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JON E SULENTIC DO
NPI 1013992783
Family Medicine - Sports Medicine in Middletown, OH

Active since December 14, 2005PECOS Enrolled
275 N BREIEL BLVD, MIDDLETOWN, OH 45042(513) 424-7711(513) 424-3599 Get Directions Write a Review

NPPES record last updated: December 3, 2015. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Jon E Sulentic Do NPPES

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

JON E SULENTIC DO (NPI 1013992783) is an individual sports medicine provider in Middletown, Ohio, licensed in Ohio (34008091) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1013992783
Entity TypeIndividualMale
Primary Taxonomy207QS0010X
Provider Legal NameJON E SULENTICCredential: DO
Location Address275 N BREIEL BLVDMiddletown, OH 45042-3807
Mailing Address275 N Breiel BlvdMiddletown, OH 45042-3807 · (513) 424-7711 · Fax (513) 424-3599
Phone(513) 424-7711
Fax(513) 424-3599
Sole ProprietorNo
Enumeration DateDecember 14, 2005
Last NPPES UpdateDecember 3, 2015
✔ NPI 1013992783 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily Medicine · Sports MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QS0010X
License✔ Licensed in OH · 34008091
Definition
A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation.
275 N BREIEL BLVD, Middletown, OH 45042
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Other Identifiers 3

Medicaid2430711OH
Medicare UPINH99512OH
Medicare PIN4120011OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, CareSource (Common Ground Healthcare).Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jon E Sulentic Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show Jon Sulentic reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Premier Health Specialists Inc
0.6 mi
Neurology
1049 SUMMIT DR
Middletown, OH 45042
  • Reassigned Medicare billing, Ohio enrollment
  • 812 clinicians in this Medicare group
NPI 1891076535 (513) 423-1399

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45042 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
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
Most-billed visit code 99214
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.

Reported Quality Measures

Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
38%202 patients2/55-star benchmark: 100%
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
68%318 patients3/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
22%363 patients1/55-star benchmark: 100%
Screening for Osteoporosis for Women Aged 65-85 Years of Age
Percentage of female patients aged 65-85 years of age who ever had a central dual-energy X-ray absorptiometry (DXA) to check for osteoporosis
41%149 patients2/55-star benchmark: 98%
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.

Other Providers at the Same Location NPPES 9

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

DR. WILLIAM D LANGWORTHY M.D.
Specialist
275 N BREIEL BLVD
MIDDLETOWN, OH 45042
Butler County (513) 424-7711
RICHARD L DAVIS II M.D.
Orthopaedic Surgery
275 N BREIEL BLVD
MIDDLETOWN, OH 45042
Butler County (513) 424-7711
MICHAEL JAMES GRIESSER M.D.
Orthopaedic Surgery
275 N BREIEL BLVD
MIDDLETOWN, OH 45042
Butler County (513) 424-7711
PROF. BARBARA WEINRICH PH.D CCC SLP
Speech-Language Pathologist
275 N BREIEL BLVD
MIDDLETOWN, OH 45042
Butler County (513) 424-7711
DR. JACOB A VINCENT MD/PHD
Orthopaedic Surgery
275 N BREIEL BLVD
MIDDLETOWN, OH 45042
Butler County (513) 424-7711
DR. ANTHONY J CHECROUN M.D.
Orthopaedic Surgery
275 N BREIEL BLVD
MIDDLETOWN, OH 45042
Butler County (513) 424-7711
JERRY B MAGONE MD
Orthopaedic Surgery
275 N BREIEL BLVD
MIDDLETOWN, OH 45042
Butler County (513) 424-7711
MARYANNA KATHRYN BROCKMAN PA-C, ATC
Physician Assistant
275 N BREIEL BLVD
MIDDLETOWN, OH 45042
Butler County (513) 424-7711

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 Jon Sulentic's NPI number?

The NPI number for Jon Sulentic is 1013992783. It was assigned to this individual provider in the NPPES registry on December 14, 2005.

Where is Jon Sulentic located?

Jon Sulentic practices at 275 N Breiel Blvd, Middletown, OH 45042. The listed phone number is (513) 424-7711.

What is Jon Sulentic's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Sports Medicine, with taxonomy code 207QS0010X.

Is Jon Sulentic enrolled in Medicare?

Yes. Jon Sulentic is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jon Sulentic's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jon Sulentic reassigns Medicare benefits to Premier Health Specialists Inc (Middletown, OH). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jon Sulentic's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jon Sulentic accept?

Health plans from CareSource and CareSource (Common Ground Healthcare) list Jon Sulentic 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.

When was this NPI record last updated?

The NPPES record for Jon Sulentic was last updated on December 3, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.