1. Home
  2. Directory
  3. Ohio
  4. Cleveland
  5. Orthopaedic Surgery
  6. NPI Profile

JENSEN GREY KOLACZKO M.D.
NPI 1083148852
Orthopaedic Surgery - Sports Medicine in Cleveland, OH

Active since April 18, 2017PECOS EnrolledAccepts Medicare Assignment
97.58/100
CMS Quality Rating
2500 METROHEALTH DR, CLEVELAND, OH 44109(216) 778-7800 Get Directions Write a Review

NPPES record last updated: November 6, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 6, 2023, Jul 29, 2022, Feb 21, 2022 and 1 more (4 updates tracked since 2017).

About Jensen Grey Kolaczko M.d. NPPES

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

JENSEN GREY KOLACZKO M.D. (NPI 1083148852) is an individual sports medicine provider in Cleveland, Ohio, licensed in Colorado (DR.0068168) and active in the NPI registry since April 2017. He is enrolled in Medicare PECOS, is affiliated with Metrohealth System, and is a graduate of Wright State University Boonshoft School Of Medicine (2017).

NPPES Registry Identity

NPI1083148852
Entity TypeIndividualMale
Primary Taxonomy207XX0005X
Provider Legal NameJENSEN GREY KOLACZKOCredential: M.D.
Location Address2500 METROHEALTH DRCleveland, OH 44109-1900
Mailing Address2500 Metrohealth DrCleveland, OH 44109-1900
Phone(216) 778-7800
Sole ProprietorNo
Medical School CMSWright State University Boonshoft School Of MedicineGraduated 2017
Enumeration DateApril 18, 2017
Last NPPES UpdateNovember 6, 20234 updates tracked since enumeration
NPPES CertifiedJuly 29, 2022
✔ NPI 1083148852 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic Surgery · Sports MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207XX0005X
License✔ Licensed in CO · DR.0068168
Definition

An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries.

2500 METROHEALTH DR, Cleveland, OH 44109
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource, Medica and more.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

Jensen Grey Kolaczko 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 ID1355610106
PECOS Enrollment IDI20231031000761
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 4

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.
43 services32 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.
18 services18 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.
16 services15 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.
13 services13 patients

Hospital Affiliations CMS Care Compare

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

Metrohealth System

Acute Care Hospitals · Cleveland, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number360059
Location2500 Metrohealth DriveCleveland, OH 44109 · Cuyahoga County
Emergency services Birthing friendly

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.

97.58/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality86.53
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.

CARIE TWICHELL AA
Anesthesiologist Assistant
2500 METROHEALTH DR
CLEVELAND, OH 44109
Cuyahoga County (216) 778-4809
MS. KELLYE KAUFMAN AA-C
Anesthesiologist Assistant
2500 METROHEALTH DR
CLEVELAND, OH 44109
Cuyahoga County (216) 778-4801
MR. JOSEPH PEACHMAN A.A.
Anesthesiologist Assistant
2500 METROHEALTH DR
CLEVELAND, OH 44109
Cuyahoga County (216) 778-4801
HANS C GEHO M.D.
Internal Medicine
2500 METROHEALTH DR
CLEVELAND, OH 44109
Cuyahoga County (216) 778-7800
DR. ANDRE PROCHOROFF MD
Psychiatry & Neurology (Child & Adolescent Psychiatry)
2500 METROHEALTH DR
CLEVELAND, OH 44109
Cuyahoga County (216) 778-4933
DR. BEN H BROUHARD MD
Pediatrics (Pediatric Nephrology)
2500 METROHEALTH DR, ROOM A-109
CLEVELAND, OH 44109
Cuyahoga County (216) 778-4900
SHARI DANIELLE BOLEN M.D.
Internal Medicine
2500 METROHEALTH DR, METROHEALTH MEDICAL CENTER-INTERNAL MEDICINE CLINIC
CLEVELAND, OH 44109
Cuyahoga County (216) 778-2273
WILLIAM E CAPPAERT M.D.
Ophthalmology
2500 METROHEALTH DR
CLEVELAND, OH 44109
Cuyahoga County (216) 778-2236

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 Jensen Kolaczko's NPI number?

The NPI number for Jensen Kolaczko is 1083148852. It was assigned to this individual provider in the NPPES registry on April 18, 2017.

Where is Jensen Kolaczko located?

Jensen Kolaczko practices at 2500 Metrohealth Dr, Cleveland, OH 44109. The listed phone number is (216) 778-7800.

What is Jensen Kolaczko's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Sports Medicine, with taxonomy code 207XX0005X.

Is Jensen Kolaczko enrolled in Medicare?

Yes. Jensen Kolaczko 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 Jensen Kolaczko accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource, MedMutual, Medica and Molina Healthcare and 2 other insurers list Jensen Kolaczko 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 Jensen Kolaczko affiliated with any hospitals?

According to CMS data, Jensen Kolaczko is affiliated with Metrohealth System.

When was this NPI record last updated?

The NPPES record for Jensen Kolaczko was last updated on November 6, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.