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DRAGOS GHINEA
NPI 1659958205
Family Medicine in Muskego, WI

Active since March 28, 2021PECOS EnrolledAccepts Medicare Assignment
S68W15500 JANESVILLE RD, MUSKEGO, WI 53150(414) 422-4000(414) 422-4001 Get Directions Write a Review

NPPES record last updated: October 17, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 10, 2024, Jun 11, 2024, Mar 28, 2021 (3 updates tracked since 2021).

About Dragos Ghinea NPPES

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

DRAGOS GHINEA (NPI 1659958205) is an individual family medicine provider in Muskego, Wisconsin, licensed in Wisconsin (77948-20) and active in the NPI registry since March 2021. He is enrolled in Medicare PECOS, is affiliated with Aurora St Lukes Medical Center, and is a graduate of Loma Linda University School Of Medicine (2021).

NPPES Registry Identity

NPI1659958205
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDRAGOS GHINEA
Location AddressS68W15500 JANESVILLE RDMuskego, WI 53150-2613
Mailing AddressPo Box 735044Chicago, IL 60673-5044 · (800) 326-2250
Phone(414) 422-4000
Fax(414) 422-4001
Sole ProprietorYes
Medical School CMSLoma Linda University School Of MedicineGraduated 2021
Enumeration DateMarch 28, 2021
Last NPPES UpdateOctober 17, 20243 updates tracked since enumeration
NPPES CertifiedOctober 17, 2024
✔ NPI 1659958205 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in WI · 77948-20
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.
S68W15500 JANESVILLE RD, Muskego, WI 53150
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Other Identifiers 1

Medicaid100241085WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Aspirus Health Plan, CareSource (Common Ground Healthcare) 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

Dragos Ghinea 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 ID2466811633
PECOS Enrollment IDI20240724002194
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 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.
24 services18 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.
15 services13 patients

Hospital Affiliations CMS Care Compare 2

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

Aurora St Lukes Medical Center

Acute Care Hospitals · Milwaukee, WI
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520138
Location2900 W Oklahoma AveMilwaukee, WI 53215 · Milwaukee County
Emergency services Birthing friendly

West Allis Memorial Hospital

Acute Care Hospitals · West Allis, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520139
Location8901 W Lincoln AveWest Allis, WI 53227 · Milwaukee County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53150 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
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$95.41 typical visit price
range $17.40 – $133.76
Typical copayment $23.85 (range $4.35 – $33.44)
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.

Other Providers at the Same Location NPPES 11

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

DIANA L RAWSON APNP
Nurse Practitioner
S68W15500 JANESVILLE RD
MUSKEGO, WI 53150
Waukesha County (414) 422-2180
AURORA PHARMACY INC.
Pharmacy (Clinic Pharmacy)
S68W15500 JANESVILLE RD, SUITE 100
MUSKEGO, WI 53150
Waukesha County (414) 422-4257
DR. JEANETTE A KALUPA N.P.
Nurse Practitioner
S68W15500 JANESVILLE RD
MUSKEGO, WI 53150
Waukesha County (414) 422-4000
PHILLIP AVILA MD
Family Medicine
S68W15500 JANESVILLE RD
MUSKEGO, WI 53150
Waukesha County (414) 422-4000
MOLLY YURK NP
Nurse Practitioner
S68W15500 JANESVILLE RD
MUSKEGO, WI 53150
Waukesha County (414) 422-4000
DR. CHRISTOPHER JOSEPH BERMUDEZ MD
Family Medicine
S68W15500 JANESVILLE RD
MUSKEGO, WI 53150
Waukesha County (414) 422-4000
MRS. DEANNE J KEIM DPM
Podiatrist
S68W15500 JANESVILLE RD
MUSKEGO, WI 53150
Waukesha County (414) 422-2180
DR. JODI M KORNAK M.D.
Otolaryngology
S68W15500 JANESVILLE RD
MUSKEGO, WI 53150
Waukesha County (414) 422-4000

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 Dragos Ghinea's NPI number?

The NPI number for Dragos Ghinea is 1659958205. It was assigned to this individual provider in the NPPES registry on March 28, 2021.

Where is Dragos Ghinea located?

Dragos Ghinea practices at S68w15500 Janesville Rd, Muskego, WI 53150. The listed phone number is (414) 422-4000.

What is Dragos Ghinea's specialty?

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

Is Dragos Ghinea enrolled in Medicare?

Yes. Dragos Ghinea 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 Dragos Ghinea accept?

Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, CareSource (Common Ground Healthcare), HealthPartners and Quartz and 1 other insurer list Dragos Ghinea 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 Dragos Ghinea affiliated with any hospitals?

According to CMS data, Dragos Ghinea is affiliated with Aurora St Lukes Medical Center and West Allis Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Dragos Ghinea was last updated on October 17, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months 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.