DR. MARY E MIHALEK M.D.
NPI 1639178296
Obstetrics & Gynecology in New Britain, CT
Quality Rating: 92.8 out of 100 score
NPI Status: Active since July 18, 2005
Contact Information
300 KENSINGTON AVE
GROVE HILL MEDICAL CENTER
NEW BRITAIN, CT
ZIP 06051
Phone: (860) 224-6215
Fax: (860) 826-4957
- Individual
- Female
- Obstetrics & Gynecology
- PECOS Enrolled
- Medicare Quality Reporting
About MARY MIHALEK
This page provides the complete NPI Profile along with additional information for Mary Mihalek, a women's health care provider established in New Britain, Connecticut with a medical specialization in Obstetrics & Gynecology. The healthcare provider is registered in the NPI registry with number 1639178296 assigned on July 2005. The practitioner's primary taxonomy code is 207V00000X with license number 036746 (CT). The provider is registered as an individual and her NPI record was last updated 18 years ago.
- NPI
- 1639178296
- Provider Name
- DR. MARY E MIHALEK M.D.
- Other Name
- DR. MARY E ARMINGTON M.D.
- Other Name Type
- Former Name (1)
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 300 KENSINGTON AVE GROVE HILL MEDICAL CENTER NEW BRITAIN, CT 06051
- Location Phone
- (860) 224-6215
- Location Fax
- (860) 826-4957
- Mailing Address
- 300 KENSINGTON AVE GROVE HILL MEDICAL CENTER NEW BRITAIN, CT 06051
- Mailing Phone
- (860) 224-6215
- Mailing Fax
- (860) 826-4957
- Is Sole Proprietor?
- No
- Enumeration Date
- 07-18-2005
- Last Update Date
- 07-09-2007
- Code Navigator
Women's health care providers like Mary Mihalek treat and diagnose diseases and conditions that affect a woman's physical and emotional health. Women's health professionals come from a variety of different specialties, including obstetrician/gynecologists, general surgeons, perinatologists, physician assistants, nurse practitioners or nurse midwives. A women's health provider might help you with family planning, breast care, pregnancy and child birth, osteoporosis, menopause, heart disease, etc.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Obstetrics & Gynecology
- Taxonomy Code
- 207V00000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 036746
- License State
- CT
- Taxonomy Description
- 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.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1255448155 | OTHER (01) | CT | GHMC GRP NPI ID |
| C01373 | MEDICARE ID-TYPE UNSPECIFIED (04) | CT | GHMC GRP MEDICARE ID |
| 0V5162 | OTHER (01) | CT | HEALTH NET PROV ID |
| 036746 | OTHER (01) | CT | CONNECTICARE PROV ID |
| 01036746 | OTHER (01) | CT | CIGNA PROV ID |
| CL00041 | OTHER (01) | CT | OXFORD PROV ID |
| 368089 | OTHER (01) | CT | WELLCARE MEDCIARE |
| 2171905 | OTHER (01) | CT | AETNA PROV ID |
| 010036746CT02 | OTHER (01) | CT | BCBS N BCFP PROV ID |
| G97931 | MEDICARE UPIN (02) |
Medicare Participation & PECOS Enrollment Status
Mary Mihalek is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Physician Visit Costs
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 06051 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99204
- Average New Patient Price $138.84
- Minimum New Patient Price $60.82
- Maximum New Patient Price $183.1
- Average New Patient Copayment $34.71
- Minimum New Patient Copayment $15.2
- Maximum New Patient Copayment $45.77
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99213
- Average Established Patient Price $75.55
- Minimum Established Patient Price $19.76
- Maximum Established Patient Price $149.26
- Average Established Patient Copayment $18.88
- Minimum Established Patient Copayment $4.94
- Maximum Established Patient Copayment $37.31
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
Overall MIPS Quality Performance
The provider participated in CMS Quality Payment Program under the Merit-based Incentive Payment System (MIPS) and has an overall final score of 92.8, based on four performance areas: quality, improvement activities, promoting interoperability, and cost. The purpose of this information is to help people with Medicare make informed decisions and incentivize doctors and clinicians to maximize performance.
The Merit-based Incentive Payment System (MIPS) is a way providers could use to participate in CMS Quality Payment Program (QPP). The MIPS program affects clinician reimbursement for Part B covered professional services and also rewards them for improving the quality of patient care and outcomes.
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Final Score: 92.8 out of 100
The MIPS program evaluates providers across multiple categories with a specific weight for each category resulting a in a MIPS final score that ranges from 0 to 100 points. The MIPS Final Score determines whether providers receive a negative, neutral or positive MIPS payment adjustment.
