DR. GREGORY W. BALTURSHOT M.D.
NPI 1043216724
Neurological Surgery in Columbus, OH

Q: What is Gregory Balturshot's NPI number?

The NPI number for Gregory Balturshot is 1043216724. It was assigned to this individual provider in the NPPES registry on June 27, 2005.

Q: What is Gregory Balturshot's specialty?

The primary specialty registered for this NPI is Neurological Surgery with taxonomy code 207T00000X.

Active since June 27, 2005PECOS EnrolledAccepts Medicare Assignment

81.3/100

CMS Quality Rating

3525 OLENTANGY RIVER RD, SUITE 5310, COLUMBUS, OH 43214(614) 261-0073(614) 268-5611 Get Directions Write a Review

NPPES record last updated: December 22, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Dec 22, 2021, Jan 12, 2016 (2 updates tracked since 2016).

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About Dr. Gregory W. Balturshot M.d. NPPES

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

DR. GREGORY W. BALTURSHOT M.D. (NPI 1043216724) is an individual neurological surgery provider in Columbus, Ohio, licensed in Ohio (35.075003) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS, is affiliated with Riverside Methodist Hospital, and is a graduate of Ohio State University College Of Medicine (1997).

NPPES Registry Identity

NPI1043216724

Entity TypeIndividualMale

Primary Taxonomy207T00000X

Provider Legal NameDR. GREGORY W. BALTURSHOTCredential: M.D.

Location Address3525 OLENTANGY RIVER RD, SUITE 5310Columbus, OH 43214-3937

Mailing Address3525 Olentangy River Rd, Suite 5310Columbus, OH 43214-3937 · (614) 261-0073 · Fax (614) 268-5611

Phone(614) 261-0073

Fax(614) 268-5611

Sole ProprietorNo

Medical School CMSOhio State University College Of MedicineGraduated 1997

Enumeration DateJune 27, 2005

Last NPPES UpdateDecember 22, 20212 updates tracked since enumeration

✔ NPI 1043216724 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNeurological SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code207T00000X

License✔ Licensed in OH · 35.075003

Definition

A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution.

3525 OLENTANGY RIVER RD, Columbus, OH 43214

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Other Identifiers 7

Other600450OH · United Healthcare

Other310874776032OH · Caresource Pin

Other7513476OH · Aetna Pin Number

Other000000287349OH · Anthem Pin

Medicaid2404517OH

Other4251397001OH · Cigna Pin

Medicaid64090327KY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, MedMutual.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. Gregory W. Balturshot M.d. 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 ID4284613944

PECOS Enrollment IDI20040716000014

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.

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.

208 services170 patients

Fusion of additional segment of spine 22614

Fusion of an additional segment of the spine is a surgical procedure to join two or more vertebrae together. This is done to stabilize the spine and reduce pain or correct a deformity. The procedure involves using bone grafts, rods, or screws to secure the spine.

144 services52 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.

143 services143 patients

Partial removal of spine bone with release of spinal cord and/or nerves, each additional segment 63048

This procedure involves the partial removal of a bone in your spine to alleviate pressure on your spinal cord or nerves. It may be performed on multiple spine segments depending on your condition. The aim is to improve mobility and reduce pain or discomfort.

130 services47 patients

Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231

Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.

97 services43 patients

Computer-assisted spinal procedure 61783

A computer-assisted spinal procedure is a surgical technique that uses computer technology for improved precision. It involves creating a 3D image of your spine to guide the surgeon during the operation. This method enhances accuracy, reduces risk, and promotes quicker recovery.

62 services59 patients

New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205

This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.

55 services55 patients

Placement of stabilizing device to back, 3-6 spine bone segments 22842

This procedure involves placing a device on your back to stabilize 3-6 spine bone segments. It aids in maintaining spine alignment and reducing pain. The device is secured to the bones, providing support and promoting healing.

50 services47 patients

Partial removal of spine bone with release of lower spinal cord and/or nerves, 1 segment 63047

This procedure involves removing part of a spine bone to alleviate pressure on the lower spinal cord and/or nerves. It targets a single segment of the spine, improving mobility and reducing pain. It's a common treatment for conditions like herniated discs or spinal stenosis.

44 services42 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.

44 services41 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

42 services37 patients

Fusion of spine in lower back 22612

Fusion of the spine in the lower back, also known as lumbar spinal fusion, is a surgery aimed to join, or fuse, two or more vertebrae in your lower back. This procedure can help alleviate pain and improve stability by reducing movement between the vertebrae.

