CARLA MICHELLE ONEAL NP
NPI 1306047022
Nurse Practitioner - Family in Worthington, OH

Active since May 30, 2007PECOS EnrolledAccepts Medicare Assignment
52.89/100
CMS Quality Rating
445 E DUBLIN GRANVILLE RD, WORTHINGTON, OH 43085(216) 773-0650(216) 773-0650 Get Directions Write a Review

NPPES record last updated: September 30, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 30, 2024, Sep 26, 2024, Dec 9, 2015 (3 updates tracked since 2015).

About Carla Michelle Oneal Np NPPES

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

CARLA MICHELLE ONEAL NP (NPI 1306047022) is an individual family provider in Worthington, Ohio, licensed in Ohio (NP-09897) and active in the NPI registry since May 2007. She is enrolled in Medicare PECOS, is affiliated with Riverside Methodist Hospital, and is a graduate of Other (2007).

NPPES Registry Identity

NPI1306047022
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameCARLA MICHELLE ONEALCredential: NP
Location Address445 E DUBLIN GRANVILLE RDWorthington, OH 43085-3192
Mailing Address4539 Rishel StGrove City, OH 43123-7682 · (216) 773-0650
Fax(216) 773-0650
Sole ProprietorNo
Medical School CMSOtherGraduated 2007
Enumeration DateMay 30, 2007
Last NPPES UpdateSeptember 30, 20243 updates tracked since enumeration
NPPES CertifiedSeptember 30, 2024
NPI 1306047022 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in OH · NP-09897
Also ListedRegistered NurseTaxonomy 163W00000X · License RN. 295742 (OH)
Also ListedRegistered Nurse · Home HealthTaxonomy 163WH0200X · License RN. 295742 (OH)
445 E DUBLIN GRANVILLE RD, Worthington, OH 43085

Other Identifiers 1

Medicaid2341826OH

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

Carla Michelle Oneal Np 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 ID3870660624
PECOS Enrollment IDI20080922000198
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

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 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.
13 services12 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

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 43085 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.

52.89/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality45.53
Improvement Activities40
Cost23.24

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.

Behavior Analyst
445 E DUBLIN GRANVILLE RD
WORTHINGTON, OH 43085
Case Manager/Care Coordinator
445 E DUBLIN GRANVILLE RD
WORTHINGTON, OH 43085
Case Manager/Care Coordinator
445 E DUBLIN GRANVILLE RD
WORTHINGTON, OH 43085
Case Manager/Care Coordinator
445 E DUBLIN GRANVILLE RD
WORTHINGTON, OH 43085
Case Manager/Care Coordinator
445 E DUBLIN GRANVILLE RD
WORTHINGTON, OH 43085
Behavior Technician
445 E DUBLIN GRANVILLE RD
WORTHINGTON, OH 43085
Behavior Technician
445 E DUBLIN GRANVILLE RD
WORTHINGTON, OH 43085
Case Manager/Care Coordinator
445 E DUBLIN GRANVILLE RD
WORTHINGTON, OH 43085

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 Carla Oneal's NPI number?

The NPI number for Carla Oneal is 1306047022. It was assigned to this individual provider in the NPPES registry on May 30, 2007.

Where is Carla Oneal located?

Carla Oneal practices at 445 E Dublin Granville Rd, Worthington, OH 43085. The listed phone number is (216) 773-0650.

What is Carla Oneal's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Carla Oneal enrolled in Medicare?

Yes. Carla Oneal 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 Carla Oneal accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 2 other insurers list Carla Oneal 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 Carla Oneal affiliated with any hospitals?

According to CMS data, Carla Oneal is affiliated with Riverside Methodist Hospital and Ohio State University State Health System.

When was this NPI record last updated?

The NPPES record for Carla Oneal was last updated on September 30, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.