DR. MARK L GINKEL MD
NPI 1649272766
Internal Medicine - Cardiovascular Disease in Santa Maria, CA

Q: What is Mark Ginkel's NPI number?

The NPI number for Mark Ginkel is 1649272766. It was assigned to this individual provider in the NPPES registry on June 1, 2005.

Q: What is Mark Ginkel's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Q: When was this NPI record last updated?

The NPPES record for Mark Ginkel was last updated on August 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.

Active since June 01, 2005PECOS EnrolledAccepts Medicare Assignment

100/100

CMS Quality Rating

220 S PALISADE DR, SUITE # 101, SANTA MARIA, CA 93454(805) 354-0112(805) 354-0234 Get Directions Write a Review

NPPES record last updated: August 20, 2025. Verified against the NPPES registry weekly; last sync: November 08, 2026.

On this page

About Dr. Mark L Ginkel Md NPPES

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

DR. MARK L GINKEL MD (NPI 1649272766) is an individual cardiovascular disease provider in Santa Maria, California, licensed in California (G71322) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS, maintains a secondary practice location in Santa Maria, and is a graduate of Saint Louis University School Of Medicine (1989).

NPPES Registry Identity

NPI1649272766

Entity TypeIndividualMale

Primary Taxonomy207RC0000X

Provider Legal NameDR. MARK L GINKELCredential: MD

Location Address220 S PALISADE DR, SUITE # 101Santa Maria, CA 93454-8902

Mailing Address220 S Palisade Dr, Suite # 101Santa Maria, CA 93454-8902 · (805) 354-0112 · Fax (805) 354-0234

Phone(805) 354-0112

Fax(805) 354-0234

Sole ProprietorNo

Medical School CMSSaint Louis University School Of MedicineGraduated 1989

Enumeration DateJune 1, 2005

Last NPPES UpdateAugust 20, 2025

NPPES CertifiedAugust 20, 2025

✔ NPI 1649272766 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians

Taxonomy Code207RC0000X

License✔ Licensed in CA · G71322

Definition

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

Also ListedInternal Medicine · Interventional CardiologyTaxonomy 207RI0011X · License G71322 (CA)

220 S PALISADE DR, Santa Maria, CA 93454

Open in Google Maps ↗

Secondary Practice Location 1

Location 11510 E Main St Ste 104CSanta Maria, CA 93454-4825 · Phone (805) 928-5767 · Fax (805) 349-0222

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

Dr. Mark L Ginkel 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 ID7315000858

PECOS Enrollment IDI20111025000365

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

Medicare enrollment records show Mark Ginkel reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Pacific Central Coast Health Centers

0.1 mi

Community Health

116 S PALISADE DR STE 200
Santa Maria, CA 93454

Reassigned Medicare billing, California enrollment
263 clinicians in this Medicare group

NPI 1881035079 (805) 739-3561

Midcoast Cardiovascular Associates

0.2 mi

Interventional Cardiology

220 S PALISADE DR, SUITE # 101
Santa Maria, CA 93454

Reassigned Medicare billing, California enrollment

NPI 1659652303 (805) 354-0112

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 23

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.

2,211 services1,006 patients

Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306

This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.

383 services370 patients

Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306

377 services368 patients

Blood test, clotting time 85610

A clotting time blood test helps determine how quickly your blood forms clots, a process crucial to stop bleeding. During the test, a small blood sample is taken from your arm. The sample is then analyzed in a lab to see how long it takes for a clot to form.

326 services32 patients

Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional 99211

This service involves an outpatient visit for established patients who may not need direct interaction with a healthcare professional. It could include reviewing test results, monitoring existing conditions, or adjusting treatment plans. It's typically done remotely, ensuring your comfort and convenience.

280 services28 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000

An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.

254 services204 patients

Ultrasound of both sides of head and neck blood flow 93880

An ultrasound of the head and neck blood flow is a safe, non-invasive procedure that uses sound waves to create images of blood vessels. It helps detect abnormalities like blockages or clots, ensuring optimal blood flow.

165 services165 patients

Evaluation of single, dual, multiple lead or leadless pacemaker system, remote up to 90 days 93294

This procedure evaluates your pacemaker system remotely for up to 90 days. It checks whether single, dual, multiple lead, or leadless pacemakers are working properly. It's a safe, convenient way to ensure your heart device is functioning optimally.

141 services64 patients

Evaluation of single, dual, multiple lead or leadless pacemaker system 93288

An evaluation of a pacemaker system examines how well your heart device is working. Single, dual, multiple lead, or leadless refers to the wires that deliver electrical pulses from the pacemaker to your heart. This check ensures your heart is receiving the right amount of support from the device.

119 services89 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.

105 services105 patients

Ultrasound of heart blood flow, valves and chambers 93320

An ultrasound of your heart, also known as an echocardiogram, is a test that uses sound waves to create detailed images of your heart. It helps doctors check the health of your heart's chambers, valves, and blood flow.

56 services56 patients

Ultrasound of heart with color-depicted blood flow, rate and valve function 93325

An ultrasound of the heart, also known as an echocardiogram, uses sound waves to create pictures of your heart. It shows the structure, movement, and blood flow within your heart. This helps assess the heart's health and function, including the valves and rate.

56 services56 patients

Ultrasound of heart with continuous electrocardiogram (ecg) during rest, exercise and/or drug induced stress with review and report 93351

This procedure involves using ultrasound technology to create images of your heart while you rest, exercise, or undergo drug-induced stress. An ECG continuously monitors your heart's electrical activity. It helps doctors assess heart health and function.

56 services56 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

56 services26 patients

Evaluation of cardiac rhythm monitor system, remote up to 30 days 93298

This procedure involves remotely monitoring your heart rhythm for up to 30 days. A small device will record your heart's activity, which can be accessed by your healthcare team. This aids in diagnosing any irregularities or issues with your heart function.

