MELISSA A. GINSBURG P.A.
NPI 1134202328
Physician Assistant - Medical in Newburyport, MA
NPI Status: Active since October 23, 2006
Contact Information
260 MERRIMAC ST
NEWBURYPORT, MA
ZIP 01950
Phone: (978) 499-7200
Fax: (978) 499-7288
- Individual
- Female
- Years of Experience 28
- Physician Assistant
- Medical
- Accepts Insurance
- Accepts Medicare Approved Payment
- PECOS Enrolled
About MELISSA GINSBURG
This page provides the complete NPI Profile along with additional information for Melissa Ginsburg, a primary care provider established in Newburyport, Massachusetts with a medical specialization in Physician Assistant, focusing in medical and more than 28 years of experience. She graduated from Yale University School Of Medicine in 1998. The healthcare provider is registered in the NPI registry with number 1134202328 assigned on October 2006. The practitioner's primary taxonomy code is 363AM0700X with license number 1002 (MA). The provider is registered as an individual and her NPI record was last updated 9 years ago.
- NPI
- 1134202328
- Provider Name
- MELISSA A. GINSBURG P.A.
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 260 MERRIMAC ST NEWBURYPORT, MA 01950
- Location Phone
- (978) 499-7200
- Location Fax
- (978) 499-7288
- Mailing Address
- 260 MERRIMAC ST NEWBURYPORT, MA 01950
- Mailing Phone
- (978) 499-7200
- Mailing Fax
- (978) 499-7288
- Medical School Name
- YALE UNIVERSITY SCHOOL OF MEDICINE
- Graduation Year
- 1998
- Is Sole Proprietor?
- No
- Enumeration Date
- 10-23-2006
- Last Update Date
- 10-20-2016
- Code Navigator
A primary care provider (PCP) like Melissa Ginsburg sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Physician Assistant Medical
- Taxonomy Code
- 363AM0700X
- Type
- Physician Assistants & Advanced Practice Nursing Providers
- License No.
- 1002
- License State
- MA
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Anthem Bronze Preferred Blue PPO 5000/10%/8000 w/HSA - PPO
- Anthem Bronze Preferred Blue PPO 5000/20%/8000 w/HSA - PPO
- Anthem Bronze Preferred Blue PPO 6500/30%/9200 Value - PPO
- Anthem Bronze Preferred Blue PPO 7000/50%/8000 w/HSA - PPO
- Anthem Bronze Preferred Blue PPO 8500/50%/9200 - PPO
- Anthem Gold Preferred Blue PPO 1000/20%/7500 - PPO
- Anthem Gold Preferred Blue PPO 2000/0%/6500 RxD - PPO
- Anthem Gold Preferred Blue PPO 2000/10%/4600 w/HSA - PPO
- Anthem Gold Preferred Blue PPO 2000/10%/7500 - PPO
- Anthem Gold Preferred Blue PPO 2000/20%/4600 w/HSA - PPO
- Anthem Gold Preferred Blue PPO 3000/0%/5500 RxD - PPO
- Anthem Gold Preferred Blue PPO 500/25%/7000 - PPO
- Anthem Platinum Preferred Blue PPO 250/10%/3500 - PPO
- Anthem Silver Preferred Blue PPO 2000/30%/9000 Value - PPO
- Anthem Silver Preferred Blue PPO 3000/20%/8500 - PPO
- Anthem Silver Preferred Blue PPO 3000/30%/9000 Value - PPO
- Anthem Silver Preferred Blue PPO 3500/20%/7250 w/HSA - PPO
- Anthem Silver Preferred Blue PPO 4000/0%/8500 - PPO
- Anthem Silver Preferred Blue PPO 4000/0%/8500 RxD - PPO
- Anthem Silver Preferred Blue PPO 4000/10%/7250 w/HSA - PPO
- Anthem Bronze Pathway X Enhanced 6000/35% HSA - HMO
- Anthem Bronze Pathway X Enhanced 6500/40% ($0 Virtual PCP + $0 Select Drugs) - HMO
- Anthem Bronze Pathway X Enhanced 7500/50% ($0 Virtual PCP + $0 Select Drugs) Standard - HMO
- Anthem Catastrophic Pathway X Enhanced 9200/0% - HMO
- Anthem Gold Pathway X Enhanced 1200/20% ($0 Virtual PCP + $0 Select Drugs) - HMO
- Anthem Gold Pathway X Enhanced 1500/25% ($0 Virtual PCP + $0 Select Drugs) Standard - HMO
- Anthem Gold Pathway X Enhanced 700/40% ($0 Virtual PCP + $0 Select Drugs) - HMO