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Quality Score: 100
The Quality category assesses providers performance on clinical practices and patient outcomes under the traditional MIPS program. The quality measures help identify the quality of healthcare processes, outcomes, and patient experiences. The Quality measure category compromises 40% providers final MPIS scores.
There are six collection types for MIPS quality measures: Electronic Clinical Quality Measures (eCQMs), MIPS Clinical Quality Measures (CQMs), Qualified Clinical Data Registry (QCDR) Measures, Medicare Part B claims measures, CMS Web Interface measures and The Consumer Assessment of Healthcare Providers and Systems (CAHPS) for MIPS Survey.
-
Promoting Interoperability Score: N/A
The Interoperability category measures the providers ability to use technology to exchange and make use of healthcare information in a way that is less burdensome and improves outcomes. The Interoperability measure category compromises 25% providers final MPIS scores.
The MIPS Interoperability measure focuses on the use of certified electronic health record technology (CEHRT) to improve patient access health information, the exchange of information between clinicians and pharmacies and the systematic collection, analysis, and interpretation of healthcare data. -
Improvement Activities Score: 40
The Improvement Activities performance category evaluates the providers participation in clinical activities that support the improvement of clinical practice, care delivery, and outcomes. Providers have the option to choose 2 to 4 activities from an inventory of over 100 improvement activities. Providers typically choose the activities that best fit their needs. The improvement activities measure category compromises 15% providers final MPIS scores.
The Improvement measures aim to better patient engagement, patient safety and other areas of patient care. The Improvement Activities category compromises 15% of providers final MPIS scores. -
Cost Score: 76
The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.
Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores. -
Cost Score: 76
The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.
Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores.
Quality Reporting
The provider participated in CMS Quality Payment Program. The Quality Payment Program aims to improve population health, reduce costs and improve the care received by Medicare beneficiaries. The following quality measures meet Medicare's statistical reporting standards. Not all providers report the same information, because not all providers give the same services to patients. The quality information is just a snapshot of some the care providers give to their patients. Reporting more or less information is not a reflection of quality.
| Quality Measure | Performance | Number of Patients |
|---|---|---|
| e-Prescribing | 99% | 2174 |
| At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology. | ||
| Health Information Exchange | 68% | 53 |
| 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 at least one transition of care or referral. | ||
| Medication Reconciliation | 41% | 29 |
| 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. | ||
| Participation in CAHPS or other supplemental questionnaire | Yes | N/A |
| Participation in the Consumer Assessment of Healthcare Providers and Systems Survey or other supplemental questionnaire items (e.g., Cultural Competence or Health Information Technology supplemental item sets). | ||
| Patient-Specific Education | 6% | 1666 |
| 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. | ||
| Provide Patient Access | 11% | 1666 |
| 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 certain information. | ||
| Secure Messaging | 2% | 1666 |
| 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 message sent by the patient (or the patient-authorized representative) during the performance period. | ||
| Security Risk Analysis | Yes | N/A |
| Conduct or review a security risk analysis in accordance with the requirements in 45 CFR 164.308(a)(1), including addressing the security (to include encryption) of ePHI data created or maintained by certified EHR technology in accordance with requirements in 45 CFR164.312(a)(2)(iv) and 45 CFR 164.306(d)(3), and implement security updates as necessary and correct identified security deficiencies as part of the MIPS eligible clinician's risk management process. | ||
