Active NPI 1619394855 Individual Practitioner Male Practitioner

Dr. Jacob Gingerich , DO

Surgery • Oak Ridge, TN

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Jacob Gingerich, DO is a certified Surgery practicing in Oak Ridge, TN. With approximately 12 years of clinical experience since completing medical education in 2014, Dr. Gingerich delivers high-quality medical care to the local community at 120 ADMINISTRATION RD.

Dr. Gingerich is affiliated with Covenant Medical Group Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, follow-up hospital inpatient care per day, 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

120 Administration Rd

Oak Ridge, TN 378308822

Telephone 8654837030

Fax 8654833954

Associated Practice Facility / Clinic

🏢 Oak Ridge Surgeons, P.c. Facility NPI 1295785970

Medicare Profile & Education

Medical School

Other

Graduation Year

2014

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Oak Ridge, TN

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

12 Yrs -12.0 yrs vs City Avg

City Avg: 24.0 Yrs

State Avg: 26.3 Yrs

Regional Practice Density

8 Specialists

Practicing in Oak Ridge, TN (682 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

61.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Gingerich (12 Years) 12 Yrs

Oak Ridge Specialty Average (24.0 Years) 24.0 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	110	61	$160.00	$82.06
99231 Follow-up hospital inpatient care per day, typically 15 minutes	64	31	$72.00	$45.36
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	61	61	$295.00	$153.22
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	56	54	$252.00	$119.69
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	38	34	$228.00	$117.51
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's	37	26	$22.00	$15.24
47562 Removal of gallbladder using an endoscope	13	13	$1857.00	$588.52

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	123	84	$160.00	$82.89
99231 Follow-up hospital inpatient care per day, typically 15 minutes	121	52	$72.00	$46.10
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	66	66	$295.00	$152.46
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	59	56	$252.00	$121.22
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	31	30	$228.00	$114.81
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	23	19	$99.00	$51.88
49650 Repair of groin hernia using an endoscope	15	15	$1207.00	$403.90

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	129	95	$159.35	$84.61
99231 Follow-up hospital inpatient care per day, typically 15 minutes	58	29	$72.00	$32.87
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	50	50	$295.10	$153.31
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	44	41	$99.00	$52.39
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	34	32	$252.00	$119.73
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	24	24	$195.96	$104.23
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	16	15	$228.00	$119.81
47562 Removal of gallbladder using an endoscope	13	13	$1857.00	$608.44

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	117	82	$132.00	$85.98
99231 Follow-up hospital inpatient care per day, typically 15 minutes	73	40	$72.00	$36.40
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	56	56	$195.00	$105.40
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	45	44	$252.00	$125.44
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	38	33	$79.00	$52.67
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	34	34	$300.00	$150.91
99221 Initial hospital inpatient care per day, typically 30 minutes	14	14	$185.00	$94.71
49650 Repair of groin hernia using an endoscope	14	13	$1207.00	$400.84
47562 Removal of gallbladder using an endoscope	12	12	$1857.00	$586.81

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	75	59	$132.00	$69.27
99231 Follow-up hospital inpatient care per day, typically 15 minutes	62	25	$72.00	$37.71
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	52	52	$195.00	$98.61
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	34	34	$300.00	$154.33
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	29	27	$252.00	$132.11
99221 Initial hospital inpatient care per day, typically 30 minutes	25	24	$185.00	$97.25
19301 Partial removal of breast	15	13	$1832.00	$593.60
38900 Lymph node imaging during surgery	15	15	$391.00	$126.12
38500 Biopsy or removal of lymph nodes, open procedure	13	13	$717.00	$119.59

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes	35	20	$72.00	$37.33
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	19	19	$300.00	$140.93
99213 Established patient office or other outpatient visit, typically 15 minutes	16	13	$132.00	$69.25
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	15	15	$252.00	$129.70
99221 Initial hospital inpatient care per day, typically 30 minutes	13	12	$185.00	$95.60

Medical Specialties & State Licenses

CMS Verified: 2020-07-21

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License TN 3696

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

Q049564 (TN)

Hospital & Practice Group Affiliations

Covenant Medical Group Inc

703 Mcfarland St, Morristown, TN 378143977

Phone: 4235811227

Practice Associates & Co-Workers

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

9 Associated Practitioners

Dr. David Koelsch , MD

Surgery

NPI 1013919489

Doctor of Medicine (M.D.)

Mary Stauber , PA-C

Physician Assistant - Surgical

NPI 1104802198

Physician Assistant (Certified)

Dr. David Stanley , MD

Surgery - Vascular Surgery

NPI 1265418032

Doctor of Medicine (M.D.)

Ashley Day

Surgery

NPI 1285263624

Dr. William Dallas , MD

Surgery

NPI 1326024308

Doctor of Medicine (M.D.)

Dr. Joseph Metcalf , MD

Surgery

NPI 1356332126

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

11 Historical Events

👤

Provider Name / Credentials Updated July 21, 2020

Recorded as JACOB GINGERICH, DO

📍

Updated Practice Location June 13, 2019

Registered at 120 ADMINISTRATION RD, OAK RIDGE, TN 378308822 (Tel: 8654837030)

📍

Updated Business Mailing Address June 13, 2019

Registered at 120 ADMINISTRATION RD, OAK RIDGE, TN 378308822 (Tel: 8654837030)

👤

Provider Name / Credentials Updated June 13, 2019

Recorded as JACOB GINGERICH, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) June 13, 2019

Surgery (License #3696 in TN)

✅

NPI Profile Active March 26, 2014

NPI status registered as active in NPPES database

📍

Updated Practice Location March 26, 2014

Registered at 240 MEETING HOUSE LN, SOUTHAMPTON, NY 119685009 (Tel: 6317268200)

📍

Updated Business Mailing Address March 26, 2014

Registered at 5774 NESBIT DR, HARRISBURG, PA 171122200

👤

Provider Name / Credentials Updated March 26, 2014

Recorded as JACOB GINGERICH

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 26, 2014

Student in an Organized Health Care Education/Training Program

🟢

Initial NPI Registration & Enumeration March 26, 2014

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: 1619394855

Entity Type:

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

Enumeration Date: March 26, 2014

Last Update: July 21, 2020

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

120 Administration Rd

Oak Ridge, TN 378308822

Phone: 8654837030

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.