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MICHAEL GELINAS MD
NPI 1912563271
Internal Medicine in Chapel Hill, NC

Active since May 13, 2019PECOS EnrolledAccepts Medicare Assignment
91.41/100
CMS Quality Rating
102 MASON FARM RD, CHAPEL HILL, NC 27599(984) 974-4462 Get Directions Write a Review

NPPES record last updated: July 6, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 6, 2022, May 13, 2019 (2 updates tracked since 2019).

About Michael Gelinas Md NPPES

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

MICHAEL GELINAS MD (NPI 1912563271) is an individual internal medicine provider in Chapel Hill, North Carolina, licensed in Massachusetts (291485) and active in the NPI registry since May 2019. He is enrolled in Medicare PECOS, is affiliated with Lahey Hospital & Medical Center, Burlington, and maintains a secondary practice location in Burlington.

NPPES Registry Identity

NPI1912563271
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameMICHAEL GELINASCredential: MD
Location Address102 MASON FARM RDChapel Hill, NC 27599-6134
Mailing Address102 Mason Farm RdChapel Hill, NC 27599-6134
Phone(984) 974-4462
Sole ProprietorYes
Medical School CMSWake Forest University School Of MedicineGraduated 2019
Enumeration DateMay 13, 2019
Last NPPES UpdateJuly 6, 20222 updates tracked since enumeration
NPPES CertifiedJuly 6, 2022
✔ NPI 1912563271 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in MA · 291485
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License 250955 (NC)
102 MASON FARM RD, Chapel Hill, NC 27599
Open in Google Maps ↗

Secondary Practice Location 1

Location 141 Mall RdBurlington, MA 01805-6134 · Phone (781) 744-8000

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

Michael Gelinas 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 ID749514875
PECOS Enrollment IDI20220714001724
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.

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.
325 services155 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
101 services101 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.
78 services46 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
38 services37 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.
23 services18 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
12 services12 patients

Hospital Affiliations CMS Care Compare

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

Lahey Hospital & Medical Center, Burlington

Acute Care Hospitals · Burlington, MA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220171
Location41 & 45 Mall RoadBurlington, MA 01803 · Middlesex County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27599 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
$125.01 typical visit price
range $54.12 – $165.09
Typical copayment $31.25 (range $13.53 – $41.27)
Most-billed visit code 99204
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
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.

91.41/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality76.87
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.

DR. COREY J KETCHEM MD
Student in an Organized Health Care Education/Training Program
102 MASON FARM RD
CHAPEL HILL, NC 27599
Orange County (984) 984-4462
UNIVERSITY OF NORTH CAROLINA HOSPITALS AT CHAPEL HILL
Pharmacy
102 MASON FARM RD, 3RD FLOOR, ROOM 3301
CHAPEL HILL, NC 27599
Orange County (919) 966-7689
SUSAN JACQUELYN CAVANAUGH AGNP-C
Nurse Practitioner
102 MASON FARM RD
CHAPEL HILL, NC 27599
Orange County (919) 974-4175
DR. JONATHAN DAVID SORAH M.D.
Student in an Organized Health Care Education/Training Program
102 MASON FARM RD, AMBULATORY CARE CENTER
CHAPEL HILL, NC 27599
Orange County (919) 966-1459
BRIAN KELLEY
Student in an Organized Health Care Education/Training Program
102 MASON FARM RD
CHAPEL HILL, NC 27599
Orange County (919) 966-1459
ZACHARY SCOTT TUGAOEN MD
Internal Medicine
102 MASON FARM RD
CHAPEL HILL, NC 27599
Orange County (984) 974-4462
DR. MONICA REYNOLDS MD
Internal Medicine (Nephrology)
102 MASON FARM RD
CHAPEL HILL, NC 27599
Orange County (984) 974-5706
DR. EMILY CROWDER SANDERS MD
Student in an Organized Health Care Education/Training Program
102 MASON FARM RD
CHAPEL HILL, NC 27599
Orange County (919) 966-1459

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 Michael Gelinas's NPI number?

The NPI number for Michael Gelinas is 1912563271. It was assigned to this individual provider in the NPPES registry on May 13, 2019.

Where is Michael Gelinas located?

Michael Gelinas practices at 102 Mason Farm Rd, Chapel Hill, NC 27599. The listed phone number is (984) 974-4462.

What is Michael Gelinas's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Michael Gelinas enrolled in Medicare?

Yes. Michael Gelinas 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 Michael Gelinas affiliated with any hospitals?

According to CMS data, Michael Gelinas is affiliated with Lahey Hospital & Medical Center, Burlington.

When was this NPI record last updated?

The NPPES record for Michael Gelinas was last updated on July 6, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.