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DR. PATRICK H GINN M.D.
NPI 1265404586
Family Medicine in Waukesha, WI

Active since February 02, 2006PECOS EnrolledAccepts Medicare Assignment
210 NW BARSTOW ST, SUITE 201, WAUKESHA, WI 53188(262) 548-6907(262) 548-3820 Get Directions Write a Review

NPPES record last updated: November 14, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Patrick H Ginn M.d. NPPES

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

DR. PATRICK H GINN M.D. (NPI 1265404586) is an individual family medicine provider in Waukesha, Wisconsin, licensed in Wisconsin (35890) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS, is affiliated with Waukesha Memorial Hospital, and is a graduate of Geisel School Of Medicine At Dartmouth (1993).

NPPES Registry Identity

NPI1265404586
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. PATRICK H GINNCredential: M.D.
Location Address210 NW BARSTOW ST, SUITE 201Waukesha, WI 53188-3771
Mailing Address210 Nw Barstow Street, Suite 201Waukesha, WI 53188 · (262) 548-6907 · Fax (262) 548-3820
Phone(262) 548-6907
Fax(262) 548-3820
Sole ProprietorNo
Medical School CMSGeisel School Of Medicine At DartmouthGraduated 1993
Enumeration DateFebruary 2, 2006
Last NPPES UpdateNovember 14, 2013
✔ NPI 1265404586 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in WI · 35890
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
210 NW BARSTOW ST, Waukesha, WI 53188
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Other Identifiers 3

Medicare PIN0233 68-086WI
Medicaid1265404586WI
Medicare UPINI13281WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Network Health.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. Patrick H Ginn 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 ID648245258
PECOS Enrollment IDI20040827000587
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 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.
37 services30 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.
34 services17 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.
15 services13 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.
14 services13 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
12 services11 patients

Hospital Affiliations CMS Care Compare

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

Waukesha Memorial Hospital

Acute Care Hospitals · Waukesha, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520008
Location725 American AveWaukesha, WI 53188 · Waukesha County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53188 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
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$95.41 typical visit price
range $17.40 – $133.76
Typical copayment $23.85 (range $4.35 – $33.44)
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.

Referred Medical Equipment & Supplies CMS DME claims 6

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
4 suppliers12 claims22 services$1.80 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers38 claims38 services$15.71 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
3 suppliers50 claims50 services$75.27 avg. paid by Medicare
Standard wheelchair K0001
DME-Wheelchairs · category DD000N
1 supplier11 claims11 services$13.94 avg. paid by Medicare
Elevating leg rests, pair (for use with capped rental wheelchair base) K0195
DME-Wheelchairs · category DD021N
1 supplier11 claims11 services$6.59 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
1 supplier12 claims12 services$215.65 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

DR. SUSANNE M KRASOVICH MD
Family Medicine
210 NW BARSTOW ST, WAUKESHA FAMILY PRACTICE CENTER
WAUKESHA, WI 53188
Waukesha County (262) 548-6903
WAUKESHA FAMILY PRACTICE CENTER
Clinic/Center (Primary Care)
210 NW BARSTOW ST, SUITE 201
WAUKESHA, WI 53188
Waukesha County (262) 548-6903
ABBIGAIL LYNNDSEY MILLER MD
Student in an Organized Health Care Education/Training Program
210 NW BARSTOW ST
WAUKESHA, WI 53188
Waukesha County (262) 548-6903
AMARIS IVETTE ESTRADA RDH
Dental Hygienist
210 NW BARSTOW ST, 305
WAUKESHA, WI 53188
Waukesha County (262) 527-9159
LA CASA DE ESPERANZA
Community/Behavioral Health
210 NW BARSTOW ST, SUITE 110
WAUKESHA, WI 53188
Waukesha County (262) 928-4402
MRS. ADELHEID THERESA GAERTNER
Dental Hygienist
210 NW BARSTOW ST, 305
WAUKESHA, WI 53188
Waukesha County (262) 522-7645
DR. ALLISON LYNN SEDMAK MD
Student in an Organized Health Care Education/Training Program
210 NW BARSTOW ST
WAUKESHA, WI 53188
Waukesha County (262) 548-6903
BRYN LOCKWOOD SUTHERLAND MD
Family Medicine
210 NW BARSTOW ST
WAUKESHA, WI 53188
Waukesha County (262) 548-6903

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 Patrick Ginn's NPI number?

The NPI number for Patrick Ginn is 1265404586. It was assigned to this individual provider in the NPPES registry on February 2, 2006.

Where is Patrick Ginn located?

Patrick Ginn practices at 210 NW Barstow St Suite 201, Waukesha, WI 53188. The listed phone number is (262) 548-6907.

What is Patrick Ginn's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Patrick Ginn enrolled in Medicare?

Yes. Patrick Ginn 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 Patrick Ginn accept?

Health plans from Anthem Blue Cross and Blue Shield and Network Health list Patrick Ginn 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 Patrick Ginn affiliated with any hospitals?

According to CMS data, Patrick Ginn is affiliated with Waukesha Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Patrick Ginn was last updated on November 14, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.