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CYNTHIA KEARSE D.O.
NPI 1164853735
Obstetrics & Gynecology in Newark, OH

Active since December 09, 2013PECOS EnrolledAccepts Medicare Assignment
79.35/100
CMS Quality Rating
14 WESTGATE DR, NEWARK, OH 43055(220) 564-7925(220) 564-7926 Get Directions Write a Review

NPPES record last updated: December 9, 2022. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Dec 9, 2022, Mar 18, 2021, Nov 2, 2020 and 1 more (4 updates tracked since 2019).

About Cynthia Kearse D.o. NPPES

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

CYNTHIA KEARSE D.O. (NPI 1164853735) is an individual obstetrics & gynecology provider in Newark, Ohio, licensed in Ohio (34.01088) and active in the NPI registry since December 2013. She is enrolled in Medicare PECOS, is affiliated with Mount Carmel East & West, and is a graduate of Other (2013).

NPPES Registry Identity

NPI1164853735
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameCYNTHIA KEARSECredential: D.O.
Location Address14 WESTGATE DRNewark, OH 43055-9369
Mailing Address14 Westgate DrNewark, OH 43055-9369 · (220) 564-7925 · Fax (220) 564-7926
Phone(220) 564-7925
Fax(220) 564-7926
Sole ProprietorYes
Medical School CMSOtherGraduated 2013
Enumeration DateDecember 9, 2013
Last NPPES UpdateDecember 9, 20224 updates tracked since enumeration
NPPES CertifiedDecember 9, 2022
✔ NPI 1164853735 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in OH · 34.01088
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
14 WESTGATE DR, Newark, OH 43055
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Antidote Health Plan of Ohio, Inc., CareSource and more.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 Kearse 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 ID8224367826
PECOS Enrollment IDI20190906002439
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

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.

Cervical or vaginal cancer screening; pelvic and clinical breast examination G0101
This procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.
12 services12 patients

Hospital Affiliations CMS Care Compare

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

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 43055 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
$68.07 typical visit price
range $17.10 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
Most-billed visit code 99213
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.

79.35/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality71.02
Promoting Interoperability100
Improvement Activities40
Cost57.85

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 Kearse's NPI number?

The NPI number for Cynthia Kearse is 1164853735. It was assigned to this individual provider in the NPPES registry on December 9, 2013.

Where is Cynthia Kearse located?

Cynthia Kearse practices at 14 Westgate Dr, Newark, OH 43055. The listed phone number is (220) 564-7925.

What is Cynthia Kearse's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Cynthia Kearse enrolled in Medicare?

Yes. Cynthia Kearse 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 Kearse accept?

Health plans from Anthem Blue Cross and Blue Shield, Antidote Health Plan of Ohio, Inc., CareSource, MedMutual and Oscar Health Insurance list Cynthia Kearse 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 Kearse affiliated with any hospitals?

According to CMS data, Cynthia Kearse is affiliated with Mount Carmel East & West.

When was this NPI record last updated?

The NPPES record for Cynthia Kearse was last updated on December 9, 2022. 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.