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GRACIA DE JONG MD
NPI 1154827061
Pediatrics in Powell, OH

Active since April 01, 2018PECOS Enrolled
55 CLAIREDAN DR, POWELL, OH 43065(614) 888-8989(614) 888-8968 Get Directions Write a Review

NPPES record last updated: January 11, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jan 11, 2023, Feb 10, 2022, Aug 3, 2021 and 3 more (6 updates tracked since 2018).

About Gracia De Jong Md NPPES

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

GRACIA DE JONG MD (NPI 1154827061) is an individual pediatrics provider in Powell, Ohio, licensed in Ohio (35.141481) and active in the NPI registry since April 2018. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1154827061
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameGRACIA DE JONGCredential: MD
Location Address55 CLAIREDAN DRPowell, OH 43065-8064
Mailing Address55 Clairedan DrPowell, OH 43065-8064 · (614) 888-8989 · Fax (614) 888-8968
Phone(614) 888-8989
Fax(614) 888-8968
Sole ProprietorYes
Enumeration DateApril 1, 2018
Last NPPES UpdateJanuary 11, 20236 updates tracked since enumeration
NPPES CertifiedJanuary 11, 2023
✔ NPI 1154827061 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in OH · 35.141481
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
55 CLAIREDAN DR, Powell, OH 43065
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Other Identifiers 2

OtherH771400OH · Cgs Medicare
Medicaid0435440OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Antidote Health Plan of Ohio, Inc., 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 (PECOS)

Gracia De Jong Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignments

2

Medicare enrollment records show Gracia De Jong reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Nationwide Children's Hospital
16 mi
Multi-Specialty
700 CHILDRENS DR
Columbus, OH 43205
  • Reassigned Medicare billing, Ohio enrollment
  • 976 clinicians in this Medicare group
NPI 1851179873 (614) 722-2055
Pediatric Academic Association, Inc.
16 mi
Pediatrics
700 CHILDRENS DR
Columbus, OH 43205
  • Reassigned Medicare billing, Ohio enrollment
  • 1,246 clinicians in this Medicare group
NPI 1063419943 (614) 722-4579

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43065 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.

Other Providers at the Same Location NPPES 2

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

JACQUELINE PENNYWITT
Pediatrics
55 CLAIREDAN DR
POWELL, OH 43065
Delaware County (614) 888-8989
MELISSA JUNE WINKIE MD
Pediatrics
55 CLAIREDAN DR
POWELL, OH 43065
Delaware County (614) 888-8989

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 Gracia De Jong's NPI number?

The NPI number for Gracia De Jong is 1154827061. It was assigned to this individual provider in the NPPES registry on April 1, 2018.

Where is Gracia De Jong located?

Gracia De Jong practices at 55 Clairedan Dr, Powell, OH 43065. The listed phone number is (614) 888-8989.

What is Gracia De Jong's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Gracia De Jong enrolled in Medicare?

Yes. Gracia De Jong is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Gracia De Jong's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Gracia De Jong reassigns Medicare benefits to 2 organizations: Nationwide Children's Hospital (Columbus, OH) and Pediatric Academic Association, Inc. (Columbus, OH). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Gracia De Jong's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Gracia De Jong accept?

Health plans from Antidote Health Plan of Ohio, Inc., CareSource, MedMutual, Oscar Health Insurance and UnitedHealthcare list Gracia De Jong 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.

When was this NPI record last updated?

The NPPES record for Gracia De Jong was last updated on January 11, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.