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

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: September 27, 2026.

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
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

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, and ordering and referring status from the CMS PECOS system.

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.

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
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.
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

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
Quality100
Improvement Activities40

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.

Otolaryngology
220 S PALISADE DR, SUITE 102
SANTA MARIA, CA 93454
Obstetrics & Gynecology
220 S PALISADE DR, SUITE 104
SANTA MARIA, CA 93454
Otolaryngology (Plastic Surgery within the Head & Neck)
220 S PALISADE DR, SUITE 102
SANTA MARIA, CA 93454
Audiologist-Hearing Aid Fitter
220 S PALISADE DR, STE 100
SANTA MARIA, CA 93454
Family Medicine
220 S PALISADE DR
SANTA MARIA, CA 93454
Obstetrics & Gynecology
220 S PALISADE DR, SUITE 104
SANTA MARIA, CA 93454
Genetic Counselor, MS
220 S PALISADE DR, SUITE 201
SANTA MARIA, CA 93454
Clinic/Center (Community Health)
220 S PALISADE DR, SUITE 201
SANTA MARIA, CA 93454

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.

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 13 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.