PAOLA GHIONE MD
NPI 1730740556
Internal Medicine - Medical Oncology in Buffalo, NY

Active since June 24, 2019PECOS EnrolledAccepts Medicare Assignment
79.03/100
CMS Quality Rating
ELM AND CARLTON ST, BUFFALO, NY 14263(716) 845-2300(716) 845-2293 Get Directions Write a Review

NPPES record last updated: May 27, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Paola Ghione Md NPPES

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

PAOLA GHIONE MD (NPI 1730740556) is an individual medical oncology provider in Buffalo, New York, licensed in New York (303777) and active in the NPI registry since June 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2011).

NPPES Registry Identity

NPI1730740556
Entity TypeIndividualFemale
Primary Taxonomy207RX0202X
Provider Legal NamePAOLA GHIONECredential: MD
Location AddressELM AND CARLTON STBuffalo, NY 14263-0001
Mailing Address504 E 81st St Apt 2gNew York, NY 10028-7028
Fax(716) 845-2293
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateJune 24, 2019
Last NPPES UpdateMay 27, 2020
NPPES CertifiedMay 27, 2020
NPI 1730740556 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · Medical OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RX0202X
License Licensed in NY · 303777
Definition
An internist who specializes in the diagnosis and treatment of all types of cancer and other benign and malignant tumors. This specialist decides on and administers therapy for these malignancies as well as consults with surgeons and radiotherapists on other treatments for cancer.
ELM AND CARLTON ST, Buffalo, NY 14263

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

Paola Ghione 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 ID5890118913
PECOS Enrollment IDI20200708002418
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 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 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.
144 services94 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.
123 services63 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
65 services25 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
22 services22 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
14 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 14263 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
$166.88 typical visit price
range $54.87 – $166.88
Typical copayment $41.72 (range $13.71 – $41.72)
Most-billed visit code 99205
Established Patient
$97.08 typical visit price
range $17.54 – $136.14
Typical copayment $24.27 (range $4.38 – $34.03)
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.

79.03/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality69.44
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.

Physician Assistant
ELM AND CARLTON ST
BUFFALO, NY 14263
Dentist
ELM AND CARLTON ST
BUFFALO, NY 14263
Family Medicine
ELM AND CARLTON ST
BUFFALO, NY 14263
Nurse Practitioner (Family)
ELM AND CARLTON ST
BUFFALO, NY 14263
Pharmacist
ELM AND CARLTON ST
BUFFALO, NY 14263
Surgery (Surgical Oncology)
ELM AND CARLTON ST
BUFFALO, NY 14263
Internal Medicine
ELM AND CARLTON ST
BUFFALO, NY 14263
Internal Medicine (Pulmonary Disease)
ELM AND CARLTON ST
BUFFALO, NY 14263

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 Paola Ghione's NPI number?

The NPI number for Paola Ghione is 1730740556. It was assigned to this individual provider in the NPPES registry on June 24, 2019.

Where is Paola Ghione located?

Paola Ghione practices at Elm And Carlton St, Buffalo, NY 14263. The listed phone number is (716) 845-2300.

What is Paola Ghione's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Medical Oncology, with taxonomy code 207RX0202X.

Is Paola Ghione enrolled in Medicare?

Yes. Paola Ghione 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 Paola Ghione was last updated on May 27, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.