39 services37 patients

Insertion of cage or mesh device to spine bone and disc space during spine fusion 22853

Spine fusion is a procedure to join two or more vertebrae. During this process, a cage or mesh device is inserted into the spine bone and disc space. This helps to stabilize the spine, reduce pain, and improve functionality. The device acts as a bridge for new bone to grow on.

38 services23 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.

36 services36 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

31 services31 patients

Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes 99221

Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.

19 services19 patients

Fusion of spine in lower back with partial removal of spine bone and disc 22633

This procedure, called lumbar spinal fusion, involves joining two or more vertebrae in your lower back. It includes a partial removal of a spine bone and disc to alleviate pain and improve stability. The goal is to reduce motion between vertebrae and prevent nerve irritation.

15 services15 patients

Partial removal of bone of single segment of spine in lower back with release of spinal cord and/or nerves during fusion of spine in lower back 63052

This procedure involves the partial removal of a bone segment in your lower back to relieve pressure on your spinal cord or nerves. It's usually done during a spinal fusion in the lower back, which helps to stabilize your spine by joining two or more vertebrae together.

14 services14 patients

New patient office or other outpatient visit with straightforward medical decision making, if using time, 15 minutes or more 99202

This service involves an initial visit to the doctor's office or other outpatient setting. It typically lasts between 15-29 minutes. The doctor will review your medical history, conduct a physical examination, and discuss your health concerns. It's a chance to establish your health baseline and address any immediate medical issues.

12 services12 patients

Hospital Affiliations CMS Care Compare 2

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

Riverside Methodist Hospital

Acute Care Hospitals · Columbus, OH

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number360006

Location3535 Olentangy River RdColumbus, OH 43214 · Franklin County

Emergency services Birthing friendly

Southern Ohio Medical Center

Acute Care Hospitals · Portsmouth, OH

4/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number360008

Location1805 27th StreetPortsmouth, OH 45662 · Scioto County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43214 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.

81.3/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

73.58

Promoting Interoperability

Improvement Activities

Cost

65.77

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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.

DANNI SCHNEIDER D.O.

Emergency Medicine

3525 OLENTANGY RIVER RD, ST 5320
COLUMBUS, OH 43214

Franklin County (614) 566-1997

ALICIA RENEE SIMPSON

Physician Assistant

3525 OLENTANGY RIVER RD
COLUMBUS, OH 43214

Franklin County (614) 566-1997

JASON E SEAVOLT MD

Radiology (Radiation Oncology)

3525 OLENTANGY RIVER RD
COLUMBUS, OH 43214

Franklin County (614) 566-5000

DUC DUY TRAN M.D.

Radiology (Neuroradiology)

3525 OLENTANGY RIVER RD, SUITE 5360
COLUMBUS, OH 43214

Franklin County (614) 340-7747

DAVID ZADVINSKIS MD

Radiology (Diagnostic Radiology)

3525 OLENTANGY RIVER RD, STE 5360
COLUMBUS, OH 43214

Franklin County (614) 340-7747

JOHN LEACH M.D.

Radiology (Diagnostic Radiology)

3525 OLENTANGY RIVER RD, STE 5360
COLUMBUS, OH 43214

Franklin County (614) 340-7747

KIMBERLY POTTER

Nurse Practitioner (Family)

3525 OLENTANGY RIVER RD, STE,4330
COLUMBUS, OH 43214

Franklin County (614) 255-6900

DR. NIRAV A VORA M.D.

Psychiatry & Neurology (Neurology)

3525 OLENTANGY RIVER RD, STE 5360
COLUMBUS, OH 43214

Franklin County (614) 340-7747

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 Gregory Balturshot's NPI number?

The NPI number for Gregory Balturshot is 1043216724. It was assigned to this individual provider in the NPPES registry on June 27, 2005.

Where is Gregory Balturshot located?

Gregory Balturshot practices at 3525 Olentangy River Rd Suite 5310, Columbus, OH 43214. The listed phone number is (614) 261-0073.

What is Gregory Balturshot's specialty?

The primary specialty registered for this NPI is Neurological Surgery with taxonomy code 207T00000X.

Is Gregory Balturshot enrolled in Medicare?

Yes. Gregory Balturshot 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 Gregory Balturshot accept?

Health plans from CareSource and MedMutual list Gregory Balturshot 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 Gregory Balturshot affiliated with any hospitals?

According to CMS data, Gregory Balturshot is affiliated with Riverside Methodist Hospital and Southern Ohio Medical Center.

When was this NPI record last updated?

The NPPES record for Gregory Balturshot was last updated on December 22, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.