JEFFREY A. GINDI MD
NPI 1699898858
Hospitalist in Wilkes Barre, PA

Active since April 10, 2007PECOS EnrolledAccepts Medicare Assignment
95.19/100
CMS Quality Rating
1000 EAST MOUNTAIN BLVD, WILKES BARRE, PA 18711(570) 808-7399(570) 808-5647 Get Directions Write a Review

NPPES record last updated: November 21, 2016. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Jeffrey A. Gindi Md NPPES

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

JEFFREY A. GINDI MD (NPI 1699898858) is an individual hospitalist provider in Wilkes Barre, Pennsylvania, licensed in Pennsylvania (MD459381) and active in the NPI registry since April 2007. He is enrolled in Medicare PECOS, is affiliated with Robert Wood Johnson University Hospital, and is a graduate of Albert Einstein College Of Medicine Of Yeshiva University (1997).

NPPES Registry Identity

NPI1699898858
Entity TypeIndividualMale
Primary Taxonomy208M00000X
Provider Legal NameJEFFREY A. GINDICredential: MD
Location Address1000 EAST MOUNTAIN BLVDWilkes Barre, PA 18711-3539
Mailing Address100 North Academy AveDanville, PA 17822-4903 · (570) 271-6144
Fax(570) 808-5647
Sole ProprietorNo
Medical School CMSAlbert Einstein College Of Medicine Of Yeshiva UniversityGraduated 1997
Enumeration DateApril 10, 2007
Last NPPES UpdateNovember 21, 2016
✔ NPI 1699898858 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License✔ Licensed in PA · MD459381
Definition
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
Also ListedInternal MedicineTaxonomy 207R00000X · License ME80377 (FL), 215558 (NY)
1000 EAST MOUNTAIN BLVD, Wilkes Barre, PA 18711

Other Identifiers 1

Medicare PINGI536259PA

Accepted Insurance

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

Jeffrey A. Gindi 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 ID9830131317
PECOS Enrollment IDI20190702003503
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

9

Medicare enrollment records show Jeffrey Gindi reassigns Medicare billing to 9 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Emergency Medicine
3 EXECUTIVE DR, STE 400
Somerset, NJ 08873
  • Reassigned Medicare billing, New Jersey enrollment
  • 1,557 clinicians in this Medicare group
Emergency Medicine
1 BAY AVE
Montclair, NJ 07042
  • Reassigned Medicare billing, New Jersey enrollment
  • 252 clinicians in this Medicare group
Multi-Specialty
5645 MAIN ST
Flushing, NY 11355
  • Reassigned Medicare billing, New York enrollment
  • 645 clinicians in this Medicare group
General Acute Care Hospital
2 COULTER RD
Clifton Springs, NY 14432
  • Reassigned Medicare billing, New York enrollment
  • 872 clinicians in this Medicare group
General Acute Care Hospital
1200 DRIVING PARK AVE
Newark, NY 14513
  • Reassigned Medicare billing, New York enrollment
  • 679 clinicians in this Medicare group
Internal Medicine
6692 MIDDLE RD
Sodus, NY 14551
  • Reassigned Medicare billing, New York enrollment
  • 2,285 clinicians in this Medicare group
Rehabilitation, Substance Use Disorder
81 LAKE AVE, EVELYN BRANDON HEALTH CENTER
Rochester, NY 14608
  • Reassigned Medicare billing, New York enrollment
  • 1,442 clinicians in this Medicare group
Family Medicine
127 NORTH ST
Batavia, NY 14020
  • Reassigned Medicare billing, New York enrollment
  • 782 clinicians in this Medicare group
Rural Health
741 S HILL ST
Salem, SD 57058
  • Reassigned Medicare billing, South Dakota enrollment
  • 227 clinicians in this Medicare group

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 3

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.

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.
346 services75 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.
45 services45 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.
33 services18 patients

Hospital Affiliations CMS Care Compare 2

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

Robert Wood Johnson University Hospital

Acute Care Hospitals · New Brunswick, NJ
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310038
LocationOne Robert Wood Johnson PlaceNew Brunswick, NJ 08901 · Middlesex County
Emergency services Birthing friendly

Monmouth Medical Center-Southern Campus

Acute Care Hospitals · Lakewood, NJ
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310084
Location600 River AveLakewood, NJ 08701 · Ocean County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 18711 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
$126.34 typical visit price
range $54.64 – $166.87
Typical copayment $31.58 (range $13.66 – $41.71)
Most-billed visit code 99204
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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.

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.

95.19/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality70.62
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims

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

Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466
DME-Other DME · category DE005N
1 supplier11 claims11 services$921.50 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.

Hospitalist
1000 EAST MOUNTAIN BLVD
WILKES BARRE, PA 18711
Social Worker (Clinical)
1000 EAST MOUNTAIN BLVD
WILKES BARRE, PA 18711
Student in an Organized Health Care Education/Training Program
1000 EAST MOUNTAIN BLVD
WILKES-BARRE, PA 18711
Anesthesiology
1000 EAST MOUNTAIN BLVD
WILKES BARRE, PA 18711
Internal Medicine
1000 EAST MOUNTAIN BLVD
WILKES BARRE, PA 18711
Radiology (Diagnostic Radiology)
1000 EAST MOUNTAIN BLVD
WILKES-BARRE, PA 18711
Emergency Medicine
1000 EAST MOUNTAIN BLVD, ATT:GME-VALLY MEDICAL BUILDING
WILKES BARRE, PA 18711
Colon & Rectal Surgery
1000 EAST MOUNTAIN BLVD, MC: 37-62
WILKES-BARRE, PA 18711

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 Jeffrey Gindi's NPI number?

The NPI number for Jeffrey Gindi is 1699898858. It was assigned to this individual provider in the NPPES registry on April 10, 2007.

Where is Jeffrey Gindi located?

Jeffrey Gindi practices at 1000 East Mountain Blvd, Wilkes Barre, PA 18711. The listed phone number is (570) 808-7399.

What is Jeffrey Gindi's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Jeffrey Gindi enrolled in Medicare?

Yes. Jeffrey Gindi 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 Jeffrey Gindi's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jeffrey Gindi reassigns Medicare benefits to 9 organizations: Rwjbh Emergency Medicine Associates, LLC (Somerset, NJ), Plover Inpatient Services LLC (Montclair, NJ), New York Queens Medicine And Surgery, P.C. (Flushing, NY), Clifton Springs Sanitarium Co (Clifton Springs, NY), Newark Wayne Community Hospital (Newark, NY) and 4 more organizations, listed in the Medicare section above. 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 Jeffrey Gindi's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jeffrey Gindi accept?

Health plans from Avera Health Plans, Oscar Health, Oscar Insurance Company and Wellmark of South Dakota, Inc. list Jeffrey Gindi 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 Jeffrey Gindi affiliated with any hospitals?

According to CMS data, Jeffrey Gindi is affiliated with Robert Wood Johnson University Hospital and Monmouth Medical Center-Southern Campus.

When was this NPI record last updated?

The NPPES record for Jeffrey Gindi was last updated on November 21, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.