1. Home
  2. Directory
  3. Missouri
  4. Columbia
  5. Orthopaedic Surgery
  6. NPI Profile

AJAY AGGARWAL M.D.
NPI 1417062217
Orthopaedic Surgery - Adult Reconstructive Orthopaedic Surgery in Columbia, MO

Active since August 20, 2006PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
1100 VIRGINIA AVE, COLUMBIA, MO 65212(573) 882-2663(573) 882-8200 Get Directions Write a Review

NPPES record last updated: June 26, 2024. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Jun 26, 2024, Jul 27, 2022, May 13, 2019 (3 updates tracked since 2019).

About Ajay Aggarwal M.d. NPPES

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

AJAY AGGARWAL M.D. (NPI 1417062217) is an individual adult reconstructive orthopaedic surgery provider in Columbia, Missouri, licensed in Missouri (2008026913) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with Bothwell Regional Health Center, and is a graduate of Other (1997).

NPPES Registry Identity

NPI1417062217
Entity TypeIndividualMale
Primary Taxonomy207XS0114X
Provider Legal NameAJAY AGGARWALCredential: M.D.
Location Address1100 VIRGINIA AVEColumbia, MO 65212-0001
Mailing AddressPo Box 843966Kansas City, MO 64184-3966 · (573) 884-3300 · Fax (573) 884-0943
Phone(573) 882-2663
Fax(573) 882-8200
Sole ProprietorNo
Medical School CMSOtherGraduated 1997
Enumeration DateAugust 20, 2006
Last NPPES UpdateJune 26, 20243 updates tracked since enumeration
NPPES CertifiedJune 26, 2024
✔ NPI 1417062217 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOrthopaedic Surgery · Adult Reconstructive Orthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207XS0114X
License✔ Licensed in MO · 2008026913
Definition
Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, adult reconstructive orthopaedic surgeons deal with reconstructive procedures such as joint arthroplasty (i.e., hip and knee), osteotomy, arthroscopy, soft-tissue reconstruction, and a variety of other adult reconstructive surgical procedures.
Also ListedOrthopaedic SurgeryTaxonomy 207X00000X · License 2008026913 (MO)
1100 VIRGINIA AVE, Columbia, MO 65212
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Medica, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Ajay Aggarwal 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 ID5698828580
PECOS Enrollment IDI20090724000127
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.

Medicare Billing Reassignment

Medicare enrollment records show Ajay Aggarwal reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

The Curators Of The University Of Missouri
0.1 mi
Multi-Specialty
1 HOSPITAL DR
Columbia, MO 65212
  • Reassigned Medicare billing, Missouri enrollment
  • 1,395 clinicians in this Medicare group
NPI 1235126921 (573) 882-4141

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 7

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.
125 services103 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.
107 services99 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
56 services56 patients
Replacement of knee joint, both sides of knee 27447
A bilateral knee joint replacement is a procedure where the damaged parts of both your knee joints are replaced with artificial parts. It aims to relieve pain and improve mobility. The process involves a surgical operation under anesthesia.
38 services34 patients
Replacement of thigh bone and hip joint with prosthesis 27130
This procedure, known as hip arthroplasty, involves replacing your damaged thigh bone and hip joint with artificial parts, called a prosthesis. It helps relieve pain, improve mobility, and enhance your quality of life.
26 services26 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
25 services22 patients

Hospital Affiliations CMS Care Compare 4

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

Bothwell Regional Health Center

Acute Care Hospitals · Sedalia, MO
2/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number260009
Location601 E 14th StSedalia, MO 65302 · Pettis County
Emergency services Birthing friendly

Boone Hospital Center

Acute Care Hospitals · Columbia, MO
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number260068
Location1600 E BroadwayColumbia, MO 65201 · Boone County
Emergency services Birthing friendly

University Of Missouri Health Care

Acute Care Hospitals · Columbia, MO
2/5 CMS rating
OwnershipGovernment - State
CMS Certification Number260141
LocationOne Hospital DriveColumbia, MO 65212 · Boone County
Emergency services Birthing friendly

Lake Regional Health System

Acute Care Hospitals · Osage Beach, MO
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number260186
Location54 Hospital DriveOsage Beach, MO 65065 · Camden County
Emergency services Birthing friendly

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.

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

Reported Quality Measures

Risk-standardized complication rate (RSCR) following elective primary total hip arthroplasty (THA) and/or total knee arthroplasty (TKA) for Merit-based Incentive Payment System (MIPS)
Lower rates are better for this measure.
0.02%
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 20

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

DR. KYLE FIALA DPM
Podiatrist (Foot & Ankle Surgery)
1100 VIRGINIA AVE
COLUMBIA, MO 65212
Boone County (573) 882-2663
BLAIR ELISE LANSFORD NP-C
Nurse Practitioner (Adult Health)
1100 VIRGINIA AVE
COLUMBIA, MO 65212
Boone County (573) 884-7100
MRS. DANIELLE SHEA SMITH PT, DPT
Physical Therapist
1100 VIRGINIA AVE, SUITE 1008
COLUMBIA, MO 65212
Boone County (573) 884-0655
NICHOLAS J ZARKADIS D.O.
Orthopaedic Surgery
1100 VIRGINIA AVE
COLUMBIA, MO 65212
Boone County (573) 882-2663
DANIEL A LONDON MD, MS
Surgery (Surgery of the Hand)
1100 VIRGINIA AVE
COLUMBIA, MO 65212
Boone County (573) 882-2663
LEVI NATHAN GAUSE M.D.
Orthopaedic Surgery (Foot and Ankle Surgery)
1100 VIRGINIA AVE
COLUMBIA, MO 65212
Boone County (573) 882-2663
DR. JOSE GILBERTO RAMIREZ BAYRON JR. D.C.
Chiropractor
1100 VIRGINIA AVE
COLUMBIA, MO 65212
Boone County (573) 882-2663
ALYSSA NICOLE GINGERICH FNP-BC
Nurse Practitioner (Family)
1100 VIRGINIA AVE
COLUMBIA, MO 65212
Boone County (573) 882-2663

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 Ajay Aggarwal's NPI number?

The NPI number for Ajay Aggarwal is 1417062217. It was assigned to this individual provider in the NPPES registry on August 20, 2006.

Where is Ajay Aggarwal located?

Ajay Aggarwal practices at 1100 Virginia Ave, Columbia, MO 65212. The listed phone number is (573) 882-2663.

What is Ajay Aggarwal's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Adult Reconstructive Orthopaedic Surgery, with taxonomy code 207XS0114X.

Is Ajay Aggarwal enrolled in Medicare?

Yes. Ajay Aggarwal 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.

Which organization bills Medicare for Ajay Aggarwal's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ajay Aggarwal reassigns Medicare benefits to The Curators Of The University Of Missouri (Columbia, MO). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Ajay Aggarwal's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Ajay Aggarwal accept?

Health plans from Anthem Blue Cross and Blue Shield, Medica and UnitedHealthcare list Ajay Aggarwal 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 Ajay Aggarwal affiliated with any hospitals?

According to CMS data, Ajay Aggarwal is affiliated with Bothwell Regional Health Center, Boone Hospital Center, University Of Missouri Health Care and Lake Regional Health System.

When was this NPI record last updated?

The NPPES record for Ajay Aggarwal was last updated on June 26, 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.