2026 NPPES data Pediatric Otolaryngology Physician NPI 1043204332 M.D.
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JEFFREY GINSBURG, M.D.

Pediatric Otolaryngology Physician in RIVERDALE, New Jersey. CMS National Plan and Provider Enumeration System profile including specialty classification, practice address, and Medicare prescribing data when reported.

Federal data — no proprietary rating. PlainDoctor publishes the actual CMS NPPES and Medicare records — NPI registration, specialty, practice location, and prescribing data — without a composite score or editorial opinion on top. Every field traces to a federal source.
Prescribing volume
330
Medicare Part D claims · 187 beneficiaries · Pediatric Otolaryngology Physician avg: 313
Generic prescribing
93%
generic claims · 7% brand-name · higher generic rates reduce patient out-of-pocket costs
Industry payments
$126.95
1 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

JEFFREY GINSBURG, M.D. filed 330 Medicare Part D claims in 2023 as a Pediatric Otolaryngology Physician in RIVERDALE, New Jersey, prescribing 93% generic.

330
Part D claims, 2023
93%
generic prescribing
Likely
board-certified (heuristic)

Every figure on this page comes straight from federal CMS records (NPPES, Medicare Part D, MIPS, Open Payments) — no proprietary rating or editorial opinion is applied.

JEFFREY GINSBURG, M.D.'s Medicare Part D volume vs every U.S. prescriber

Total Medicare Part D claims, 2023 — across all CMS prescribers nationally

330 Top 43% higher than 57% of 1,370,886 prescribers

0–200: 670,926 prescribers (49%). Below this entry. 200–400: 182,923 prescribers (13%). This entry sits in this band. 400–600: 90,619 prescribers (7%). Above this entry. 600–800: 56,224 prescribers (4%). Above this entry. 800–1,000: 40,919 prescribers (3%). Above this entry. 1,000–1,200: 31,827 prescribers (2%). Above this entry. 1,200–1,400: 26,224 prescribers (2%). Above this entry. 1,400–1,600: 21,710 prescribers (2%). Above this entry. 1,600–1,800: 19,072 prescribers (1%). Above this entry. 1,800–2,000: 16,451 prescribers (1%). Above this entry. 2,000–2,200: 213,991 prescribers (16%). Above this entry. This provider 0 2K+ every Part D prescriber (claims/yr), bucketed by value

Each bar is a band; taller bars hold more prescribers. The dashed line + filled bar mark this entry. Hover or tap any bar for its full count, share, and where it sits relative to this entry.

Source CMS Medicare Part D Prescriber Public Use File · 2023

Board certification likely (heuristic — not verified)

JEFFREY GINSBURG, M.D. practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + 1 hospital affiliation — signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).

What does the federal data show about JEFFREY GINSBURG, M.D.?

Quality data not reported

NPI registry status

Active

Issued 09/01/2005

NPI 1043204332

Primary specialty

Pediatric Otolaryngology Physician

Niche

574 US NPIs in this specialty

Medicare Part D claims

330 5% vs specialty avg

2023 prescription claims

Specialty avg: 313

Specialty distribution in New Jersey

How Pediatric Otolaryngology Physician compares to other specialties among New Jersey providers

New Jersey providers

Pediatric Otolaryngology Physician share within New Jersey

1. Pediatric Otolaryngology Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Pediatric Otolaryngology Physician share within New Jersey

Specialty board-certification context

Estimated specialty board-certified rate — Pediatric Otolaryngology Physician (ABMS / AOA reference)

Quality data not reported
Est. board-certified rate
78%
Pediatric Otolaryngology Physician ABMS/AOA estimate

Est. board-certified rate (Pediatric Otolaryngology Physician) — ABMS / AOA estimate

0%100%78%
Est. board-certified rate (Pediatric Otolaryngology Physician) — ABMS / AOA estimate

The Merit-based Incentive Payment System (MIPS) scores providers 0–100 across four performance categories: Quality, Cost, Promoting Interoperability, and Improvement Activities, weighted under 42 CFR §414.1380. Reporting is voluntary for many small practices, so absence of a MIPS score is not a quality signal.

