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EMILY KETTERLING GJINI MD
NPI 1215497938
Otolaryngology in Brockton, MA

Active since March 20, 2019PECOS EnrolledAccepts Medicare Assignment
35 PEARL ST STE 200, BROCKTON, MA 02301(508) 588-8034(508) 897-0475 Get Directions Write a Review

NPPES record last updated: February 2, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Feb 2, 2026, Aug 22, 2024, Jul 10, 2024 and 3 more (6 updates tracked since 2019).

About Emily Ketterling Gjini Md NPPES

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

EMILY KETTERLING GJINI MD (NPI 1215497938) is an individual otolaryngology provider in Brockton, Massachusetts, licensed in Massachusetts (1019641) and active in the NPI registry since March 2019. She is enrolled in Medicare PECOS, is affiliated with Sturdy Memorial Hospital, and is a graduate of Wake Forest University School Of Medicine (2019).

NPPES Registry Identity

NPI1215497938
Entity TypeIndividualFemale
Primary Taxonomy207Y00000X
Provider Legal NameEMILY KETTERLING GJINICredential: MD
Location Address35 PEARL ST STE 200Brockton, MA 02301-2866
Mailing Address35 Pearl St Ste 100Brockton, MA 02301-2866
Phone(508) 588-8034
Fax(508) 897-0475
Sole ProprietorNo
Medical School CMSWake Forest University School Of MedicineGraduated 2019
Enumeration DateMarch 20, 2019
Last NPPES UpdateFebruary 2, 20266 updates tracked since enumeration
NPPES CertifiedFebruary 2, 2026
✔ NPI 1215497938 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
License✔ Licensed in MA · 1019641
Definition
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
35 PEARL ST STE 200, Brockton, MA 02301
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Emily Ketterling Gjini 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 ID648505008
PECOS Enrollment IDI20240807004612
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.

Medicare Billing Reassignments

3

Medicare enrollment records show Emily Gjini reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Ent Specialists, Inc
Same address
Otolaryngology
35 PEARL ST STE 100
Brockton, MA 02301
  • Reassigned Medicare billing, Massachusetts enrollment
  • 20 clinicians in this Medicare group
NPI 1548319809 (508) 588-8034
Ent Norwood LLC
10.0 mi
Otolaryngology
825 WASHINGTON ST, SUITE 310
Norwood, MA 02062
  • Reassigned Medicare billing, Massachusetts enrollment
  • 20 clinicians in this Medicare group
NPI 1265749907 (781) 769-8910
Massachusetts Eye And Ear Associates, Inc.
19 mi
Ophthalmology
243 CHARLES ST
Boston, MA 02114
  • Reassigned Medicare billing, Massachusetts enrollment
  • 478 clinicians in this Medicare group
NPI 1932574332 (617) 523-7900

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

Exam of ear using a microscope 92504
An exam of the ear using a microscope allows a detailed view of the ear structures. This non-invasive procedure helps identify issues such as infections, blockages, or ear damage. It's a safe, quick, and painless way to evaluate ear health.
110 services99 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.
96 services89 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.
88 services88 patients
Removal of impacted ear wax 69210
Impacted ear wax removal is a safe procedure to clear blockages in the ear canal caused by hardened ear wax. A healthcare professional uses specialized tools or a gentle irrigation method to loosen and remove the wax, improving hearing and alleviating discomfort.
83 services81 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
42 services42 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.
36 services33 patients

Hospital Affiliations CMS Care Compare 5

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

Sturdy Memorial Hospital

Acute Care Hospitals · Attleboro, MA
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number220008
Location211 Park StreetAttleboro, MA 02703 · Bristol County
Emergency services Birthing friendly

North Shore Medical Center -

Acute Care Hospitals · Salem, MA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220035
Location81 Highland AvenueSalem, MA 01970 · Essex County
Emergency services Birthing friendly

Melrosewakefield Healthcare

Acute Care Hospitals · Melrose, MA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220070
Location585 Lebanon StreetMelrose, MA 02176 · Middlesex County
Emergency services Birthing friendly

Massachusetts General Hospital

Acute Care Hospitals · Boston, MA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220071
Location55 Fruit StreetBoston, MA 02114 · Suffolk County
Emergency services Birthing friendly

Morton Hospital

Acute Care Hospitals · Taunton, MA
1/5 CMS rating
OwnershipProprietary
CMS Certification Number220073
Location88 Washington StreetTaunton, MA 02780 · Bristol County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02301 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
$134.47 typical visit price
range $58.86 – $177.36
Typical copayment $33.61 (range $14.71 – $44.34)
Most-billed visit code 99204
Established Patient
$73.22 typical visit price
range $19.11 – $144.84
Typical copayment $18.30 (range $4.77 – $36.21)
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 6

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

DR. AMEER TRILOK SHAH M.D.
Otolaryngology
35 PEARL ST STE 200
BROCKTON, MA 02301
Plymouth County (508) 588-8034
KEVIN MICHAEL RYAN PA
Physician Assistant
35 PEARL ST STE 200
BROCKTON, MA 02301
Plymouth County (508) 588-8034
KATHLEEN ASPINALL AU.D.
Audiologist
35 PEARL ST STE 200
BROCKTON, MA 02301
Plymouth County (508) 588-8034
CHRISTIN NEWMAN HOFFSTADT PA-C
Physician Assistant
35 PEARL ST STE 200
BROCKTON, MA 02301
Plymouth County (508) 588-8034
KRISTINA ROBERTS AUD
Audiologist
35 PEARL ST STE 200
BROCKTON, MA 02301
Plymouth County (508) 588-8034
DEBORAH FAITH COHAN CNP
Nurse Practitioner
35 PEARL ST STE 200
BROCKTON, MA 02301
Plymouth County (508) 588-8034

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 Emily Gjini's NPI number?

The NPI number for Emily Gjini is 1215497938. It was assigned to this individual provider in the NPPES registry on March 20, 2019.

Where is Emily Gjini located?

Emily Gjini practices at 35 Pearl St Ste 200, Brockton, MA 02301. The listed phone number is (508) 588-8034.

What is Emily Gjini's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Is Emily Gjini enrolled in Medicare?

Yes. Emily Gjini 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.

Which organizations bill Medicare for Emily Gjini's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Emily Gjini reassigns Medicare benefits to 3 organizations: Ent Specialists, Inc (Brockton, MA), Ent Norwood LLC (Norwood, MA) and Massachusetts Eye And Ear Associates, Inc. (Boston, MA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Emily Gjini's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Emily Gjini affiliated with any hospitals?

According to CMS data, Emily Gjini is affiliated with Sturdy Memorial Hospital, North Shore Medical Center -, Melrosewakefield Healthcare, Massachusetts General Hospital and Morton Hospital.

When was this NPI record last updated?

The NPPES record for Emily Gjini was last updated on February 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.