JACOB GINGERICH DO
NPI 1619394855
Surgery in Oak Ridge, TN

Active since March 26, 2014PECOS EnrolledAccepts Medicare Assignment
120 ADMINISTRATION RD, OAK RIDGE, TN 37830(865) 483-7030(865) 483-3954 Get Directions Write a Review

NPPES record last updated: July 21, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 21, 2020, Jul 16, 2019, Jun 13, 2019 (3 updates tracked since 2019).

About Jacob Gingerich Do NPPES

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

JACOB GINGERICH DO (NPI 1619394855) is an individual surgery provider in Oak Ridge, Tennessee, licensed in Tennessee (3696) and active in the NPI registry since March 2014. He is enrolled in Medicare PECOS, is affiliated with Roane Medical Center, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1619394855
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameJACOB GINGERICHCredential: DO
Location Address120 ADMINISTRATION RDOak Ridge, TN 37830-8822
Mailing Address120 Administration RdOak Ridge, TN 37830-8822 · (865) 483-7030 · Fax (865) 483-3954
Fax(865) 483-3954
Sole ProprietorYes
Medical School CMSOtherGraduated 2014
Enumeration DateMarch 26, 2014
Last NPPES UpdateJuly 21, 20203 updates tracked since enumeration
NPPES CertifiedJuly 21, 2020
NPI 1619394855 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License Licensed in TN · 3696
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.
120 ADMINISTRATION RD, Oak Ridge, TN 37830

Other Identifiers 1

MedicaidQ049564TN

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

Jacob Gingerich Do 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 ID2961737564
PECOS Enrollment IDI20190717003862
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 6

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 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.
110 services61 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.
64 services31 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.
61 services61 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.
56 services54 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.
38 services34 patients
Removal of gallbladder using an endoscope 47562
This procedure, known as endoscopic gallbladder removal, involves a surgeon using a special tool called an endoscope to remove your gallbladder through small incisions. It's typically done to treat gallstones and related complications. It's a less invasive method, often leading to quicker recovery.
13 services13 patients

Hospital Affiliations CMS Care Compare 2

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

Roane Medical Center

Acute Care Hospitals · Harriman, TN
5/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number440031
Location8045 Roane Medical Center DriveHarriman, TN 37748 · Roane County
Emergency services

Methodist Medical Center Of Oak Ridge

Acute Care Hospitals · Oak Ridge, TN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number440034
Location990 Oak Ridge Turnpike Box 529Oak Ridge, TN 37830 · Anderson County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37830 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
$81.53 typical visit price
range $52.64 – $160.89
Typical copayment $20.38 (range $13.16 – $40.22)
Most-billed visit code 99203
Established Patient
$66.01 typical visit price
range $16.72 – $131.41
Typical copayment $16.50 (range $4.18 – $32.85)
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 7

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

Surgery
120 ADMINISTRATION RD
OAK RIDGE, TN 37830
Surgery
120 ADMINISTRATION RD
OAK RIDGE, TN 37830
Surgery
120 ADMINISTRATION RD
OAK RIDGE, TN 37830
Surgery
120 ADMINISTRATION RD
OAK RIDGE, TN 37830
Surgery
120 ADMINISTRATION RD
OAK RIDGE, TN 37830
Surgery
120 ADMINISTRATION RD
OAK RIDGE, TN 37830
Physician Assistant
120 ADMINISTRATION RD
OAK RIDGE, TN 37830

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 Jacob Gingerich's NPI number?

The NPI number for Jacob Gingerich is 1619394855. It was assigned to this individual provider in the NPPES registry on March 26, 2014.

Where is Jacob Gingerich located?

Jacob Gingerich practices at 120 Administration Rd, Oak Ridge, TN 37830. The listed phone number is (865) 483-7030.

What is Jacob Gingerich's specialty?

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

Is Jacob Gingerich enrolled in Medicare?

Yes. Jacob Gingerich 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 Jacob Gingerich accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of North Carolina and 2 other insurers list Jacob Gingerich 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 Jacob Gingerich affiliated with any hospitals?

According to CMS data, Jacob Gingerich is affiliated with Roane Medical Center and Methodist Medical Center Of Oak Ridge.

When was this NPI record last updated?

The NPPES record for Jacob Gingerich was last updated on July 21, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.