CHARITY WILLOUGHBY CNP
NPI 1235446527
Emergency Medicine in Cincinnati, OH

Active since September 08, 2010PECOS EnrolledAccepts Medicare Assignment
88.56/100
CMS Quality Rating
3131 QUEEN CITY AVE, CINCINNATI, OH 45238(513) 557-3333(513) 557-3506 Get Directions Write a Review

NPPES record last updated: July 14, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 14, 2020, Mar 15, 2017 (2 updates tracked since 2017).

About Charity Willoughby Cnp NPPES

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

CHARITY WILLOUGHBY CNP (NPI 1235446527) is an individual emergency medicine provider in Cincinnati, Ohio, licensed in Ohio (11644) and active in the NPI registry since September 2010. She is enrolled in Medicare PECOS, is affiliated with Christ Hospital, and is a graduate of University Of Cincinnati College Of Medicine (2010).

NPPES Registry Identity

NPI1235446527
Entity TypeIndividualFemale
Primary Taxonomy207P00000X
Provider Legal NameCHARITY WILLOUGHBYCredential: CNP
Location Address3131 QUEEN CITY AVECincinnati, OH 45238-2316
Mailing Address2139 Auburn AveCincinnati, OH 45219-2906 · (513) 557-3333 · Fax (513) 557-3506
Fax(513) 557-3506
Sole ProprietorNo
Medical School CMSUniversity Of Cincinnati College Of MedicineGraduated 2010
Enumeration DateSeptember 8, 2010
Last NPPES UpdateJuly 14, 20202 updates tracked since enumeration
NPPES CertifiedJuly 14, 2020
NPI 1235446527 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License Licensed in OH · 11644
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
Also ListedNurse PractitionerTaxonomy 363L00000X · License 11644 (OH)
3131 QUEEN CITY AVE, Cincinnati, OH 45238

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

Charity Willoughby Cnp 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 ID9335332188
PECOS Enrollment IDI20101025000898, I20210420002304
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 7

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 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.
194 services159 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
105 services105 patients
Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen 87635
This is a lab test that detects the presence of COVID-19 in your body. It uses a technique to amplify the virus's genetic material, either DNA or RNA, making it easier to identify. A positive result indicates an active infection.
83 services80 patients
Detection test by immunoassay with direct visual observation for influenza virus 87804
This is a test that identifies the influenza virus in your body. It works by using an immunoassay, a method that detects the presence of the virus through an immune response. The results are directly observable, making it a quick and efficient way to diagnose flu.
76 services38 patients
Urinalysis, manual test 81002
A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.
39 services32 patients
Detection test by immunoassay with direct visual observation for streptococcus, group a (strep) 87880
A detection test by immunoassay for Group A Strep is a quick procedure to identify a bacterial infection in your throat. It involves taking a throat swab and applying it to a test strip, which changes color if Strep bacteria are present.
25 services25 patients

Hospital Affiliations CMS Care Compare

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

Christ Hospital

Acute Care Hospitals · Cincinnati, OH
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360163
Location2139 Auburn AvenueCincinnati, OH 45219 · Hamilton County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45238 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
$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.

88.56/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality90.86
Promoting Interoperability100
Improvement Activities40
Cost71

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.

Nurse Practitioner
3131 QUEEN CITY AVE
CINCINNATI, OH 45238
Anesthesiology
3131 QUEEN CITY AVE, OHIO VALLEY ANESTHESIA LLC
CINCINNATI, OH 45238
Psychiatric Unit
3131 QUEEN CITY AVE
CINCINNATI, OH 45238
Emergency Medicine
3131 QUEEN CITY AVE
CINCINNATI, OH 45238
Emergency Medicine
3131 QUEEN CITY AVE
CINCINNATI, OH 45238
Emergency Medicine
3131 QUEEN CITY AVE
CINCINNATI, OH 45238
Emergency Medicine
3131 QUEEN CITY AVE
CINCINNATI, OH 45238
Emergency Medicine
3131 QUEEN CITY AVE
CINCINNATI, OH 45238

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 Charity Willoughby's NPI number?

The NPI number for Charity Willoughby is 1235446527. It was assigned to this individual provider in the NPPES registry on September 8, 2010.

Where is Charity Willoughby located?

Charity Willoughby practices at 3131 Queen City Ave, Cincinnati, OH 45238. The listed phone number is (513) 557-3333.

What is Charity Willoughby's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Charity Willoughby enrolled in Medicare?

Yes. Charity Willoughby 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 Charity Willoughby accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and Anthem Blue Cross and Blue Shield list Charity Willoughby 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 Charity Willoughby affiliated with any hospitals?

According to CMS data, Charity Willoughby is affiliated with Christ Hospital.

When was this NPI record last updated?

The NPPES record for Charity Willoughby was last updated on July 14, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.