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DR. UTKARSH ACHARYA D.O.
NPI 1285860981
Internal Medicine - Medical Oncology in Columbus, OH

Active since June 09, 2009PECOS EnrolledAccepts Medicare Assignment
87.09/100
CMS Quality Rating
300 W 10TH AVE, COLUMBUS, OH 43210(614) 293-5066(614) 293-9449 Get Directions Write a Review

NPPES record last updated: July 23, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 23, 2024, Nov 14, 2023, Dec 26, 2020 and 3 more (6 updates tracked since 2016).

About Dr. Utkarsh Acharya D.o. NPPES

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

DR. UTKARSH ACHARYA D.O. (NPI 1285860981) is an individual medical oncology provider in Columbus, Ohio, licensed in Ohio (34.011875) and active in the NPI registry since June 2009. He is enrolled in Medicare PECOS, is affiliated with Ohio State University State Health System, and is a graduate of Ohio University, College Of Osteopathic Medicine (2009).

NPPES Registry Identity

NPI1285860981
Entity TypeIndividualMale
Primary Taxonomy207RX0202X
Provider Legal NameDR. UTKARSH ACHARYACredential: D.O.
Location Address300 W 10TH AVEColumbus, OH 43210-1280
Mailing Address700 Ackerman Rd Ste 2120Columbus, OH 43202-1559 · (614) 293-5066 · Fax (614) 293-9449
Phone(614) 293-5066
Fax(614) 293-9449
Sole ProprietorNo
Medical School CMSOhio University, College Of Osteopathic MedicineGraduated 2009
Enumeration DateJune 9, 2009
Last NPPES UpdateJuly 23, 20246 updates tracked since enumeration
NPPES CertifiedJuly 23, 2024
✔ NPI 1285860981 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Medical OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RX0202X
Licenses✔ Licensed in OH · 34.011875✔ Licensed in WA · OP60686377✔ Licensed in MA · 277441
Definition
An internist who specializes in the diagnosis and treatment of all types of cancer and other benign and malignant tumors. This specialist decides on and administers therapy for these malignancies as well as consults with surgeons and radiotherapists on other treatments for cancer.
Also ListedInternal Medicine · HematologyTaxonomy 207RH0000X · License 277441 (MA)
300 W 10TH AVE, Columbus, OH 43210
Open in Google Maps ↗

Other Identifiers 1

Medicaid1285860981WA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Antidote Health Plan of Ohio, Inc., CareSource, Molina Healthcare.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

Dr. Utkarsh Acharya 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 ID5597903385
PECOS Enrollment IDI20150814013075
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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
187 services49 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
90 services20 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
23 services23 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
18 services18 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
17 services15 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
12 services12 patients

Hospital Affiliations CMS Care Compare

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

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43210 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
$166.65 typical visit price
range $54.34 – $166.65
Typical copayment $41.66 (range $13.58 – $41.66)
Most-billed visit code 99205
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.

87.09/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality77.43
Promoting Interoperability100
Improvement Activities40
Cost62.86

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.

SETHU M. MADHAVAN MD
Internal Medicine (Nephrology)
300 W 10TH AVE
COLUMBUS, OH 43210
Franklin County (614) 293-3387
THE ARTHUR G. JAMES CANCER HOSPITAL AND RICHARD J. SOLOVE RESEARCH INS
General Acute Care Hospital
300 W 10TH AVE
COLUMBUS, OH 43210
Franklin County (614) 293-8000
MORGAN ELIZABETH HILLSHAFER APRN-CNP
Nurse Practitioner
300 W 10TH AVE
COLUMBUS, OH 43210
Franklin County (614) 293-4925
CHERYL TAYLORE LEE MD
Urology
300 W 10TH AVE, 1ST FLOOR
COLUMBUS, OH 43210
Franklin County (614) 293-8155
DR. VIKRAM BADHRI CHAKRAVARTHY M.D.
Neurological Surgery
300 W 10TH AVE
COLUMBUS, OH 43210
Franklin County (614) 293-8714
MICHAEL CHI GONG MD
Urology
300 W 10TH AVE
COLUMBUS, OH 43210
Franklin County (614) 685-4263
DR. SUSHIL S. LAKHANI M.D.
Psychiatry & Neurology (Vascular Neurology)
300 W 10TH AVE
COLUMBUS, OH 43210
Franklin County (614) 293-4969
THOMAS S. LIN M.D.
Internal Medicine (Hematology & Oncology)
300 W 10TH AVE
COLUMBUS, OH 43210
Franklin County (614) 947-3700

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 Utkarsh Acharya's NPI number?

The NPI number for Utkarsh Acharya is 1285860981. It was assigned to this individual provider in the NPPES registry on June 9, 2009.

Where is Utkarsh Acharya located?

Utkarsh Acharya practices at 300 W 10th Ave, Columbus, OH 43210. The listed phone number is (614) 293-5066.

What is Utkarsh Acharya's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Medical Oncology, with taxonomy code 207RX0202X.

Is Utkarsh Acharya enrolled in Medicare?

Yes. Utkarsh Acharya 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 Utkarsh Acharya accept?

Health plans from Antidote Health Plan of Ohio, Inc., CareSource and Molina Healthcare list Utkarsh Acharya 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 Utkarsh Acharya affiliated with any hospitals?

According to CMS data, Utkarsh Acharya is affiliated with Ohio State University State Health System.

When was this NPI record last updated?

The NPPES record for Utkarsh Acharya was last updated on July 23, 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.