DR. JEFFREY J MIHALEK M.D.
NPI 1912906579
Obstetrics & Gynecology in Newington, CT

Active since July 18, 2005PECOS EnrolledAccepts Medicare Assignment
375 WILLARD AVE, GROVE HILL MEDICAL CENTER, NEWINGTON, CT 06111(860) 666-5111(860) 666-5153 Get Directions Write a Review

NPPES record last updated: March 9, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Jeffrey J Mihalek M.d. NPPES

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

DR. JEFFREY J MIHALEK M.D. (NPI 1912906579) is an individual obstetrics & gynecology provider in Newington, Connecticut, licensed in Connecticut (035025) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS and is a graduate of University Of Connecticut School Of Medicine (1992).

NPPES Registry Identity

NPI1912906579
Entity TypeIndividualMale
Primary Taxonomy207V00000X
Provider Legal NameDR. JEFFREY J MIHALEKCredential: M.D.
Location Address375 WILLARD AVE, GROVE HILL MEDICAL CENTERNewington, CT 06111-2300
Mailing Address300 Kensington Ave, Grove Hill Medical CenterNew Britain, CT 06051-3916 · (860) 666-5111 · Fax (860) 666-5153
Fax(860) 666-5153
Sole ProprietorNo
Medical School CMSUniversity Of Connecticut School Of MedicineGraduated 1992
Enumeration DateJuly 18, 2005
Last NPPES UpdateMarch 9, 2012
NPI 1912906579 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License Licensed in CT · 035025
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
375 WILLARD AVE, Newington, CT 06111

Other Identifiers 13

Other134928CT · Wellcare Medicare
Other550419CT · Aetna Prov Id
OtherP369900CT · Oxford Prov Id
Other060121CT · Health Net Prov Id
Medicaid001350256CT
Medicare UPING21764
Other350250CT · Connecticare Prov Id
Other1255448155CT · Ghmc Grp Npi Id
Other010035025CT02CT · Bcbs N Bcfp Prov Id
Other01035025CT · Cigna Prov Id
Medicaid004196095CT
Medicare ID-Type Unspecified160001390CT
Medicare ID-Type UnspecifiedC01373CT · Ghmc Grp Medicare Id

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

Dr. Jeffrey J 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 ID749377885
PECOS Enrollment IDI20100107000248
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

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.

Cervical or vaginal cancer screening; pelvic and clinical breast examination G0101
This procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.
12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06111 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
$138.84 typical visit price
range $60.82 – $183.10
Typical copayment $34.71 (range $15.20 – $45.77)
Most-billed visit code 99204
Established Patient
$75.55 typical visit price
range $19.76 – $149.26
Typical copayment $18.88 (range $4.94 – $37.31)
Most-billed visit code 99213
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.

Reported Quality Measures

e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
97%1,289 patients4/55-star benchmark: 100%
Health Information Exchange
The MIPS eligible clinician that transitions or refers their patient to another setting of care or health care clinician (1) uses CEHRT to create a summary of care record; and (2) electronically transmits such summary to a receiving health care clinician for…
19%26 patients1/55-star benchmark: 96%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
56%91 patients1/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
8%1,569 patients1/55-star benchmark: 99%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
10%1,569 patients1/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
1%1,569 patients1/55-star benchmark: 59%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 18

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

Dentist
375 WILLARD AVE
NEWINGTON, CT 06111
Durable Medical Equipment & Medical Supplies
375 WILLARD AVE
NEWINGTON, CT 06111
Dentist (Periodontics)
375 WILLARD AVE
NEWINGTON, CT 06111
Nurse Practitioner (Family)
375 WILLARD AVE
NEWINGTON, CT 06111
Obstetrics & Gynecology
375 WILLARD AVE
NEWINGTON, CT 06111
Dentist (General Practice)
375 WILLARD AVE
NEWINGTON, CT 06111
Family Medicine
375 WILLARD AVE
NEWINGTON, CT 06111
Internal Medicine
375 WILLARD AVE
NEWINGTON, CT 06111

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 Jeffrey Mihalek's NPI number?

The NPI number for Jeffrey Mihalek is 1912906579. It was assigned to this individual provider in the NPPES registry on July 18, 2005.

Where is Jeffrey Mihalek located?

Jeffrey Mihalek practices at 375 Willard Ave Grove Hill Medical Center, Newington, CT 06111. The listed phone number is (860) 666-5111.

What is Jeffrey Mihalek's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Jeffrey Mihalek enrolled in Medicare?

Yes. Jeffrey 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.

When was this NPI record last updated?

The NPPES record for Jeffrey Mihalek was last updated on March 9, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.