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DR. SANDRA JOY GINSBERG MD
NPI 1902823479
Internal Medicine - Medical Oncology in Washington, DC

Active since July 17, 2006PECOS EnrolledAccepts Medicare Assignment
87.7/100
CMS Quality Rating
1145 19TH ST NW, SUITE 506, WASHINGTON, DC 20036(202) 296-2181(202) 223-2622 Get Directions Write a Review

NPPES record last updated: March 23, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Sandra Joy Ginsberg Md NPPES

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

DR. SANDRA JOY GINSBERG MD (NPI 1902823479) is an individual medical oncology provider in Washington, District Of Columbia, licensed in District Of Columbia (MD19759) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS, is affiliated with Virginia Hospital Center, and is a graduate of University Of Chicago, Pritzker School Of Medicine (1972).

NPPES Registry Identity

NPI1902823479
Entity TypeIndividualFemale
Primary Taxonomy207RX0202X
Provider Legal NameDR. SANDRA JOY GINSBERGCredential: MD
Location Address1145 19TH ST NW, SUITE 506Washington, DC 20036
Mailing Address2440 M St Nw, Ste 801Washington, DC 20037-1474 · (202) 296-2181 · Fax (202) 223-2622
Phone(202) 296-2181
Fax(202) 223-2622
Sole ProprietorNo
Medical School CMSUniversity Of Chicago, Pritzker School Of MedicineGraduated 1972
Enumeration DateJuly 17, 2006
Last NPPES UpdateMarch 23, 2019
✔ NPI 1902823479 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Medical OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RX0202X
License✔ Licensed in DC · MD19759
Definition
An internist who specializes in the diagnosis and treatment of all types of cancer and other benign and malignant tumors. This specialist decides on and administers therapy for these malignancies as well as consults with surgeons and radiotherapists on other treatments for cancer.
Also ListedInternal MedicineTaxonomy 207R00000X · License MD19759 (DC)
1145 19TH ST NW, Washington, DC 20036
Open in Google Maps ↗

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. Sandra Joy Ginsberg 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 ID4981760162
PECOS Enrollment IDI20090313000313
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 9

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.
452 services205 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
281 services133 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.
179 services167 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
172 services172 patients
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.
52 services43 patients
Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or G2212
This service refers to extended doctor visits where your healthcare provider spends additional time evaluating and managing your health beyond the primary procedure's required time. This includes each extra 15 minutes spent by the physician on the same day as the primary service.
34 services16 patients

Hospital Affiliations CMS Care Compare

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

Virginia Hospital Center

Acute Care Hospitals · Arlington, VA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490050
Location1701 North George Mason DriveArlington, VA 22205 · Arlington County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 20036 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
$194.86 typical visit price
range $65.18 – $194.86
Typical copayment $48.71 (range $16.29 – $48.71)
Most-billed visit code 99205
Established Patient
$113.72 typical visit price
range $21.40 – $158.88
Typical copayment $28.43 (range $5.35 – $39.72)
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.

87.7/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality69.26
Improvement Activities40
Cost100

Reported Quality Measures

Adult Sinusitis: Antibiotic Prescribed for Acute Viral Sinusitis (Overuse)
Lower rates are better for this measure.
93%41 patients1/55-star benchmark: 100%
Advance Care Plan
0%443 patients1/55-star benchmark: 100%
Breast Cancer Screening
44%98 patients2/55-star benchmark: 93%
Colorectal Cancer Screening
44%193 patients3/55-star benchmark: 88%
Controlling High Blood Pressure
49%83 patients3/55-star benchmark: 91%
Diabetes: Eye Exam
0%22 patients1/55-star benchmark: 100%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
14%22 patients4/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
54%543 patients2/55-star benchmark: 100%
HIV Screening
8%166 patients1/55-star benchmark: 60%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
37%290 patients2/55-star benchmark: 98%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
18%336 patients2/55-star benchmark: 61%
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
72%47 patients3/55-star benchmark: 91%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 0% · 167 patients
Patients totalRate: 2% · 172 patients
2%172 patients4/55-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.

NICOLE V LANG MD
Pediatrics
1145 19TH ST NW, STE 708
WASHINGTON, DC 20036
District of Columbia (202) 955-5625
MARY MELODY ABRAHAM MD
Obstetrics & Gynecology
1145 19TH ST NW, SUITE 410
WASHINGTON, DC 20036
District of Columbia (202) 331-1740
LISA CLAIRE KAUFMAN M.D.
Internal Medicine
1145 19TH ST NW, #800
WASHINGTON, DC 20036
District of Columbia (202) 833-7051
DR. BRYAN A DEFRANCO M.D.
Radiology (Diagnostic Radiology)
1145 19TH ST NW, SUITE 205
WASHINGTON, DC 20036
District of Columbia (301) 279-4490
DR. AROUSHA JAHANGIRI D.D.S.
Dentist
1145 19TH ST NW, SUITE 512
WASHINGTON, DC 20036
District of Columbia (202) 331-1640
NANAKO BROUGHTON MD LLC
Clinic/Center (Primary Care)
1145 19TH ST NW, 510
WASHINGTON, DC 20036
District of Columbia (202) 296-7722
STEPHEN I BARSKY DDS
Dentist
1145 19TH ST NW, SUITE 512
WASHINGTON, DC 20036
District of Columbia (202) 331-1644
HUIJUNG HANNAH KIM MD
Radiology (Diagnostic Radiology)
1145 19TH ST NW, SUITE 205
WASHINGTON, DC 20036
District of Columbia (301) 279-4490

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 Sandra Ginsberg's NPI number?

The NPI number for Sandra Ginsberg is 1902823479. It was assigned to this individual provider in the NPPES registry on July 17, 2006.

Where is Sandra Ginsberg located?

Sandra Ginsberg practices at 1145 19th St NW Suite 506, Washington, DC 20036. The listed phone number is (202) 296-2181.

What is Sandra Ginsberg's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Medical Oncology, with taxonomy code 207RX0202X.

Is Sandra Ginsberg enrolled in Medicare?

Yes. Sandra Ginsberg 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.

Is Sandra Ginsberg affiliated with any hospitals?

According to CMS data, Sandra Ginsberg is affiliated with Virginia Hospital Center.

When was this NPI record last updated?

The NPPES record for Sandra Ginsberg was last updated on March 23, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.