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MR. DONALD C, LEMAY D.O.
NPI 1164480208
Family Medicine - Sports Medicine in Pickerington, OH

Active since May 01, 2006PECOS EnrolledAccepts Medicare Assignment
81.3/100
CMS Quality Rating
1010 REFUGEE RD, SUITE 200, PICKERINGTON, OH 43147(614) 788-4222(614) 788-4232 Get Directions Write a Review

NPPES record last updated: January 5, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Mr. Donald C, Lemay D.o. NPPES

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

MR. DONALD C, LEMAY D.O. (NPI 1164480208) is an individual sports medicine provider in Pickerington, Ohio, licensed in Ohio (34008086) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Riverside Methodist Hospital, and is a graduate of At Still University Of Health Sciences, College Of Osteo Med, Kirksville (2000).

NPPES Registry Identity

NPI1164480208
Entity TypeIndividualMale
Primary Taxonomy207QS0010X
Provider Legal NameMR. DONALD C, LEMAYCredential: D.O.
Location Address1010 REFUGEE RD, SUITE 200Pickerington, OH 43147-9653
Mailing Address5400 Frantz Rd, Suite 250Dublin, OH 43016-4144
Phone(614) 788-4222
Fax(614) 788-4232
Sole ProprietorNo
Medical School CMSAt Still University Of Health Sciences, College Of Osteo Med, KirksvilleGraduated 2000
Enumeration DateMay 1, 2006
Last NPPES UpdateJanuary 5, 2022
✔ NPI 1164480208 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily Medicine · Sports MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QS0010X
License✔ Licensed in OH · 34008086
Definition
A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation.
Also ListedFamily MedicineTaxonomy 207Q00000X · License 34008086 (OH)
1010 REFUGEE RD, Pickerington, OH 43147
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Other Identifiers 1

Medicaid2423087OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health 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

Mr. Donald C, Lemay D.o. 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 ID547241762
PECOS Enrollment IDI20040525000929
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 Donald Lemay reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Ohiohealth Corporation
5.6 mi
Thoracic Surgery (Cardiothoracic Vascular Surgery)
85 MCNAUGHTEN RD STE 110
Columbus, OH 43213
  • Reassigned Medicare billing, Ohio enrollment
  • 3,314 clinicians in this Medicare group
NPI 1265627301 (614) 856-9100
Ohiohealth Urgent Care LLC
24 mi
Urgent Care
6905 HOSPITAL DR STE 130
Dublin, OH 43016
  • Reassigned Medicare billing, Ohio enrollment
  • 388 clinicians in this Medicare group
NPI 1811207160 (614) 923-0300

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 6

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.
116 services60 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.
72 services49 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.
38 services33 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.
28 services23 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
16 services16 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
15 services15 patients

Hospital Affiliations CMS Care Compare 2

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

Riverside Methodist Hospital

Acute Care Hospitals · Columbus, OH
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360006
Location3535 Olentangy River RdColumbus, OH 43214 · Franklin County
Emergency services Birthing friendly

Grant Medical Center

Acute Care Hospitals · Columbus, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number360017
Location111 South Grant AvenueColumbus, OH 43215 · Franklin County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43147 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.

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

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

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
1 supplier11 claims11 services$215.60 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 20

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

ALEXANDRA MALSCH
Physician Assistant
1010 REFUGEE RD
PICKERINGTON, OH 43147
Fairfield County (614) 566-8883
KATHERINE THERESE GRAEBEL MD
Hospitalist
1010 REFUGEE RD
PICKERINGTON, OH 43147
Fairfield County (614) 566-8883
MEGAN ELIZABETH VANLANDINGHAM PA
Physician Assistant
1010 REFUGEE RD
PICKERINGTON, OH 43147
Fairfield County (614) 566-8883
MICHAEL WILLIAM TEMPELHOF MD
Internal Medicine (Cardiovascular Disease)
1010 REFUGEE RD, 3RD FLOOR, SUITE 310
PICKERINGTON, OH 43147
Fairfield County (614) 533-5000
MR. KALEB MICHAEL PEREZ PA
Physician Assistant
1010 REFUGEE RD
PICKERINGTON, OH 43147
Fairfield County (614) 566-8883
MELISSA SHIGEYO MOON CNP
Nurse Practitioner (Family)
1010 REFUGEE RD
PICKERINGTON, OH 43147
Fairfield County (614) 788-4000
DR. CALEB THOMAS WAGNER M.D.
Hospitalist
1010 REFUGEE RD
PICKERINGTON, OH 43147
Fairfield County (614) 566-8883
MRS. SARAH KATHERINE WEST CNP
Nurse Practitioner (Acute Care)
1010 REFUGEE RD
PICKERINGTON, OH 43147
Fairfield County (614) 788-4000

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 Donald Lemay's NPI number?

The NPI number for Donald Lemay is 1164480208. It was assigned to this individual provider in the NPPES registry on May 1, 2006.

Where is Donald Lemay located?

Donald Lemay practices at 1010 Refugee Rd Suite 200, Pickerington, OH 43147. The listed phone number is (614) 788-4222.

What is Donald Lemay's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Sports Medicine, with taxonomy code 207QS0010X.

Is Donald Lemay enrolled in Medicare?

Yes. Donald Lemay 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.

Which organizations bill Medicare for Donald Lemay's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Donald Lemay reassigns Medicare benefits to 2 organizations: Ohiohealth Corporation (Columbus, OH) and Ohiohealth Urgent Care LLC (Dublin, 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 Donald Lemay's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Donald Lemay accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 1 other insurer list Donald Lemay 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 Donald Lemay affiliated with any hospitals?

According to CMS data, Donald Lemay is affiliated with Riverside Methodist Hospital and Grant Medical Center.

When was this NPI record last updated?

The NPPES record for Donald Lemay was last updated on January 5, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.