DR. JOEL R. POLITI MD
NPI 1013900307
Orthopaedic Surgery in Gahanna, OH

Active since August 23, 2005PECOS EnrolledAccepts Medicare Assignment
86.55/100
CMS Quality Rating
605 CRESCENT PL, GAHANNA, OH 43230(614) 545-7900(614) 545-7901 Get Directions Write a Review

NPPES record last updated: January 16, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 5, 2024, Jun 27, 2016 (2 updates tracked since 2016).

About Dr. Joel R. Politi Md NPPES

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

DR. JOEL R. POLITI MD (NPI 1013900307) is an individual orthopaedic surgery provider in Gahanna, Ohio, licensed in Ohio (35.067713) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS, is affiliated with Mount Carmel East & West, and is a graduate of Northeastern Ohio University College Of Medicine (1993).

NPPES Registry Identity

NPI1013900307
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameDR. JOEL R. POLITICredential: MD
Location Address605 CRESCENT PLGahanna, OH 43230-3086
Mailing Address340 Polaris PkwyWesterville, OH 43082-7971 · (614) 545-7900 · Fax (614) 545-7901
Fax(614) 545-7901
Sole ProprietorNo
Medical School CMSNortheastern Ohio University College Of MedicineGraduated 1993
Enumeration DateAugust 23, 2005
Last NPPES UpdateJanuary 16, 20252 updates tracked since enumeration
NPPES CertifiedJanuary 16, 2025
NPI 1013900307 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License Licensed in OH · 35.067713
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.
Also ListedOrthopaedic Surgery · Adult Reconstructive Orthopaedic SurgeryTaxonomy 207XS0114X · License 35067713 (OH)
605 CRESCENT PL, Gahanna, OH 43230

Other Identifiers 4

Other4014164OH · Unspecified
Medicaid2198590OH
Other000000349504OH · Anthem
Other7465086OH · Aetna

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. Joel R. Politi 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 ID2062497928
PECOS Enrollment IDI20040702000966
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 19

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.

Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
317 services196 patients
X-ray of knee, 4 or more views 73564
An X-ray of the knee, 4 or more views, is a non-invasive imaging test. It involves capturing multiple images of your knee from different angles. This helps in diagnosing conditions such as fractures, arthritis, or infections. The procedure is quick and painless.
315 services263 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.
275 services222 patients
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.
236 services211 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.
213 services201 patients
X-ray of hip, 2-3 views 73502
An X-ray of the hip with 2-3 views is a non-invasive imaging test. It uses a small amount of radiation to produce pictures of the hip joint. These images help in diagnosing conditions like fractures, arthritis, or other abnormalities. The process is quick and painless.
207 services188 patients

Hospital Affiliations CMS Care Compare 5

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

Mount Carmel East & West

Acute Care Hospitals · Columbus, OH
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360035
Location6001 East Broad StreetColumbus, OH 43213 · Franklin County
Emergency services Birthing friendly

Genesis Hospital

Acute Care Hospitals · Zanesville, OH
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360039
Location2951 Maple AvenueZanesville, OH 43701 · Muskingum County
Emergency services Birthing friendly

Fairfield Medical Center

Acute Care Hospitals · Lancaster, OH
1/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number360072
Location401 North Ewing StreetLancaster, OH 43130 · Fairfield County
Emergency services Birthing friendly

Ohio State University State Health System

Acute Care Hospitals · Columbus, OH
4/5 CMS rating
OwnershipGovernment - State
CMS Certification Number360085
Location410 West 10th AvenueColumbus, OH 43210 · Franklin County
Emergency services Birthing friendly

Mount Carmel New Albany Surgical Hospital

Acute Care Hospitals · New Albany, OH
OwnershipProprietary
CMS Certification Number360266
Location7333 Smith's Mill RoadNew Albany, OH 43054 · Franklin County

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43230 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

86.55/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality81.58
Promoting Interoperability98
Improvement Activities40
Cost75.27

Reported Quality Measures

Risk-standardized complication rate (RSCR) following elective primary total hip arthroplasty (THA) and/or total knee arthroplasty (TKA) for Merit-based Incentive Payment System (MIPS)
Lower rates are better for this measure.
0.03%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 4

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Walker, folding, wheeled, adjustable or fixed height E0143
DME-Other DME · category DE000N
3 suppliers44 claims44 services$42.67 avg. paid by Medicare
Dynamic adjustable knee extension / flexion device, includes soft interface material E1810
DME-Other DME · category DE000N
1 supplier17 claims27 services$97.83 avg. paid by Medicare
Hip orthosis, abduction control of hip joint, postoperative hip abduction type, prefabricated, includes fitting and adjustment L1686
DME-Orthotic Devices · category DF000N
1 supplier33 claims33 services$781.37 avg. paid by Medicare
Knee orthosis, adjustable knee joints (unicentric or polycentric), positional orthosis, rigid support, prefabricated, off-the shelf L1833
DME-Orthotic Devices · category DF011N
1 supplier80 claims80 services$406.87 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Physical Therapist
605 CRESCENT PL
GAHANNA, OH 43230
Orthopaedic Surgery (Sports Medicine)
605 CRESCENT PL
GAHANNA, OH 43230
Physical Therapist
605 CRESCENT PL
GAHANNA, OH 43230
Physical Therapist
605 CRESCENT PL
GAHANNA, OH 43230
Physician Assistant
605 CRESCENT PL
GAHANNA, OH 43230
Physical Therapist
605 CRESCENT PL
GAHANNA, OH 43230
Physical Therapist
605 CRESCENT PL
GAHANNA, OH 43230
Occupational Therapist
605 CRESCENT PL
GAHANNA, OH 43230

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 Joel Politi's NPI number?

The NPI number for Joel Politi is 1013900307. It was assigned to this individual provider in the NPPES registry on August 23, 2005.

Where is Joel Politi located?

Joel Politi practices at 605 Crescent Pl, Gahanna, OH 43230. The listed phone number is (614) 545-7900.

What is Joel Politi's specialty?

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

Is Joel Politi enrolled in Medicare?

Yes. Joel Politi 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 Joel Politi accept?

Health plans from Anthem Blue Cross and Blue Shield, Antidote Health Plan of Ohio, Inc. and MedMutual list Joel Politi 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 Joel Politi affiliated with any hospitals?

According to CMS data, Joel Politi is affiliated with Mount Carmel East & West, Genesis Hospital, Fairfield Medical Center, Ohio State University State Health System and Mount Carmel New Albany Surgical Hospital.

When was this NPI record last updated?

The NPPES record for Joel Politi was last updated on January 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.