Board certification through an ABMS or AOA member board signals voluntary post-licensure examination plus continuous Maintenance of Certification cycles. Verify any individual provider's status through certificationmatters.org (ABMS) or osteopathic.org (AOA).

JEFFREY GINSBURG, M.D. appears in the CMS NPPES registry as a Pediatric Otolaryngology Physician provider holding M.D. credentials at 51 STATE RT 23, RIVERDALE, NJ, 07457, with a listed phone of (973) 831-1220. NPI 1043204332 was issued on 09/01/2005. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what GINSBURG most recently submitted to CMS rather than a vetted directory listing, which is why patients should always confirm the practice is still at this location before scheduling.

Medicare Part D records for calendar year 2023 show 330 prescription claims written by this provider, covering 187 Medicare beneficiaries and totaling roughly $15K in drug spend, split 7% brand-name and 93% generic by claim count. These figures capture only Medicare Part D — commercial insurance, Medicaid, and cash-pay prescriptions are not included, and any drug-beneficiary cell under 11 is suppressed by CMS for patient privacy.

Pediatric Otolaryngology Physician is a narrow specialty nationwide, with 574 enrolled providers across 43 states and an average of 313 Part D claims per prescriber, so the context for interpreting these metrics differs meaningfully from a primary-care baseline. Important: PlainDoctor is a directory of publicly available government data, not medical advice, a malpractice database, or a quality rating. Inclusion here does not imply a recommendation, and absence of complaints or sanctions on this page does not mean none exist — always verify credentials through the NPPES NPI Registry, your state medical board, and the ABMS or AOA before making healthcare decisions.

Practice Address

51 STATE RT 23
RIVERDALE, NJ 07457

Provider Details

NPI 1043204332
Specialty Pediatric Otolaryngology Physician
Credentials M.D.
Gender Male
NPI Issued 09/01/2005

Hospital and facility affiliations

Facilities where JEFFREY GINSBURG, M.D. bills Medicare from. Star ratings (1-5) are CMS Hospital Compare's "Hospital overall rating" — a composite of mortality, readmission, patient experience, safety, timely care, and efficient use of medical imaging measures. Source: CMS Care Compare.

SUMMIT MEDICAL GROUP PA
BERKELEY HEIGHTS, NJ

Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).

Industry payments received (2024) — CMS Open Payments transparency data

The federal Physician Payments Sunshine Act (part of the Affordable Care Act) requires drug and medical-device manufacturers + group purchasing organizations to publicly report payments and other transfers of value to physicians and teaching hospitals. The data below covers 2024 for JEFFREY GINSBURG, M.D.. Source: openpaymentsdata.cms.gov.

Total received

$127

Largest payer

Optinose US, Inc.

Most common payment type

Food and Beverage

Industry payments are not necessarily indicators of bias — they include research funding, consulting fees for evidence-based work, royalties for inventions, food at conferences, and similar items. The disclosure exists for transparency. Read our methodology for how we interpret this data.

Brand vs generic prescribing mix · Generic-heavy

JEFFREY GINSBURG, M.D. — brand share 7.0%
Specialty average (est.)

7% brand-name claims vs 93% generic, on 330 2023 Medicare Part D claims.

The federal Medicare Part D Generic Dispensing Rate national benchmark sits near 90% generic / 10% brand for primary-care prescribers, per CMS Office of the Actuary 2024 estimates. Higher brand share is common in specialty prescribing where generic equivalents are not available.

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2023.

330
Total Claims
$15K
Total Drug Cost
187
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
397
Total Day Supply
7,436
Brand vs Generic
7% brand / 93% generic
Brand Drug Cost
$4K
Generic Drug Cost
$11K
Antibiotic Claims
100

Patient Demographics

Average Patient Age
75.1 years
Avg HCC Risk Score
1.08
Gender Split
56% female / 44% male

Top Prescribed Drugs (Medicare Part D)

Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.

