DR. DONALD ALBERT DESHETLER JR. MD
NPI 1073510558
Family Medicine in Granville, OH

Active since June 30, 2005PECOS EnrolledAccepts Medicare Assignment
2000 NEWARK GRANVILLE RD, SUITE 100, GRANVILLE, OH 43023(740) 587-0087(740) 587-0084 Get Directions Write a Review

NPPES record last updated: February 24, 2016. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Dr. Donald Albert Deshetler Jr. Md NPPES

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

DR. DONALD ALBERT DESHETLER JR. MD (NPI 1073510558) is an individual family medicine provider in Granville, Ohio, licensed in Ohio (35076727D) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS, is affiliated with Licking Memorial Hospital, and is a graduate of Ohio State University College Of Medicine (1995).

NPPES Registry Identity

NPI1073510558
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. DONALD ALBERT DESHETLER JR.Credential: MD
Location Address2000 NEWARK GRANVILLE RD, SUITE 100Granville, OH 43023-9135
Mailing Address2000 Newark Granville Rd, Suite 100Granville, OH 43023-9135 · (740) 587-0087 · Fax (740) 587-0084
Fax(740) 587-0084
Sole ProprietorNo
Medical School CMSOhio State University College Of MedicineGraduated 1995
Enumeration DateJune 30, 2005
Last NPPES UpdateFebruary 24, 2016
NPI 1073510558 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in OH · 35076727D
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
2000 NEWARK GRANVILLE RD, Granville, OH 43023

Other Identifiers 4

Other080148293OH · Railroad Medicare
Medicare PINDE0887591OH
Medicare UPING48356OH
Medicaid2130956OH

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

Dr. Donald Albert Deshetler Jr. 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 ID7315081510
PECOS Enrollment IDI20100225000114
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 26

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.

Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
400 services165 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.
360 services157 patients
Blood test, basic group of blood chemicals (calcium, total) 80048
A basic group blood test measures the levels of certain chemicals in your blood, including calcium. This helps assess your overall health and detect potential problems. The procedure involves drawing a small amount of blood from your arm, which is then analyzed in a lab.
179 services105 patients
Blood test, comprehensive group of blood chemicals 80053
A comprehensive group of blood chemicals test, also known as a comprehensive metabolic panel, is a blood test that measures your sugar level, electrolyte and fluid balance, kidney function, and liver function. This helps to check your body's overall health.
153 services118 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
145 services145 patients
Blood test, lipids (cholesterol and triglycerides) 80061
A lipid panel is a blood test that measures fats and fatty substances, such as cholesterol and triglycerides. These substances are used by your body as a source of energy. High levels can lead to health issues, including heart disease.
122 services97 patients

Hospital Affiliations CMS Care Compare

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

Licking Memorial Hospital

Acute Care Hospitals · Newark, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360218
Location1320 West Main StreetNewark, OH 43055 · Licking County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43023 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.

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
8 suppliers16 claims68 services$5.91 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers16 claims16 services$60.62 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
1 supplier11 claims11 services$198.46 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 6

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

Family Medicine
2000 NEWARK GRANVILLE RD, SUITE 100
GRANVILLE, OH 43023
Family Medicine
2000 NEWARK GRANVILLE RD, SUITE 100
GRANVILLE, OH 43023
Family Medicine
2000 NEWARK GRANVILLE RD, SUITE 100
GRANVILLE, OH 43023
Family Medicine
2000 NEWARK GRANVILLE RD, SUITE 100
GRANVILLE, OH 43023
Physician Assistant
2000 NEWARK GRANVILLE RD, 202
GRANVILLE, OH 43023
Family Medicine
2000 NEWARK GRANVILLE RD, SUITE 100
GRANVILLE, OH 43023

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 Donald Deshetler's NPI number?

The NPI number for Donald Deshetler is 1073510558. It was assigned to this individual provider in the NPPES registry on June 30, 2005.

Where is Donald Deshetler located?

Donald Deshetler practices at 2000 Newark Granville Rd Suite 100, Granville, OH 43023. The listed phone number is (740) 587-0087.

What is Donald Deshetler's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Donald Deshetler enrolled in Medicare?

Yes. Donald Deshetler 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 Donald Deshetler accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 3 other insurers list Donald Deshetler 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 Donald Deshetler affiliated with any hospitals?

According to CMS data, Donald Deshetler is affiliated with Licking Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Donald Deshetler was last updated on February 24, 2016. 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.