CAROLYN J. PRESLEY M.D.
NPI 1285877894
Internal Medicine - Medical Oncology in Columbus, OH

Active since April 13, 2009PECOS EnrolledAccepts Medicare Assignment
95.31/100
CMS Quality Rating
300 W 10TH AVE, COLUMBUS, OH 43210(614) 293-6786(614) 293-1470 Get Directions Write a Review

NPPES record last updated: December 7, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Carolyn J. Presley M.d. NPPES

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

CAROLYN J. PRESLEY M.D. (NPI 1285877894) is an individual medical oncology provider in Columbus, Ohio, licensed in Ohio (35132293) and active in the NPI registry since April 2009. She is enrolled in Medicare PECOS, is affiliated with Ohio State University State Health System, and is a graduate of Geisel School Of Medicine At Dartmouth (2009).

NPPES Registry Identity

NPI1285877894
Entity TypeIndividualFemale
Primary Taxonomy207RX0202X
Provider Legal NameCAROLYN J. PRESLEYCredential: M.D.
Location Address300 W 10TH AVEColumbus, OH 43210-1280
Mailing Address700 Ackerman Rd Ste 2120Columbus, OH 43202-1559 · (614) 293-6786
Fax(614) 293-1470
Sole ProprietorNo
Medical School CMSGeisel School Of Medicine At DartmouthGraduated 2009
Enumeration DateApril 13, 2009
Last NPPES UpdateDecember 7, 2020
NPPES CertifiedDecember 7, 2020
NPI 1285877894 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · Medical OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RX0202X
License Licensed in OH · 35132293
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 MedicineTaxonomy 207R00000X · License 050886 (CT)
300 W 10TH AVE, Columbus, OH 43210

Other Identifiers 1

Medicaid0244681OH

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

Carolyn J. Presley M.d. 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 ID1355617531
PECOS Enrollment IDI20171017001647
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 3

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 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.
138 services52 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
15 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.

95.31/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality76.58
Promoting Interoperability100
Improvement Activities40

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.

Internal Medicine (Nephrology)
300 W 10TH AVE
COLUMBUS, OH 43210
General Acute Care Hospital
300 W 10TH AVE
COLUMBUS, OH 43210
Nurse Practitioner
300 W 10TH AVE
COLUMBUS, OH 43210
Urology
300 W 10TH AVE, 1ST FLOOR
COLUMBUS, OH 43210
Neurological Surgery
300 W 10TH AVE
COLUMBUS, OH 43210
Urology
300 W 10TH AVE
COLUMBUS, OH 43210
Psychiatry & Neurology (Vascular Neurology)
300 W 10TH AVE
COLUMBUS, OH 43210
Internal Medicine (Hematology & Oncology)
300 W 10TH AVE
COLUMBUS, OH 43210

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 Carolyn Presley's NPI number?

The NPI number for Carolyn Presley is 1285877894. It was assigned to this individual provider in the NPPES registry on April 13, 2009.

Where is Carolyn Presley located?

Carolyn Presley practices at 300 W 10th Ave, Columbus, OH 43210. The listed phone number is (614) 293-6786.

What is Carolyn Presley's specialty?

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

Is Carolyn Presley enrolled in Medicare?

Yes. Carolyn Presley 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 Carolyn Presley accept?

Health plans from CareSource and Molina Healthcare list Carolyn Presley 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 Carolyn Presley affiliated with any hospitals?

According to CMS data, Carolyn Presley is affiliated with Ohio State University State Health System.

When was this NPI record last updated?

The NPPES record for Carolyn Presley was last updated on December 7, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.