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 6 | 3 | 9 | 1 | 7 | 8 | 2 | 9 | 6 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 6 | 6 | 9 | 2 | 7 | 16 | 2 | 18 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 6 + 6 + 9 + 2 + 7 + 1 + 6 + 2 + 1 + 8 + 24 = 74 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 80 - 74 = 6 | 6 | ||||||||
The NPI number 1639178296 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1609879543 | DR. JOHN W ANDREOLI JR. M.D. Individual | Obstetrics & Gynecology | 300 KENSINGTON AVE NEW BRITAIN, CT 06051 (860) 224-6202 |
| 1124021183 | DR. ALFRED RICHARD ALBERTI M.D. Individual | Internal Medicine | 300 KENSINGTON AVE NEW BRITAIN, CT 06051 (860) 832-8150 |
| 1174525497 | DR. LARRY B. BROISMAN M.D. Individual | Internal Medicine | 300 KENSINGTON AVE NEW BRITAIN, CT 06051 (860) 832-8150 |
| 1497757702 | DR. WILLIAM J CURRAO M.D. Individual | Pediatrics | 300 KENSINGTON AVE NEW BRITAIN, CT 06051 (860) 224-6282 |
| 1710989025 | DR. ROBERT M DODENHOFF M.D. Individual | Internal Medicine | 300 KENSINGTON AVE NEW BRITAIN, CT 06051 (860) 832-8150 |
| 1760484067 | DR. RICHARD J DREISS M.D. Individual | Obstetrics & Gynecology | 300 KENSINGTON AVE NEW BRITAIN, CT 06051 (860) 224-6205 |
| 1558363846 | DR. BARBARA G FALLON M.D. Individual | Internal Medicine (Medical Oncology) | 300 KENSINGTON AVE NEW BRITAIN, CT 06051 (860) 224-6254 |
| 1134121429 | DR. ALFONSO R ENRIQUEZ M.D. Individual | Pediatrics | 300 KENSINGTON AVE NEW BRITAIN, CT 06051 (860) 224-6282 |
| 1871595157 | DR. EDWARD J FEINGLASS M.D. Individual | Internal Medicine (Rheumatology) | 300 KENSINGTON AVE NEW BRITAIN, CT 06051 (860) 612-0485 |
| 1013913995 | DR. MICHAEL G. GENOVESI M.D. Individual | Internal Medicine (Pulmonary Disease) | 300 KENSINGTON AVE NEW BRITAIN, CT 06051 (860) 224-6266 |
| 1497751168 | DR. CATHERINE HOLMES M.D. Individual | Internal Medicine | 300 KENSINGTON AVE NEW BRITAIN, CT 06051 (860) 832-8150 |
| 1831196161 | DR. MICHAEL S HONOR M.D. Individual | Internal Medicine | 300 KENSINGTON AVE GROVE HILL MEDICAL CENTER NEW BRITAIN, CT 06051 (860) 832-8150 |
| 1639177629 | DR. BARRY J KEMLER M.D. Individual | Internal Medicine (Gastroenterology) | 300 KENSINGTON AVE GROVE HILL MEDICAL CENTER NEW BRITAIN, CT 06051 (860) 224-6249 |
| 1710986377 | DR. GERALD V MCAULIFFE M.D. Individual | Internal Medicine | 300 KENSINGTON AVE GROVE HILL MEDICAL CENTER NEW BRITAIN, CT 06051 (860) 832-8150 |
| 1558355792 | DR. MARK A PIEKARSKY M.D. Individual | Internal Medicine | 300 KENSINGTON AVE GROVE HILL MEDICAL CENTER NEW BRITAIN, CT 06051 (860) 832-8150 |
| 1962498873 | DR. MARC P RAMIREZ M.D. Individual | Pediatrics | 300 KENSINGTON AVE GROVE HILL MEDICAL CENTER NEW BRITAIN, CT 06051 (860) 224-6282 |
| 1922094838 | DR. JOSEPH ROSENBLATT M.D. Individual | Internal Medicine (Endocrinology, Diabetes & Metabolism) | 300 KENSINGTON AVE GROVE HILL MEDICAL CENTER NEW BRITAIN, CT 06051 (860) 832-8150 |
| 1194711960 | DR. EARLE J SITTAMBALAM M.D. Individual | Internal Medicine | 300 KENSINGTON AVE GROVE HILL MEDICAL CENTER NEW BRITAIN, CT 06051 (860) 832-8150 |
| 1285621458 | DR. SARA VITERI M.D. Individual | Pediatrics | 300 KENSINGTON AVE GROVE HILL MEDICAL CENTER NEW BRITAIN, CT 06051 (860) 224-6282 |
| 1558358523 | DR. ROBERT L TADDEO M.D. Individual | Internal Medicine | 300 KENSINGTON AVE GROVE HILL MEDICAL CENTER NEW BRITAIN, CT 06051 (860) 832-8150 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1639178296, enumerated in the NPI registry as an "individual" on July 18, 2005
The provider is located at 300 Kensington Ave Grove Hill Medical Center New Britain, Ct 06051 and the phone number is (860) 224-6215
The provider's speciality is Obstetrics & Gynecology with taxonomy code 207V00000X
The provider might be accepting Accepts: Medicare, Medicaid, Cigna, Oxford Health Plans,. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
The provider has an overall high rating in the following quality measures: quality clinical practices and patient outcomes and experiences.
Medicare beneficiaries should expect a typical cost of $138.84 with an average copayment of $34.71 for new patient appointments. Established patients should expect a typical charge of $75.55 and an average copayment of 18.88. Please review your insurance plan or contact the provider directly to determine your specific costs.
This NPI record was last updated on July 18, 2005. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.