DR. SAULIUS K GIRNIUS
NPI 1053586420
Internal Medicine - Hematology & Oncology in Montgomery, OH

Active since April 28, 2008PECOS EnrolledAccepts Medicare Assignment
90.38/100
CMS Quality Rating
10506A MONTGOMERY RD, MONTGOMERY, OH 45242(513) 853-1300(513) 451-4118 Get Directions Write a Review

NPPES record last updated: January 23, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Saulius K Girnius NPPES

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

DR. SAULIUS K GIRNIUS (NPI 1053586420) is an individual hematology & oncology provider in Montgomery, Ohio, licensed in Ohio (35 122027) and active in the NPI registry since April 2008. He is enrolled in Medicare PECOS, is affiliated with Good Samaritan Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1053586420
Entity TypeIndividualMale
Primary Taxonomy207RH0003X
Provider Legal NameDR. SAULIUS K GIRNIUS
Location Address10506A MONTGOMERY RDMontgomery, OH 45242-4402
Mailing Address10506a Montgomery RdMontgomery, OH 45242-4402 · (513) 853-1300 · Fax (513) 451-4118
Fax(513) 451-4118
Sole ProprietorNo
Medical School CMSUniversity Of Cincinnati College Of MedicineGraduated 2006
Enumeration DateApril 28, 2008
Last NPPES UpdateJanuary 23, 2024
NPPES CertifiedJanuary 23, 2024
NPI 1053586420 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RH0003X
License Licensed in OH · 35 122027
Definition
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
Also ListedInternal MedicineTaxonomy 207R00000X · License 238398 (MA)
Also ListedInternal Medicine · HematologyTaxonomy 207RH0000X · License 238398 (MA)
10506A MONTGOMERY RD, Montgomery, OH 45242

Secondary Practice Locations 2

Location 13130 Highland AveCincinnati, OH 45219-2399 · Phone (513) 584-4061 · Fax (513) 584-3349
Location 2375 Dixmyth Ave Fl 4Cincinnati, OH 45220-2475 · Phone (513) 853-1300 · Fax (513) 451-1356

Other Identifiers 1

Medicaid110082725AMA

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. Saulius K Girnius 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 ID547310633
PECOS Enrollment IDI20140117000545
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 8

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 high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
650 services132 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
283 services44 patients
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.
187 services103 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.
62 services30 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
57 services51 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.
48 services46 patients

Hospital Affiliations CMS Care Compare 2

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

Good Samaritan Hospital

Acute Care Hospitals · Cincinnati, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360134
Location375 Dixmyth AvenueCincinnati, OH 45220 · Hamilton County
Emergency services Birthing friendly

Bethesda North

Acute Care Hospitals · Cincinnati, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number360179
Location10500 Montgomery RoadCincinnati, OH 45242 · Hamilton County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45242 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
$166.65 typical visit price
range $54.34 – $166.65
Typical copayment $41.66 (range $13.58 – $41.66)
Most-billed visit code 99205
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

90.38/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality80.76
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.

Genetic Counselor, MS
10506A MONTGOMERY RD
MONTGOMERY, OH 45242
Internal Medicine (Cardiovascular Disease)
10506A MONTGOMERY RD, STE 301
CINCINNATI, OH 45242
Physician Assistant
10506A MONTGOMERY RD, STE 301
CINCINNATI, OH 45242
Pharmacist
10506A MONTGOMERY RD
MONTGOMERY, OH 45242
Pharmacist
10506A MONTGOMERY RD
MONTGOMERY, OH 45242
Genetic Counselor, MS
10506A MONTGOMERY RD
MONTGOMERY, OH 45242
Pharmacist
10506A MONTGOMERY RD
MONTGOMERY, OH 45242
Nurse Practitioner (Acute Care)
10506A MONTGOMERY RD
MONTGOMERY, OH 45242

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 Saulius Girnius's NPI number?

The NPI number for Saulius Girnius is 1053586420. It was assigned to this individual provider in the NPPES registry on April 28, 2008.

Where is Saulius Girnius located?

Saulius Girnius practices at 10506A Montgomery Rd, Montgomery, OH 45242. The listed phone number is (513) 853-1300.

What is Saulius Girnius's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

Is Saulius Girnius enrolled in Medicare?

Yes. Saulius Girnius 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 Saulius Girnius accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 2 other insurers list Saulius Girnius 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 Saulius Girnius affiliated with any hospitals?

According to CMS data, Saulius Girnius is affiliated with Good Samaritan Hospital and Bethesda North.

When was this NPI record last updated?

The NPPES record for Saulius Girnius was last updated on January 23, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.