DR. JONATHAN GINNS MBBS MD
NPI 1962737692
Internal Medicine - Adult Congenital Heart Disease in Austin, TX

Active since October 14, 2009PECOS EnrolledAccepts Medicare Assignment
84.31/100
CMS Quality Rating
900 W 38TH ST STE 400, AUSTIN, TX 78705(512) 206-3600(512) 206-3604 Get Directions Write a Review

NPPES record last updated: January 12, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 12, 2022, Sep 10, 2020, Jul 10, 2020 and 2 more (5 updates tracked since 2016).

About Dr. Jonathan Ginns Mbbs Md NPPES

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

DR. JONATHAN GINNS MBBS MD (NPI 1962737692) is an individual adult congenital heart disease provider in Austin, Texas, licensed in Texas (S5169) and active in the NPI registry since October 2009. He is enrolled in Medicare PECOS, is affiliated with Columbus Community Hospital, and is a graduate of Other (1999).

NPPES Registry Identity

NPI1962737692
Entity TypeIndividualMale
Primary Taxonomy207RA0002X
Provider Legal NameDR. JONATHAN GINNSCredential: MBBS MD
Location Address900 W 38TH ST STE 400Austin, TX 78705-1141
Mailing Address520 E 70th St Fl 4New York, NY 10021-9800 · (646) 962-5558 · Fax (646) 962-0050
Fax(512) 206-3604
Sole ProprietorNo
Medical School CMSOtherGraduated 1999
Enumeration DateOctober 14, 2009
Last NPPES UpdateJanuary 12, 20225 updates tracked since enumeration
NPPES CertifiedSeptember 10, 2020
NPI 1962737692 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · Adult Congenital Heart DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RA0002X
License Licensed in TX · S5169
Definition
A physician who specializes in the care and treatment of adults with congenital heart disease. Adult congenital heart disease (ACHD) physicians are trained to understand the complexities of congenital heart disease, anatomy, physiology, surgical repairs, and long-term complications and use that to manage ACHD with acquired heart disease, including heart failure, arrhythmias, and pulmonary hypertension.
Also ListedInternal Medicine · Cardiovascular DiseaseTaxonomy 207RC0000X · License 273098 (NY)
900 W 38TH ST STE 400, Austin, TX 78705

Other Identifiers 1

Medicaid03313022NY

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

Dr. Jonathan Ginns Mbbs 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 ID4385827641
PECOS Enrollment IDI20200403001067
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 32

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 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.
582 services284 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.
300 services109 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.
293 services252 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.
193 services182 patients
Ct scan of blood vessels of chest with contrast 71275
A CT scan of the chest with contrast is a non-invasive imaging test. It uses X-rays and a special dye to get detailed images of your blood vessels in the chest. This helps in diagnosing conditions related to heart and lungs.
162 services158 patients
Ct scan of blood vessels and grafts of heart with contrast 75574
A CT scan of the heart's blood vessels and grafts with contrast is a diagnostic test. A special dye (contrast) is injected into your veins, which helps create clear images of your heart's vessels and grafts. This helps doctors detect blockages or other abnormalities.
155 services152 patients

Hospital Affiliations CMS Care Compare 5

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

Columbus Community Hospital

Acute Care Hospitals · Columbus, TX
OwnershipVoluntary non-profit - Private
CMS Certification Number450370
Location110 Shult DrColumbus, TX 78934 · Colorado County
Emergency services Birthing friendly

St David's Medical Center

Acute Care Hospitals · Austin, TX
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450431
Location919 E 32nd StAustin, TX 78705 · Travis County
Emergency services Birthing friendly

St David's South Austin Medical Center

Acute Care Hospitals · Austin, TX
5/5 CMS rating
OwnershipProprietary
CMS Certification Number450713
Location901 West Ben White BlvdAustin, TX 78704 · Travis County
Emergency services Birthing friendly

Round Rock Medical Center

Acute Care Hospitals · Round Rock, TX
4/5 CMS rating
OwnershipProprietary
CMS Certification Number450718
Location2400 Round Rock AveRound Rock, TX 78681 · Williamson County
Emergency services Birthing friendly

North Austin Medical Center

Acute Care Hospitals · Austin, TX
4/5 CMS rating
OwnershipProprietary
CMS Certification Number450809
Location12221 Mopac Expressway NorthAustin, TX 78758 · Travis County
Emergency services Birthing friendly

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.

84.31/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality81.55
Improvement Activities40

Reported Quality Measures

Controlling High Blood Pressure
68%555 patients4/55-star benchmark: 91%
Coronary Artery Disease (CAD): Beta-Blocker Therapy Prior Myocardial Infarction (MI) or Left Ventricular Systolic Dysfunction (LVEF <= 40%)
90%21 patients4/55-star benchmark: 99%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
17%75 patients4/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
98%2,189 patients4/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
74%570 patients3/55-star benchmark: 100%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
27%1,001 patients2/55-star benchmark: 61%
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
88%530 patients4/55-star benchmark: 91%
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 14

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

Internal Medicine (Interventional Cardiology)
900 W 38TH ST STE 400
AUSTIN, TX 78705
Physician Assistant
900 W 38TH ST STE 400
AUSTIN, TX 78705
Nurse Practitioner (Family)
900 W 38TH ST STE 400
AUSTIN, TX 78705
Physician Assistant
900 W 38TH ST STE 400
AUSTIN, TX 78705
Nurse Practitioner (Family)
900 W 38TH ST STE 400
AUSTIN, TX 78705
Internal Medicine (Cardiovascular Disease)
900 W 38TH ST STE 400
AUSTIN, TX 78705
Nurse Practitioner (Family)
900 W 38TH ST STE 400
AUSTIN, TX 78705
Nurse Practitioner (Family)
900 W 38TH ST STE 400
AUSTIN, TX 78705

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 Jonathan Ginns's NPI number?

The NPI number for Jonathan Ginns is 1962737692. It was assigned to this individual provider in the NPPES registry on October 14, 2009.

Where is Jonathan Ginns located?

Jonathan Ginns practices at 900 W 38th St Ste 400, Austin, TX 78705. The listed phone number is (512) 206-3600.

What is Jonathan Ginns's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Adult Congenital Heart Disease, with taxonomy code 207RA0002X.

Is Jonathan Ginns enrolled in Medicare?

Yes. Jonathan Ginns 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 Jonathan Ginns accept?

Health plans from Blue Cross and Blue Shield of Texas, Moda Health Plan, Inc., Oscar Insurance Company, Sendero Health Plans, Local Nonprofit and UnitedHealthcare and 1 other insurer list Jonathan Ginns 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 Jonathan Ginns affiliated with any hospitals?

According to CMS data, Jonathan Ginns is affiliated with Columbus Community Hospital, St David's Medical Center, St David's South Austin Medical Center, Round Rock Medical Center and North Austin Medical Center.

When was this NPI record last updated?

The NPPES record for Jonathan Ginns was last updated on January 12, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.