DR. TIMOTHY EDWARD KREMCHEK M.D.
NPI 1467442335
Orthopaedic Surgery - Sports Medicine in Cincinnati, OH

Active since October 24, 2005PECOS EnrolledAccepts Medicare Assignment
90.38/100
CMS Quality Rating
6480 HARRISON AVE, SUITE 201, CINCINNATI, OH 45247(513) 354-3700(513) 354-7651 Get Directions Write a Review

NPPES record last updated: October 2, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Timothy Edward Kremchek M.d. NPPES

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

DR. TIMOTHY EDWARD KREMCHEK M.D. (NPI 1467442335) is an individual sports medicine provider in Cincinnati, Ohio, licensed in Ohio (35-05-6040) and active in the NPI registry since October 2005. He is enrolled in Medicare PECOS, is affiliated with Atrium Medical Center, and is a graduate of University Of Cincinnati College Of Medicine (1986).

NPPES Registry Identity

NPI1467442335
Entity TypeIndividualMale
Primary Taxonomy207XX0005X
Provider Legal NameDR. TIMOTHY EDWARD KREMCHEKCredential: M.D.
Location Address6480 HARRISON AVE, SUITE 201Cincinnati, OH 45247-7961
Mailing Address500 E-business Way, Suite ACincinnati, OH 45241-1319 · (513) 354-3700 · Fax (513) 354-3705
Fax(513) 354-7651
Sole ProprietorNo
Medical School CMSUniversity Of Cincinnati College Of MedicineGraduated 1986
Enumeration DateOctober 24, 2005
Last NPPES UpdateOctober 2, 2012
NPI 1467442335 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOrthopaedic Surgery · Sports MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207XX0005X
License Licensed in OH · 35-05-6040
Definition
An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries.
6480 HARRISON AVE, Cincinnati, OH 45247

Other Identifiers 8

Other955119OH · Aetna
Medicaid0941306OH
Medicare UPINF34030OH
Other56040OH · Humana
Other0901041OH · United Health Care
Other410333OH · Wellcare
Medicare PIN4059684OH
Other000000021083OH · Anthem

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

Dr. Timothy Edward Kremchek 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 ID3476452327
PECOS Enrollment IDI20060717000365
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 16

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 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.
141 services117 patients
X-ray of knee, 3 views 73562
An X-ray of the knee, 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the knee from three different angles. This helps medical professionals to diagnose and monitor conditions like arthritis, fractures, or infections. The process is quick and painless.
84 services77 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.
78 services66 patients
Injection, methylprednisolone acetate, 40 mg J1030
Methylprednisolone acetate is a medication given through an injection. It's a type of corticosteroid, which reduces inflammation and immune responses. It can be used to treat various conditions like arthritis, allergies, and skin diseases. This dose is 40 mg.
64 services21 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.
59 services37 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.
55 services55 patients

Hospital Affiliations CMS Care Compare 2

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

Atrium Medical Center

Acute Care Hospitals · Franklin, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360076
LocationOne Medical Center DriveFranklin, OH 45005 · Warren County
Emergency services Birthing friendly

Bethesda North

Acute Care Hospitals · Cincinnati, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number360179
Location10500 Montgomery RoadCincinnati, OH 45242 · Hamilton 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.

90.38/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality80.76
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 5

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier12 claims12 services$19.50 avg. paid by Medicare
Continuous passive motion exercise device for use on knee only E0935
DME-Other DME · category DE000N
1 supplier20 claims388 services$22.01 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier12 claims12 services$109.33 avg. paid by Medicare
Knee orthosis (ko), single upright, thigh and calf, with adjustable flexion and extension joint (unicentric or polycentric), medial-lateral and rotation control, with or without varus/valgus adjustment, prefabricated, off-the-shelf L1851
DME-Orthotic Devices · category DF011N
1 supplier19 claims19 services$524.91 avg. paid by Medicare
Shoulder orthosis, acromio/clavicular (canvas and webbing type), prefabricated, off-the-shelf L3670
DME-Orthotic Devices · category DF000N
1 supplier25 claims25 services$87.11 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Physical Therapist
6480 HARRISON AVE
CINCINNATI, OH 45247
Orthopaedic Surgery
6480 HARRISON AVE, SUITE 100
CINCINNATI, OH 45247
Physician Assistant (Surgical)
6480 HARRISON AVE, STE. 303
CINCINNATI, OH 45247
Occupational Therapy Assistant
6480 HARRISON AVE, SUITE 301
CINCINNATI, OH 45247
Physical Therapist
6480 HARRISON AVE
CINCINNATI, OH 45247
Internal Medicine (Sports Medicine)
6480 HARRISON AVE, SUITE 201
CINCINNATI, OH 45247
Orthopaedic Surgery (Sports Medicine)
6480 HARRISON AVE, SUITE 201
CINCINNATI, OH 45247
Physical Therapist
6480 HARRISON AVE, SUITE 202
CINCINNATI, OH 45247

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 Timothy Kremchek's NPI number?

The NPI number for Timothy Kremchek is 1467442335. It was assigned to this individual provider in the NPPES registry on October 24, 2005.

Where is Timothy Kremchek located?

Timothy Kremchek practices at 6480 Harrison Ave Suite 201, Cincinnati, OH 45247. The listed phone number is (513) 354-3700.

What is Timothy Kremchek's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Sports Medicine, with taxonomy code 207XX0005X.

Is Timothy Kremchek enrolled in Medicare?

Yes. Timothy Kremchek 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 Timothy Kremchek accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 1 other insurer list Timothy Kremchek 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 Timothy Kremchek affiliated with any hospitals?

According to CMS data, Timothy Kremchek is affiliated with Atrium Medical Center and Bethesda North.

When was this NPI record last updated?

The NPPES record for Timothy Kremchek was last updated on October 2, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.