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MR. ADITYA GARG MD
NPI 1306373519
Internal Medicine in Greenville, OH

Active since May 18, 2017PECOS EnrolledAccepts Medicare Assignment
91.41/100
CMS Quality Rating
835 SWEITZER ST, GREENVILLE, OH 45331(260) 344-4035(260) 969-9272 Get Directions Write a Review

NPPES record last updated: July 17, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 27, 2023, Jul 17, 2020, May 18, 2017 (3 updates tracked since 2017).

About Mr. Aditya Garg Md NPPES

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

MR. ADITYA GARG MD (NPI 1306373519) is an individual internal medicine provider in Greenville, Ohio, licensed in Ohio (35.138382) and active in the NPI registry since May 2017. He is enrolled in Medicare PECOS, is affiliated with Falmouth Hospital, and maintains a secondary practice location in Greenville.

NPPES Registry Identity

NPI1306373519
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameMR. ADITYA GARGCredential: MD
Location Address835 SWEITZER STGreenville, OH 45331-1007
Mailing Address6435 W Jefferson Blvd Pmb 109Fort Wayne, IN 46804 · (260) 344-4035 · Fax (260) 969-9272
Phone(260) 344-4035
Fax(260) 969-9272
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateMay 18, 2017
Last NPPES UpdateJuly 17, 20203 updates tracked since enumeration
NPPES CertifiedJuly 17, 2020
✔ NPI 1306373519 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in OH · 35.138382
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
835 SWEITZER ST, Greenville, OH 45331
Open in Google Maps ↗

Secondary Practice Location 1

Location 1835 Sweitzer StGreenville, OH 45331-1007 · Phone (260) 344-4035 · Fax (260) 969-9272

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.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

Mr. Aditya Garg 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 ID6305194796
PECOS Enrollment IDI20230808003549
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 5

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.
395 services174 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.
246 services131 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.
127 services123 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
24 services24 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.
23 services22 patients

Hospital Affiliations CMS Care Compare 2

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

Falmouth Hospital

Acute Care Hospitals · Falmouth, MA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220135
Location67 & 100 Ter Heun DriveFalmouth, MA 02540 · Barnstable County
Emergency services

Lahey Hospital & Medical Center, Burlington

Acute Care Hospitals · Burlington, MA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220171
Location41 & 45 Mall RoadBurlington, MA 01803 · Middlesex County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45331 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
$126.12 typical visit price
range $54.34 – $166.65
Typical copayment $31.53 (range $13.58 – $41.66)
Most-billed visit code 99204
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.

91.41/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality76.87
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.

ROBYN FEITSHANS
Clinical Exercise Physiologist
835 SWEITZER ST
GREENVILLE, OH 45331
Darke County (937) 569-6504
MR. BERTRAM HENSEL CRNA
Nurse Anesthetist, Certified Registered
835 SWEITZER ST
GREENVILLE, OH 45331
Darke County (937) 547-5723
WAYNE HOSPITAL COMPANY
General Acute Care Hospital (Critical Access)
835 SWEITZER ST
GREENVILLE, OH 45331
Darke County (937) 548-1141
WAYNE HOSPITAL COMPANY
Medicare Defined Swing Bed Unit
835 SWEITZER ST
GREENVILLE, OH 45331
Darke County (937) 548-1141
DR. AHMED EL RAHYEL MD
Internal Medicine
835 SWEITZER ST
GREENVILLE, OH 45331
Darke County (937) 548-1141
WILLIAM C HARLAN DO
Emergency Medicine
835 SWEITZER ST
GREENVILLE, OH 45331
Darke County (937) 548-1141
JESSICA SMITH DTR
Dietetic Technician, Registered
835 SWEITZER ST
GREENVILLE, OH 45331
Darke County (937) 569-6772
CONSULTANTS IN ANESTHESIOLOGY, INC
Anesthesiology
835 SWEITZER ST
GREENVILLE, OH 45331
Darke County (937) 548-1141

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 Aditya Garg's NPI number?

The NPI number for Aditya Garg is 1306373519. It was assigned to this individual provider in the NPPES registry on May 18, 2017.

Where is Aditya Garg located?

Aditya Garg practices at 835 Sweitzer St, Greenville, OH 45331. The listed phone number is (260) 344-4035.

What is Aditya Garg's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Aditya Garg enrolled in Medicare?

Yes. Aditya Garg 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 Aditya Garg accept?

Health plans from CareSource list Aditya Garg 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 Aditya Garg affiliated with any hospitals?

According to CMS data, Aditya Garg is affiliated with Falmouth Hospital and Lahey Hospital & Medical Center, Burlington.

When was this NPI record last updated?

The NPPES record for Aditya Garg was last updated on July 17, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.