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PHILIP SANTA-EMMA MD
NPI 1104867464
Family Medicine - Hospice and Palliative Medicine in Columbus, OH

Active since June 09, 2006PECOS EnrolledAccepts Medicare Assignment
75.15/100
CMS Quality Rating
1144 DUBLIN RD, COLUMBUS, OH 43215(614) 234-0200 Get Directions Write a Review

NPPES record last updated: March 30, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Philip Santa-emma Md NPPES

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

PHILIP SANTA-EMMA MD (NPI 1104867464) is an individual hospice and palliative medicine provider in Columbus, Ohio, licensed in Ohio (59004) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Mount Carmel St Ann's, and is a graduate of Ohio State University College Of Medicine (1988).

NPPES Registry Identity

NPI1104867464
Entity TypeIndividualMale
Primary Taxonomy207QH0002X
Provider Legal NamePHILIP SANTA-EMMACredential: MD
Location Address1144 DUBLIN RDColumbus, OH 43215-1039
Mailing Address7681 Kestrel Way WDublin, OH 43017-8256 · (614) 792-2893
Phone(614) 234-0200
Sole ProprietorNo
Medical School CMSOhio State University College Of MedicineGraduated 1988
Enumeration DateJune 9, 2006
Last NPPES UpdateMarch 30, 2022
NPPES CertifiedMarch 30, 2022
✔ NPI 1104867464 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily Medicine · Hospice and Palliative MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QH0002X
License✔ Licensed in OH · 59004
Definition
A family medicine physician with special knowledge and skills to prevent and relieve the suffering experienced by patients with life-limiting illnesses. This specialist works with an interdisciplinary hospice or palliative care team to maximize quality of life while addressing physical, psychological, social and spiritual needs of both patient and family throughout the course of the disease, through the dying process, and beyond for the family. This specialist has expertise in the assessment of patients with advanced disease; the relief of distressing symptoms; the coordination of interdisciplinary patient and family-centered care in diverse venues; the use of specialized care systems including hospice; the management of the imminently dying patient; and legal and ethical decision making in end-of-life care.
1144 DUBLIN RD, Columbus, OH 43215
Open in Google Maps ↗

Other Identifiers 2

Medicaid0838697OH
Other080143171OH · Railroad Medicare Pin

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health Insurance.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

Philip Santa-emma 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 ID3577746676
PECOS Enrollment IDI20110328000518
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 5

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.
174 services84 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.
86 services84 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
62 services47 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
33 services28 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
31 services31 patients

Hospital Affiliations CMS Care Compare 2

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

Mount Carmel St Ann's

Acute Care Hospitals · Westerville, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360012
Location500 South Cleveland AvenueWesterville, OH 43081 · Franklin County
Emergency services Birthing friendly

Mount Carmel East & West

Acute Care Hospitals · Columbus, OH
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360035
Location6001 East Broad StreetColumbus, OH 43213 · Franklin County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43215 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.

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.

75.15/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality76.24
Promoting Interoperability78
Improvement Activities40
Cost59.25

Other Providers at the Same Location NPPES 15

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

SUSAN MILNE CNS
Clinical Nurse Specialist
1144 DUBLIN RD
COLUMBUS, OH 43215
Franklin County (614) 234-0200
DR. GRACE OKORIE UKAIRO M.D.
Internal Medicine
1144 DUBLIN RD
COLUMBUS, OH 43215
Franklin County (614) 234-0200
LYNDSAY JUSTINE CRISPIN CNP
Nurse Practitioner (Family)
1144 DUBLIN RD
COLUMBUS, OH 43215
Franklin County (614) 234-0200
CARE CONTINUUM SERVICES CORP.
Internal Medicine
1144 DUBLIN RD, SUITE A
COLUMBUS, OH 43215
Franklin County (614) 234-0200
ASHLEY SWETNAM CNP
Nurse Practitioner (Family)
1144 DUBLIN RD
COLUMBUS, OH 43215
Franklin County (614) 234-0200
NICOLETTA KRISTINE ROEBLE FNP-BC
Nurse Practitioner (Family)
1144 DUBLIN RD
COLUMBUS, OH 43215
Franklin County (614) 234-0200
KATHLEEN COLEMAN CNP
Nurse Practitioner (Family)
1144 DUBLIN RD
COLUMBUS, OH 43215
Franklin County (614) 234-0200
ROBERTA S. HURLEY R.D., L.D.
Dietitian, Registered
1144 DUBLIN RD
COLUMBUS, OH 43215
Franklin County (614) 234-0100

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 Philip Santa-emma's NPI number?

The NPI number for Philip Santa-emma is 1104867464. It was assigned to this individual provider in the NPPES registry on June 9, 2006.

Where is Philip Santa-emma located?

Philip Santa-emma practices at 1144 Dublin Rd, Columbus, OH 43215. The listed phone number is (614) 234-0200.

What is Philip Santa-emma's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Hospice and Palliative Medicine, with taxonomy code 207QH0002X.

Is Philip Santa-emma enrolled in Medicare?

Yes. Philip Santa-emma 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 Philip Santa-emma accept?

Health plans from Oscar Health Insurance list Philip Santa-emma 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 Philip Santa-emma affiliated with any hospitals?

According to CMS data, Philip Santa-emma is affiliated with Mount Carmel St Ann's and Mount Carmel East & West.

When was this NPI record last updated?

The NPPES record for Philip Santa-emma was last updated on March 30, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.