- Anthem Heart Healthy Bronze Pathway X Enhanced 6000/30% ($0 Virtual PCP + $0 Select Drugs) - HMO
- Anthem Heart Healthy Silver Pathway X Enhanced 4000/0% ($0 Virtual PCP + $0 Select Drugs) - HMO
- Anthem Silver Pathway X Enhanced 4500/20% HSA - HMO
- Anthem Silver Pathway X Enhanced 5000/40% ($0 Virtual PCP + $0 Select Drugs) Standard - HMO
- Anthem Silver Pathway X Enhanced 5500/20% ($0 Virtual PCP + $0 Select Drugs) - HMO
- Anthem Bronze Access Blue New England HMO 5000/10%/8000 w/HSA - HMO
- Anthem Bronze Access Blue New England HMO 5000/20%/8000 w/HSA - HMO
- Anthem Bronze Access Blue New England HMO 6500/30%/9200 Value - HMO
- Anthem Bronze Access Blue New England HMO 7000/50%/8000 w/HSA - HMO
- Anthem Bronze Access Blue New England HMO 8500/50%/9200 - HMO
- Anthem Bronze Pathway X HMO 5000/10%/8000 w/HSA - HMO
- Anthem Bronze Pathway X HMO 5000/20%/8000 w/HSA - HMO
- Anthem Bronze Pathway X HMO 6500/30%/9200 Value - HMO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| AP2776 | MEDICARE PIN (08) | MA | |
| P57735 | MEDICARE UPIN (02) | MA |
Medicare Participation & PECOS Enrollment Status
Melissa Ginsburg is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.
Melissa Ginsburg is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
PECOS PAC ID: 5597704270
What is the PECOS Associate Control ID?
A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.PECOS Enrollment ID: I20070105000098
What is the Provider Enrollment ID?
The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.Accepts Medicare Assignment? Yes
What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Areas of Expertise
The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.
Established patient office or other outpatient visit, 20-29 minutes
Established patient office or other outpatient visit, 30-39 minutes
New patient office or other outpatient visit, 45-59 minutes
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
This service was performed 57 times for 51 patientsThis is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
This service was performed 298 times for 212 patientsThis is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
This service was performed 43 times for 43 patientsFind Provider Hospital Affiliations - Privileges
Doctors and physicians must apply for hospital privileges to treat patients at hospitals. Find out if your doctor has privileges to practice at your preferred hospital by using the hospital affiliation information below based on recent medical claims.
Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Melissa Ginsburg is affiliated with the following medical facilities:
| Hospital Name | Address | Phone | Hospital Type | Overall Rating |
|---|---|---|---|---|
| ANNA JAQUES HOSPITAL | 25 HIGHLAND AVENUE NEWBURYPORT, MA 01950 | (978) 463-1000 | Acute Care Hospitals | |
| NORTH SHORE MEDICAL CENTER - | 81 HIGHLAND AVENUE SALEM, MA 01970 | (978) 741-1215 | Acute Care Hospitals |
Reviews for MELISSA A. GINSBURG P.A.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 1 | 3 | 4 | 2 | 0 | 2 | 3 | 2 | 8 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 1 | 6 | 4 | 4 | 0 | 4 | 3 | 4 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 1 + 6 + 4 + 4 + 0 + 4 + 3 + 4 + 24 = 52 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 52 = 8 | 8 | ||||||||
The NPI number 1134202328 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1902808124 | STEPHEN BEAUDOIN M.D. Individual | Internal Medicine | 260 MERRIMAC ST NEWBURYPORT, MA 01950 (978) 499-7200 |
| 1003874470 | RICHARD R RICCARDI M.D. Individual | Anesthesiology | 260 MERRIMAC ST NEWBURYPORT, MA 01950 (978) 465-3033 |
