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SANJAY MEHTA MD
NPI 1265416374
Orthopaedic Surgery in Hilliard, OH

Active since December 01, 2005PECOS EnrolledAccepts Medicare Assignment
81.3/100
CMS Quality Rating
4343 ALL SEASONS DR STE 140, HILLIARD, OH 43026(614) 544-1401(614) 544-1403 Get Directions Write a Review

NPPES record last updated: March 18, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 18, 2026, Jan 5, 2022 (2 updates tracked since 2022).

About Sanjay Mehta Md NPPES

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

SANJAY MEHTA MD (NPI 1265416374) is an individual orthopaedic surgery provider in Hilliard, Ohio, licensed in Ohio (35.070797) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS, is affiliated with Grant Medical Center, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1265416374
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameSANJAY MEHTACredential: MD
Location Address4343 ALL SEASONS DR STE 140Hilliard, OH 43026-1962
Mailing AddressPo Box 7527Dublin, OH 43017-0727 · (614) 544-1401 · Fax (614) 544-1403
Phone(614) 544-1401
Fax(614) 544-1403
Sole ProprietorNo
Medical School CMSOtherGraduated 1990
Enumeration DateDecember 1, 2005
Last NPPES UpdateMarch 18, 20262 updates tracked since enumeration
NPPES CertifiedMarch 18, 2026
✔ NPI 1265416374 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License✔ Licensed in OH · 35.070797
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 35070797 (OH)
4343 ALL SEASONS DR STE 140, Hilliard, OH 43026
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Secondary Practice Locations 2

Location 1285 E State St, STE 500Columbus, OH 43215-4354 · Phone (614) 566-7777 · Fax (614) 566-8880
Location 275 Hospital Dr Ste 140Athens, OH 45701-2858 · Phone (740) 566-4720 · Fax (740) 566-4721

Other Identifiers 1

Medicaid2030591OH

Accepted Insurance

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

Sanjay Mehta 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 ID2264329192
PECOS Enrollment IDI20040303001192
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 6

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.
95 services66 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.
40 services26 patients
X-ray of knee, 1-2 views 73560
An X-ray of the knee with 1-2 views is a quick, painless test that produces images of the knee bones. It helps identify fractures, infections, or changes in the knee joint. During the procedure, you'll be asked to stay still while the X-ray machine captures the images.
36 services22 patients
Initial hospital care with same-day admission and discharge with straightforward or low level of medical decision making, per day, if using time, at least 45 minutes 99234
Hospital observation or inpatient care is a brief medical service where you're admitted and discharged on the same day. This typically lasts about 40 minutes and is for low severity issues. It involves monitoring your condition, administering necessary treatment, and ensuring your well-being before discharge.
24 services23 patients
Treatment of upper end of broken thigh bone with placement of stabilizing device or prosthetic replacement 27236
This procedure involves treating a fracture at the top of your thigh bone. A stabilizing device or prosthetic replacement is placed to aid in healing. This helps restore mobility and function while reducing pain. The treatment aims for a quick and safe recovery.
12 services12 patients
Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes 99221
Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.
12 services12 patients

Hospital Affiliations CMS Care Compare 3

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

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

Doctors Hospital

Acute Care Hospitals · Columbus, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number360152
Location5100 West Broad StreetColumbus, OH 43228 · Franklin County
Emergency services Birthing friendly

Licking Memorial Hospital

Acute Care Hospitals · Newark, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360218
Location1320 West Main StreetNewark, OH 43055 · Licking County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43026 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.

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

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Prosthetic sheath/sock, including a gel cushion layer, below knee or above knee, each L8417
DME-Orthotic Devices · category DF000N
1 supplier12 claims20 services$62.93 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 4

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

LISA RENEE MEIRING CNS
Clinical Nurse Specialist
4343 ALL SEASONS DR STE 140
HILLIARD, OH 43026
Franklin County (614) 544-1401
STEPHEN EDWARD BERLING M.D.
Orthopaedic Surgery
4343 ALL SEASONS DR STE 140
HILLIARD, OH 43026
Franklin County (614) 544-1401
CASSANDRA RAE TRAETOW PA-C
Physician Assistant
4343 ALL SEASONS DR STE 140
HILLIARD, OH 43026
Franklin County (614) 544-1401
JERROD STEIMLE D.O.
Orthopaedic Surgery
4343 ALL SEASONS DR STE 140
HILLIARD, OH 43026
Franklin County (614) 544-1401

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 Sanjay Mehta's NPI number?

The NPI number for Sanjay Mehta is 1265416374. It was assigned to this individual provider in the NPPES registry on December 1, 2005.

Where is Sanjay Mehta located?

Sanjay Mehta practices at 4343 All Seasons Dr Ste 140, Hilliard, OH 43026. The listed phone number is (614) 544-1401.

What is Sanjay Mehta's specialty?

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

Is Sanjay Mehta enrolled in Medicare?

Yes. Sanjay Mehta 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 Sanjay Mehta accept?

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

According to CMS data, Sanjay Mehta is affiliated with Grant Medical Center, Doctors Hospital and Licking Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Sanjay Mehta was last updated on March 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.