Miguel Giron, MD
NPI 1912927930ActiveIndividual· Emergency Medicine· Berkeley Heights, NJ
Emergency Medicine (MD) in Berkeley Heights, New Jersey, trained at State University of New York Downstate Medical Center (class of 1995). 703 Medicare patients in 2024, $85,993 paid; nearly all of their 758 Part D prescriptions were generic (92%).
Overview
| NPI | 1912927930 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MD |
| Sole proprietor | No |
| NPI issued | Jul 20, 2006 |
| Last updated in NPPES | Nov 4, 2025 |
| Certified by provider | Nov 4, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Emergency Medicine Primary | 207P00000X | 25MA07351700 | NJ |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Emergency Medicine (NJ) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 703 |
|---|---|
| Services billed | 3,123 across 86 procedure codes |
| Paid by Medicare | $85,993 |
Part D prescriptions in 2024
| Prescriptions (claims) | 758 · 784 30-day fills |
|---|---|
| Patients | 566 |
| Total drug cost | $10,413 |
| Generic share | 92% of claims |
Education and affiliations
| Medical school | State University of New York Downstate Medical Center |
|---|---|
| Graduation year | 1995 |
| Medicare specialty | Emergency Medicine |
| Secondary specialties | Sports Medicine |
Medical group
- Summit Medical Group PABerkeley Heights, NJ · 1,212 clinicians
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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