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MINA C KALFAS M.D.
NPI 1508808361
Family Medicine - Addiction Medicine in Covington, KY

Active since June 13, 2006PECOS EnrolledAccepts Medicare Assignment
90.38/100
CMS Quality Rating
20 W 18TH ST, COVINGTON, KY 41011(859) 757-0717(859) 331-2425 Get Directions Write a Review

NPPES record last updated: November 21, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 21, 2023, Mar 22, 2019 (2 updates tracked since 2019).

About Mina C Kalfas M.d. NPPES

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

MINA C KALFAS M.D. (NPI 1508808361) is an individual addiction medicine provider in Covington, Kentucky, licensed in Kentucky (31945) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with St Elizabeth Edgewood, and is a graduate of University Of Kentucky College Of Medicine (1993).

NPPES Registry Identity

NPI1508808361
Entity TypeIndividualMale
Primary Taxonomy207QA0401X
Provider Legal NameMINA C KALFASCredential: M.D.
Location Address20 W 18TH STCovington, KY 41011-3329
Mailing AddressPo Box 635283Cincinnati, OH 45263-5283 · (859) 757-0717 · Fax (859) 331-2425
Phone(859) 757-0717
Fax(859) 331-2425
Sole ProprietorNo
Medical School CMSUniversity Of Kentucky College Of MedicineGraduated 1993
Enumeration DateJune 13, 2006
Last NPPES UpdateNovember 21, 20232 updates tracked since enumeration
NPPES CertifiedNovember 21, 2023
✔ NPI 1508808361 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily Medicine · Addiction MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QA0401X
License✔ Licensed in KY · 31945
Definition
A family medicine physician who specializes in the diagnosis and treatment of addictions.
Also ListedFamily MedicineTaxonomy 207Q00000X · License 31945 (KY)
20 W 18TH ST, Covington, KY 41011
Open in Google Maps ↗

Other Identifiers 2

Medicaid64319452KY
Medicaid0987357OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter Health and more.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

Mina C Kalfas 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 ID3173660271
PECOS Enrollment IDI20091022000073
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 2

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.
104 services20 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.
67 services17 patients

Hospital Affiliations CMS Care Compare

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

St Elizabeth Edgewood

Acute Care Hospitals · Edgewood, KY
5/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number180035
Location1 Medical Village DriveEdgewood, KY 41017 · Kenton County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 41011 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
$122.77 typical visit price
range $52.76 – $162.27
Typical copayment $30.69 (range $13.19 – $40.56)
Most-billed visit code 99204
Established Patient
$93.94 typical visit price
range $16.53 – $131.99
Typical copayment $23.48 (range $4.13 – $32.99)
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.

90.38/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality80.76
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 12

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

ANDREW F ARTHUR LMFT
Marriage & Family Therapist
20 W 18TH ST
COVINGTON, KY 41011
Kenton County (859) 757-0717
KASINDRA JONES LCSW
Social Worker
20 W 18TH ST
COVINGTON, KY 41011
Kenton County (859) 757-0717
LORI HAGGARD LISW
Social Worker
20 W 18TH ST
COVINGTON, KY 41011
Kenton County (859) 757-0717
DR. TERESA KOELLER M.D.
Family Medicine (Addiction Medicine)
20 W 18TH ST
COVINGTON, KY 41011
Kenton County (859) 757-0717
CHRISTY LYNN GILLESPIE LCSW
Social Worker
20 W 18TH ST
COVINGTON, KY 41011
Kenton County (859) 757-0717
DONNA J ROBISON APRN
Nurse Practitioner (Psychiatric/Mental Health)
20 W 18TH ST
COVINGTON, KY 41011
Kenton County (859) 757-0717
KATHLEEN YANG M.D.
Family Medicine (Addiction Medicine)
20 W 18TH ST
COVINGTON, KY 41011
Kenton County (859) 757-0717
CHARLES MARTIN JUSTICE MA
Counselor (Mental Health)
20 W 18TH ST
COVINGTON, KY 41011
Kenton County (859) 757-0717

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 Mina Kalfas's NPI number?

The NPI number for Mina Kalfas is 1508808361. It was assigned to this individual provider in the NPPES registry on June 13, 2006.

Where is Mina Kalfas located?

Mina Kalfas practices at 20 W 18th St, Covington, KY 41011. The listed phone number is (859) 757-0717.

What is Mina Kalfas's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Addiction Medicine, with taxonomy code 207QA0401X.

Is Mina Kalfas enrolled in Medicare?

Yes. Mina Kalfas 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 Mina Kalfas accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter of Tennessee and Anthem Blue Cross and Blue Shield and 2 other insurers list Mina Kalfas 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 Mina Kalfas affiliated with any hospitals?

According to CMS data, Mina Kalfas is affiliated with St Elizabeth Edgewood.

When was this NPI record last updated?

The NPPES record for Mina Kalfas was last updated on November 21, 2023. 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.