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GINNA PRIOLA M.D.
NPI 1598959587
Pediatrics - Pediatric Hematology-Oncology in Austin, TX

Active since September 01, 2007PECOS EnrolledAccepts Medicare Assignment
71.01/100
CMS Quality Rating
4910 MUELLER BLVD, SUITE 200, AUSTIN, TX 78723(512) 628-1900(512) 628-1901 Get Directions Write a Review

NPPES record last updated: April 30, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 30, 2024, Oct 1, 2021 (2 updates tracked since 2021).

About Ginna Priola M.d. NPPES

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

GINNA PRIOLA M.D. (NPI 1598959587) is an individual pediatric hematology-oncology provider in Austin, Texas, licensed in Texas (Q0540) and active in the NPI registry since September 2007. She is enrolled in Medicare PECOS and is a graduate of Eastern Virginia Medical School (2007).

NPPES Registry Identity

NPI1598959587
Entity TypeIndividualFemale
Primary Taxonomy2080P0207X
Provider Legal NameGINNA PRIOLACredential: M.D.
Location Address4910 MUELLER BLVD, SUITE 200Austin, TX 78723
Mailing Address4910 Mueller Blvd, Suite 200Austin, TX 78723 · (512) 628-1900 · Fax (512) 628-1901
Phone(512) 628-1900
Fax(512) 628-1901
Sole ProprietorNo
Medical School CMSEastern Virginia Medical SchoolGraduated 2007
Enumeration DateSeptember 1, 2007
Last NPPES UpdateApril 30, 20242 updates tracked since enumeration
NPPES CertifiedSeptember 15, 2021
✔ NPI 1598959587 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Pediatric Hematology-OncologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0207X
License✔ Licensed in TX · Q0540
Definition
A pediatrician trained in the combination of pediatrics, hematology and oncology to recognize and manage pediatric blood disorders and cancerous diseases.
Also ListedPediatricsTaxonomy 208000000X · License Q0540 (TX)
4910 MUELLER BLVD, Austin, TX 78723
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.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

Ginna Priola 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 ID2163547084
PECOS Enrollment IDI20210922000558
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 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.

71.01/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality76.21
Promoting Interoperability97
Improvement Activities40
Cost13.61

Reported Quality Measures

Childhood Immunization Status
5%20 patients
Chlamydia Screening for Women
23%62 patients
Closing the Referral Loop: Receipt of Specialist Report
28%29 patients2/55-star benchmark: 87%
Documentation of Current Medications in the Medical Record
88%32 patients4/55-star benchmark: 100%
e-Prescribing
89%146 patients1/55-star benchmark: 100%
HIV Screening
7%92 patients1/55-star benchmark: 60%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
50%28 patients3/55-star benchmark: 98%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
9%136 patients1/55-star benchmark: 97%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
65%26 patients5/55-star benchmark: 61%
Provide Patients Electronic Access to Their Health Information
73%240 patients3/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 17

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

ERIN ELIZABETH MOISE PA-C
Physician Assistant
4910 MUELLER BLVD, SUITE 103
AUSTIN, TX 78723
Travis County (512) 324-0040
MRS. COURTNEY UMSTATTD QUINTANA PA-C
Physician Assistant (Medical)
4910 MUELLER BLVD, #102
AUSTIN, TX 78723
Travis County (214) 456-7000
JULIE R MANNING APRN, CPNP
Nurse Practitioner (Pediatrics)
4910 MUELLER BLVD, STE. 102
AUSTIN, TX 78723
Travis County (512) 777-2917
MRS. MEGHAN PURDY BSN, MSN, FNP-C
Nurse Practitioner (Family)
4910 MUELLER BLVD
AUSTIN, TX 78723
Travis County (512) 454-1110
LAURA KERR CATALANO PNP-PC
Nurse Practitioner (Pediatrics)
4910 MUELLER BLVD, SUITE 300
AUSTIN, TX 78723
Travis County (512) 628-1855
KENNETH JOSEPH MOISE JR. M.D.
Obstetrics & Gynecology (Maternal & Fetal Medicine)
4910 MUELLER BLVD, SUITE 103
AUSTIN, TX 78723
Travis County (512) 324-7256
EMILY GRACE VIESCA BERMAN APRN, CPNP-AC
Nurse Practitioner (Pediatrics)
4910 MUELLER BLVD, 102
AUSTIN, TX 78723
Travis County (512) 777-2917
MRS. NANCY LAVINGHOUSEZ PHARMD
Pharmacist
4910 MUELLER BLVD, SUITE 200
AUSTIN, TX 78723
Travis County (512) 628-1900

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 Ginna Priola's NPI number?

The NPI number for Ginna Priola is 1598959587. It was assigned to this individual provider in the NPPES registry on September 1, 2007.

Where is Ginna Priola located?

Ginna Priola practices at 4910 Mueller Blvd Suite 200, Austin, TX 78723. The listed phone number is (512) 628-1900.

What is Ginna Priola's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Hematology-Oncology, with taxonomy code 2080P0207X.

Is Ginna Priola enrolled in Medicare?

Yes. Ginna Priola 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 Ginna Priola accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 3 other insurers list Ginna Priola 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.

When was this NPI record last updated?

The NPPES record for Ginna Priola was last updated on April 30, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.