Active NPI 1316474976 Individual Practitioner Male Practitioner

Dr. Michael Thomas Ginnetti , MD

Dermatology • Bloomington, IL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Michael Ginnetti, MD is a certified Dermatology practicing in Bloomington, IL. With approximately 9 years of clinical experience since graduating from Southern Illinois University School Of Medicine in 2017, Dr. Ginnetti delivers high-quality medical care to the local community at 1015 S MERCER AVE STE GF7.

Dr. Ginnetti accepts Medicare assignment.

Frequently performed procedures and clinical services include destruction of precancer skin growth, 2-14 growths, established patient outpatient office visit, destruction of skin growth. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1015 S Mercer Ave Ste Gf7

Bloomington, IL 617017107

Telephone 3096608442

Associated Practice Facility / Clinic

🏢 Prairie Dermatology, Pllc Facility NPI 1881333680

Medicare Profile & Education

Medical School

Southern Illinois University School Of Medicine

Graduation Year

2017

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Dermatology in Bloomington, IL

Experienced Practitioner (5-10 Yrs)

Practitioner Clinical Experience

9 Yrs -9.7 yrs vs City Avg

City Avg: 18.7 Yrs

State Avg: 23.1 Yrs

Regional Practice Density

8 Specialists

Practicing in Bloomington, IL (673 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

57.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Ginnetti (9 Years) 9 Yrs

Bloomington Specialty Average (18.7 Years) 18.7 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	1,748	276	$12.35	$6.08
99213 Established patient office or other outpatient visit, typically 15 minutes	770	477	$175.96	$86.81
17000 Destruction of skin growth	540	384	$128.84	$49.72
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	333	333	$216.82	$106.93
11102 Tangential biopsy of single skin lesion	332	280	$188.86	$86.12
11103 Biopsy of related skin growth, each additional growth	177	92	$94.96	$46.76
17110 Destruction of up to 14 skin growths	116	98	$213.76	$99.77
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	114	82	$108.90	$53.73
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	100	72	$248.52	$122.69
17311 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks	96	72	$1295.31	$498.07
17312 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks	69	45	$782.46	$385.06
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	57	49	$576.44	$241.86
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	54	54	$325.94	$158.88
11301 Shaving of skin growth of body, arms, or legs, 0.6-1.0 cm	54	45	$229.45	$103.65
17004 Destruction of precancer skin growth, 15 or more growths	46	36	$317.48	$156.66
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	45	15	$1.98	$0.97
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	38	33	$466.77	$117.97
99202 New patient office or other outpatient visit, typically 20 minutes	32	32	$139.34	$68.86
11900 Injection into skin growth, 1-7 growths	29	14	$109.53	$46.61
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	25	19	$339.96	$144.06
11200 Removal of skin tag, 1-15 skin tags	23	23	$176.64	$71.90
69100 Biopsy of ear	22	20	$181.41	$64.93
11603 Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm	21	19	$535.29	$131.79
11104 Punch biopsy, first skin growth	20	20	$235.31	$116.04
11302 Shaving of skin growth of body, arms, or legs, 1.1-2.0 cm	19	18	$259.07	$124.33
12042 Intermediate repair of wound of neck, hands, feet, or genitals, 2.6-7.5 cm	17	16	$591.43	$205.44
17261 Destruction of cancer skin growth of trunk, arms, or legs, 0.6-1.0 cm	17	15	$282.40	$118.52
17313 Removal and microscopic exam of growth of trunk, arms, or legs, 1-5 tissue blocks	16	15	$1210.20	$540.34
13121 Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs	15	13	$810.20	$305.94
14041 Repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet by transferring skin, 10.1-30.0 sq cm	15	15	$1792.47	$882.85
11300 Shaving of 0.5 centimeters or less skin growth of the trunk, arms, or legs	13	12	$188.82	$64.34

