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CYNTHIA A DORSEY MD
NPI 1114909421
Internal Medicine - Endocrinology, Diabetes & Metabolism in Ontario, OH

Active since November 14, 2005PECOS EnrolledAccepts Medicare Assignment
81.3/100
CMS Quality Rating
600 RICHLAND MALL, ONTARIO, OH 44906(567) 247-0825(419) 567-0826 Get Directions Write a Review

NPPES record last updated: June 18, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 18, 2024, Jan 25, 2022, Nov 18, 2015 (3 updates tracked since 2015).

About Cynthia A Dorsey Md NPPES

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

CYNTHIA A DORSEY MD (NPI 1114909421) is an individual endocrinology, diabetes & metabolism provider in Ontario, Ohio, licensed in Ohio (72694) and active in the NPI registry since November 2005. She is enrolled in Medicare PECOS, is affiliated with Ohiohealth Mansfield Hospital, and is a graduate of University Of Chicago, Pritzker School Of Medicine (1987).

NPPES Registry Identity

NPI1114909421
Entity TypeIndividualFemale
Primary Taxonomy207RE0101X
Provider Legal NameCYNTHIA A DORSEYCredential: MD
Location Address600 RICHLAND MALLOntario, OH 44906-1246
Mailing Address700 N Columbus StCrestline, OH 44827-1455
Phone(567) 247-0825
Fax(419) 567-0826
Sole ProprietorNo
Medical School CMSUniversity Of Chicago, Pritzker School Of MedicineGraduated 1987
Enumeration DateNovember 14, 2005
Last NPPES UpdateJune 18, 20243 updates tracked since enumeration
NPPES CertifiedJune 18, 2024
✔ NPI 1114909421 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Endocrinology, Diabetes & MetabolismAllopathic & Osteopathic Physicians
Taxonomy Code207RE0101X
License✔ Licensed in OH · 72694
Definition
An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.
600 RICHLAND MALL, Ontario, OH 44906
Open in Google Maps ↗

Other Identifiers 1

Medicaid2037263OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, Molina Healthcare, UnitedHealthcare.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

Cynthia A Dorsey 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 ID8123925641
PECOS Enrollment IDI20080917000464
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 9

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.
150 services97 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.
74 services56 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.
59 services57 patients
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.
53 services21 patients
Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report 95251
This procedure involves placing a small sensor under your skin to continuously monitor your blood sugar levels in tissue fluid. The data is interpreted and a report is generated to help manage your diabetes more effectively.
48 services39 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.
20 services20 patients

Hospital Affiliations CMS Care Compare 5

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

Ohiohealth Mansfield Hospital

Acute Care Hospitals · Mansfield, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360118
Location335 Glessner AvenueMansfield, OH 44903 · Richland County
Emergency services Birthing friendly

Cleveland Clinic

Acute Care Hospitals · Cleveland, OH
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360180
Location9500 Euclid AvenueCleveland, OH 44195 · Cuyahoga County
Emergency services Birthing friendly

Avita Ontario

Acute Care Hospitals · Ontario, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360365
Location715 Richland MallOntario, OH 44906 · Richland County
Emergency services Birthing friendly

Bucyrus Community Hospital

Critical Access Hospitals · Bucyrus, OH
OwnershipVoluntary non-profit - Other
CMS Certification Number361316
Location629 North Sandusky AvenueBucyrus, OH 44820 · Crawford County
Emergency services

Galion Community Hospital

Critical Access Hospitals · Galion, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number361325
Location269 Portland Way SouthGalion, OH 44833 · Crawford County
Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 44906 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
$126.12 typical visit price
range $54.34 – $166.65
Typical copayment $31.53 (range $13.58 – $41.66)
Most-billed visit code 99204
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.

81.3/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality73.58
Promoting Interoperability98
Improvement Activities40
Cost65.77

Referred Medical Equipment & Supplies CMS DME claims 13

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

Supplies for maintenance of insulin infusion catheter, per week A4224
DME-Other DME · category DE017N
6 suppliers96 claims1,157 services$18.14 avg. paid by Medicare
Supplies for external insulin infusion pump, syringe type cartridge, sterile, each A4225
DME-Other DME · category DE017N
6 suppliers96 claims2,800 services$2.34 avg. paid by Medicare
Supply allowance for adjunctive continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service A4238
DME-Medical/Surgical Supplies · category DA000N
3 suppliers61 claims61 services$172.02 avg. paid by Medicare
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
33 suppliers269 claims945 services$6.47 avg. paid by Medicare
Normal, low and high calibrator solution / chips A4256
DME-Other DME · category DE000N
6 suppliers28 claims29 services$2.93 avg. paid by Medicare
Spring-powered device for lancet, each A4258
DME-Other DME · category DE000N
7 suppliers17 claims17 services$1.72 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.

STEPHEN BROWN MSBS, PA-C
Physician Assistant
600 RICHLAND MALL
ONTARIO, OH 44906
Richland County (419) 522-3751
PERRI HEARING AND ASSOCIATES
Hearing Aid Equipment
600 RICHLAND MALL
MANSFIELD, OH 44906
Richland County (419) 529-4474
AUBREY-LEIGH RENEY BAKER NP
Nurse Practitioner (Family)
600 RICHLAND MALL
ONTARIO, OH 44906
Richland County (567) 307-7920
BLAIR SCHWARTZ MA AUD
Audiologist
600 RICHLAND MALL
MANSFIELD, OH 44906
Richland County (419) 624-0336
LUXOTTICA OF AMERICA INC.
Eyewear Supplier
600 RICHLAND MALL
MANSFIELD, OH 44906
Richland County (419) 529-8529
OMAR AHMAD MD
Psychiatry & Neurology (Neurology)
600 RICHLAND MALL
ONTARIO, OH 44906
Richland County (419) 462-4630

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 Cynthia Dorsey's NPI number?

The NPI number for Cynthia Dorsey is 1114909421. It was assigned to this individual provider in the NPPES registry on November 14, 2005.

Where is Cynthia Dorsey located?

Cynthia Dorsey practices at 600 Richland Mall, Ontario, OH 44906. The listed phone number is (567) 247-0825.

What is Cynthia Dorsey's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.

Is Cynthia Dorsey enrolled in Medicare?

Yes. Cynthia Dorsey 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 Cynthia Dorsey accept?

Health plans from CareSource, Molina Healthcare and UnitedHealthcare list Cynthia Dorsey 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 Cynthia Dorsey affiliated with any hospitals?

According to CMS data, Cynthia Dorsey is affiliated with Ohiohealth Mansfield Hospital, Cleveland Clinic, Avita Ontario, Bucyrus Community Hospital and Galion Community Hospital.

When was this NPI record last updated?

The NPPES record for Cynthia Dorsey was last updated on June 18, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.