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DAWN M KOTOWSKI-MANFROY M.D.
NPI 1447286232
Pediatrics in Cincinnati, OH

Active since June 23, 2006PECOS Enrolled
82.7/100
CMS Quality Rating
7810 5 MILE RD, CINCINNATI, OH 45230(513) 246-7000(513) 246-2876 Get Directions Write a Review

NPPES record last updated: September 5, 2014. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dawn M Kotowski-manfroy M.d. NPPES

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

DAWN M KOTOWSKI-MANFROY M.D. (NPI 1447286232) is an individual pediatrics provider in Cincinnati, Ohio, licensed in Ohio (35.077313) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1447286232
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameDAWN M KOTOWSKI-MANFROYCredential: M.D.
Location Address7810 5 MILE RDCincinnati, OH 45230-2356
Mailing Address4685 Forest Ave Ste CCincinnati, OH 45212-3359 · (513) 246-7796 · Fax (513) 852-8525
Phone(513) 246-7000
Fax(513) 246-2876
Sole ProprietorNo
Enumeration DateJune 23, 2006
Last NPPES UpdateSeptember 5, 2014
✔ NPI 1447286232 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in OH · 35.077313
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
7810 5 MILE RD, Cincinnati, OH 45230
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Other Identifiers 1

Medicaid2276960OH

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, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dawn M Kotowski-manfroy M.d. 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.

Medicare Billing Reassignment

Medicare enrollment records show Dawn Kotowski-manfroy reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Trihealth G LLC
9.7 mi
Internal Medicine
379 DIXMYTH AVE
Cincinnati, OH 45220
  • Reassigned Medicare billing, Ohio enrollment
  • 1,126 clinicians in this Medicare group
NPI 1295862944 (513) 246-7000

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45230 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
$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.

82.7/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality76.86
Promoting Interoperability89
Improvement Activities40
Cost74.66

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. GINA CURRY M.D.
Internal Medicine
7810 5 MILE RD
CINCINNATI, OH 45230
Hamilton County (513) 246-7000
DR. MARYBETH BRUNE MD
Internal Medicine
7810 5 MILE RD
CINCINNATI, OH 45230
Hamilton County (513) 246-7000
DR. KELLY SUE PRINDLE DO
Family Medicine
7810 5 MILE RD
CINCINNATI, OH 45230
Hamilton County (513) 246-7000
DANIEL L. DOWNING CNP
Nurse Practitioner (Family)
7810 5 MILE RD
CINCINNATI, OH 45230
Hamilton County (513) 246-7000
ALEX NEWTON PALUMBO M.S., M.D
Internal Medicine
7810 5 MILE RD
CINCINNATI, OH 45230
Hamilton County (513) 246-7000
MARY THERESA ZUPAN
Social Worker
7810 5 MILE RD
CINCINNATI, OH 45230
Hamilton County (513) 246-7000
AMANDA HOLLOWAY NP
Nurse Practitioner (Family)
7810 5 MILE RD
CINCINNATI, OH 45230
Hamilton County (513) 853-9250
JILONDA J WILCOX
Audiologist
7810 5 MILE RD
CINCINNATI, OH 45230
Hamilton County (513) 246-7000

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 Dawn Kotowski-manfroy's NPI number?

The NPI number for Dawn Kotowski-manfroy is 1447286232. It was assigned to this individual provider in the NPPES registry on June 23, 2006.

Where is Dawn Kotowski-manfroy located?

Dawn Kotowski-manfroy practices at 7810 5 Mile Rd, Cincinnati, OH 45230. The listed phone number is (513) 246-7000.

What is Dawn Kotowski-manfroy's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Dawn Kotowski-manfroy enrolled in Medicare?

Yes. Dawn Kotowski-manfroy is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Dawn Kotowski-manfroy's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Dawn Kotowski-manfroy reassigns Medicare benefits to Trihealth G LLC (Cincinnati, OH). 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 Dawn Kotowski-manfroy's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Dawn Kotowski-manfroy accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 2 other insurers list Dawn Kotowski-manfroy 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 Dawn Kotowski-manfroy was last updated on September 5, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.