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ANTONIO E COLLAZO MD
NPI 1013967371
Otolaryngology in Marion, OH

Active since May 10, 2006PECOS EnrolledAccepts Medicare Assignment
87.65/100
CMS Quality Rating
990 S PROSPECT ST, SUITE 1, MARION, OH 43302(740) 383-8060(740) 383-7974 Get Directions Write a Review

NPPES record last updated: March 21, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Antonio E Collazo Md NPPES

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

ANTONIO E COLLAZO MD (NPI 1013967371) is an individual otolaryngology provider in Marion, Ohio, licensed in Ohio (35.061525) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Marion General Hospital, and is a graduate of University Of Puerto Rico School Of Medicine (1985).

NPPES Registry Identity

NPI1013967371
Entity TypeIndividualMale
Primary Taxonomy207Y00000X
Provider Legal NameANTONIO E COLLAZOCredential: MD
Location Address990 S PROSPECT ST, SUITE 1Marion, OH 43302-6283
Mailing Address# L-3652Columbus, OH 43260-6052 · (740) 383-7927 · Fax (740) 383-7942
Phone(740) 383-8060
Fax(740) 383-7974
Sole ProprietorNo
Medical School CMSUniversity Of Puerto Rico School Of MedicineGraduated 1985
Enumeration DateMay 10, 2006
Last NPPES UpdateMarch 21, 2022
NPPES CertifiedMarch 21, 2022
✔ NPI 1013967371 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
Licenses✔ Licensed in OH · 35.061525✔ Licensed in OH · 35061525C
Definition
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
990 S PROSPECT ST, Marion, OH 43302
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Other Identifiers 10

Other1000031Uhc
Other311098079Tax Id #
Other040005658Travelers Medicare
Other0695991Palmetto Medicare
Medicaid0827458OH
Other311098079041Cigna
Other000000118451OH · Anthem
Other647955Aetna
Other311098079Ppo Next
Other353077Submitter No.

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, MedMutual, Molina Healthcare.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

Antonio E Collazo 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 ID8426042631
PECOS Enrollment IDI20050727001081
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 9

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.
352 services254 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
200 services200 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.
106 services90 patients
Removal of impacted ear wax 69210
Impacted ear wax removal is a safe procedure to clear blockages in the ear canal caused by hardened ear wax. A healthcare professional uses specialized tools or a gentle irrigation method to loosen and remove the wax, improving hearing and alleviating discomfort.
60 services26 patients
Diagnostic exam of nasal passages using an endoscope 31231
A diagnostic exam of nasal passages using an endoscope is a non-invasive procedure. A small, flexible tube with a light and camera at the end, called an endoscope, is inserted into the nose. This allows the doctor to view the nasal passages and sinuses, helping to identify any issues.
59 services47 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.
53 services38 patients

Hospital Affiliations CMS Care Compare 4

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

Marion General Hospital

Acute Care Hospitals · Marion, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360011
Location1000 Mckinley Park DriveMarion, OH 43302 · Marion County
Emergency services Birthing friendly

Ohiohealth Mansfield Hospital

Acute Care Hospitals · Mansfield, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360118
Location335 Glessner AvenueMansfield, OH 44903 · Richland County
Emergency services Birthing friendly

Grady Memorial Hospital

Acute Care Hospitals · Delaware, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360210
Location561 West Central AvenueDelaware, OH 43015 · Delaware County
Emergency services Birthing friendly

Hardin Memorial Hospital

Critical Access Hospitals · Kenton, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number361315
Location921 East Franklin StreetKenton, OH 43326 · Hardin County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43302 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
$126.12 typical visit price
range $54.34 – $166.65
Typical copayment $31.53 (range $13.58 – $41.66)
Most-billed visit code 99204
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.

87.65/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality74.45
Promoting Interoperability96.03
Improvement Activities40

Other Providers at the Same Location NPPES 17

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

MRS. WENDY LEONARD-RICHARDSON O.T.
Occupational Therapist
990 S PROSPECT ST
MARION, OH 43302
Marion County (740) 387-2900
MS. CONNIE GARDNER-GLENN O.T,
Occupational Therapist
990 S PROSPECT ST
MARION, OH 43302
Marion County (740) 387-2900
MR. WILLIAM J REINBOLT P.T,
Physical Therapist
990 S PROSPECT ST
MARION, OH 43302
Marion County (740) 387-2900
MISS HEATHER BLAMKENSHIP O.T.
Occupational Therapist
990 S PROSPECT ST
MARION, OH 43302
Marion County (740) 387-2900
DAVID G BAILEY MD,INC
Otolaryngology
990 S PROSPECT ST, SUITE 1
MARION, OH 43302
Marion County (740) 383-5252
BARBARA HUGHEY II
Speech-Language Pathologist
990 S PROSPECT ST
MARION, OH 43302
Marion County (740) 387-2900
JANELL PARKER PT
Physical Therapist
990 S PROSPECT ST, SUITE 4
MARION, OH 43302
Marion County (740) 387-2900
MRS. TRACY L SLONE P.T.
Physical Therapist
990 S PROSPECT ST
MARION, OH 43302
Marion County (740) 387-2900

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 Antonio Collazo's NPI number?

The NPI number for Antonio Collazo is 1013967371. It was assigned to this individual provider in the NPPES registry on May 10, 2006.

Where is Antonio Collazo located?

Antonio Collazo practices at 990 S Prospect St Suite 1, Marion, OH 43302. The listed phone number is (740) 383-8060.

What is Antonio Collazo's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Is Antonio Collazo enrolled in Medicare?

Yes. Antonio Collazo 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 Antonio Collazo accept?

Health plans from CareSource, MedMutual and Molina Healthcare list Antonio Collazo 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 Antonio Collazo affiliated with any hospitals?

According to CMS data, Antonio Collazo is affiliated with Marion General Hospital, Ohiohealth Mansfield Hospital, Grady Memorial Hospital and Hardin Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Antonio Collazo was last updated on March 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.