Active NPI 1629151048 Individual Practitioner Male Practitioner

Dr. Ernest Michael Ginalis , MD

Surgery • Ocean, NJ

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Ernest Ginalis, MD is a certified Surgery practicing in Ocean, NJ. With approximately 41 years of clinical experience since completing medical education in 1985, Dr. Ginalis delivers high-quality medical care to the local community at 1300 HIGHWAY 35 UNIT 204.

Dr. Ginalis is affiliated with Barnabas Health Medical Group Pc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, new patient outpatient office visit, initial hospital care with straightforward or low-level medical decision making, if using time, at least. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1300 Highway 35 Unit 204

Ocean, NJ 077123533

Telephone 7325316400

Fax 7325170223

Associated Practice Facility / Clinic

🏢 Richard B. Meltzer Md Pa Facility NPI 1972778116

Medicare Profile & Education

Medical School

Other

Graduation Year

1985

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Ocean, NJ

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

41 Yrs Matches City Avg

City Avg: 41.0 Yrs

State Avg: 26.9 Yrs

Regional Practice Density

2 Specialists

Practicing in Ocean, NJ (815 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

84.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Ginalis (41 Years) 41 Yrs

Ocean Specialty Average (41.0 Years) 41.0 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
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	49	37	$842.00	$136.40
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	46	46	$1095.00	$179.31
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	22	21	$832.00	$136.69
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	19	18	$842.00	$102.63
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	19	12	$375.00	$61.23

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	52	37	$832.73	$134.37
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	43	43	$1062.12	$174.14
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	28	20	$813.11	$102.15
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	18	18	$854.22	$136.24
99213 Established patient office or other outpatient visit, typically 15 minutes	16	14	$598.69	$96.39
49507 Repair of trapped groin hernia patient age 5 years or older	14	14	$3604.71	$568.03

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
12021 Repair of separation of wound closure with insertion of packing	60	11	$1205.27	$199.39
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	48	30	$843.71	$140.46
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	33	33	$1095.00	$178.10
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	31	29	$856.00	$143.41
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	30	14	$452.00	$75.66
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	29	26	$843.00	$105.15
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	15	15	$740.47	$122.87
49507 Repair of trapped groin hernia patient age 5 years or older	12	11	$3867.00	$595.00

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	55	22	$346.02	$77.01
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	42	33	$576.93	$143.09
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	40	38	$620.23	$145.74
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	36	36	$833.75	$184.51
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	24	22	$524.13	$107.62
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	14	14	$544.93	$124.07

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	51	23	$205.37	$71.74
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	51	48	$362.18	$148.40
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	35	31	$304.00	$85.70
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	28	22	$267.36	$118.76
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	23	23	$403.52	$179.20
43246 Insertion of stomach tube using a flexible endoscope	11	11	$802.73	$138.24
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	11	11	$302.73	$81.73

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	143	48	$199.41	$76.26
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	79	71	$358.15	$143.51
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	50	33	$250.00	$116.17
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	38	28	$301.16	$82.89
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	34	34	$375.00	$174.89
99213 Established patient office or other outpatient visit, typically 15 minutes	18	15	$150.00	$79.50
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	14	12	$421.71	$211.89
43246 Insertion of stomach tube using a flexible endoscope	12	12	$730.73	$136.14

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	164	51	$194.15	$76.42
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	84	73	$338.23	$143.42
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	58	43	$250.00	$113.23
12021 Repair of separation of wound closure with insertion of packing	48	18	$250.00	$177.18
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	40	40	$375.00	$171.66
12021 Repair of separation of wound closure with insertion of packing	25	11	$288.40	$149.33
43246 Insertion of stomach tube using a flexible endoscope	23	22	$877.31	$136.14
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	23	21	$250.00	$82.49
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	13	13	$300.00	$107.62

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	153	56	$185.88	$74.78
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	91	82	$334.96	$138.93
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	44	36	$250.00	$113.22
12021 Repair of separation of wound closure with insertion of packing	38	12	$250.00	$175.21
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	37	37	$375.00	$170.26
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	32	25	$250.00	$82.49
12021 Repair of separation of wound closure with insertion of packing	31	13	$373.87	$145.97
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	16	16	$300.00	$115.52
99213 Established patient office or other outpatient visit, typically 15 minutes	16	16	$171.00	$53.50
43246 Insertion of stomach tube using a flexible endoscope	16	16	$788.36	$136.76
76937 Ultrasonic guidance for blood vessel access	14	14	$215.00	$15.14
36010 Insertion of tube into vena cava	14	14	$862.86	$100.80
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	14	13	$418.57	$212.82
47562 Removal of gallbladder using an endoscope	13	13	$4495.54	$681.93
99213 Established patient office or other outpatient visit, typically 15 minutes	12	11	$150.00	$78.22

Medical Specialties & State Licenses

CMS Verified: 2021-04-17

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License NJ 25MA06075700

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Hospital & Practice Group Affiliations

Barnabas Health Medical Group Pc

300 2nd Ave, Long Branch, NJ 077406303

Barnabas Health Medical Group Pc

200 Wyckoff Rd, Eatontown, NJ 077241921

Phone: 8887247123

Barnabas Health Medical Group Pc

475 Hwy 70, Lakewood, NJ 087015897

Phone: 7323648000

Barnabas Health Medical Group Pc

94 Old Short Hills Rd, Livingston, NJ 070395672

Practice Associates & Co-Workers

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

5 Associated Practitioners

Erik Klein

Internal Medicine

NPI 1093392631

Dr. Maria Alne , MD

Internal Medicine

NPI 1275980336

Doctor of Medicine (M.D.)

Dr. Richard Meltzer , MD

Internal Medicine

NPI 1366449050

Doctor of Medicine (M.D.)

Erica Clohessy

Nurse Practitioner - Family

NPI 1831912088

Dr. Michael Disciglio , MD

Internal Medicine

NPI 1922075373

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

7 Historical Events

📍

Updated Practice Location April 17, 2021

Registered at 1300 HIGHWAY 35 UNIT 204, OCEAN, NJ 077123533 (Tel: 7325316400)

✅

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍

Updated Practice Location July 08, 2007

Registered at 279 3RD AVE, SUITE 407, LONG BRANCH, NJ 077406205 (Tel: 7322298486)

📍

Updated Business Mailing Address July 08, 2007

Registered at 279 3RD AVE, SUITE 407, LONG BRANCH, NJ 077406205 (Tel: 7322298486)

👤

Provider Name / Credentials Updated July 08, 2007

Recorded as ERNEST GINALIS, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Surgery (License #25MA06075700 in NJ)

🟢

Initial NPI Registration & Enumeration October 21, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1629151048

Entity Type:

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

Enumeration Date: October 21, 2006

Last Update: April 17, 2021

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

279 3rd Ave, Suite 407

Long Branch, NJ 077406205

Phone: 7322298486

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.