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KIMBERLY O'DAY MSN
NPI 1245639152
Nurse Practitioner - Acute Care in Grove City, OH

Active since August 15, 2014PECOS EnrolledAccepts Medicare Assignment
81.3/100
CMS Quality Rating
2030 STRINGTOWN RD STE 120, GROVE CITY, OH 43123(614) 533-5500(614) 533-0103 Get Directions Write a Review

NPPES record last updated: February 3, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Kimberly O'day Msn NPPES

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

KIMBERLY O'DAY MSN (NPI 1245639152) is an individual acute care provider in Grove City, Ohio, licensed in Ohio (APRN.CNP.16477) and active in the NPI registry since August 2014. She is enrolled in Medicare PECOS, is affiliated with Riverside Methodist Hospital, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1245639152
Entity TypeIndividualFemale
Primary Taxonomy363LA2100X
Provider Legal NameKIMBERLY O'DAYCredential: MSN
Location Address2030 STRINGTOWN RD STE 120Grove City, OH 43123-3993
Mailing AddressPo Box 7527Dublin, OH 43017-0727
Phone(614) 533-5500
Fax(614) 533-0103
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateAugust 15, 2014
Last NPPES UpdateFebruary 3, 2022
NPPES CertifiedFebruary 3, 2022
✔ NPI 1245639152 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License✔ Licensed in OH · APRN.CNP.16477
Also ListedRegistered Nurse · NeuroscienceTaxonomy 163WN0800X · License RN221585 (OH)
2030 STRINGTOWN RD STE 120, Grove City, OH 43123
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, MedMutual.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

Kimberly O'day Msn 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 ID8426350208
PECOS Enrollment IDI20160111002514
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.

Medicare Billing Reassignment

Medicare enrollment records show Kimberly O'day reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Ohiohealth Corporation
6.6 mi
Anesthesiology
111 S GRANT AVE FL 3
Columbus, OH 43215
  • Reassigned Medicare billing, Ohio enrollment
  • 3,314 clinicians in this Medicare group
NPI 1407292105 (614) 566-8808

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.

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.
20 services18 patients

Hospital Affiliations CMS Care Compare 2

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43123 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.

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

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

OHIOHEALTH CORPORATION
Orthopaedic Surgery
2030 STRINGTOWN RD STE 120
GROVE CITY, OH 43123
Franklin County (614) 544-0500

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 Kimberly O'day's NPI number?

The NPI number for Kimberly O'day is 1245639152. It was assigned to this individual provider in the NPPES registry on August 15, 2014.

Where is Kimberly O'day located?

Kimberly O'day practices at 2030 Stringtown Rd Ste 120, Grove City, OH 43123. The listed phone number is (614) 533-5500.

What is Kimberly O'day's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is Kimberly O'day enrolled in Medicare?

Yes. Kimberly O'day 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 organization bills Medicare for Kimberly O'day's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kimberly O'day reassigns Medicare benefits to Ohiohealth Corporation (Columbus, OH). The 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 Kimberly O'day's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kimberly O'day accept?

Health plans from Anthem Blue Cross and Blue Shield and MedMutual list Kimberly O'day 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 Kimberly O'day affiliated with any hospitals?

According to CMS data, Kimberly O'day is affiliated with Riverside Methodist Hospital and Grant Medical Center.

When was this NPI record last updated?

The NPPES record for Kimberly O'day was last updated on February 3, 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.