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ANDREW D. MIHALEK M.D.
NPI 1851555601
Internal Medicine - Pulmonary Disease in Charlottesville, VA

Active since July 10, 2008PECOS EnrolledAccepts Medicare Assignment
79.39/100
CMS Quality Rating
1221 LEE ST, CHARLOTTESVILLE, VA 22908(434) 924-5219(434) 244-7509 Get Directions Write a Review

NPPES record last updated: August 10, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 10, 2023, Oct 7, 2020 (2 updates tracked since 2020).

About Andrew D. Mihalek M.d. NPPES

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

ANDREW D. MIHALEK M.D. (NPI 1851555601) is an individual pulmonary disease provider in Charlottesville, Virginia, licensed in Virginia (0101257579) and active in the NPI registry since July 2008. He is enrolled in Medicare PECOS, is affiliated with Sentara Rmh Medical Center, and is a graduate of University Of California, Davis School Of Medicine (2006).

NPPES Registry Identity

NPI1851555601
Entity TypeIndividualMale
Primary Taxonomy207RP1001X
Provider Legal NameANDREW D. MIHALEKCredential: M.D.
Location Address1221 LEE STCharlottesville, VA 22908-0001
Mailing AddressPo Box 9007Charlottesville, VA 22906-9007
Phone(434) 924-5219
Fax(434) 244-7509
Sole ProprietorNo
Medical School CMSUniversity Of California, Davis School Of MedicineGraduated 2006
Enumeration DateJuly 10, 2008
Last NPPES UpdateAugust 10, 20232 updates tracked since enumeration
NPPES CertifiedAugust 10, 2023
✔ NPI 1851555601 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
License✔ Licensed in VA · 0101257579
Definition
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
1221 LEE ST, Charlottesville, VA 22908
Open in Google Maps ↗

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

Andrew D. Mihalek 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 ID1850567983
PECOS Enrollment IDI20150326002121
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 10

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.

Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
121 services45 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.
108 services52 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.
77 services60 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.
60 services49 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.
57 services49 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.
42 services29 patients

Hospital Affiliations CMS Care Compare 5

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

Sentara Rmh Medical Center

Acute Care Hospitals · Harrisonburg, VA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490004
Location2010 Health Campus DriveHarrisonburg, VA 22801 · Harrisonburg City County
Emergency services Birthing friendly

University Of Virginia Medical Center

Acute Care Hospitals · Charlottesville, VA
4/5 CMS rating
OwnershipGovernment - State
CMS Certification Number490009
Location1215 Lee StreetCharlottesville, VA 22908 · Charlottesville City County
Emergency services Birthing friendly

Augusta Health

Acute Care Hospitals · Fishersville, VA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490018
Location78 Medical Center DriveFishersville, VA 22939 · Augusta County
Emergency services Birthing friendly

Novant Health Uva Health System Culpeper Med Cente

Acute Care Hospitals · Culpeper, VA
1/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number490019
Location501 Sunset LaneCulpeper, VA 22701 · Culpeper County
Emergency services Birthing friendly

Sentara Martha Jefferson Hospital

Acute Care Hospitals · Charlottesville, VA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490077
Location500 Martha Jefferson DriveCharlottesville, VA 22911 · Albemarle County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 22908 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
$129.04 typical visit price
range $56.19 – $170.30
Typical copayment $32.26 (range $14.04 – $42.57)
Most-billed visit code 99204
Established Patient
$99.13 typical visit price
range $18.07 – $138.91
Typical copayment $24.78 (range $4.51 – $34.72)
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.

79.39/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality73.66
Promoting Interoperability100
Improvement Activities40
Cost57.65

Referred Medical Equipment & Supplies CMS DME claims 16

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs separately) A4221
DME-Other DME · category DE017N
2 suppliers66 claims102 services$18.71 avg. paid by Medicare
Infusion supplies for external drug infusion pump, per cassette or bag (list drugs separately) A4222
DME-Medical/Surgical Supplies · category DA000N
2 suppliers114 claims685 services$36.11 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
6 suppliers105 claims111 services$15.68 avg. paid by Medicare
Portable oxygen contents, gaseous, 1 month's supply = 1 unit E0443
DME-Oxygen and Supplies · category DC000N
2 suppliers14 claims17 services$46.22 avg. paid by Medicare
Humidifier, heated, used with positive airway pressure device E0562
DME-Other DME · category DE001N
2 suppliers11 claims12 services$11.89 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
3 suppliers14 claims14 services$5.94 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

CORINA A RUSU MD
Dermatology
1221 LEE ST
CHARLOTTESVILLE, VA 22908
Charlottesville City (434) 924-5115
MR. REAGAN WILLIAMS
Physician Assistant (Medical)
1221 LEE ST
CHARLOTTESVILLE, VA 22908
Charlottesville City (434) 243-1000
ABIGAIL C WILLS MD
Dermatology
1221 LEE ST
CHARLOTTESVILLE, VA 22908
Charlottesville City (434) 924-5115
DR. MERRICK DOUGLAS KOZAK M.D.
Dermatology
1221 LEE ST
CHARLOTTESVILLE, VA 22908
Charlottesville City (434) 924-5115
DR. THOMAS G CROPLEY M.D.
Dermatology
1221 LEE ST
CHARLOTTESVILLE, VA 22908
Charlottesville City (434) 924-5115
GREGORY W. COOPER M.D.
Psychiatry & Neurology (Neurology)
1221 LEE ST
CHARLOTTESVILLE, VA 22908
Charlottesville City (434) 924-2706
KRISTIN L. PHIPPS AGACNP-BC
Nurse Practitioner (Acute Care)
1221 LEE ST, 2ND FLOOR
CHARLOTTESVILLE, VA 22908
Charlottesville City (434) 924-5219
DEAN C WEIL CRNA
Nurse Anesthetist, Certified Registered
1221 LEE ST
CHARLOTTESVILLE, VA 22908
Charlottesville City (434) 982-4228

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 Andrew Mihalek's NPI number?

The NPI number for Andrew Mihalek is 1851555601. It was assigned to this individual provider in the NPPES registry on July 10, 2008.

Where is Andrew Mihalek located?

Andrew Mihalek practices at 1221 Lee St, Charlottesville, VA 22908. The listed phone number is (434) 924-5219.

What is Andrew Mihalek's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Andrew Mihalek enrolled in Medicare?

Yes. Andrew Mihalek 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.

Is Andrew Mihalek affiliated with any hospitals?

According to CMS data, Andrew Mihalek is affiliated with Sentara Rmh Medical Center, University Of Virginia Medical Center, Augusta Health, Novant Health Uva Health System Culpeper Med Cente and Sentara Martha Jefferson Hospital.

When was this NPI record last updated?

The NPPES record for Andrew Mihalek was last updated on August 10, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.