GALINA MIKHALINA M.D.
NPI 1871976480
Internal Medicine - Nephrology in Rochester, NY

Active since June 30, 2015PECOS EnrolledAccepts Medicare Assignment
95.19/100
CMS Quality Rating
1561 LONG POND RD, ROCHESTER, NY 14626(585) 723-1120(585) 723-1776 Get Directions Write a Review

NPPES record last updated: July 23, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 23, 2020, Jun 26, 2020 (2 updates tracked since 2020).

About Galina Mikhalina M.d. NPPES

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

GALINA MIKHALINA M.D. (NPI 1871976480) is an individual nephrology provider in Rochester, New York, licensed in New York (296742) and active in the NPI registry since June 2015. She is enrolled in Medicare PECOS, is affiliated with United Memorial Medical Center, and maintains a secondary practice location in Batavia.

NPPES Registry Identity

NPI1871976480
Entity TypeIndividualFemale
Primary Taxonomy207RN0300X
Provider Legal NameGALINA MIKHALINACredential: M.D.
Location Address1561 LONG POND RDRochester, NY 14626-4117
Mailing Address100 Kings Hwy SRochester, NY 14617-5504 · (585) 723-1120 · Fax (585) 723-1776
Fax(585) 723-1776
Sole ProprietorYes
Medical School CMSOtherGraduated 2011
Enumeration DateJune 30, 2015
Last NPPES UpdateJuly 23, 20202 updates tracked since enumeration
NPPES CertifiedJuly 23, 2020
NPI 1871976480 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
License Licensed in NY · 296742
Definition

An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.

1561 LONG POND RD, Rochester, NY 14626

Secondary Practice Location 1

Location 1229 Summit St Ste 8Batavia, NY 14020-1645 · Phone (585) 723-1120 · Fax (585) 723-1776

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

Galina Mikhalina 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 ID6901221605
PECOS Enrollment IDI20200728003362
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 7

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.

Dialysis services, per day, less than full month service (20 years or older) 90970
Dialysis is a treatment that replicates some functions of healthy kidneys when they're not working properly. It helps to remove waste, salt, and excess water from your body and maintain a safe level of certain chemicals in your blood. This service, for patients aged 20 or older, is provided on a daily basis for less than a full month.
331 services13 patients
Dialysis services, 4 or more physician visits per month (20 years or older) 90960
Dialysis is a treatment that filters and purifies your blood using a machine. It helps keep your fluids and electrolytes in balance when the kidneys can't do their job. This service includes 4 or more visits per month with a physician to monitor your health and adjust your treatment as needed.
214 services43 patients
Hemodialysis procedure with physician evaluation 90935
Hemodialysis is a treatment that uses a machine to filter waste and excess fluid from your blood when your kidneys can't. A physician checks your health before, during, and after the procedure to ensure it's working effectively for you.
102 services52 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.
55 services47 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
52 services28 patients
Dialysis services, 2-3 physician visits per month (20 years or older) 90961
Dialysis is a treatment that performs the function of healthy kidneys if they're not working properly. It removes waste and excess fluid from your blood. 2-3 physician visits per month are recommended for monitoring your health and adjusting your treatment as needed. This service is available for those aged 20 years and older.
36 services21 patients

Hospital Affiliations CMS Care Compare 4

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

United Memorial Medical Center

Acute Care Hospitals · Batavia, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330073
Location127 North StreetBatavia, NY 14020 · Genesee County
Emergency services Birthing friendly

Rochester General Hospital

Acute Care Hospitals · Rochester, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330125
Location1425 Portland AvenueRochester, NY 14621 · Monroe County
Emergency services Birthing friendly

Unity Hospital

Acute Care Hospitals · Rochester, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330226
Location1555 Long Pond RoadRochester, NY 14626 · Monroe County
Emergency services Birthing friendly

Strong Memorial Hospital

Acute Care Hospitals · Rochester, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330285
Location601 Elmwood AveRochester, NY 14642 · Monroe County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 14626 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
$126.40 typical visit price
range $54.87 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
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.

95.19/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality70.62
Promoting Interoperability100
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 (Medical)
1561 LONG POND RD, INTERLAKES ONCOLOGY & HEMATOLOGY PC
ROCHESTER, NY 14626
Internal Medicine (Nephrology)
1561 LONG POND RD, SUITE 302
ROCHESTER, NY 14626
Internal Medicine
1561 LONG POND RD, SUITE 411
ROCHESTER, NY 14626
Internal Medicine (Pulmonary Disease)
1561 LONG POND RD, SUITE 408
ROCHESTER, NY 14626
Nurse Practitioner (Family)
1561 LONG POND RD, SUITE 408
ROCHESTER, NY 14626
Internal Medicine (Pulmonary Disease)
1561 LONG POND RD, SUITE 406
ROCHESTER, NY 14626
Internal Medicine (Nephrology)
1561 LONG POND RD, SUITE 302
ROCHESTER, NY 14626
Family Medicine
1561 LONG POND RD
ROCHESTER, NY 14626

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 Galina Mikhalina's NPI number?

The NPI number for Galina Mikhalina is 1871976480. It was assigned to this individual provider in the NPPES registry on June 30, 2015.

Where is Galina Mikhalina located?

Galina Mikhalina practices at 1561 Long Pond Rd, Rochester, NY 14626. The listed phone number is (585) 723-1120.

What is Galina Mikhalina's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Galina Mikhalina enrolled in Medicare?

Yes. Galina Mikhalina 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 Galina Mikhalina affiliated with any hospitals?

According to CMS data, Galina Mikhalina is affiliated with United Memorial Medical Center, Rochester General Hospital, Unity Hospital and Strong Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Galina Mikhalina was last updated on July 23, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.