Active NPI 1467492678 Individual Practitioner Male Practitioner

Dr. John Thomas Gianis , MD

Specialist • Summit, NJ

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. John Gianis, MD is a certified Specialist practicing in Summit, NJ. With approximately 45 years of clinical experience since completing medical education in 1981, Dr. Gianis delivers high-quality medical care to the local community at 475 SPRINGFIELD AVE.

Dr. Gianis is affiliated with Practice Associates Medical Group and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, automated urinalysis test, urinalysis, manual test. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

475 Springfield Ave

Summit, NJ 079012600

Telephone 9082738854

Fax 9082734585

Associated Practice Facility / Clinic

🏢 Raynard Riley Dds Facility NPI 1043315302

Medicare Profile & Education

Medical School

Other

Graduation Year

1981

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Summit, NJ

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

45 Yrs +11.0 yrs vs City Avg

City Avg: 34.0 Yrs

State Avg: 35.6 Yrs

Regional Practice Density

7 Specialists

Practicing in Summit, NJ (1802 Statewide)

Telehealth Adoption Rate

14.3% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

64.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Gianis (45 Years) 45 Yrs

Summit Specialty Average (34.0 Years) 34.0 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
99213 Established patient office or other outpatient visit, typically 15 minutes	405	259	$247.00	$92.52
81003 Automated urinalysis test	247	190	$4.00	$2.20
81002 Urinalysis, manual test	222	182	$8.00	$3.41
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	136	115	$363.00	$130.04
51798 Ultrasound measurement of bladder capacity after voiding	126	101	$63.00	$12.10
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	34	34	$551.00	$169.81
52000 Diagnostic exam of bladder and urethra using an endoscope	33	29	$633.00	$251.02

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
81000 Manual urinalysis test with examination using microscope, non-automated	855	442	$5.77	$3.93
99213 Established patient office or other outpatient visit, typically 15 minutes	739	394	$157.26	$99.79
51798 Ultrasound measurement of bladder capacity after voiding	179	141	$121.26	$12.62
J9217 Leuprolide acetate (for depot suspension), 7.5 mg	135	18	$230.05	$170.00
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	94	79	$163.33	$139.89
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	66	66	$207.45	$182.29
52000 Diagnostic exam of bladder and urethra using an endoscope	65	51	$363.30	$277.38
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	42	16	$50.76	$39.03
76775 Limited ultrasound scan behind abdominal cavity	39	37	$97.61	$67.20
76856 Complete ultrasound scan of pelvis	34	34	$141.61	$122.63
76872 Ultrasound scan of pelvic region through rectum	12	11	$185.66	$158.96
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	12	11	$71.13	$63.12

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
81000 Manual urinalysis test with examination using microscope, non-automated	875	456	$4.37	$3.95
99213 Established patient office or other outpatient visit, typically 15 minutes	667	369	$104.90	$101.40
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	175	144	$146.69	$142.62
51798 Ultrasound measurement of bladder capacity after voiding	159	119	$17.03	$12.58
J9217 Leuprolide acetate (for depot suspension), 7.5 mg	141	21	$201.58	$177.55
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	68	68	$188.65	$186.18
52000 Diagnostic exam of bladder and urethra using an endoscope	55	43	$294.32	$290.67
76856 Complete ultrasound scan of pelvis	51	51	$128.79	$127.13
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	48	22	$39.67	$39.12
76775 Limited ultrasound scan behind abdominal cavity	40	38	$68.36	$67.13
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	23	18	$64.66	$63.70
76872 Ultrasound scan of pelvic region through rectum	16	14	$184.17	$156.71
99443 Telephone medical discussion with physician, 21-30 minutes	15	15	$144.63	$143.32
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	13	12	$204.78	$201.64

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
81000 Manual urinalysis test with examination using microscope, non-automated	858	447	$4.80	$4.01
99213 Established patient office or other outpatient visit, typically 15 minutes	547	292	$104.49	$102.88
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	298	232	$147.07	$145.66
51798 Ultrasound measurement of bladder capacity after voiding	191	149	$14.74	$12.47
J9217 Leuprolide acetate (for depot suspension), 7.5 mg	118	15	$204.29	$178.16
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	80	80	$189.19	$188.21
52000 Diagnostic exam of bladder and urethra using an endoscope	68	55	$280.31	$279.66
76775 Limited ultrasound scan behind abdominal cavity	62	59	$83.64	$67.40
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	40	15	$44.15	$38.58
76872 Ultrasound scan of pelvic region through rectum	17	17	$220.05	$166.84
52281 Dilation of bladder canal (urethra) using an endoscope	16	16	$448.26	$395.44
99442 Telephone medical discussion with physician, 11-20 minutes	14	14	$103.79	$102.45

