KYLE STINEHART M.D.
NPI 1437544681
Internal Medicine - Pulmonary Disease in Columbus, OH

Active since April 04, 2015PECOS EnrolledAccepts Medicare Assignment
95.31/100
CMS Quality Rating
543 TAYLOR AVE FL 3, COLUMBUS, OH 43203(614) 688-6540(614) 688-6541 Get Directions Write a Review

NPPES record last updated: March 30, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 30, 2026, Mar 14, 2023 (2 updates tracked since 2023).

About Kyle Stinehart M.d. NPPES

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

KYLE STINEHART M.D. (NPI 1437544681) is an individual pulmonary disease provider in Columbus, Ohio, licensed in Ohio (35.130990) 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 West Virginia University School Of Medicine (2015).

NPPES Registry Identity

NPI1437544681
Entity TypeIndividualMale
Primary Taxonomy207RP1001X
Provider Legal NameKYLE STINEHARTCredential: M.D.
Location Address543 TAYLOR AVE FL 3Columbus, OH 43203-1278
Mailing Address700 Ackerman Rd Ste 2120Columbus, OH 43202-1559 · (614) 688-6540 · Fax (614) 688-6541
Fax(614) 688-6541
Sole ProprietorNo
Medical School CMSWest Virginia University School Of MedicineGraduated 2015
Enumeration DateApril 4, 2015
Last NPPES UpdateMarch 30, 20262 updates tracked since enumeration
NPPES CertifiedMarch 30, 2026
NPI 1437544681 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
License Licensed in OH · 35.130990
Definition

An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.

Also ListedInternal Medicine · Critical Care MedicineTaxonomy 207RC0200X · License 35.130990 (OH)
543 TAYLOR AVE FL 3, Columbus, OH 43203

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

Kyle Stinehart 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 ID2961711460
PECOS Enrollment IDI20180629002507
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 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.

Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
103 services45 patients
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.
77 services51 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.
67 services56 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.
49 services37 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.
43 services35 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.
26 services26 patients

Hospital Affiliations CMS Care Compare 2

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

Memorial Hospital

Acute Care Hospitals · Marysville, OH
5/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number360092
Location500 London AvenueMarysville, OH 43040 · Union County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43203 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.

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 19

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

Internal Medicine (Sleep Medicine)
543 TAYLOR AVE FL 3
COLUMBUS, OH 43203
Internal Medicine (Rheumatology)
543 TAYLOR AVE FL 3
COLUMBUS, OH 43203
Social Worker (Clinical)
543 TAYLOR AVE FL 3
COLUMBUS, OH 43203
Nurse Practitioner (Family)
543 TAYLOR AVE FL 3
COLUMBUS, OH 43203
Nurse Practitioner (Family)
543 TAYLOR AVE FL 3
COLUMBUS, OH 43203
Internal Medicine (Nephrology)
543 TAYLOR AVE FL 3
COLUMBUS, OH 43203
Obstetrics & Gynecology
543 TAYLOR AVE FL 3
COLUMBUS, OH 43203
Obstetrics & Gynecology
543 TAYLOR AVE FL 3
COLUMBUS, OH 43203

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 Kyle Stinehart's NPI number?

The NPI number for Kyle Stinehart is 1437544681. It was assigned to this individual provider in the NPPES registry on April 4, 2015.

Where is Kyle Stinehart located?

Kyle Stinehart practices at 543 Taylor Ave Fl 3, Columbus, OH 43203. The listed phone number is (614) 688-6540.

What is Kyle Stinehart's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Kyle Stinehart enrolled in Medicare?

Yes. Kyle Stinehart 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 Kyle Stinehart accept?

Health plans from Antidote Health Plan of Ohio, Inc., CareSource, MedMutual and Molina Healthcare list Kyle Stinehart 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 Kyle Stinehart affiliated with any hospitals?

According to CMS data, Kyle Stinehart is affiliated with Ohio State University State Health System and Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Kyle Stinehart was last updated on March 30, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.