, FL 33426

Palm Beach County (561) 736-0294

LADONNA DAHL,PSY.D., INC.

Clinical Neuropsychologist

1101 N CONGRESS AVE, SUITE 202
BOYNTON BEACH, FL 33426

Palm Beach County (786) 512-9983

GREEN ACUPUNCTURE LLC

Acupuncturist

1101 N CONGRESS AVE, SUITE 207
BOYNTON BEACH, FL 33426

Palm Beach County (561) 244-5424

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 Valentina Gherghina's NPI number?

The NPI number for Valentina Gherghina is 1346271566. It was assigned to this individual provider in the NPPES registry on July 5, 2006.

Where is Valentina Gherghina located?

Valentina Gherghina practices at 1101 N Congress Ave Suite 100, Boynton Beach, FL 33426. The listed phone number is (561) 737-9996.

What is Valentina Gherghina's specialty?

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

Is Valentina Gherghina enrolled in Medicare?

Yes. Valentina Gherghina 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.

Which organization bills Medicare for Valentina Gherghina's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Valentina Gherghina reassigns Medicare benefits to Valentina Gherghina MD PA (Boynton Beach, FL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Valentina Gherghina's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Valentina Gherghina accept?

Health plans from AvMed, Cigna HealthCare of Florida, Inc., Cigna Healthcare, Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) and 2 other insurers list Valentina Gherghina 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 Valentina Gherghina affiliated with any hospitals?

According to CMS data, Valentina Gherghina is affiliated with Bethesda Hospital Inc and Boca Raton Regional Hospital.

When was this NPI record last updated?

The NPPES record for Valentina Gherghina was last updated on February 29, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.