| 1649298050 | JOHN B HEIN MD Individual | Internal Medicine (Allergy & Immunology) | 260 MERRIMAC ST NEWBURYPORT, MA 01950 (978) 499-7400 |
| 1639361892 | DEBORAH R. CASSON N.P. Individual | Nurse Practitioner (Family) | 260 MERRIMAC ST NEWBURYPORT, MA 01950 (978) 499-7400 |
| 1689860173 | AMBER MARIE KLEIN-ADAM ARNP Individual | Nurse Practitioner (Adult Health) | 260 MERRIMAC ST NEWBURYPORT, MA 01950 (978) 499-7200 |
| 1619152618 | ANDREYA MICHELLE WEIN ARNP Individual | Nurse Practitioner (Family) | 260 MERRIMAC ST NEWBURYPORT, MA 01950 (978) 499-7200 |
| 1164659280 | INTEGRATED FAMILY WELLNESS, PC Organization | Clinic/Center | 260 MERRIMAC ST NEWBURYPORT, MA 01950 (978) 499-9355 |
| 1568467355 | JESSICA SCHOONMAKER M.D. Individual | Internal Medicine | 260 MERRIMAC ST NEWBURYPORT, MA 01950 (978) 499-7200 |
| 1083661318 | ISAAC POURATI M.D. Individual | Internal Medicine (Clinical Cardiac Electrophysiology) | 260 MERRIMAC ST NEWBURYPORT, MA 01950 (978) 499-7400 |
| 1679587265 | THERESA MARIE LEAK-GONZALEZ MD Individual | Internal Medicine | 260 MERRIMAC ST NEWBURYPORT, MA 01950 (978) 499-7200 |
| 1508873795 | MISS JENNAH LEIGH DIETER D.C. Individual | Chiropractor | 260 MERRIMAC ST TOWLE BLDG-COLONIAL WING NEWBURYPORT, MA 01950 (978) 499-9355 |
| 1881699668 | CHARLES RANDALL M.D. Individual | Internal Medicine (Pulmonary Disease) | 260 MERRIMAC ST NEWBURYPORT, MA 01950 (978) 499-7200 |
| 1396830097 | MR. MARK RYAN WARNAT PA-C Individual | Physician Assistant | 260 MERRIMAC ST NEWBURYPORT, MA 01950 (978) 499-7200 |
| 1104233808 | MR. GABRIEL PAUL KASPER FNP-BC Individual | Nurse Practitioner (Family) | 260 MERRIMAC ST NEWBURYPORT, MA 01950 (978) 499-7200 |
| 1578522702 | MAUREEN M. CULLEN NP Individual | Nurse Practitioner | 260 MERRIMAC ST NEWBURYPORT, MA 01950 (978) 499-7400 |
| 1922104884 | JOSHUA LAURENCE TARKAN M.D. Individual | Internal Medicine (Nephrology) | 260 MERRIMAC ST NEWBURYPORT, MA 01950 (978) 499-7400 |
| 1801260344 | KIMBERLY R BURNHAM CNP Individual | Nurse Practitioner (Family) | 260 MERRIMAC ST NEWBURYPORT, MA 01950 (978) 499-7400 |
| 1407214240 | LUCY SANFORD Individual | Nurse Practitioner (Family) | 260 MERRIMAC ST NEWBURYPORT, MA 01950 (978) 499-7200 |
| 1811954605 | NIKOLETTA TARKAN NP Individual | Nurse Practitioner (Family) | 260 MERRIMAC ST NEWBURYPORT, MA 01950 (978) 499-7200 |
| 1699782763 | MARY T SCHWARTZ MD Individual | Internal Medicine | 260 MERRIMAC ST NEWBURYPORT, MA 01950 (978) 499-7200 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1134202328, enumerated in the NPI registry as an "individual" on October 23, 2006
The provider is located at 260 Merrimac St Newburyport, Ma 01950 and the phone number is (978) 499-7200
The provider's speciality is Physician Assistant with taxonomy code 363AM0700X with a focus in Medical
The provider has more than 28 years of experience. She graduated from Yale University School Of Medicine in 1998.
The provider might be accepting Accepts: Anthem Blue Cross and Blue Sheld, Anthem Blue. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
The most common procedures or services performed by this practitioner are: Established patient office or other outpatient visit, 20-29 minutes, Established patient office or other outpatient visit, 30-39 minutes and New patient office or other outpatient visit, 45-59 minutes.
The practitioner is affiliated to the following hospital(s): ANNA JAQUES HOSPITAL and NORTH SHORE MEDICAL CENTER -. Hospital affiliations are identified through self-reporting data and service claims based on the place of service.
This NPI record was last updated on October 23, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.