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JOSHUA S EVERHART MD
NPI 1063857613
Orthopaedic Surgery in Columbus, OH

Active since May 08, 2013PECOS EnrolledAccepts Medicare Assignment
376 W 10TH AVE, OHIO STATE UNIVERSITY MEDICAL CENTER, COLUMBUS, OH 43210(614) 293-6194(614) 293-3596 Get Directions Write a Review

NPPES record last updated: January 22, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jan 22, 2021, Jul 8, 2020 (2 updates tracked since 2020).

About Joshua S Everhart Md NPPES

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

JOSHUA S EVERHART MD (NPI 1063857613) is an individual orthopaedic surgery provider in Columbus, Ohio, licensed in Indiana (01083959A) and active in the NPI registry since May 2013. He is enrolled in Medicare PECOS, is affiliated with Indiana University Health Bloomington Hospital, and is a graduate of Ohio State University College Of Medicine (2013).

NPPES Registry Identity

NPI1063857613
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameJOSHUA S EVERHARTCredential: MD
Location Address376 W 10TH AVE, OHIO STATE UNIVERSITY MEDICAL CENTERColumbus, OH 43210-1280
Mailing Address250 N Shadeland AveIndianapolis, IN 46219-4959
Phone(614) 293-6194
Fax(614) 293-3596
Sole ProprietorYes
Medical School CMSOhio State University College Of MedicineGraduated 2013
Enumeration DateMay 8, 2013
Last NPPES UpdateJanuary 22, 20212 updates tracked since enumeration
NPPES CertifiedJanuary 22, 2021
✔ NPI 1063857613 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 IN · 01083959A
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 ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
376 W 10TH AVE, Columbus, OH 43210
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Joshua S Everhart 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 ID4082841309
PECOS Enrollment IDI20200707002809
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 Reassignments

2

Medicare enrollment records show Joshua Everhart reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Indiana University Health Care Associates, Inc.
168 mi
Dietitian, Registered
1800 N CAPITOL AVE, B445
Indianapolis, IN 46202
  • Reassigned Medicare billing, Indiana enrollment
  • 1,781 clinicians in this Medicare group
NPI 1679949002 (317) 944-3500
Iu Health Medical Group, LLC
168 mi
General Practice
1701 N SENATE BLVD
Indianapolis, IN 46202
  • Reassigned Medicare billing, Indiana enrollment
  • 5,212 clinicians in this Medicare group
NPI 1326893777 (317) 962-2000

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

Areas of Expertise CMS Part B claims 6

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.

Removal of fluid-filled sac (bursa) or calcium deposit of pelvis 27062
This procedure involves the removal of a fluid-filled sac (bursa) or calcium deposit in the pelvis area. It's done to alleviate discomfort and improve mobility. The surgeon makes a small incision, extracts the bursa or deposit, and then closes the incision.
31 services30 patients
Incision of connective tissue between thigh and knee 27305
This procedure involves making a cut in the connective tissue between your thigh and knee. It's done to relieve tension, treat injuries, or improve joint mobility. You'll receive anesthesia so you won't feel pain during the procedure.
28 services27 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.
27 services27 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.
27 services23 patients
Other procedure on pelvis or hip joint 27299
This procedure involves a surgical operation on the pelvis or hip joint. It may be performed to repair damage, correct deformities, or improve function. This could include procedures like hip replacement or fracture repair. You'll be under anesthesia, ensuring a pain-free experience.
21 services20 patients
X-ray of pelvis, minimum of 3 views 72190
An X-ray of the pelvis with a minimum of 3 views is a diagnostic procedure that uses radiation to create images of your lower body area. This helps in detecting issues like fractures, arthritis, or other abnormalities. It's quick, non-invasive, and typically painless.
17 services17 patients

Hospital Affiliations CMS Care Compare 2

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

Indiana University Health Bloomington Hospital

Acute Care Hospitals · Bloomington, IN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150051
Location2651 East Discovery ParkwayBloomington, IN 47408 · Monroe County
Emergency services Birthing friendly

Indiana University Health

Acute Care Hospitals · Indianapolis, IN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150056
Location1701 N Senate BlvdIndianapolis, IN 46202 · Marion County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43210 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.

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.

KUSHAL NANDAM M.D.
Emergency Medicine
376 W 10TH AVE, 760 PRIOR HALL
COLUMBUS, OH 43210
Franklin County (614) 293-3551
ANDREW DAVID YOCUM M.D.
Emergency Medicine
376 W 10TH AVE, 750 PRIOR HALL
COLUMBUS, OH 43210
Franklin County (614) 293-3551
JENNA LYNN GUNN MD
Student in an Organized Health Care Education/Training Program
376 W 10TH AVE
COLUMBUS, OH 43210
Franklin County (614) 293-6194
KEVIN RIVERA
Student in an Organized Health Care Education/Training Program
376 W 10TH AVE
COLUMBUS, OH 43210
Franklin County (614) 293-8306
SPENCER TALENTINO
Student in an Organized Health Care Education/Training Program
376 W 10TH AVE
COLUMBUS, OH 43210
Franklin County (614) 293-6194
LEON LIN MD
Student in an Organized Health Care Education/Training Program
376 W 10TH AVE
COLUMBUS, OH 43210
Franklin County (614) 293-3570
LOGAN ROEBKE
Student in an Organized Health Care Education/Training Program
376 W 10TH AVE
COLUMBUS, OH 43210
Franklin County (614) 293-6194
ZACHARY JAY SMITH MD, MBA
Student in an Organized Health Care Education/Training Program
376 W 10TH AVE, 774 PRIOR HALL
COLUMBUS, OH 43210
Franklin County (614) 293-3570

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 Joshua Everhart's NPI number?

The NPI number for Joshua Everhart is 1063857613. It was assigned to this individual provider in the NPPES registry on May 8, 2013.

Where is Joshua Everhart located?

Joshua Everhart practices at 376 W 10th Ave Ohio State University Medical Center, Columbus, OH 43210. The listed phone number is (614) 293-6194.

What is Joshua Everhart's specialty?

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

Is Joshua Everhart enrolled in Medicare?

Yes. Joshua Everhart 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.

Which organizations bill Medicare for Joshua Everhart's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Joshua Everhart reassigns Medicare benefits to 2 organizations: Indiana University Health Care Associates, Inc. (Indianapolis, IN) and Iu Health Medical Group, LLC (Indianapolis, IN). Each 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 Joshua Everhart's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Joshua Everhart accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 2 other insurers list Joshua Everhart 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 Joshua Everhart affiliated with any hospitals?

According to CMS data, Joshua Everhart is affiliated with Indiana University Health Bloomington Hospital and Indiana University Health.

When was this NPI record last updated?

The NPPES record for Joshua Everhart was last updated on January 22, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.