ALEXANDRA PELAEZ MD
NPI 1104238930
Family Medicine in Marysville, OH

Q: What is Alexandra Pelaez's NPI number?

The NPI number for Alexandra Pelaez is 1104238930. It was assigned to this individual provider in the NPPES registry on May 28, 2014. The provider is also known as Alexandra Smith MD.

Q: What is Alexandra Pelaez's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Alexandra Pelaez was last updated on June 8, 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.

Active since May 28, 2014PECOS EnrolledAccepts Medicare Assignment

17853 STATE ROUTE 31, MARYSVILLE, OH 43040(937) 578-4004(937) 578-4024 Get Directions Write a Review

NPPES record last updated: June 8, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jun 8, 2021, Mar 17, 2018, Feb 15, 2018 (3 updates tracked since 2018).

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About Alexandra Pelaez Md NPPES

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

ALEXANDRA PELAEZ MD (NPI 1104238930) is an individual family medicine provider in Marysville, Ohio, licensed in Ohio (35.131715) and active in the NPI registry since May 2014. She is enrolled in Medicare PECOS, is affiliated with Memorial Hospital, and is a graduate of Ohio State University College Of Medicine (2014).

NPPES Registry Identity

NPI1104238930

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameALEXANDRA PELAEZCredential: MD

Location Address17853 STATE ROUTE 31Marysville, OH 43040-8520

Mailing Address17853 State Route 31Marysville, OH 43040-8520 · (937) 578-4004 · Fax (937) 578-4024

Phone(937) 578-4004

Fax(937) 578-4024

Sole ProprietorNo

Medical School CMSOhio State University College Of MedicineGraduated 2014

Enumeration DateMay 28, 2014

Last NPPES UpdateJune 8, 20213 updates tracked since enumeration

NPPES CertifiedJune 8, 2021

✔ NPI 1104238930 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 · 35.131715

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.

17853 STATE ROUTE 31, Marysville, OH 43040

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Other Names 1

Former Name (1)Alexandra Smith Md

Accepted Insurance

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

Alexandra Pelaez 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 ID5496078719

PECOS Enrollment IDI20170829004190

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 Reassignment

Medicare enrollment records show Alexandra Pelaez reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Union County Physician Corporation

2.2 mi

Occupational Medicine

500 LONDON AVE, DEPARTMENT OF OCCUPATIONAL HEALTH
Marysville, OH 43040

Reassigned Medicare billing, Ohio enrollment
144 clinicians in this Medicare group

NPI 1497300172 (937) 578-2417

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 7

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 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.

244 services119 patients

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.

44 services39 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.

40 services28 patients

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.

24 services20 patients

Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional 99211

This service involves an outpatient visit for established patients who may not need direct interaction with a healthcare professional. It could include reviewing test results, monitoring existing conditions, or adjusting treatment plans. It's typically done remotely, ensuring your comfort and convenience.

19 services11 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.

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.

Memorial Hospital

Acute Care Hospitals · Marysville, OH

5/5 CMS rating

OwnershipGovernment - Local

CMS Certification Number360092

Location500 London AvenueMarysville, OH 43040 · Union County

Emergency services Birthing friendly

Dublin Methodist Hospital

Acute Care Hospitals · Dublin, OH

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number360348

Location7500 Hospital AvenueDublin, OH 43016 · Franklin County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43040 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 5

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

5 suppliers11 claims27 services$5.64 avg. paid by Medicare

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

1 supplier12 claims12 services$12.67 avg. paid by Medicare

Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme J7620

DME-Drugs Administered Through DME · category DG006N

2 suppliers14 claims780 services$0.08 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

2 suppliers17 claims17 services$206.32 avg. paid by Medicare

Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513

DME-Other DME · category DE000N

2 suppliers14 claims14 services$21.39 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 7

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

AMANDA LOLLINI R.N., FNP - C

Nurse Practitioner (Family)