DR. GERALD THOMAS DROCTON III M.D.
NPI 1194014415
Radiology - Diagnostic Radiology in Dublin, OH
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
Specialties & Licenses 2
Other Identifiers 1
Accepted 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
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.
Medicare Billing Reassignments
2Medicare enrollment records show Gerald Drocton reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Dublin, OH 43017
- Reassigned Medicare billing, Ohio enrollment
- 69 clinicians in this Medicare group
Columbus, OH 43222
- Reassigned Medicare billing, Ohio enrollment
- 241 clinicians in this Medicare group
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
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.
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, OHMount Carmel East & West
Acute Care Hospitals · Columbus, OHMount Carmel New Albany Surgical Hospital
Acute Care Hospitals · New Albany, OHDiley Ridge Medical Center
Acute Care Hospitals · Canal Winchester, OHPhysician 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.
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.
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.
DUBLIN, OH 43017
DUBLIN, OH 43017
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.
Which organizations bill Medicare for Gerald Drocton's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Gerald Drocton reassigns Medicare benefits to 2 organizations: Radiology Inc (Dublin, OH) and Mount Carmel Healthproviders Two LLC (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 Gerald Drocton's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Gerald Drocton accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and Antidote Health Plan of Ohio, Inc. 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.
# Dr. Gerald Thomas Drocton III, M.D. · NPI 1194014415
Diagnostic Radiology physician in Dublin, Ohio. Individual provider, active in the CMS NPPES registry since April 7, 2011.
## Identity
- **NPI:** 1194014415 (Entity type: Individual)
- **Enumerated:** April 7, 2011
- **Primary specialty:** Radiology - Diagnostic Radiology · taxonomy 2085R0202X
- **State license:** 35128920 (Ohio)
- **Sole proprietor:** No
## Practice location
- **Address:** 5475 RINGS RD STE 300, Dublin, OH 43017-7537
- **Phone:** (614) 210-1885 · **Fax:** (614) 210-1886
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Radiology Inc (NPI 1609865708, Dublin, OH); Mount Carmel Healthproviders Two LLC (NPI 1528203981, Columbus, OH) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Northeastern Ohio University College Of Medicine, class of 2011
## Record status
- **NPPES last updated:** March 7, 2023
- **Other identifiers:** Other 13979192
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Source: [NPI Profile](https://npiprofile.com/npi/1194014415) · Data from the CMS NPPES public registry.