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EDMUND FOLEFAC M.D.
NPI 1174540538
Internal Medicine - Medical Oncology in Columbus, OH

Active since July 15, 2006PECOS EnrolledAccepts Medicare Assignment
95.31/100
CMS Quality Rating
300 W 10TH AVE, COLUMBUS, OH 43210(614) 293-6196(614) 293-0073 Get Directions Write a Review

NPPES record last updated: December 7, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 7, 2020, Nov 3, 2017 (2 updates tracked since 2017).

About Edmund Folefac M.d. NPPES

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

EDMUND FOLEFAC M.D. (NPI 1174540538) is an individual medical oncology provider in Columbus, Ohio, licensed in Ohio (35.132240) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Ohio State University State Health System, and maintains a secondary practice location in Burlington.

NPPES Registry Identity

NPI1174540538
Entity TypeIndividualMale
Primary Taxonomy207RX0202X
Provider Legal NameEDMUND FOLEFACCredential: M.D.
Location Address300 W 10TH AVEColumbus, OH 43210-1280
Mailing Address700 Ackerman Rd Ste 2120Columbus, OH 43202-1559 · (614) 293-6196
Phone(614) 293-6196
Fax(614) 293-0073
Sole ProprietorNo
Medical School CMSOtherGraduated 2001
Enumeration DateJuly 15, 2006
Last NPPES UpdateDecember 7, 20202 updates tracked since enumeration
NPPES CertifiedDecember 7, 2020
✔ NPI 1174540538 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal Medicine · Medical OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RX0202X
License✔ Licensed in OH · 35.132240
Definition
An internist who specializes in the diagnosis and treatment of all types of cancer and other benign and malignant tumors. This specialist decides on and administers therapy for these malignancies as well as consults with surgeons and radiotherapists on other treatments for cancer.
Also ListedInternal MedicineTaxonomy 207R00000X · License 230007 (MA)
Also ListedInternal Medicine · Hematology & OncologyTaxonomy 207RH0003X · License 042.0012961 (VT)
300 W 10TH AVE, Columbus, OH 43210
Open in Google Maps ↗

Secondary Practice Location 1

Location 1111 Colchester AveBurlington, VT 05401-1473 · Phone (802) 847-8400

Other Identifiers 1

Medicaid0249608OH

Accepted Insurance

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

Edmund Folefac M.d. 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 ID4587765417
PECOS Enrollment IDI20171228000150
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 5

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 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.
349 services100 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.
133 services80 patients
Telephone medical discussion with physician, 11-20 minutes 99442
This is a service where you have a phone conversation with your doctor for 11-20 minutes. It's used for discussing health concerns, reviewing test results, or managing ongoing conditions. It's a convenient way to receive medical advice without an in-person visit.
71 services47 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.
23 services23 patients
Telephone medical discussion with physician, 21-30 minutes 99443
This service involves a 21-30 minute phone conversation with a physician. It's a chance for you to discuss your health concerns, symptoms or treatment plans. It's similar to an in-person consultation, but conducted over the phone for your convenience and safety.
14 services13 patients

Hospital Affiliations CMS Care Compare

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43210 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

Referred Medical Equipment & Supplies CMS DME claims 3

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

Ostomy skin barrier, pectin-based, paste, per ounce A4406
DME-Orthotic Devices · category DF010N
1 supplier12 claims24 services$5.06 avg. paid by Medicare
Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, 4 x 4 inches or smaller, each A4409
DME-Orthotic Devices · category DF010N
1 supplier12 claims145 services$5.27 avg. paid by Medicare
Ostomy pouch, urinary; for use on barrier with non-locking flange, with faucet-type tap with valve (2 piece), each A4432
DME-Orthotic Devices · category DF010N
1 supplier12 claims170 services$3.05 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.

SETHU M. MADHAVAN MD
Internal Medicine (Nephrology)
300 W 10TH AVE
COLUMBUS, OH 43210
Franklin County (614) 293-3387
THE ARTHUR G. JAMES CANCER HOSPITAL AND RICHARD J. SOLOVE RESEARCH INS
General Acute Care Hospital
300 W 10TH AVE
COLUMBUS, OH 43210
Franklin County (614) 293-8000
MORGAN ELIZABETH HILLSHAFER APRN-CNP
Nurse Practitioner
300 W 10TH AVE
COLUMBUS, OH 43210
Franklin County (614) 293-4925
CHERYL TAYLORE LEE MD
Urology
300 W 10TH AVE, 1ST FLOOR
COLUMBUS, OH 43210
Franklin County (614) 293-8155
DR. VIKRAM BADHRI CHAKRAVARTHY M.D.
Neurological Surgery
300 W 10TH AVE
COLUMBUS, OH 43210
Franklin County (614) 293-8714
MICHAEL CHI GONG MD
Urology
300 W 10TH AVE
COLUMBUS, OH 43210
Franklin County (614) 685-4263
DR. SUSHIL S. LAKHANI M.D.
Psychiatry & Neurology (Vascular Neurology)
300 W 10TH AVE
COLUMBUS, OH 43210
Franklin County (614) 293-4969
THOMAS S. LIN M.D.
Internal Medicine (Hematology & Oncology)
300 W 10TH AVE
COLUMBUS, OH 43210
Franklin County (614) 947-3700

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 Edmund Folefac's NPI number?

The NPI number for Edmund Folefac is 1174540538. It was assigned to this individual provider in the NPPES registry on July 15, 2006.

Where is Edmund Folefac located?

Edmund Folefac practices at 300 W 10th Ave, Columbus, OH 43210. The listed phone number is (614) 293-6196.

What is Edmund Folefac's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Medical Oncology, with taxonomy code 207RX0202X.

Is Edmund Folefac enrolled in Medicare?

Yes. Edmund Folefac 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 Edmund Folefac accept?

Health plans from CareSource and Molina Healthcare list Edmund Folefac 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 Edmund Folefac affiliated with any hospitals?

According to CMS data, Edmund Folefac is affiliated with Ohio State University State Health System.

When was this NPI record last updated?

The NPPES record for Edmund Folefac was last updated on December 7, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.