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KAROLIN EMIA GINTING MD
NPI 1093200834
Surgery in Pottsville, PA

Active since June 25, 2018PECOS EnrolledAccepts Medicare Assignment
48 TUNNEL RD, POTTSVILLE, PA 17901(570) 622-1400 Get Directions Write a Review

NPPES record last updated: September 14, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 5, 2023, Jun 25, 2018 (2 updates tracked since 2018).

About Karolin Emia Ginting Md NPPES

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

KAROLIN EMIA GINTING MD (NPI 1093200834) is an individual surgery provider in Pottsville, Pennsylvania, licensed in Pennsylvania (MD482009) and active in the NPI registry since June 2018. She is enrolled in Medicare PECOS, is affiliated with Schuylkill Medical Center - South Jackson Street, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1093200834
Entity TypeIndividualFemale
Primary Taxonomy208600000X
Provider Legal NameKAROLIN EMIA GINTINGCredential: MD
Location Address48 TUNNEL RDPottsville, PA 17901-3875
Mailing Address2100 Mack Blvd Fl 4Allentown, PA 18103-5622 · (484) 884-4500 · Fax (484) 884-0699
Phone(570) 622-1400
Sole ProprietorNo
Medical School CMSWright State University Boonshoft School Of MedicineGraduated 2018
Enumeration DateJune 25, 2018
Last NPPES UpdateSeptember 14, 20232 updates tracked since enumeration
NPPES CertifiedSeptember 14, 2023
✔ NPI 1093200834 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
Licenses✔ Licensed in PA · MD482009✔ Licensed in OH · 57246416
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
48 TUNNEL RD, Pottsville, PA 17901
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Secondary Practice Locations 3

Location 14777 E Galbraith RdCincinnati, OH 45236-2725 · Phone (513) 686-5466
Location 2316 Mauch Chunk StPottsville, PA 17901-3614 · Phone (570) 621-5630
Location 32226 Blakeslee Boulevard Dr E Ste 200Lehighton, PA 18235-9619 · Phone (484) 884-1007

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware.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

Karolin Emia Ginting Md 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 ID6507220522
PECOS Enrollment IDI20230911000009
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 7

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.

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.
63 services63 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
50 services47 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
46 services24 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.
45 services18 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.
39 services28 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
39 services20 patients

Hospital Affiliations CMS Care Compare 2

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

Schuylkill Medical Center - South Jackson Street

Acute Care Hospitals · Pottsville, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390030
Location420 South Jackson StreetPottsville, PA 17901 · Schuylkill County
Emergency services Birthing friendly

Lehigh Valley Hospital

Acute Care Hospitals · Allentown, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390133
Location1200 South Cedar Crest BoulevardAllentown, PA 18103 · Lehigh County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 17901 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
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$68.36 typical visit price
range $17.33 – $135.84
Typical copayment $17.09 (range $4.33 – $33.96)
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.

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.

MANDY LYNN BIXLER PT DPT
Physical Therapist
48 TUNNEL RD
POTTSVILLE, PA 17901
Schuylkill County (570) 622-0182
DR. STEPHEN O SLUSSER M.D.
Internal Medicine (Gastroenterology)
48 TUNNEL RD, SUITE 104
POTTSVILLE, PA 17901
Schuylkill County (570) 622-5555
DR. CHARLES E GREEN M.D.
Internal Medicine (Gastroenterology)
48 TUNNEL RD, SUITE 104
POTTSVILLE, PA 17901
Schuylkill County (570) 622-5555
INTEGRATED MEDICAL GROUP
Internal Medicine (Gastroenterology)
48 TUNNEL RD, SUITE 203
POTTSVILLE, PA 17901
Schuylkill County (570) 622-5455
ROBERT MICHAEL MURPHY PT
Physical Therapist
48 TUNNEL RD, EVERGREEN PROFESSIONAL SUITES, SUITE 202
POTTSVILLE, PA 17901
Schuylkill County (570) 622-0182
POTTSVILLE ANESTHESIA ASSOCIATES LLC
Nurse Anesthetist, Certified Registered
48 TUNNEL RD, SUITE 103
POTTSVILLE, PA 17901
Schuylkill County (570) 622-6520
COLBY ALLAN POWELL PA-C
Physician Assistant (Medical)
48 TUNNEL RD, SUITE 101
POTTSVILLE, PA 17901
Schuylkill County (570) 622-2245
HERBERT L KUNKLE MD PC
Orthopaedic Surgery
48 TUNNEL RD, SUITE 202
POTTSVILLE, PA 17901
Schuylkill County (610) 377-2224

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 Karolin Ginting's NPI number?

The NPI number for Karolin Ginting is 1093200834. It was assigned to this individual provider in the NPPES registry on June 25, 2018.

Where is Karolin Ginting located?

Karolin Ginting practices at 48 Tunnel Rd, Pottsville, PA 17901. The listed phone number is (570) 622-1400.

What is Karolin Ginting's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Karolin Ginting enrolled in Medicare?

Yes. Karolin Ginting 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 Karolin Ginting accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Karolin Ginting 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 Karolin Ginting affiliated with any hospitals?

According to CMS data, Karolin Ginting is affiliated with Schuylkill Medical Center - South Jackson Street and Lehigh Valley Hospital.

When was this NPI record last updated?

The NPPES record for Karolin Ginting was last updated on September 14, 2023. 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.