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NATHAN M. DENLINGER DO
NPI 1427444611
Internal Medicine - Hematology in Columbus, OH

Active since April 14, 2015PECOS EnrolledAccepts Medicare Assignment
95.31/100
CMS Quality Rating
460 W 10TH AVE, COLUMBUS, OH 43210(614) 293-3196(614) 293-4812 Get Directions Write a Review

NPPES record last updated: May 28, 2026. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: May 28, 2026, Jul 7, 2022 (2 updates tracked since 2022).

About Nathan M. Denlinger Do NPPES

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

NATHAN M. DENLINGER DO (NPI 1427444611) is an individual hematology provider in Columbus, Ohio, licensed in Ohio (34.012735) and active in the NPI registry since April 2015. He is enrolled in Medicare PECOS, is affiliated with Ohio State University State Health System, and is a graduate of Oklahoma State University College Of Osteopathic Medicine (2015).

NPPES Registry Identity

NPI1427444611
Entity TypeIndividualMale
Primary Taxonomy207RH0000X
Provider Legal NameNATHAN M. DENLINGERCredential: DO
Location Address460 W 10TH AVEColumbus, OH 43210-1240
Mailing Address700 Ackerman Rd Ste 2120Columbus, OH 43202-1559 · (614) 293-3196 · Fax (614) 293-4812
Phone(614) 293-3196
Fax(614) 293-4812
Sole ProprietorNo
Medical School CMSOklahoma State University College Of Osteopathic MedicineGraduated 2015
Enumeration DateApril 14, 2015
Last NPPES UpdateMay 28, 20262 updates tracked since enumeration
NPPES CertifiedMay 28, 2026
✔ NPI 1427444611 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · HematologyAllopathic & Osteopathic Physicians
Taxonomy Code207RH0000X
License✔ Licensed in OH · 34.012735
Definition
An internist with additional training who specializes in diseases of the blood, spleen and lymph. This specialist treats conditions such as anemia, clotting disorders, sickle cell disease, hemophilia, leukemia and lymphoma.
460 W 10TH AVE, Columbus, OH 43210
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.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

Nathan M. Denlinger Do 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 ID4284944117
PECOS Enrollment IDI20180615001616
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.

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.
250 services52 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.
24 services11 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.
24 services23 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.

CHIEMEZIE CHIANOTU AMADI MD
Radiology (Diagnostic Radiology)
460 W 10TH AVE
COLUMBUS, OH 43210
Franklin County (614) 293-8315
DR. GEORGE K NIMAKO PHARMD
Pharmacist
460 W 10TH AVE
COLUMBUS, OH 43210
Franklin County (614) 293-3312
ALBERT J. COOK MD
Internal Medicine (Hospice and Palliative Medicine)
460 W 10TH AVE
COLUMBUS, OH 43210
Franklin County (614) 293-2957
WALTER G. HANEL IV MD, PHD
Internal Medicine (Hematology)
460 W 10TH AVE
COLUMBUS, OH 43210
Franklin County (614) 293-3196
CHRISTINE HWANG PHARMD
Pharmacist
460 W 10TH AVE
COLUMBUS, OH 43210
Franklin County (614) 293-3312
KEVIN C. FOY APRN-CNP, PHD
Nurse Practitioner (Family)
460 W 10TH AVE
COLUMBUS, OH 43210
Franklin County (614) 293-3196
JACOB LYNN MD
Hospitalist
460 W 10TH AVE
COLUMBUS, OH 43210
Franklin County (614) 293-7499
DR. MAXIMILLIAN HUGH STEVENSON PHARMD
Pharmacist
460 W 10TH AVE
COLUMBUS, OH 43210
Franklin County (614) 685-4708

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 Nathan Denlinger's NPI number?

The NPI number for Nathan Denlinger is 1427444611. It was assigned to this individual provider in the NPPES registry on April 14, 2015.

Where is Nathan Denlinger located?

Nathan Denlinger practices at 460 W 10th Ave, Columbus, OH 43210. The listed phone number is (614) 293-3196.

What is Nathan Denlinger's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology, with taxonomy code 207RH0000X.

Is Nathan Denlinger enrolled in Medicare?

Yes. Nathan Denlinger 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 Nathan Denlinger accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and CareSource list Nathan Denlinger 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 Nathan Denlinger affiliated with any hospitals?

According to CMS data, Nathan Denlinger is affiliated with Ohio State University State Health System.

When was this NPI record last updated?

The NPPES record for Nathan Denlinger was last updated on May 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.