DR. MICHAELA ELIZABETH GINN MD
NPI 1003007287
Internal Medicine in Houston, TX

NPI Status: Active since August 05, 2007

Contact Information

13214 INDIAN CREEK ROAD
HOUSTON, TX
ZIP 77079
Phone: (713) 591-3555
Fax: (661) 321-3286

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  • Individual
  • Female
  • Internal Medicine
  • PECOS Enrolled
  • Opted-Out Medicare

About MICHAELA GINN

Michaela Ginn is an internist established in Houston, Texas and her medical specialization is Internal Medicine. The healthcare provider is registered in the NPI registry with number 1003007287 assigned on August 2007. The practitioner's primary taxonomy code is 207R00000X with license number N8098 (TX). The provider is registered as an individual and her NPI record was last updated 4 years ago.

NPI
1003007287
Provider Name
DR. MICHAELA ELIZABETH GINN MD
Gender
Female
Entity Type
Individual
Location Address
13214 INDIAN CREEK ROAD HOUSTON, TX 77079
Location Phone
(713) 591-3555
Location Fax
(661) 321-3286
Mailing Address
14207 MEMORIAL DRIVE #278 HOUSTON, TX 77079
Mailing Phone
(713) 591-3555
Is Sole Proprietor?
No
Enumeration Date
08-05-2007
Last Update Date
06-05-2020
Code Navigator

An internist like Michaela Ginn is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.

The provider doesn't accept Medicare and has signed an affidavit to be excluded from the Medicare program. If you are a Medicare beneficiary this means a provider can charge whatever they want for services rendered but must follow certain rules to do so. Michaela Ginn opted out of Medicare effective on 05-11-2020 until 05-11-2026. Opt out periods last for two years and cannot be terminated unless the provider is opting out for the very first time and the affidavit is terminated no later than 90 days after the opt out effective date. Opt-out affidavits might renew automatically renew every two years. The provider opted out of Medicare but is permitted to order and refer services to other healthcare providers.

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

Internal Medicine

Taxonomy Code
207R00000X
Type
Allopathic & Osteopathic Physicians
License No.
N8098
License State
TX
Taxonomy Description
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.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1207R00000XAllopathic & Osteopathic Physicians

Internal Medicine

A111803 (CA)
2207R00000XAllopathic & Osteopathic Physicians

Internal Medicine

77631 (GA)
3207R00000XAllopathic & Osteopathic Physicians

Internal Medicine

224626 (NC)
4207R00000XAllopathic & Osteopathic Physicians

Internal Medicine

35.130643 (OH)
5207R00000XAllopathic & Osteopathic Physicians

Internal Medicine

67083-20 (WI)

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Medicare

  • Medicaid


*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
4651532834OTHER (01)MYUTMB 4651532834

PECOS Enrollment and Medicare Participation Status

Michaela Ginn 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

  • Opted-Out of Medicare? Yes

  • Opt-Out Effective Date: 05-11-2020

  • Opt-Out End Date: 05-11-2026

  • Eligible to Order and Refer? 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 77079 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99204

  • Average New Patient Price $139.27
  • Minimum New Patient Price $60.64
  • Maximum New Patient Price $183.87
  • Average New Patient Copayment $34.81
  • Minimum New Patient Copayment $15.16
  • Maximum New Patient Copayment $45.96

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99214

  • Average Established Patient Price $107.65
  • Minimum Established Patient Price $18.93
  • Maximum Established Patient Price $150.28
  • Average Established Patient Copayment $26.91
  • Minimum Established Patient Copayment $4.73
  • Maximum Established Patient Copayment $37.57

* 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.

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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.
1003007287
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
20030014216
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 0 + 3 + 0 + 0 + 1 + 4 + 2 + 1 + 6 + 24 = 43
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
50 - 43 = 77

The NPI number 1003007287 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1003007287, enumerated in the NPI registry as an "individual" on August 05, 2007

The provider is located at 13214 Indian Creek Road Houston, Tx 77079 and the phone number is (713) 591-3555

The provider's speciality is Internal Medicine with taxonomy code 207R00000X

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

Yes, as of July 16, 2024 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.

Medicare beneficiaries should expect a typical cost of $139.27 with an average copayment of $34.81 for new patient appointments. Established patients should expect a typical charge of $107.65 and an average copayment of 26.91. Please review your insurance plan or contact the provider directly to determine your specific costs.

No, the provider signed an affidavit on May 11, 2020 to opt-out of the Medicare program. The provider is excluded from the Medicare program until May 11, 2026.

This NPI record was last updated on August 05, 2007. 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].
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