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ALEXANDER G. ATHEY MD
NPI 1235660010
Orthopaedic Surgery in New Albany, OH

Active since March 23, 2017PECOS EnrolledAccepts Medicare Assignment
92.09/100
CMS Quality Rating
7277 SMITHS MILL RD STE 200, NEW ALBANY, OH 43054(614) 221-6331(614) 221-9042 Get Directions Write a Review

NPPES record last updated: April 17, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 17, 2024, Jul 6, 2023, Jun 6, 2022 and 4 more (7 updates tracked since 2017).

About Alexander G. Athey Md NPPES

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

ALEXANDER G. ATHEY MD (NPI 1235660010) is an individual orthopaedic surgery provider in New Albany, Ohio, licensed in Ohio (35.150498) and active in the NPI registry since March 2017. He is enrolled in Medicare PECOS, is affiliated with Mount Carmel St Ann's, and maintains a secondary practice location in Philadelphia.

NPPES Registry Identity

NPI1235660010
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameALEXANDER G. ATHEYCredential: MD
Location Address7277 SMITHS MILL RD STE 200New Albany, OH 43054-8195
Mailing Address6480 Harrison Ave Ste 201Cincinnati, OH 45247-7961 · (513) 713-1779 · Fax (513) 854-9921
Phone(614) 221-6331
Fax(614) 221-9042
Sole ProprietorNo
Medical School CMSUniversity Of Texas Southwestern Medical School At DallasGraduated 2017
Enumeration DateMarch 23, 2017
Last NPPES UpdateApril 17, 20247 updates tracked since enumeration
NPPES CertifiedApril 17, 2024
✔ NPI 1235660010 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
Licenses✔ Licensed in OH · 35.150498✔ Licensed in PA · MD479827✔ Licensed in WA · MD61260337✔ Licensed in NJ · 25MA11718400
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
Also ListedOrthopaedic Surgery · Orthopaedic TraumaTaxonomy 207XX0801X · License MD61260337 (WA)
7277 SMITHS MILL RD STE 200, New Albany, OH 43054
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Secondary Practice Location 1

Location 1925 Chestnut St Fl 5Philadelphia, PA 19107-4206 · Phone (800) 321-9999 · Fax (267) 479-1321

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

Alexander G. Athey Md 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 ID42582777
PECOS Enrollment IDI20240502002571
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 10

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.
212 services23 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
66 services66 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.
50 services49 patients
X-ray of hip, 2-3 views 73502
An X-ray of the hip with 2-3 views is a non-invasive imaging test. It uses a small amount of radiation to produce pictures of the hip joint. These images help in diagnosing conditions like fractures, arthritis, or other abnormalities. The process is quick and painless.
47 services40 patients
Replacement of thigh bone and hip joint with prosthesis 27130
This procedure, known as hip arthroplasty, involves replacing your damaged thigh bone and hip joint with artificial parts, called a prosthesis. It helps relieve pain, improve mobility, and enhance your quality of life.
46 services46 patients
X-ray of knee, 4 or more views 73564
An X-ray of the knee, 4 or more views, is a non-invasive imaging test. It involves capturing multiple images of your knee from different angles. This helps in diagnosing conditions such as fractures, arthritis, or infections. The procedure is quick and painless.
41 services41 patients

Hospital Affiliations CMS Care Compare 5

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

Genesis Hospital

Acute Care Hospitals · Zanesville, OH
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360039
Location2951 Maple AvenueZanesville, OH 43701 · Muskingum County
Emergency services Birthing friendly

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

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43054 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.

92.09/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality86.6
Promoting Interoperability99
Improvement Activities40
Cost87.88

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.

KEITH R BEREND MD
Orthopaedic Surgery (Adult Reconstructive Orthopaedic Surgery)
7277 SMITHS MILL RD STE 200
NEW ALBANY, OH 43054
Franklin County (614) 221-6331
DR. DAVID ANTHONY CRAWFORD M.D.
Orthopaedic Surgery
7277 SMITHS MILL RD STE 200
NEW ALBANY, OH 43054
Franklin County (614) 221-6331
SARAH LAUB PA-C
Physician Assistant
7277 SMITHS MILL RD STE 200
NEW ALBANY, OH 43054
Franklin County (614) 221-6331
NICHOLAS WALLA MD
Orthopaedic Surgery
7277 SMITHS MILL RD STE 200
NEW ALBANY, OH 43054
Franklin County (614) 221-6331
MAGGIE BURNS DPT
Physical Therapist
7277 SMITHS MILL RD STE 200
NEW ALBANY, OH 43054
Franklin County (614) 221-6331
DR. ZACKARY OSTIN BYRD MD
Orthopaedic Surgery
7277 SMITHS MILL RD STE 200
NEW ALBANY, OH 43054
Franklin County (614) 221-6331
KURT A BERLEKAMP PA-C
Physician Assistant
7277 SMITHS MILL RD STE 200
NEW ALBANY, OH 43054
Franklin County (614) 221-6331
DR. MICHAEL JAMES MORRIS M.D.
Orthopaedic Surgery (Adult Reconstructive Orthopaedic Surgery)
7277 SMITHS MILL RD STE 200
NEW ALBANY, OH 43054
Franklin County (614) 221-6331

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 Alexander Athey's NPI number?

The NPI number for Alexander Athey is 1235660010. It was assigned to this individual provider in the NPPES registry on March 23, 2017.

Where is Alexander Athey located?

Alexander Athey practices at 7277 Smiths Mill Rd Ste 200, New Albany, OH 43054. The listed phone number is (614) 221-6331.

What is Alexander Athey's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Alexander Athey enrolled in Medicare?

Yes. Alexander Athey 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 Alexander Athey accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and Antidote Health Plan of Ohio, Inc. and 3 other insurers list Alexander Athey 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 Alexander Athey affiliated with any hospitals?

According to CMS data, Alexander Athey is affiliated with Mount Carmel St Ann's, Mount Carmel East & West, Genesis Hospital, Ohio State University State Health System and Mount Carmel New Albany Surgical Hospital.

When was this NPI record last updated?

The NPPES record for Alexander Athey was last updated on April 17, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.