1. Home
  2. Directory
  3. Ohio
  4. Cincinnati
  5. Obstetrics Gynecology
  6. NPI Profile

CONSTANCE A. WURZBACHER M.D.
NPI 1497734180
Obstetrics & Gynecology in Cincinnati, OH

Active since January 11, 2006PECOS EnrolledAccepts Medicare Assignment
90.38/100
CMS Quality Rating
10475 READING RD, SUITE 307, CINCINNATI, OH 45241(513) 563-2030(513) 563-1682 Get Directions Write a Review

NPPES record last updated: November 18, 2019. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Nov 18, 2019, Nov 13, 2019 (2 updates tracked since 2019).

About Constance A. Wurzbacher M.d. NPPES

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

CONSTANCE A. WURZBACHER M.D. (NPI 1497734180) is an individual obstetrics & gynecology provider in Cincinnati, Ohio, licensed in Ohio (35083720) and active in the NPI registry since January 2006. She is enrolled in Medicare PECOS, is affiliated with Bethesda North, and is a graduate of University Of Cincinnati College Of Medicine (2001).

NPPES Registry Identity

NPI1497734180
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameCONSTANCE A. WURZBACHERCredential: M.D.
Location Address10475 READING RD, SUITE 307Cincinnati, OH 45241-2563
Mailing Address4685 Forest AveCincinnati, OH 45212-3397 · (513) 853-4721 · Fax (513) 852-8525
Phone(513) 563-2030
Fax(513) 563-1682
Sole ProprietorNo
Medical School CMSUniversity Of Cincinnati College Of MedicineGraduated 2001
Enumeration DateJanuary 11, 2006
Last NPPES UpdateNovember 18, 20192 updates tracked since enumeration
✔ NPI 1497734180 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in OH · 35083720
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
10475 READING RD, Cincinnati, OH 45241
Open in Google Maps ↗

Other Identifiers 1

Medicaid2557746OH

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 and accepts Medicare assignment

Constance A. Wurzbacher 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 ID3779525498
PECOS Enrollment IDI20050524000206
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

2

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

Trihealth H LLC
4.2 mi
Infectious Disease
10495 MONTGOMERY RD
Cincinnati, OH 45242
  • Reassigned Medicare billing, Ohio enrollment
  • 1,102 clinicians in this Medicare group
NPI 1164860920 (513) 984-2775
Trihealth G LLC
9.5 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.

Areas of Expertise CMS Part B claims

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.

Cervical or vaginal cancer screening; pelvic and clinical breast examination G0101
This procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.
34 services34 patients

Hospital Affiliations CMS Care Compare

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

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45241 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
$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.

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

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.

HEATHER NICOLE BARHORST D.O.
Obstetrics & Gynecology (Obstetrics)
10475 READING RD
CINCINNATI, OH 45241
Hamilton County (513) 563-2202
DR. LAURA HAMPEL MD
Obstetrics & Gynecology
10475 READING RD
CINCINNATI, OH 45241
Hamilton County (513) 563-2202
FOR WOMEN INC
Obstetrics & Gynecology
10475 READING RD, SUITE 307
CINCINNATI, OH 45241
Hamilton County (513) 563-2030
DR. AARON J FRITZHAND DPM
Podiatrist (Foot & Ankle Surgery)
10475 READING RD, SUITE 308
CINCINNATI, OH 45241
Hamilton County (513) 563-7755
PERFORMANCE PODIATRY
Podiatrist
10475 READING RD, #404
CINCINNATI, OH 45241
Hamilton County (513) 563-6228
OFFICE BASED ANESTHESIA ASSOCIATES
Nurse Anesthetist, Certified Registered
10475 READING RD, SUITE 115
CINCINNATI, OH 45241
Hamilton County (513) 259-2488
DR. RAJESH DAVIT M.D.
Family Medicine
10475 READING RD, STE 405
CINCINNATI, OH 45241
Hamilton County (513) 585-9600
ELIZABETH A. CLARK M.D.
Obstetrics & Gynecology
10475 READING RD, SUITE 307
CINCINNATI, OH 45241
Hamilton County (513) 563-2030

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 Constance Wurzbacher's NPI number?

The NPI number for Constance Wurzbacher is 1497734180. It was assigned to this individual provider in the NPPES registry on January 11, 2006.

Where is Constance Wurzbacher located?

Constance Wurzbacher practices at 10475 Reading Rd Suite 307, Cincinnati, OH 45241. The listed phone number is (513) 563-2030.

What is Constance Wurzbacher's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Constance Wurzbacher enrolled in Medicare?

Yes. Constance Wurzbacher 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 Constance Wurzbacher's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Constance Wurzbacher reassigns Medicare benefits to 2 organizations: Trihealth H LLC (Cincinnati, OH) and Trihealth G LLC (Cincinnati, OH). 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 Constance Wurzbacher's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Constance Wurzbacher 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 Constance Wurzbacher 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 Constance Wurzbacher affiliated with any hospitals?

According to CMS data, Constance Wurzbacher is affiliated with Bethesda North.

When was this NPI record last updated?

The NPPES record for Constance Wurzbacher was last updated on November 18, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.