EDWARD YU QIAO D.O.
NPI 1194068072
Internal Medicine - Sports Medicine in Circleville, OH

Active since March 29, 2013PECOS EnrolledAccepts Medicare Assignment
81.3/100
CMS Quality Rating
130 MORRIS RD, CIRCLEVILLE, OH 43113(740) 420-8025 Get Directions Write a Review

NPPES record last updated: January 25, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 25, 2022, Dec 19, 2019, Aug 27, 2019 and 1 more (4 updates tracked since 2016).

About Edward Yu Qiao D.o. NPPES

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

EDWARD YU QIAO D.O. (NPI 1194068072) is an individual sports medicine provider in Circleville, Ohio, licensed in Ohio (34.012662) and active in the NPI registry since March 2013. He is enrolled in Medicare PECOS, is affiliated with Riverside Methodist Hospital, and is a graduate of Michigan State University College Of Osteopathic Medicine (2013).

NPPES Registry Identity

NPI1194068072
Entity TypeIndividualMale
Primary Taxonomy207RS0010X
Provider Legal NameEDWARD YU QIAOCredential: D.O.
Location Address130 MORRIS RDCircleville, OH 43113-1362
Mailing Address130 Morris RdCircleville, OH 43113-1362
Sole ProprietorNo
Medical School CMSMichigan State University College Of Osteopathic MedicineGraduated 2013
Enumeration DateMarch 29, 2013
Last NPPES UpdateJanuary 25, 20224 updates tracked since enumeration
NPPES CertifiedDecember 19, 2019
NPI 1194068072 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Sports MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RS0010X
License Licensed in OH · 34.012662
Definition
An internist 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 healthcare of the individual.
130 MORRIS RD, Circleville, OH 43113

Other Identifiers 1

Medicaid0217838OH

Accepted 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

Edward Yu Qiao 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 ID8729372974
PECOS Enrollment IDI20170523001028
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 21

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.

Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
1,316 services162 patients
Injection, dexamethasone sodium phosphate, 1 mg J1100
Dexamethasone sodium phosphate is a medication given via injection. It is a type of steroid that helps reduce inflammation and immune responses. It can be used to treat a variety of conditions, such as allergies, skin conditions, arthritis, and more.
294 services53 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.
181 services125 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.
127 services80 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
115 services76 patients
Aspiration and/or injection of fluid large joint using ultrasound guidance 20611
This procedure involves using ultrasound technology to accurately locate a large joint, usually the knee or shoulder. A needle is then inserted to either extract fluid (aspiration) or inject medication. The ultrasound helps ensure precision and safety.
107 services70 patients

Hospital Affiliations CMS Care Compare 3

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

Berger Hospital

Acute Care Hospitals · Circleville, OH
2/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number360170
Location600 North Pickaway StreetCircleville, OH 43113 · Pickaway County
Emergency services Birthing friendly

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

Other Providers at the Same Location NPPES 10

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

Registered Nurse (Registered Nurse First Assistant)
130 MORRIS RD
CIRCLEVILLE, OH 43113
Physician Assistant
130 MORRIS RD
CIRCLEVILLE, OH 43113
Orthopaedic Surgery
130 MORRIS RD
CIRCLEVILLE, OH 43113
Orthopaedic Surgery
130 MORRIS RD
CIRCLEVILLE, OH 43113
Physical Therapist
130 MORRIS RD
CIRCLEVILLE, OH 43113
Orthopaedic Surgery
130 MORRIS RD
CIRCLEVILLE, OH 43113
Physician Assistant (Surgical)
130 MORRIS RD
CIRCLEVILLE, OH 43113
Orthopaedic Surgery
130 MORRIS RD
CIRCLEVILLE, OH 43113

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 Edward Qiao's NPI number?

The NPI number for Edward Qiao is 1194068072. It was assigned to this individual provider in the NPPES registry on March 29, 2013.

Where is Edward Qiao located?

Edward Qiao practices at 130 Morris Rd, Circleville, OH 43113. The listed phone number is (740) 420-8025.

What is Edward Qiao's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Sports Medicine, with taxonomy code 207RS0010X.

Is Edward Qiao enrolled in Medicare?

Yes. Edward Qiao 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 Edward Qiao accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource and MedMutual list Edward Qiao 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 Edward Qiao affiliated with any hospitals?

According to CMS data, Edward Qiao is affiliated with Riverside Methodist Hospital, Grant Medical Center and Berger Hospital.

When was this NPI record last updated?

The NPPES record for Edward Qiao was last updated on January 25, 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.