DR. MICHAEL GANETSKY (M.D.) – Emergency Medicine Physician, NPI 1053394288

DR. MICHAEL GANETSKY (M.D.) is a healthcare provider. based in Boston, Massachusetts. specializing in EMERGENCY MEDICINE, MEDICAL TOXICOLOGY. They hold the professional credentials M.D.. They hold a License No. 220259 (MA). The NPI Number for DR. MICHAEL GANETSKY (M.D.) is 1053394288

Main info

Male
26 Years Of Experience
Accepts Medicare Assignment
Name
DR. MICHAEL GANETSKY (M.D.)
NPI
1053394288
Phone
(617) 754-2323
Address
1 DEACONESS RD
Enumeration Date
22 November 2005
Last Update Date
6 December 2007

Doctor Profile

Medical School Name
PERELMAN SCHOOL OF MED AT THE UNIVERSITY OF PENNSYLVANIA
Secondary Phone
6176672000
Graduation Year
2000 (26 years ago)
PAC ID
1355327123
Group Practice PAC ID
8123936119
Professional Enrollment ID
I20040624001037
Address ID
MA022155400BO330XXAVEX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience59
Completeness75
Years active:20State licenses:1Digital endpointsOther names

1,682 EMERGENCY MEDICINE in MA

Provider Addresses for DR. MICHAEL GANETSKY (M.D.)

  • Beth Israel Deaconess Medical Center West Campus, 1, Deaconess Road, Boston, Suffolk County, Massachusetts, 02215, United States

    WCC-2

    BOSTON, MA 022155321

    Phone: (617) 754-2323

    Fax: (617) 754-2350

    Type: Mailing

  • 1 DEACONESS RD # WCC-2

    BIDMC, DEPARTMENT OF EMERGENCY MEDICINE

    BOSTON, MA 022155321

    Phone: (617) 754-2323

    Fax: (617) 754-2350

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2004-06-24

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20040624001037IEmergency MedicineMATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes6461$0
71046X-ray of chest, 2 views3231$0
99213Established patient office or other outpatient visit, 20-29 minutes1918$0
85025Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count1818$0
82565Blood creatinine level1616$0
View full utilization report →

Insurance plans in this area (ZIP 02215)

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Provider's Procedures

DR. MICHAEL GANETSKY (M.D.) performs procedures in EMERGENCY MEDICINE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
EMERGENCY MEDICINEMA93010Routine electrocardiogram (EKG) using at least 12 leads with interpretation and report385319

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8123936119View full group profile
NameSpecialtyState
Emergency MedicineMA
Emergency MedicineNY
Emergency MedicineMA
Internal MedicineMA
P S Y C H I A T R YMA
Internal Medicine, EndocrinologyMA
Emergency MedicineMA
Emergency MedicineMA
-MA
Emergency MedicineMA

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Frequently asked questions

What is the 10-digit NPI for DR. MICHAEL GANETSKY (M.D.)?
DR. MICHAEL GANETSKY (M.D.) — NPI 1053394288 — is the standard way to identify this listing.
Does CMS list DR. MICHAEL GANETSKY (M.D.) as active?
Yes — DR. MICHAEL GANETSKY (M.D.) is active in the NPI listing used on this page.
What is DR. MICHAEL GANETSKY (M.D.)'s specialty?
The listing groups DR. MICHAEL GANETSKY (M.D.) with Emergency Medicine Physician. Clinical services aligned with this taxonomy classification.
Where is DR. MICHAEL GANETSKY (M.D.) based?
DR. MICHAEL GANETSKY (M.D.) is tied to Boston, Massachusetts in the data we show; additional addresses may exist on the full record.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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