Active NPI 1174580716 Individual Practitioner Male Practitioner

Ralph Michael Cincinnati , CRNP

Nurse Practitioner • Wyomissing, PA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Ralph Cincinnati, CRNP is a certified Nurse Practitioner practicing in Wyomissing, PA. With approximately 26 years of clinical experience since completing medical education in 2000, Ralph Cincinnati delivers high-quality medical care to the local community at 1030 REED AVE.

Ralph Cincinnati is affiliated with Berks Diabetes Management and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report, new patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1030 Reed Ave
Suite 116

Wyomissing, PA 196102039

Telephone 6103737743

Fax 6103789337

Associated Practice Facility / Clinic

🏢 Eastern Pennsylvania Comprehensive Sleep Disorder Centers Inc. Facility NPI 1932147865

Medicare Profile & Education

Medical School

Other

Graduation Year

2000

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Wyomissing, PA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

26 Yrs +12.7 yrs vs City Avg

City Avg: 13.3 Yrs

State Avg: 10.7 Yrs

Regional Practice Density

19 Specialists

Practicing in Wyomissing, PA (3955 Statewide)

Telehealth Adoption Rate

5.3% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

61.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Cincinnati (26 Years) 26 Yrs

Wyomissing Specialty Average (13.3 Years) 13.3 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	1,259	502	$254.00	$98.32
95251 Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report	440	192	$70.00	$26.51
99213 Established patient office or other outpatient visit, typically 15 minutes	59	44	$179.00	$68.30
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	22	22	$329.00	$129.38

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	1,288	502	$254.00	$104.80
95251 Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report	397	171	$70.00	$28.59
99213 Established patient office or other outpatient visit, typically 15 minutes	73	52	$179.00	$73.52
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	29	29	$329.00	$137.89
93923 Complete ultrasound study of arm and leg arteries	28	13	$250.00	$93.48
95923 Testing of autonomic (sympathetic) nervous system function	14	13	$255.00	$100.81

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	1,340	510	$254.00	$104.91
95251 Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report	376	159	$70.00	$28.91
99213 Established patient office or other outpatient visit, typically 15 minutes	104	79	$179.00	$71.62
93923 Complete ultrasound study of arm and leg arteries	92	46	$250.00	$97.99
95923 Testing of autonomic (sympathetic) nervous system function	46	44	$255.00	$104.54
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	28	27	$329.00	$138.53

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	1,439	536	$247.40	$107.46
95251 Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report	330	147	$65.32	$29.39
99213 Established patient office or other outpatient visit, typically 15 minutes	86	70	$173.43	$72.96
93923 Complete ultrasound study of arm and leg arteries	54	28	$250.00	$108.27
95923 Testing of autonomic (sympathetic) nervous system function	26	26	$255.00	$108.42
95943 Testing of autonomic (parasympathetic and sympathetic) nervous system function	26	26	$440.00	$80.48
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	20	20	$329.00	$140.25

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	1,414	555	$194.41	$90.70
95251 Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report	319	134	$55.00	$30.47
99213 Established patient office or other outpatient visit, typically 15 minutes	158	136	$141.93	$53.49
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	19	19	$363.42	$175.87

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	1,573	626	$175.00	$89.68
95251 Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report	210	100	$52.88	$29.73
99213 Established patient office or other outpatient visit, typically 15 minutes	51	42	$136.57	$61.55
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	31	31	$320.00	$172.73

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	1,533	633	$175.38	$88.75
95251 Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report	57	37	$50.00	$30.24
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	52	52	$320.00	$168.71
99213 Established patient office or other outpatient visit, typically 15 minutes	17	16	$139.71	$58.09

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	1,569	609	$175.02	$87.93
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	46	46	$320.00	$170.51
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	37	26	$225.00	$116.48

Medical Specialties & State Licenses

Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License PA SP007277

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

101001032 (PA)

Hospital & Practice Group Affiliations

Berks Diabetes Management

1030 Reed Ave, Wyomissing, PA 196102039

Phone: 6103737743

Practice Associates & Co-Workers

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

2 Associated Practitioners

Dr. David Deibert , MD

Internal Medicine - Endocrinology, Diabetes & Metabolism

NPI 1528119955

Doctor of Medicine (M.D.)

Dr. Ravisha Bai , MD

Internal Medicine - Endocrinology, Diabetes & Metabolism

NPI 1598162265

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active October 04, 2015

NPI status registered as active in NPPES database

📍

Updated Practice Location October 04, 2015

Registered at 1030 REED AVE, SUITE 116, WYOMISSING, PA 196102039 (Tel: 6103737743)

📍

Updated Business Mailing Address October 04, 2015

Registered at 1030 REED AVE, SUITE 116, WYOMISSING, PA 196102039 (Tel: 6103737743)

👤

Provider Name / Credentials Updated October 04, 2015

Recorded as RALPH CINCINNATI, C.R.N.P.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) October 04, 2015

Nurse Practitioner (License #SP007277 in PA)

🟢

Initial NPI Registration & Enumeration April 27, 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: 1174580716

Entity Type:

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

Enumeration Date: April 27, 2006

Last Update: October 04, 2015

Sole Proprietor: No

Update or Correct Profile

Mailing Address

1030 Reed Ave, Suite 116

Wyomissing, PA 196102039

Phone: 6103737743

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.