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	1,250	228	$13.68	$6.41
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	425	425	$222.84	$109.90
99213 Established patient office or other outpatient visit, typically 15 minutes	415	279	$191.27	$90.34
17000 Destruction of skin growth	392	302	$138.10	$51.08
11102 Tangential biopsy of single skin lesion	289	231	$202.68	$91.20
11103 Biopsy of related skin growth, each additional growth	131	68	$99.31	$48.79
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	110	91	$117.85	$56.28
17110 Destruction of up to 14 skin growths	80	63	$227.44	$104.61
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	52	27	$2.28	$1.08
99202 New patient office or other outpatient visit, typically 20 minutes	52	52	$152.44	$71.91
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	52	46	$591.07	$274.85
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	49	49	$328.55	$163.93
11900 Injection into skin growth, 1-7 growths	48	27	$113.03	$46.32
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	48	36	$272.02	$128.72
11301 Shaving of skin growth of body, arms, or legs, 0.6-1.0 cm	46	37	$236.76	$106.69
17004 Destruction of precancer skin growth, 15 or more growths	41	33	$339.46	$166.46
17311 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks	40	34	$1309.26	$541.34
17312 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks	34	22	$791.20	$396.53
11300 Shaving of 0.5 centimeters or less skin growth of the trunk, arms, or legs	33	32	$200.77	$68.41
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	31	24	$366.96	$162.28
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	28	26	$473.50	$118.66
11104 Punch biopsy, first skin growth	24	24	$253.34	$120.08
17261 Destruction of cancer skin growth of trunk, arms, or legs, 0.6-1.0 cm	23	18	$294.48	$116.15
11603 Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm	17	15	$542.94	$136.06
12052 Repair of wound (2.6 to 5.0 centimeters) of face, ears, eyelids, nose, lips, and/or mouth	15	14	$613.10	$204.85
69100 Biopsy of ear	15	14	$196.37	$57.17
11302 Shaving of skin growth of body, arms, or legs, 1.1-2.0 cm	13	12	$263.31	$127.31

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	275	57	$24.12	$7.02
99213 Established patient office or other outpatient visit, typically 15 minutes	173	132	$136.48	$95.86
17000 Destruction of skin growth	90	73	$147.63	$57.46
11102 Tangential biopsy of single skin lesion	82	72	$199.82	$102.39
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	71	71	$205.51	$117.30
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	60	39	$196.85	$134.39
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	57	44	$80.00	$57.51
17110 Destruction of up to 14 skin growths	31	24	$210.27	$117.50
11103 Biopsy of related skin growth, each additional growth	22	16	$99.86	$54.02
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	15	15	$307.90	$174.65

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	224	44	$92.00	$6.17
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	106	106	$216.00	$110.07
99213 Established patient office or other outpatient visit, typically 15 minutes	97	86	$140.78	$89.26
17000 Destruction of skin growth	66	65	$201.00	$52.65
11102 Tangential biopsy of single skin lesion	49	49	$318.00	$98.54
17110 Destruction of up to 14 skin growths	18	18	$312.00	$108.68
11103 Biopsy of related skin growth, each additional growth	17	15	$171.00	$50.87

Medical Specialties & State Licenses

CMS Verified: 2022-11-23

Dermatology Primary Specialty

NUCC Taxonomy Code: 207N00000X

State License IL 036.156711

A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.

Dermatology

NUCC Taxonomy Code: 207N00000X

State License IA R-11187

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

State License IA R-11187

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners

Caitlyn Stoewer , PA-C

Physician Assistant

NPI 1235866377

Physician Assistant (Certified)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

11 Historical Events

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) November 23, 2022

Dermatology (License #R-11187 in IA)

📍

Updated Practice Location November 01, 2022

Registered at 1015 S MERCER AVE STE GF7, BLOOMINGTON, IL 617017107 (Tel: 3096608442)

📍

Updated Business Mailing Address November 01, 2022

Registered at 1015 S MERCER AVE STE GF7, BLOOMINGTON, IL 617017107 (Tel: 3096608442)

📍

Updated Practice Location July 20, 2018

Registered at 200 HAWKINS DR, IOWA CITY, IA 52242 (Tel: 3193561694)

📍

Updated Business Mailing Address July 20, 2018

Registered at 200 HAWKINS DR, IOWA CITY, IA 522421009 (Tel: 3193561694)

✅

NPI Profile Active May 15, 2017

NPI status registered as active in NPPES database

📍

Updated Practice Location May 15, 2017

Registered at 3 ERIE CT STE L700, OAK PARK, IL 603022519 (Tel: (708) 763-1222)

📍

Updated Business Mailing Address May 15, 2017

Registered at 3 ERIE CT STE L700, OAK PARK, IL 603022519 (Tel: 7087631222)

👤

Provider Name / Credentials Updated May 15, 2017

Recorded as MICHAEL GINNETTI, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) May 15, 2017

Student in an Organized Health Care Education/Training Program

🟢

Initial NPI Registration & Enumeration May 15, 2017

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1316474976

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: May 15, 2017

Last Update: November 23, 2022

Sole Proprietor: No

Update or Correct Profile

Mailing Address

1015 S Mercer Ave Ste Gf7

Bloomington, IL 617017107

Phone: 3096608442

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.