What JEFFREY GINSBURG, M.D. prescribes most

Top Medicare Part D drugs by claim count, 2023

claims
Source CMS Medicare Part D Prescriber Public Use File As of 2023
Drug Claims
Ipratropium Bromide
36
Fluocinolone Acetonide Oil
34
Cefdinir
33
Methylprednisolone
31
Neomycin-Polymyxin-Hc
Neomycin/Polymyxin B/Hydrocort
23
Ofloxacin
22
Amoxicillin
21
Azithromycin
15
Prednisone
12

* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.

Pediatric Otolaryngology Physician Overview

How JEFFREY GINSBURG, M.D. fits within the Pediatric Otolaryngology Physician landscape nationally.

574
Pediatric Otolaryngology Physician Providers in US
43
States with Pediatric Otolaryngology Physician
313
Avg Claims per Provider

JEFFREY GINSBURG, M.D.'s 330 claims are above the specialty average of 313.

Nearby Pediatric Otolaryngology Physician Providers in New Jersey

Other clinicians with the same primary specialty enrolled in New Jersey, drawn from the same CMS NPPES roster as GINSBURG.

Compare Pediatric Otolaryngology Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is JEFFREY GINSBURG, M.D.'s specialty?
JEFFREY GINSBURG, M.D. specializes in Pediatric Otolaryngology Physician and practices in RIVERDALE, New Jersey. Credentials: M.D..
How much does JEFFREY GINSBURG, M.D. prescribe under Medicare Part D?
In 2023, JEFFREY GINSBURG, M.D. wrote 330 Medicare Part D claims totaling $15K in drug costs for 187 beneficiaries.
Where is JEFFREY GINSBURG, M.D. located?
JEFFREY GINSBURG, M.D. is located at 51 STATE RT 23, RIVERDALE, NJ, 07457. Phone: (973) 831-1220.
What is JEFFREY GINSBURG, M.D.'s NPI number?
JEFFREY GINSBURG, M.D.'s National Provider Identifier (NPI) is 1043204332, issued on 09/01/2005.
Does JEFFREY GINSBURG, M.D. prescribe more brand-name or generic drugs?
JEFFREY GINSBURG, M.D.'s prescribing is 7% brand-name and 93% generic drugs by claim count, with $4K in brand drug costs.
How many Pediatric Otolaryngology Physician providers are there in the US?
There are 574 Pediatric Otolaryngology Physician providers across 43 states in the US. The average Pediatric Otolaryngology Physician provider writes 313 Medicare Part D claims per year.
What drugs does JEFFREY GINSBURG, M.D. prescribe most often?
Based on 2023 Medicare Part D data, JEFFREY GINSBURG, M.D.'s most frequently prescribed drugs include Ipratropium Bromide, Fluocinolone Acetonide Oil, Cefdinir. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does JEFFREY GINSBURG, M.D. accept Medicare?
JEFFREY GINSBURG, M.D. appears in CMS Medicare data with 330 Part D claims and 187 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify JEFFREY GINSBURG, M.D.'s credentials?
JEFFREY GINSBURG, M.D.'s NPI is 1043204332 with credentials M.D.. You can verify this through the NPPES NPI Registry, check state medical board records, and confirm board certification through the ABMS or AOA.

Data Sources

Provider Directory
CMS National Plan and Provider Enumeration System (NPPES), download.cms.gov/nppes, updated monthly. Contains NPI, specialty, credentials, and practice location.
Specialty Classification
NUCC Health Care Provider Taxonomy (nucc.org), the industry standard for classifying provider specialties in Medicare and Medicaid billing.
Prescribing Data
CMS Medicare Part D Prescriber Public Use File (2023). Includes claims, drug costs, beneficiaries, and opioid prescribing rates.
Limitations
Provider data is self-reported to CMS. Prescribing data reflects Medicare Part D only and does not include commercial insurance, Medicaid, or cash prescriptions. Claims below 11 beneficiaries are suppressed by CMS for privacy.

See our complete data methodology for details on how we collect and process government data.

Data as of April 2026 (NPPES) / 2023 (Medicare Part D). Source: Centers for Medicare & Medicaid Services (CMS).

Disclaimer: Data from CMS NPPES and Medicare Part D. PlainDoctor does not rate or rank providers. Provider information is self-reported and may not be current. Always verify information directly with the provider. About · Methodology