DR. JOHN K SONTICH MD
NPI 1013058908
Orthopaedic Surgery in Youngstown, OH

Active since February 12, 2007PECOS EnrolledAccepts Medicare Assignment
1044 BELMONT AVE, YOUNGSTOWN, OH 44504(330) 480-3990(330) 480-3522 Get Directions Write a Review

NPPES record last updated: December 17, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Dec 17, 2020, Feb 2, 2017 (2 updates tracked since 2017).

About Dr. John K Sontich Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JOHN K SONTICH MD (NPI 1013058908) is an individual orthopaedic surgery provider in Youngstown, Ohio, licensed in Ohio (35063316) and active in the NPI registry since February 2007. He is enrolled in Medicare PECOS, is affiliated with St Elizabeth Youngstown Hospital, and is a graduate of University Of Cincinnati College Of Medicine (1987).

NPPES Registry Identity

NPI1013058908
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameDR. JOHN K SONTICHCredential: MD
Location Address1044 BELMONT AVEYoungstown, OH 44504-1006
Mailing Address1044 Belmont AveYoungstown, OH 44504-1006 · (330) 480-3990 · Fax (330) 480-3522
Fax(330) 480-3522
Sole ProprietorNo
Medical School CMSUniversity Of Cincinnati College Of MedicineGraduated 1987
Enumeration DateFebruary 12, 2007
Last NPPES UpdateDecember 17, 20202 updates tracked since enumeration
NPPES CertifiedDecember 17, 2020
NPI 1013058908 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License Licensed in OH · 35063316
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
1044 BELMONT AVE, Youngstown, OH 44504

Other Identifiers 1

Medicaid0900207OH

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. John K Sontich Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4486742566
PECOS Enrollment IDI20071127000275
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 8

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
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.
83 services64 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This 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.
39 services32 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
24 services19 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
15 services14 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
14 services14 patients
Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and G0180
This is a service where a doctor or authorized practitioner certifies that you require Medicare-covered home health services. They will communicate with the home health agency and review reports on your health status to ensure you receive appropriate care. This does not involve an in-person visit.
14 services13 patients

Hospital Affiliations CMS Care Compare 5

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

St Elizabeth Youngstown Hospital

Acute Care Hospitals · Youngstown, OH
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number360064
Location1044 Belmont AvenueYoungstown, OH 44501 · Mahoning County
Emergency services

Lake Health

Acute Care Hospitals · Concord, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360098
Location7590 Auburn RoadConcord, OH 44077 · Lake County
Emergency services

Uh Cleveland Medical Center

Acute Care Hospitals · Cleveland, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360137
Location11100 Euclid AvenueCleveland, OH 44106 · Cuyahoga County
Emergency services Birthing friendly

University Hospitals Ahuja Medical Center

Acute Care Hospitals · Beachwood, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360359
Location3999 Richmond RoadBeachwood, OH 44122 · Cuyahoga County
Emergency services

Uhhs Memorial Hospital Of Geneva

Critical Access Hospitals · Geneva, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number361307
Location870 West Main StreetGeneva, OH 44041 · Ashtabula County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 44504 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$68.07 typical visit price
range $17.10 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine
1044 BELMONT AVE
YOUNGSTOWN, OH 44504
Orthopaedic Surgery
1044 BELMONT AVE
YOUNGSTOWN, OH 44504
Pharmacist
1044 BELMONT AVE
YOUNGSTOWN, OH 44504
Dietitian, Registered
1044 BELMONT AVE
YOUNGSTOWN, OH 44504
Registered Nurse (Critical Care Medicine)
1044 BELMONT AVE
YOUNGSTOWN, OH 44504
Student in an Organized Health Care Education/Training Program
1044 BELMONT AVE
YOUNGSTOWN, OH 44504
Emergency Medicine
1044 BELMONT AVE
YOUNGSTOWN, OH 44504
Physical Therapist
1044 BELMONT AVE
YOUNGSTOWN, OH 44504

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is John Sontich's NPI number?

The NPI number for John Sontich is 1013058908. It was assigned to this individual provider in the NPPES registry on February 12, 2007.

Where is John Sontich located?

John Sontich practices at 1044 Belmont Ave, Youngstown, OH 44504. The listed phone number is (330) 480-3990.

What is John Sontich's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is John Sontich enrolled in Medicare?

Yes. John Sontich is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does John Sontich accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and Antidote Health Plan of Ohio, Inc. and 4 other insurers list John Sontich as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is John Sontich affiliated with any hospitals?

According to CMS data, John Sontich is affiliated with St Elizabeth Youngstown Hospital, Lake Health, Uh Cleveland Medical Center, University Hospitals Ahuja Medical Center and Uhhs Memorial Hospital Of Geneva.

When was this NPI record last updated?

The NPPES record for John Sontich was last updated on December 17, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.