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
81000 Manual urinalysis test with examination using microscope, non-automated	705	404	$4.04	$3.98
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	374	283	$123.82	$117.40
99213 Established patient office or other outpatient visit, typically 15 minutes	327	194	$84.85	$81.56
51798 Ultrasound measurement of bladder capacity after voiding	178	131	$13.00	$11.80
J9217 Leuprolide acetate (for depot suspension), 7.5 mg	118	17	$233.62	$221.91
99442 Telephone medical discussion with physician, 11-20 minutes	79	68	$88.18	$81.17
52000 Diagnostic exam of bladder and urethra using an endoscope	46	38	$247.68	$238.31
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	43	17	$37.05	$35.54
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	38	38	$185.28	$178.10
76775 Limited ultrasound scan behind abdominal cavity	35	33	$67.91	$64.95
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	21	19	$164.16	$156.28
76872 Ultrasound scan of pelvic region through rectum	16	15	$170.49	$163.18
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	14	14	$232.21	$222.16
52281 Dilation of bladder canal (urethra) using an endoscope	11	11	$376.22	$360.13

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
81000 Manual urinalysis test with examination using microscope, non-automated	895	482	$4.03	$3.93
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	491	356	$122.33	$115.93
99213 Established patient office or other outpatient visit, typically 15 minutes	419	236	$83.45	$79.55
51798 Ultrasound measurement of bladder capacity after voiding	129	105	$16.13	$14.43
J9217 Leuprolide acetate (for depot suspension), 7.5 mg	102	16	$235.97	$225.47
52000 Diagnostic exam of bladder and urethra using an endoscope	86	64	$218.75	$209.22
76775 Limited ultrasound scan behind abdominal cavity	59	55	$66.93	$63.84
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	54	54	$182.90	$171.72
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	34	16	$35.99	$34.46
76872 Ultrasound scan of pelvic region through rectum	25	24	$150.23	$143.92
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	25	25	$229.30	$219.12
52281 Dilation of bladder canal (urethra) using an endoscope	18	18	$346.27	$329.87
52332 Insertion of stent in urinary duct (ureter) using an endoscope	11	11	$852.96	$181.30

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
81000 Manual urinalysis test with examination using microscope, non-automated	1,085	582	$5.98	$3.92
99213 Established patient office or other outpatient visit, typically 15 minutes	575	323	$82.40	$78.34
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	536	403	$122.15	$114.31
J9217 Leuprolide acetate (for depot suspension), 7.5 mg	135	21	$243.15	$212.03
51798 Ultrasound measurement of bladder capacity after voiding	133	102	$25.38	$18.01
52000 Diagnostic exam of bladder and urethra using an endoscope	97	72	$228.46	$183.24
76775 Limited ultrasound scan behind abdominal cavity	80	76	$82.87	$62.98
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	73	73	$187.43	$173.47
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	45	21	$40.10	$34.32
51702 Simple insertion of temporary bladder tube	39	11	$92.04	$71.35
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	24	24	$234.69	$204.50
52281 Dilation of bladder canal (urethra) using an endoscope	22	22	$410.92	$303.18
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	17	16	$166.74	$154.99
76872 Ultrasound scan of pelvic region through rectum	11	11	$167.99	$107.95

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
81000 Manual urinalysis test with examination using microscope, non-automated	1,228	601	$4.39	$4.25
99213 Established patient office or other outpatient visit, typically 15 minutes	791	421	$82.08	$78.06
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	457	329	$120.52	$114.64
J9217 Leuprolide acetate (for depot suspension), 7.5 mg	172	28	$214.01	$207.41
51798 Ultrasound measurement of bladder capacity after voiding	147	118	$24.52	$21.99
52000 Diagnostic exam of bladder and urethra using an endoscope	116	92	$189.67	$181.16
76775 Limited ultrasound scan behind abdominal cavity	82	77	$73.87	$64.16
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	62	62	$182.72	$174.48
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	62	29	$37.92	$36.21
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	23	23	$121.24	$116.06
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	22	18	$161.43	$154.13
76872 Ultrasound scan of pelvic region through rectum	19	16	$110.79	$105.81
52281 Dilation of bladder canal (urethra) using an endoscope	14	13	$314.08	$300.00
52332 Insertion of stent in urinary duct (ureter) using an endoscope	13	13	$622.07	$199.23
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	13	13	$221.73	$212.08
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	11	11	$68.87	$65.73

Medical Specialties & State Licenses

Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

State License NJ MA052941

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Hospital & Practice Group Affiliations

Practice Associates Medical Group

100 Madison Ave, Morristown, NJ 079606136

Phone: 9739715596

Practice Associates & Co-Workers

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

1 Associated Practitioners

Dr. Raynard Riley , DDS

Dentist

NPI 1811390230

Doctor of Dental Surgery

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍

Updated Practice Location July 08, 2007

Registered at 475 SPRINGFIELD AVE, SUMMIT, NJ 079012600 (Tel: 9082738854)

📍

Updated Business Mailing Address July 08, 2007

Registered at 475 SPRINGFIELD AVE., SUMMIT, NJ 07901 (Tel: 9082738854)

👤

Provider Name / Credentials Updated July 08, 2007

Recorded as JOHN GIANIS, M.D.

🎓

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

Specialist (License #MA052941 in NJ)

🟢

Initial NPI Registration & Enumeration June 07, 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: 1467492678

Entity Type:

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

Enumeration Date: June 07, 2006

Last Update: July 13, 2026

Sole Proprietor: No

Update or Correct Profile

Mailing Address

475 Springfield Ave.

Summit, NJ 07901

Phone: 9082738854

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.