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MICHAEL LEONARD RUBALSKY PHYSICIAN ASSISTANT
NPI 1407473697
Physician Assistant in Hamden, CT

Active since July 03, 2020PECOS EnrolledAccepts Medicare Assignment
94.17/100
CMS Quality Rating
1952 WHITNEY AVE, HAMDEN, CT 06517(203) 848-1803(203) 848-1777 Get Directions Write a Review

NPPES record last updated: August 15, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 15, 2021, Aug 8, 2021, Apr 11, 2021 and 3 more (6 updates tracked since 2020).

About Michael Leonard Rubalsky Physician Assistant NPPES

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

MICHAEL LEONARD RUBALSKY PHYSICIAN ASSISTANT (NPI 1407473697) is an individual physician assistant in Hamden, Connecticut, licensed in Connecticut (4867) and active in the NPI registry since July 2020. He is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1407473697
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameMICHAEL LEONARD RUBALSKYCredential: PHYSICIAN ASSISTANT
Location Address1952 WHITNEY AVEHamden, CT 06517-1209
Mailing Address1952 Whitney AveHamden, CT 06517-1209 · (203) 848-1803 · Fax (203) 848-1777
Phone(203) 848-1803
Fax(203) 848-1777
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateJuly 3, 2020
Last NPPES UpdateAugust 15, 20216 updates tracked since enumeration
NPPES CertifiedAugust 15, 2021
✔ NPI 1407473697 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in CT · 4867
Definition
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.
1952 WHITNEY AVE, Hamden, CT 06517
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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

Michael Leonard Rubalsky Physician Assistant 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 ID8628494713
PECOS Enrollment IDI20200819004176
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.

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.
191 services68 patients
Chronic care management services for two or more chronic conditions, first 30 minutes provided personally by health care professional, per calendar month 99491
Chronic care management services involve a healthcare professional personally providing care for patients with two or more chronic conditions. This service, offered monthly, focuses on the first 30 minutes of care, helping manage and coordinate the patient's health needs.
167 services130 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.
37 services19 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.
35 services35 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.
24 services22 patients
Annual alcohol misuse screening, 5 to 15 minutes G0442
An annual alcohol misuse screening is a 15-minute check-up to assess your drinking habits. It helps identify if you're consuming alcohol in a way that could harm your health. This is not a judgment, but a tool to promote your wellbeing.
14 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06517 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
$93.86 typical visit price
range $60.82 – $183.10
Typical copayment $23.46 (range $15.20 – $45.77)
Most-billed visit code 99203
Established Patient
$75.55 typical visit price
range $19.76 – $149.26
Typical copayment $18.88 (range $4.94 – $37.31)
Most-billed visit code 99213
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.

94.17/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality81.94
Promoting Interoperability99.39
Improvement Activities40

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.

MRS. LINDSEY RENEE PREO APRN
Nurse Practitioner (Family)
1952 WHITNEY AVE
HAMDEN, CT 06517
South Central Connecticut Planning Region (203) 848-1803
DR. LEONARD E GRAUER MD
Internal Medicine (Cardiovascular Disease)
1952 WHITNEY AVE
HAMDEN, CT 06517
South Central Connecticut Planning Region (203) 773-3055
JMM WELLNESS, LLC
Dietitian, Registered
1952 WHITNEY AVE
HAMDEN, CT 06517
South Central Connecticut Planning Region (203) 641-3574
MARGARET CHUSTECKA INTERNAL MEDICINE OF GREATER NEW HAVEN
Internal Medicine
1952 WHITNEY AVE
HAMDEN, CT 06517
South Central Connecticut Planning Region (203) 848-1803
JESSICA NURSICK
Physician Assistant
1952 WHITNEY AVE
HAMDEN, CT 06517
South Central Connecticut Planning Region (203) 848-1803
ERIC LAGOY
Physical Therapist
1952 WHITNEY AVE
HAMDEN, CT 06517
South Central Connecticut Planning Region (203) 672-9227
DR. JONATHAN A BRIER MD
Internal Medicine (Cardiovascular Disease)
1952 WHITNEY AVE
HAMDEN, CT 06517
South Central Connecticut Planning Region (203) 773-3055
EDWIN BERNABE APRN
Nurse Practitioner (Family)
1952 WHITNEY AVE, 3D
HAMDEN, CT 06517
South Central Connecticut Planning Region (203) 848-1803

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 Rubalsky's NPI number?

The NPI number for Michael Rubalsky is 1407473697. It was assigned to this individual provider in the NPPES registry on July 3, 2020.

Where is Michael Rubalsky located?

Michael Rubalsky practices at 1952 Whitney Ave, Hamden, CT 06517. The listed phone number is (203) 848-1803.

What is Michael Rubalsky's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Michael Rubalsky enrolled in Medicare?

Yes. Michael Rubalsky 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 Michael Rubalsky was last updated on August 15, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.