50 services12 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

50 services44 patients

Telephone or internet assessment with verbal and written report by consulting physician, 21-30 minutes 99448

This is a virtual consultation with a specialist doctor lasting between 21-30 minutes. It can take place over the phone or internet. After the session, the doctor will provide a written report about your health condition and any recommended next steps.

46 services39 patients

Ultrasound study of arm or leg veins with compression and maneuvers 93970

An ultrasound study of arm or leg veins with compression and maneuvers is a non-invasive procedure that uses sound waves to create images of your veins. This helps identify blood clots or other vein problems. During the procedure, pressure is applied to the veins and certain movements are performed to assess blood flow.

40 services38 patients

Electrocardiogram (ecg) 2-day continuous with review and report by health care professional 93224

An Electrocardiogram (ECG) is a non-invasive test that records the electrical activity of your heart. In a 2-day continuous ECG, sensors attached to your chest monitor your heart's rhythm over 48 hours. A healthcare professional then reviews the data to identify any irregularities.

38 services36 patients

Evaluation of single, dual, or multiple lead implantable defibrillator system, remote up to 90 days 93295

This procedure involves remotely monitoring your implantable defibrillator system, which can have single, dual, or multiple leads. Over a period of up to 90 days, the system's performance is evaluated to ensure it's working properly and providing the necessary heart rhythm support.

33 services19 patients

Evaluation of single, dual, or multiple lead implantable defibrillator system 93289

This procedure evaluates your implantable defibrillator system, which helps regulate your heart rhythm. It can involve single, dual, or multiple lead systems. It's essential to ensure the device is working correctly and adjusting to your heart's needs.

30 services21 patients

Insertion of tube in left lower heart chamber and coronary artery for diagnosis with review by radiologist 93458

This procedure involves placing a tube into your left lower heart chamber and coronary artery. It helps doctors diagnose heart conditions by allowing them to view these areas in detail. A radiologist will review the images to ensure accurate diagnosis.

15 services15 patients

Ultrasound of leg arteries or artery grafts 93925

An ultrasound of leg arteries or artery grafts is a non-invasive imaging test. It uses high-frequency sound waves to capture live images from inside your body, specifically your leg arteries or grafts. This helps in detecting any blockages or abnormalities.

12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 93454 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

$139.99 typical visit price

range $62.01 – $184.40

Typical copayment $34.99 (range $15.50 – $46.10)

Most-billed visit code 99204

Established Patient

$76.76 typical visit price

range $20.60 – $151.20

Typical copayment $19.19 (range $5.15 – $37.80)

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.

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.

100/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Individually scored

Quality

100

Improvement Activities

Reported Quality Measures

Advance Care Plan

100%1,218 patients5/55-star benchmark: 100%

Controlling High Blood Pressure

82%848 patients4/55-star benchmark: 98%

Coronary Artery Disease (CAD): Antiplatelet Therapy

100%465 patients5/55-star benchmark: 100%

Documentation of Current Medications in the Medical Record

100%3,615 patients5/55-star benchmark: 100%

Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention

Patients combinedPopulations: 67% · 1,202 patients

Patients screened: 67% · 1,202 patients

100%47 patients5/55-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 20

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

ALAIN M HURDLE, MD, INC

Otolaryngology

220 S PALISADE DR, SUITE 102
SANTA MARIA, CA 93454

Santa Barbara County (805) 922-6641

SANTA BARBARA COUNTY PUBLIC HEALTH DEPT

Obstetrics & Gynecology

220 S PALISADE DR, SUITE 104
SANTA MARIA, CA 93454

Santa Barbara County (805) 739-8710

DR. RAYMUND J LLAURADO M.D.

Otolaryngology (Plastic Surgery within the Head & Neck)

220 S PALISADE DR, SUITE 102
SANTA MARIA, CA 93454

Santa Barbara County (805) 922-6641

MIRACLE-EAR, INC.

Audiologist-Hearing Aid Fitter

220 S PALISADE DR, STE 100
SANTA MARIA, CA 93454

Santa Barbara County (805) 925-7323

ERIC MICHAEL GAVARRE MD

Family Medicine

220 S PALISADE DR
SANTA MARIA, CA 93454

Santa Barbara County (805) 925-2521

SANTA BARBARA COUNTY PUBLIC HEALTH DEPT

Obstetrics & Gynecology

220 S PALISADE DR, SUITE 104
SANTA MARIA, CA 93454

Santa Barbara County (805) 739-8710

MISS ANNE TARLETON DOUGHERTY M.S.

Genetic Counselor, MS

220 S PALISADE DR, SUITE 201
SANTA MARIA, CA 93454

Santa Barbara County (323) 636-6070

PACIFIC CENTRAL COAST HEALTH CENTERS

Clinic/Center (Community Health)

220 S PALISADE DR, SUITE 201
SANTA MARIA, CA 93454

Santa Barbara County (805) 739-3280

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 Mark Ginkel's NPI number?

The NPI number for Mark Ginkel is 1649272766. It was assigned to this individual provider in the NPPES registry on June 1, 2005.

Where is Mark Ginkel located?

Mark Ginkel practices at 220 S Palisade Dr Suite # 101, Santa Maria, CA 93454. The listed phone number is (805) 354-0112.

What is Mark Ginkel's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Mark Ginkel enrolled in Medicare?

Yes. Mark Ginkel 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 Mark Ginkel's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mark Ginkel reassigns Medicare benefits to 2 organizations: Pacific Central Coast Health Centers (Santa Maria, CA) and Midcoast Cardiovascular Associates (Santa Maria, CA). 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 Mark Ginkel's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Mark Ginkel was last updated on August 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.