GREGORY KRIVCHENIA MD
NPI 1467410258
Orthopaedic Surgery in Marietta, OH

Q: What is Gregory Krivchenia's NPI number?

The NPI number for Gregory Krivchenia is 1467410258. It was assigned to this individual provider in the NPPES registry on May 2, 2006.

Q: What is Gregory Krivchenia's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Active since May 02, 2006PECOS EnrolledAccepts Medicare Assignment

94.1/100

CMS Quality Rating

611 2ND ST, MARIETTA, OH 45750(740) 373-8756(740) 373-0091 Get Directions Write a Review

NPPES record last updated: June 29, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Feb 13, 2023, Apr 18, 2022, May 24, 2021 and 6 more (9 updates tracked since 2020).

On this page

About Gregory Krivchenia Md NPPES

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

GREGORY KRIVCHENIA MD (NPI 1467410258) is an individual orthopaedic surgery provider in Marietta, Ohio, licensed in Ohio (35046510) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Roane General Hospital, and is a graduate of University Of Cincinnati College Of Medicine (1981).

NPPES Registry Identity

NPI1467410258

Entity TypeIndividualMale

Primary Taxonomy207X00000X

Provider Legal NameGREGORY KRIVCHENIACredential: MD

Location Address611 2ND STMarietta, OH 45750-2123

Mailing Address611 Second StMarietta, OH 45750 · (740) 373-8756 · Fax (740) 373-0091

Phone(740) 373-8756

Fax(740) 373-0091

Sole ProprietorYes

Medical School CMSUniversity Of Cincinnati College Of MedicineGraduated 1981

Enumeration DateMay 2, 2006

Last NPPES UpdateJune 29, 20269 updates tracked since enumeration

NPPES CertifiedJune 29, 2026

✔ NPI 1467410258 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code207X00000X

Licenses✔ Licensed in OH · 35046510✔ Licensed in WV · 14610

Definition

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

611 2ND ST, Marietta, OH 45750

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Other Identifiers 5

Other000077407Bcbs

Medicaid0631365OH

Medicaid00970530000WV

Other200006583Rr Medicare

Other000000117049Anthem

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Antidote Health Plan of Ohio, Inc., CareSource, Highmark Blue Cross Blue Shield West Virginia 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 and accepts Medicare assignment

Gregory Krivchenia Md 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 ID547156945

PECOS Enrollment IDI20120213000383

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 Reassignments

Medicare enrollment records show Gregory Krivchenia reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Minnie Hamilton Health Care Center, Inc.

40 mi

Critical Access

186 HOSPITAL DRIVE
Grantsville, WV 26147

Reassigned Medicare billing, West Virginia enrollment
36 clinicians in this Medicare group

NPI 1124029400 (304) 354-9244

Hospital Development Co

42 mi

Emergency Medicine

200 HOSPITAL DR
Spencer, WV 25276

Reassigned Medicare billing, West Virginia enrollment
90 clinicians in this Medicare group

NPI 1184721581 (304) 927-4444

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 15

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.

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.

193 services106 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.

193 services130 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.

76 services64 patients

Aspiration and/or injection of fluid from large joint 20610

67 services37 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

63 services33 patients

X-ray of knee, 1-2 views 73560

An X-ray of the knee with 1-2 views is a quick, painless test that produces images of the knee bones. It helps identify fractures, infections, or changes in the knee joint. During the procedure, you'll be asked to stay still while the X-ray machine captures the images.

57 services53 patients

X-ray of hip, 2-3 views 73502

An X-ray of the hip with 2-3 views is a non-invasive imaging test. It uses a small amount of radiation to produce pictures of the hip joint. These images help in diagnosing conditions like fractures, arthritis, or other abnormalities. The process is quick and painless.

42 services34 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

33 services33 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

31 services26 patients

X-ray of shoulder, minimum of 2 views 73030

An X-ray of the shoulder, with a minimum of 2 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of your shoulder bones. This helps in diagnosing conditions like fractures, arthritis, or other abnormalities. The procedure is quick and painless.

30 services23 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

25 services23 patients

X-ray of both knees while standing 73565

An X-ray of both knees while standing is a diagnostic procedure that captures images of your knee joints. You'll stand in front of an X-ray machine, and it will take pictures showing the bones and tissues in your knees. This helps doctors identify any abnormalities or injuries.

19 services19 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

17 services17 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.

16 services16 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.

15 services15 patients

Hospital Affiliations CMS Care Compare

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

Roane General Hospital

Critical Access Hospitals · Spencer, WV

OwnershipVoluntary non-profit - Private

CMS Certification Number511306

Location200 Hospital DriveSpencer, WV 25276 · Roane County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45750 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.

94.1/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

78.46

Promoting Interoperability

100

Improvement Activities

Other Providers at the Same Location NPPES 8

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

SARAH BETH LOWERS FNP-BC

Nurse Practitioner (Family)

611 2ND ST
MARIETTA, OH 45750

Washington County (740) 373-8156

DR. GEORGE TOKODI JR. D.O.

Orthopaedic Surgery

611 2ND ST
MARIETTA, OH 45750

Washington County (740) 373-8756

JORDAN KIRKLAND DPT

Physical Therapist

611 2ND ST, SUITE A
MARIETTA, OH 45750

Washington County (740) 568-0650

ASHLEY L. ESCHBAUGH PA

Physician Assistant

611 2ND ST
MARIETTA, OH 45750

Washington County (740) 373-8756

MARK C PLUMBY M.D.

Orthopaedic Surgery (Sports Medicine)

611 2ND ST
MARIETTA, OH 45750

Washington County (740) 373-8756

ANGELA DAWN MILLER CFNP

Nurse Practitioner (Family)

611 2ND ST
MARIETTA, OH 45750

Washington County (740) 373-8756

DR. JASON LEE GESSEL D.O.

Orthopaedic Surgery

611 2ND ST
MARIETTA, OH 45750

Washington County (740) 373-8756

FIRST SETTLEMENT PHYSICAL THERAPY

Clinic/Center (Physical Therapy)

611 2ND ST, SUITE A
MARIETTA, OH 45750

Washington County (740) 568-0650

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 Gregory Krivchenia's NPI number?

The NPI number for Gregory Krivchenia is 1467410258. It was assigned to this individual provider in the NPPES registry on May 2, 2006.

Where is Gregory Krivchenia located?

Gregory Krivchenia practices at 611 2nd St, Marietta, OH 45750. The listed phone number is (740) 373-8756.

What is Gregory Krivchenia's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Gregory Krivchenia enrolled in Medicare?

Yes. Gregory Krivchenia 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 organizations bill Medicare for Gregory Krivchenia's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Gregory Krivchenia reassigns Medicare benefits to 2 organizations: Minnie Hamilton Health Care Center, Inc. (Grantsville, WV) and Hospital Development Co (Spencer, WV). Each 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 Gregory Krivchenia's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Gregory Krivchenia accept?

Health plans from Antidote Health Plan of Ohio, Inc., CareSource, Highmark Blue Cross Blue Shield West Virginia and Molina Healthcare list Gregory Krivchenia 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 Gregory Krivchenia affiliated with any hospitals?

According to CMS data, Gregory Krivchenia is affiliated with Roane General Hospital.

When was this NPI record last updated?

The NPPES record for Gregory Krivchenia was last updated on June 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.