CASEY COSGROVE MD
NPI 1124387006
Obstetrics & Gynecology - Gynecologic Oncology in Hilliard, OH

Active since May 11, 2012PECOS EnrolledAccepts Medicare Assignment
95.31/100
CMS Quality Rating
3651 RIDGE MILL DR, HILLIARD, OH 43026(614) 293-3873(614) 293-3078 Get Directions Write a Review

NPPES record last updated: October 23, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 5, 2021, Sep 17, 2019 (2 updates tracked since 2019).

About Casey Cosgrove Md NPPES

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

CASEY COSGROVE MD (NPI 1124387006) is an individual gynecologic oncology provider in Hilliard, Ohio, licensed in Ohio (35.128121) and active in the NPI registry since May 2012. He is enrolled in Medicare PECOS, is affiliated with Ohio State University State Health System, and is a graduate of Other (2012).

NPPES Registry Identity

NPI1124387006
Entity TypeIndividualMale
Primary Taxonomy207VX0201X
Provider Legal NameCASEY COSGROVECredential: MD
Location Address3651 RIDGE MILL DRHilliard, OH 43026-7752
Mailing Address700 Ackerman Rd Ste 2120Columbus, OH 43202-1559 · (614) 293-3873 · Fax (614) 293-3078
Fax(614) 293-3078
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateMay 11, 2012
Last NPPES UpdateOctober 23, 20242 updates tracked since enumeration
NPPES CertifiedOctober 23, 2024
NPI 1124387006 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyObstetrics & Gynecology · Gynecologic OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207VX0201X
License Licensed in OH · 35.128121
Definition
An obstetrician/gynecologist who provides consultation and comprehensive management of patients with gynecologic cancer, including those diagnostic and therapeutic procedures necessary for the total care of the patient with gynecologic cancer and resulting complications.
3651 RIDGE MILL DR, Hilliard, OH 43026

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

Casey Cosgrove 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 ID2163675398
PECOS Enrollment IDI20191009002854
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 8

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.
194 services62 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.
101 services38 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.
74 services39 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.
73 services31 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.
42 services36 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
38 services38 patients

Hospital Affiliations CMS Care Compare 2

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

Ohio State University State Health System

Acute Care Hospitals · Columbus, OH
4/5 CMS rating
OwnershipGovernment - State
CMS Certification Number360085
Location410 West 10th AvenueColumbus, OH 43210 · Franklin County
Emergency services Birthing friendly

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43026 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
$166.65 typical visit price
range $54.34 – $166.65
Typical copayment $41.66 (range $13.58 – $41.66)
Most-billed visit code 99205
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.

95.31/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality76.58
Promoting Interoperability100
Improvement Activities40

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.

Obstetrics & Gynecology (Gynecologic Oncology)
3651 RIDGE MILL DR
HILLIARD, OH 43026
Pharmacist (Oncology)
3651 RIDGE MILL DR
HILLIARD, OH 43026
Obstetrics & Gynecology (Gynecologic Oncology)
3651 RIDGE MILL DR
HILLIARD, OH 43026
Obstetrics & Gynecology (Gynecologic Oncology)
3651 RIDGE MILL DR
HILLIARD, OH 43026
Nurse Practitioner (Women's Health)
3651 RIDGE MILL DR
HILLIARD, OH 43026
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
3651 RIDGE MILL DR
HILLIARD, OH 43026
Obstetrics & Gynecology (Gynecologic Oncology)
3651 RIDGE MILL DR
HILLIARD, OH 43026
Obstetrics & Gynecology (Gynecologic Oncology)
3651 RIDGE MILL DR
HILLIARD, OH 43026

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 Casey Cosgrove's NPI number?

The NPI number for Casey Cosgrove is 1124387006. It was assigned to this individual provider in the NPPES registry on May 11, 2012.

Where is Casey Cosgrove located?

Casey Cosgrove practices at 3651 Ridge Mill Dr, Hilliard, OH 43026. The listed phone number is (614) 293-3873.

What is Casey Cosgrove's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Gynecologic Oncology, with taxonomy code 207VX0201X.

Is Casey Cosgrove enrolled in Medicare?

Yes. Casey Cosgrove 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 Casey Cosgrove accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Antidote Health Plan of Ohio, Inc. and CareSource and 3 other insurers list Casey Cosgrove 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 Casey Cosgrove affiliated with any hospitals?

According to CMS data, Casey Cosgrove is affiliated with Ohio State University State Health System and Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Casey Cosgrove was last updated on October 23, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months 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.