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DR. GERALD THOMAS DROCTON III M.D.
NPI 1194014415
Radiology - Diagnostic Radiology in Dublin, OH

Active since April 07, 2011PECOS EnrolledAccepts Medicare Assignment
75.15/100
CMS Quality Rating
5475 RINGS RD STE 300, DUBLIN, OH 43017(614) 210-1885(614) 210-1886 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 7, 2023, Apr 13, 2017 (2 updates tracked since 2017).

About Dr. Gerald Thomas Drocton Iii M.d. NPPES

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

DR. GERALD THOMAS DROCTON III M.D. (NPI 1194014415) is an individual diagnostic radiology provider in Dublin, Ohio, licensed in Ohio (35128920) and active in the NPI registry since April 2011. He is enrolled in Medicare PECOS, is affiliated with Mount Carmel St Ann's, and is a graduate of Northeastern Ohio University College Of Medicine (2011).

NPPES Registry Identity

NPI1194014415
Entity TypeIndividualMale
Primary Taxonomy2085R0202X
Provider Legal NameDR. GERALD THOMAS DROCTON IIICredential: M.D.
Location Address5475 RINGS RD STE 300Dublin, OH 43017-7537
Mailing Address5475 Rings Rd Ste 300Dublin, OH 43017-7537 · (614) 210-1885 · Fax (614) 210-1886
Phone(614) 210-1885
Fax(614) 210-1886
Sole ProprietorNo
Medical School CMSNortheastern Ohio University College Of MedicineGraduated 2011
Enumeration DateApril 7, 2011
Last NPPES UpdateMarch 7, 20232 updates tracked since enumeration
NPPES CertifiedMarch 7, 2023
✔ NPI 1194014415 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
License✔ Licensed in OH · 35128920
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
5475 RINGS RD STE 300, Dublin, OH 43017
Open in Google Maps ↗

Other Identifiers 1

Other13979192Caqh

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, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Gerald Thomas Drocton Iii 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 ID9739338583
PECOS Enrollment IDI20170508002325
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.

Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes 99221
Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.
12 services11 patients

Hospital Affiliations CMS Care Compare 4

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

Mount Carmel St Ann's

Acute Care Hospitals · Westerville, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360012
Location500 South Cleveland AvenueWesterville, OH 43081 · Franklin County
Emergency services Birthing friendly

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

Mount Carmel New Albany Surgical Hospital

Acute Care Hospitals · New Albany, OH
OwnershipProprietary
CMS Certification Number360266
Location7333 Smith's Mill RoadNew Albany, OH 43054 · Franklin County

Diley Ridge Medical Center

Acute Care Hospitals · Canal Winchester, OH
OwnershipVoluntary non-profit - Private
CMS Certification Number360358
Location7911 Diley RoadCanal Winchester, OH 43110 · Franklin County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43017 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
$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.

75.15/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality76.24
Promoting Interoperability78
Improvement Activities40
Cost59.25

Other Providers at the Same Location NPPES 12

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

NATIONAL CHURCH RESIDENCES AT HOME HEALTH AND WELLNESS, CENTRAL OHIO
In Home Supportive Care
5475 RINGS RD STE 300
DUBLIN, OH 43017
Franklin County (614) 457-6950
KEVIN Z XIN
Radiology (Diagnostic Radiology)
5475 RINGS RD STE 300
DUBLIN, OH 43017
Franklin County (614) 210-1885
NATIONAL CHURCH RESIDENCES MEDICAL HOME
Internal Medicine (Hospice and Palliative Medicine)
5475 RINGS RD STE 300
DUBLIN, OH 43017
Franklin County (614) 457-6950
ALEXANDER CHRISTOPHER YANEY MD
Radiology (Radiation Oncology)
5475 RINGS RD STE 300
DUBLIN, OH 43017
Franklin County (614) 210-1885
DR. DANIEL WAGNER MD
Radiology (Diagnostic Radiology)
5475 RINGS RD STE 300
DUBLIN, OH 43017
Franklin County (614) 210-1885
PRIYAL NEIL PATEL
Radiology (Diagnostic Radiology)
5475 RINGS RD STE 300
DUBLIN, OH 43017
Franklin County (614) 210-1890
RADIOLOGY INC
Radiology (Diagnostic Radiology)
5475 RINGS RD STE 300
DUBLIN, OH 43017
Franklin County (614) 210-1885
DR. VIJAY JYOTI PANDYA M.D.
Radiology (Diagnostic Radiology)
5475 RINGS RD STE 300
DUBLIN, OH 43017
Franklin County (614) 210-1885

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 Gerald Drocton's NPI number?

The NPI number for Gerald Drocton is 1194014415. It was assigned to this individual provider in the NPPES registry on April 7, 2011.

Where is Gerald Drocton located?

Gerald Drocton practices at 5475 Rings Rd Ste 300, Dublin, OH 43017. The listed phone number is (614) 210-1885.

What is Gerald Drocton's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is Gerald Drocton enrolled in Medicare?

Yes. Gerald Drocton 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 Gerald Drocton accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Antidote Health Plan of Ohio, Inc. and Oscar Health Insurance list Gerald Drocton 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 Gerald Drocton affiliated with any hospitals?

According to CMS data, Gerald Drocton is affiliated with Mount Carmel St Ann's, Mount Carmel East & West, Mount Carmel New Albany Surgical Hospital and Diley Ridge Medical Center.

When was this NPI record last updated?

The NPPES record for Gerald Drocton was last updated on March 7, 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.