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ARTHUR E PELLEGRINI MD
NPI 1376536284
Dermatology - Dermatopathology in Marysville, OH

Active since August 25, 2005PECOS Enrolled
75/100
CMS Quality Rating
660 LONDON AVE, MARYSVILLE, OH 43040(937) 578-4206(937) 578-2740 Get Directions Write a Review

NPPES record last updated: August 31, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Arthur E Pellegrini Md NPPES

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

ARTHUR E PELLEGRINI MD (NPI 1376536284) is an individual dermatopathology provider in Marysville, Ohio, licensed in Ohio (35055850P) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1376536284
Entity TypeIndividualMale
Primary Taxonomy207ND0900X
Provider Legal NameARTHUR E PELLEGRINICredential: MD
Location Address660 LONDON AVEMarysville, OH 43040-1515
Mailing Address660 London Ave, Ste AMarysville, OH 43040 · (937) 578-4206 · Fax (937) 578-2740
Phone(937) 578-4206
Fax(937) 578-2740
Sole ProprietorNo
Enumeration DateAugust 25, 2005
Last NPPES UpdateAugust 31, 2021
NPPES CertifiedAugust 31, 2021
✔ NPI 1376536284 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatology · DermatopathologyAllopathic & Osteopathic Physicians
Taxonomy Code207ND0900X
License✔ Licensed in OH · 35055850P
Definition
A dermatopathologist has the expertise to diagnose and monitor diseases of the skin including infectious, immunologic, degenerative and neoplastic diseases. This entails the examination and interpretation of specially prepared tissue sections, cellular scrapings and smears of skin lesions by means of routine and special (electron and fluorescent) microscopes.
660 LONDON AVE, Marysville, OH 43040
Open in Google Maps ↗

Other Identifiers 1

Medicaid0723980OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include 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 (PECOS)

Arthur E Pellegrini Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 9

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.

Destruction of precancer skin growth, 2-14 growths 17003
This procedure involves removing 2-14 precancerous skin growths. The growths are treated to prevent them from potentially developing into skin cancer. The process is safe, with minimal discomfort, and promotes healthier skin.
433 services121 patients
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.
374 services237 patients
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.
259 services203 patients
Destruction of precancer skin growth, 1 growth 17000
"Destruction of precancer skin growth" is a procedure that eliminates a single precancerous skin growth. This is done to prevent it from developing into skin cancer. The growth may be removed using various methods such as cryotherapy (freezing), laser therapy, or topical medications.
246 services173 patients
Biopsy of related skin growth, first growth 11102
A biopsy of a skin growth involves taking a small sample of the growth to examine it under a microscope. This helps determine if the growth is harmful. The procedure is typically quick, with minimal discomfort. It's a crucial step in ensuring your skin's health.
97 services78 patients
Shaving of skin growth of body, arms, or legs, 0.6-1.0 cm 11301
This procedure involves the careful removal of a small skin growth on the body, arms, or legs. It's done by shaving off the growth that's 0.6-1.0 cm in size. It's a common, safe method to treat non-cancerous skin growths and improve skin appearance.
31 services26 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43040 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.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored

Reported Quality Measures

Biopsy Follow-Up
Percentage of new patients whose biopsy results have been reviewed and communicated to the primary care/referring physician and patient by the performing physician
100%61 patients5/55-star benchmark: 100%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
100%1,207 patients5/55-star benchmark: 100%
Psoriasis: Clinical Response to Oral Systemic or Biologic Medications
Percentage of psoriasis vulgaris patients receiving oral systemic or biologic therapy who meet minimal physician-or patient- reported disease activity levels.
100%35 patients
Psoriasis: Tuberculosis (TB) Prevention for Patients with Psoriasis, Psoriatic Arthritis and Rheumatoid Arthritis Patients on a Biological Immune Response Modifier
Percentage of patients whose providers are ensuring active tuberculosis prevention either through yearly negative standard tuberculosis screening tests or are reviewing the patient's history to determine if they have had appropriate management for a recent or…
97%33 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 7

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

INTERNAL MEDICINE PHYSICIANS OF CENTRAL OHIO LLC
Internal Medicine
660 LONDON AVE, SUITE A
MARYSVILLE, OH 43040
Union County (937) 642-1550
MRS. SUSAN GIVEN MSW, LCSW, PIP
Social Worker (Clinical)
660 LONDON AVE
MARYSVILLE, OH 43040
Union County (937) 642-1550
DONALD E REED MD
Surgery
660 LONDON AVE, SUITE A
MARYSVILLE, OH 43040
Union County (937) 642-1550
CHRISANNE GORDON M.D.
Occupational Therapist
660 LONDON AVE
MARYSVILLE, OH 43040
Union County (937) 578-2255
CHELSEA ANN NASH CNP
Nurse Practitioner (Family)
660 LONDON AVE
MARYSVILLE, OH 43040
Union County (937) 642-1550
ARTHUR E. PELLEGRINI, M.D. LLC
Dermatology (Dermatopathology)
660 LONDON AVE, SUITE A
MARYSVILLE, OH 43040
Union County (937) 642-1550
DR. PRASANNA K MUNIYAPPA MD
Internal Medicine
660 LONDON AVE, SUITE A
MARYSVILLE, OH 43040
Union County (937) 642-1550

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 Arthur Pellegrini's NPI number?

The NPI number for Arthur Pellegrini is 1376536284. It was assigned to this individual provider in the NPPES registry on August 25, 2005.

Where is Arthur Pellegrini located?

Arthur Pellegrini practices at 660 London Ave, Marysville, OH 43040. The listed phone number is (937) 578-4206.

What is Arthur Pellegrini's specialty?

The primary specialty registered for this NPI is Dermatology, specializing in Dermatopathology, with taxonomy code 207ND0900X.

Is Arthur Pellegrini enrolled in Medicare?

Yes. Arthur Pellegrini is registered in the Medicare PECOS enrollment system.

What insurance does Arthur Pellegrini accept?

Health plans from CareSource and MedMutual list Arthur Pellegrini 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.

When was this NPI record last updated?

The NPPES record for Arthur Pellegrini was last updated on August 31, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.