JUAN CARLOS MEJIA MD
NPI 1043292626
Hospitalist in Cincinnati, OH

Active since November 18, 2005PECOS EnrolledAccepts Medicare Assignment
90.38/100
CMS Quality Rating
375 DIXMYTH AVE, CINCINNATI, OH 45220(513) 862-3452(513) 862-3421 Get Directions Write a Review

NPPES record last updated: July 1, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Juan Carlos Mejia Md NPPES

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

JUAN CARLOS MEJIA MD (NPI 1043292626) is an individual hospitalist provider in Cincinnati, Ohio, licensed in Ohio (35077484) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS, is affiliated with Good Samaritan Hospital, and is a graduate of Other (1990).

NPPES Registry Identity

NPI1043292626
Entity TypeIndividualMale
Primary Taxonomy208M00000X
Provider Legal NameJUAN CARLOS MEJIACredential: MD
Location Address375 DIXMYTH AVECincinnati, OH 45220-2475
Mailing AddressPo Box 636799Cincinnati, OH 45263-0001 · (513) 862-3452 · Fax (513) 862-3421
Fax(513) 862-3421
Sole ProprietorNo
Medical School CMSOtherGraduated 1990
Enumeration DateNovember 18, 2005
Last NPPES UpdateJuly 1, 2015
NPI 1043292626 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License Licensed in OH · 35077484
Definition
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
Also ListedInternal MedicineTaxonomy 207R00000X · License 35077484 (OH)
375 DIXMYTH AVE, Cincinnati, OH 45220

Other Identifiers 5

Medicare PIN0898112OH
Medicare PIN0898111OH
Medicaid2155957OH
Medicare UPINH08820
Medicaid64004773KY

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

Juan Carlos Mejia 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 ID5890823082
PECOS Enrollment IDI20100510000000
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 3

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
156 services64 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
49 services47 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.
40 services37 patients

Hospital Affiliations CMS Care Compare

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

Good Samaritan Hospital

Acute Care Hospitals · Cincinnati, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360134
Location375 Dixmyth AvenueCincinnati, OH 45220 · Hamilton County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45220 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
$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.

90.38/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality80.76
Promoting Interoperability100
Improvement Activities40

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.

Nurse Practitioner (Neonatal)
375 DIXMYTH AVE
CINCINNATI, OH 45220
Student in an Organized Health Care Education/Training Program
375 DIXMYTH AVE
CINCINNATI, OH 45220
Pharmacist (Critical Care)
375 DIXMYTH AVE
CINCINNATI, OH 45220
Physician Assistant
375 DIXMYTH AVE, DEPARTMENT OF EMERGENCY MEDICINE
CINCINNATI, OH 45220
Nurse Practitioner (Acute Care)
375 DIXMYTH AVE
CINCINNATI, OH 45220
Radiology (Diagnostic Radiology)
375 DIXMYTH AVE
CINCINNATI, OH 45220
Psychiatry & Neurology (Neurology)
375 DIXMYTH AVE
CINCINNATI, OH 45220
Student in an Organized Health Care Education/Training Program
375 DIXMYTH AVE
CINCINNATI, OH 45220

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 Juan Mejia's NPI number?

The NPI number for Juan Mejia is 1043292626. It was assigned to this individual provider in the NPPES registry on November 18, 2005.

Where is Juan Mejia located?

Juan Mejia practices at 375 Dixmyth Ave, Cincinnati, OH 45220. The listed phone number is (513) 862-3452.

What is Juan Mejia's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Juan Mejia enrolled in Medicare?

Yes. Juan Mejia 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 Juan Mejia accept?

Health plans from CareSource list Juan Mejia 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 Juan Mejia affiliated with any hospitals?

According to CMS data, Juan Mejia is affiliated with Good Samaritan Hospital.

When was this NPI record last updated?

The NPPES record for Juan Mejia was last updated on July 1, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.