STUART G GINTHER M.D.
NPI 1194776799
Internal Medicine - Nephrology in Chattanooga, TN

Active since May 16, 2006PECOS EnrolledAccepts Medicare Assignment
76.27/100
CMS Quality Rating
251 N LYERLY ST, SUITE 100, CHATTANOOGA, TN 37404(423) 826-8000(423) 702-7915 Get Directions Write a Review

NPPES record last updated: May 28, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Stuart G Ginther M.d. NPPES

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

STUART G GINTHER M.D. (NPI 1194776799) is an individual nephrology provider in Chattanooga, Tennessee, licensed in Tennessee (41070) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Memorial Healthcare System, Inc, and is a graduate of Washington College Of Physicians And Surgeons (2001).

NPPES Registry Identity

NPI1194776799
Entity TypeIndividualMale
Primary Taxonomy207RN0300X
Provider Legal NameSTUART G GINTHERCredential: M.D.
Location Address251 N LYERLY ST, SUITE 100Chattanooga, TN 37404-2739
Mailing Address2300 E 3rd St Ste BChattanooga, TN 37404-2700 · (423) 702-7900 · Fax (423) 702-7905
Fax(423) 702-7915
Sole ProprietorNo
Medical School CMSWashington College Of Physicians And SurgeonsGraduated 2001
Enumeration DateMay 16, 2006
Last NPPES UpdateMay 28, 2010
NPI 1194776799 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
Licenses Licensed in TN · 41070 Licensed in GA · 057627
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
251 N LYERLY ST, Chattanooga, TN 37404

Other Identifiers 3

Medicaid3814204TN
Medicare PIN3814204TN
Medicare PIN39BDCMWGA

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

Stuart G 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 ID3274536081
PECOS Enrollment IDI20060817000191, I20060901000209
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 44

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.

Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count 85025
A Complete Blood Cell Count is a common test that measures various components of the blood, including red cells (carry oxygen), white cells (fight infection), and platelets (help blood clot). An automated test ensures accuracy. The differential count provides detailed information about white cell types.
743 services518 patients
Urine microalbumin (protein) level 82043
The urine microalbumin level test measures the amount of a protein called albumin in your urine. This test helps to detect early signs of kidney damage. High levels of albumin may suggest your kidneys aren't functioning properly. It's a simple, non-invasive test that involves providing a urine sample.
722 services510 patients
Creatinine level to test for kidney function or muscle injury 82570
A creatinine level test measures the amount of creatinine in your blood. This substance is a waste product from normal muscle use. Higher levels can indicate possible kidney dysfunction or muscle injury. This test helps monitor kidney health.
706 services506 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
692 services467 patients
Kidney function blood test panel 80069
A kidney function blood test panel checks how well your kidneys are working. It measures levels of various substances in your blood, including proteins, electrolytes, and waste products. The results can help detect potential kidney issues early.
652 services420 patients
Parathormone (parathyroid hormone) level 83970
The Parathormone level test measures the amount of parathyroid hormone in your blood. This hormone controls calcium and phosphorus levels in the body, which are vital for bone health. Abnormal levels may indicate issues like kidney disease or parathyroid gland disorders.
599 services429 patients

Hospital Affiliations CMS Care Compare 4

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

Memorial Healthcare System, Inc

Acute Care Hospitals · Chattanooga, TN
5/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number440091
Location2525 Desales AveChattanooga, TN 37404 · Hamilton County

Erlanger Medical Center

Acute Care Hospitals · Chattanooga, TN
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number440104
Location975 E 3rd StChattanooga, TN 37403 · Hamilton County
Emergency services Birthing friendly

Parkridge Medical Center

Acute Care Hospitals · Chattanooga, TN
4/5 CMS rating
OwnershipProprietary
CMS Certification Number440156
Location2333 Mccallie AveChattanooga, TN 37404 · Hamilton County
Emergency services

Tennova Health Care-Cleveland

Acute Care Hospitals · Cleveland, TN
2/5 CMS rating
OwnershipProprietary
CMS Certification Number440185
Location2305 Chambliss Ave NWCleveland, TN 37311 · Bradley County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37404 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
$121.80 typical visit price
range $52.64 – $160.89
Typical copayment $30.45 (range $13.16 – $40.22)
Most-billed visit code 99204
Established Patient
$93.60 typical visit price
range $16.72 – $131.41
Typical copayment $23.40 (range $4.18 – $32.85)
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.

76.27/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality66.21
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.

Internal Medicine (Nephrology)
251 N LYERLY ST, SUITE 100
CHATTANOOGA, TN 37404
Internal Medicine (Nephrology)
251 N LYERLY ST, SUITE 100
CHATTANOOGA, TN 37404
Nurse Practitioner (Family)
251 N LYERLY ST, SUITE 100
CHATTANOOGA, TN 37404
Internal Medicine (Nephrology)
251 N LYERLY ST, SUITE 100
CHATTANOOGA, TN 37404
Internal Medicine (Nephrology)
251 N LYERLY ST, STE 100
CHATTANOOGA, TN 37404
Nurse Practitioner
251 N LYERLY ST, SUITE 100
CHATTANOOGA, TN 37404
Nurse Practitioner (Family)
251 N LYERLY ST, SUITE 100
CHATTANOOGA, TN 37404
Advanced Practice Midwife
251 N LYERLY ST, SUITE 300
CHATTANOOGA, TN 37404

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 Stuart Ginther's NPI number?

The NPI number for Stuart Ginther is 1194776799. It was assigned to this individual provider in the NPPES registry on May 16, 2006.

Where is Stuart Ginther located?

Stuart Ginther practices at 251 N Lyerly St Suite 100, Chattanooga, TN 37404. The listed phone number is (423) 826-8000.

What is Stuart Ginther's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Stuart Ginther enrolled in Medicare?

Yes. Stuart 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 Stuart Ginther accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama and Ambetter of North Carolina and 3 other insurers list Stuart 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 Stuart Ginther affiliated with any hospitals?

According to CMS data, Stuart Ginther is affiliated with Memorial Healthcare System, Inc, Erlanger Medical Center, Parkridge Medical Center and Tennova Health Care-Cleveland.

When was this NPI record last updated?

The NPPES record for Stuart Ginther was last updated on May 28, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.