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ELENA POLOUKHINE MD
NPI 1487874483
Obstetrics & Gynecology - Gynecology in Plainfield, CT

Active since May 01, 2007PECOS EnrolledAccepts Medicare Assignment
12 LATHROP RD, PLAINFIELD, CT 06374(860) 457-9209(860) 457-9201 Get Directions Write a Review

NPPES record last updated: January 24, 2019. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Elena Poloukhine Md NPPES

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

ELENA POLOUKHINE MD (NPI 1487874483) is an individual gynecology provider in Plainfield, Connecticut, licensed in Connecticut (047206) and active in the NPI registry since May 2007. She is enrolled in Medicare PECOS, maintains a secondary practice location in Garden City, and is a graduate of Rush Medical College Of Rush University (2000).

NPPES Registry Identity

NPI1487874483
Entity TypeIndividualFemale
Primary Taxonomy207VG0400X
Provider Legal NameELENA POLOUKHINECredential: MD
Location Address12 LATHROP RDPlainfield, CT 06374-2061
Mailing Address12 Lathrop RdPlainfield, CT 06374-2061 · (860) 457-9209 · Fax (860) 457-9201
Phone(860) 457-9209
Fax(860) 457-9201
Sole ProprietorNo
Medical School CMSRush Medical College Of Rush UniversityGraduated 2000
Enumeration DateMay 1, 2007
Last NPPES UpdateJanuary 24, 2019
✔ NPI 1487874483 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & Gynecology · GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207VG0400X
Licenses✔ Licensed in CT · 047206✔ Licensed in NY · 222823
Definition
A physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions. Source: National Uniform Claim Committee
12 LATHROP RD, Plainfield, CT 06374
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Secondary Practice Location 1

Location 1877 Stewart Ave, Suite 7Garden City, NY 11530-4803 · Phone (516) 222-0722

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.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

Elena Poloukhine 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 ID6507839180
PECOS Enrollment IDI20090416000372
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 Reassignments

2

Medicare enrollment records show Elena Poloukhine reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Day Kimball Healthcare, Inc.
17 mi
Community Health
320 POMFRET ST
Putnam, CT 06260
  • Reassigned Medicare billing, Connecticut enrollment
  • 56 clinicians in this Medicare group
NPI 1265540967 (860) 928-6541
Day Kimball Medical Group Inc
17 mi
Family Medicine
320 POMFRET STREET
Putnam, CT 06260
  • Reassigned Medicare billing, Connecticut enrollment
  • 163 clinicians in this Medicare group
NPI 1376813972 (860) 928-6541

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 5

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 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.
77 services40 patients
Cervical or vaginal cancer screening; pelvic and clinical breast examination G0101
This procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.
65 services65 patients
Assessment of emotional or behavioral problems 96127
Assessment of emotional or behavioral problems involves a thorough evaluation of your feelings, thoughts, and behaviors. It's a process where professionals study patterns over time to identify potential issues like anxiety, depression, or other mental health conditions.
14 services14 patients
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.
12 services12 patients
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory Q0091
A Papanicolaou smear, often called a Pap smear, is a test to check for changes in cells. A small sample is gently collected from the lower region and sent to a lab for examination. This helps in early detection of potential health issues.
12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06374 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
$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.

Reported Quality Measures

Breast Cancer Screening
Percentage of women 50-74 years of age who had a mammogram to screen for breast cancer
66%354 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)…
93%953 patients
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.
98%1,541 patients4/55-star benchmark: 99%
Health Information Exchange
The MIPS eligible clinician that transitions or refers their patient to another setting of care or health care clinician (1) uses CEHRT to create a summary of care record; and (2) electronically transmits such summary to a receiving health care clinician for…
65%187 patients3/55-star benchmark: 88%
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.
99%169 patients4/55-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.
36%1,698 patients2/55-star benchmark: 97%
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…
29%1,233 patients2/55-star benchmark: 97%
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 screenedForUse: 99% · 943 patients
Patients tobacco: 11% · 44 patients
90%943 patients4/55-star benchmark: 98%
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…
99%1,698 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…
37%1,698 patients2/55-star benchmark: 89%
View, Download, or Transmit (VDT)
At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.
46%1,698 patients
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.

Other Providers at the Same Location NPPES 2

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

LYNN HAYES THOMAS MD
Obstetrics & Gynecology
12 LATHROP RD
PLAINFIELD, CT 06374
Northeastern Connecticut Planning Region (860) 457-9200
TIMOTHY TYLER M.D.
Emergency Medicine
12 LATHROP RD
PLAINFIELD, CT 06374
Northeastern Connecticut Planning Region (860) 457-9150

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 Elena Poloukhine's NPI number?

The NPI number for Elena Poloukhine is 1487874483. It was assigned to this individual provider in the NPPES registry on May 1, 2007.

Where is Elena Poloukhine located?

Elena Poloukhine practices at 12 Lathrop Rd, Plainfield, CT 06374. The listed phone number is (860) 457-9209.

What is Elena Poloukhine's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Gynecology, with taxonomy code 207VG0400X.

Is Elena Poloukhine enrolled in Medicare?

Yes. Elena Poloukhine 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 organizations bill Medicare for Elena Poloukhine's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Elena Poloukhine reassigns Medicare benefits to 2 organizations: Day Kimball Healthcare, Inc. (Putnam, CT) and Day Kimball Medical Group Inc (Putnam, CT). Each 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 Elena Poloukhine's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Elena Poloukhine accept?

Health plans from Anthem Blue Cross and Blue Shield list Elena Poloukhine 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.

When was this NPI record last updated?

The NPPES record for Elena Poloukhine was last updated on January 24, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.