DR. JEFFREY ROMONT GINTHER M.D.
NPI 1043281470
Orthopaedic Surgery - Adult Reconstructive Orthopaedic Surgery in Rushville, IN

Active since February 01, 2006PECOS EnrolledAccepts Medicare Assignment
97.58/100
CMS Quality Rating
110 E 13TH ST, RUSHVILLE, IN 46173(765) 932-7063(765) 932-7065 Get Directions Write a Review

NPPES record last updated: February 17, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Feb 17, 2025, Nov 6, 2024, Nov 17, 2020 and 1 more (4 updates tracked since 2019).

About Dr. Jeffrey Romont Ginther M.d. NPPES

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

DR. JEFFREY ROMONT GINTHER M.D. (NPI 1043281470) is an individual adult reconstructive orthopaedic surgery provider in Rushville, Indiana, licensed in Indiana (1044640) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS, is affiliated with Reid Health, and is a graduate of Uniformed Services Uhs Fe Hebert School Of Med (1984).

NPPES Registry Identity

NPI1043281470
Entity TypeIndividualMale
Primary Taxonomy207XS0114X
Provider Legal NameDR. JEFFREY ROMONT GINTHERCredential: M.D.
Location Address110 E 13TH STRushville, IN 46173-2126
Mailing Address1300 N Main StRushville, IN 46173-1198 · (765) 932-4111 · Fax (765) 932-7505
Fax(765) 932-7065
Sole ProprietorNo
Medical School CMSUniformed Services Uhs Fe Hebert School Of MedGraduated 1984
Enumeration DateFebruary 1, 2006
Last NPPES UpdateFebruary 17, 20254 updates tracked since enumeration
NPPES CertifiedFebruary 17, 2025
NPI 1043281470 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyOrthopaedic Surgery · Adult Reconstructive Orthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207XS0114X
License Licensed in IN · 1044640
Definition
Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, adult reconstructive orthopaedic surgeons deal with reconstructive procedures such as joint arthroplasty (i.e., hip and knee), osteotomy, arthroscopy, soft-tissue reconstruction, and a variety of other adult reconstructive surgical procedures.
Also ListedOrthopaedic SurgeryTaxonomy 207X00000X · License 1044640 (IN)
110 E 13TH ST, Rushville, IN 46173

Other Identifiers 5

Other000000214539IN · Anthem
Other200043027IN · Medicare Rail Road
Medicaid200228440IN
Other10401884Caqh
Medicaid200241550ZIN

Accepted Insurance

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 Romont Ginther 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 ID6406828896
PECOS Enrollment IDI20090223000558
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 5

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
101 services83 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
75 services56 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
52 services46 patients
Replacement of knee joint, both sides of knee 27447
A bilateral knee joint replacement is a procedure where the damaged parts of both your knee joints are replaced with artificial parts. It aims to relieve pain and improve mobility. The process involves a surgical operation under anesthesia.
32 services30 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
13 services13 patients

Hospital Affiliations CMS Care Compare 2

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

Reid Health

Acute Care Hospitals · Richmond, IN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150048
Location1100 Reid PkwyRichmond, IN 47374 · Wayne County
Emergency services Birthing friendly

Rush Memorial Hospital

Critical Access Hospitals · Rushville, IN
OwnershipGovernment - Local
CMS Certification Number151304
Location1300 N Main StRushville, IN 46173 · Rush County
Emergency services

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.

97.58/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality86.53
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 11

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

Physician Assistant
110 E 13TH ST
RUSHVILLE, IN 46173
Internal Medicine (Rheumatology)
110 E 13TH ST
RUSHVILLE, IN 46173
Otolaryngology
110 E 13TH ST
RUSHVILLE, IN 46173
Orthopaedic Surgery
110 E 13TH ST
RUSHVILLE, IN 46173
Internal Medicine (Rheumatology)
110 E 13TH ST
RUSHVILLE, IN 46173
Podiatrist
110 E 13TH ST
RUSHVILLE, IN 46173
Orthopaedic Surgery
110 E 13TH ST
RUSHVILLE, IN 46173
Anesthesiology (Pain Medicine)
110 E 13TH ST
RUSHVILLE, IN 46173

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 Ginther's NPI number?

The NPI number for Jeffrey Ginther is 1043281470. It was assigned to this individual provider in the NPPES registry on February 1, 2006.

Where is Jeffrey Ginther located?

Jeffrey Ginther practices at 110 E 13th St, Rushville, IN 46173. The listed phone number is (765) 932-7063.

What is Jeffrey Ginther's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Adult Reconstructive Orthopaedic Surgery, with taxonomy code 207XS0114X.

Is Jeffrey Ginther enrolled in Medicare?

Yes. Jeffrey Ginther 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.

What insurance does Jeffrey Ginther accept?

Health plans from CareSource list Jeffrey Ginther as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Jeffrey Ginther affiliated with any hospitals?

According to CMS data, Jeffrey Ginther is affiliated with Reid Health and Rush Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Jeffrey Ginther was last updated on February 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months 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.