DR. TERRY R KAYLOR MD
NPI 1497849988
Internal Medicine - Gastroenterology in Cincinnati, OH

Q: What is Terry Kaylor's NPI number?

The NPI number for Terry Kaylor is 1497849988. It was assigned to this individual provider in the NPPES registry on October 2, 2006.

Q: What is Terry Kaylor's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Q: When was this NPI record last updated?

The NPPES record for Terry Kaylor was last updated on April 18, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since October 02, 2006PECOS EnrolledAccepts Medicare Assignment

2925 VERNON PL, SUITE 100, CINCINNATI, OH 45219(513) 751-6667 Get Directions Write a Review

NPPES record last updated: April 18, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

On this page

About Dr. Terry R Kaylor Md NPPES

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

DR. TERRY R KAYLOR MD (NPI 1497849988) is an individual gastroenterology provider in Cincinnati, Ohio, licensed in Ohio (35084881) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS, is affiliated with Mercy Health - Fairfield Hospital, and is a graduate of University Of Cincinnati College Of Medicine (2002).

NPPES Registry Identity

NPI1497849988

Entity TypeIndividualMale

Primary Taxonomy207RG0100X

Provider Legal NameDR. TERRY R KAYLORCredential: MD

Location Address2925 VERNON PL, SUITE 100Cincinnati, OH 45219-2425

Mailing Address2925 Vernon Pl, Suite 100Cincinnati, OH 45219-2425 · (513) 751-6667

Phone(513) 751-6667

Sole ProprietorNo

Medical School CMSUniversity Of Cincinnati College Of MedicineGraduated 2002

Enumeration DateOctober 2, 2006

Last NPPES UpdateApril 18, 2024

NPPES CertifiedApril 18, 2024

✔ NPI 1497849988 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians

Taxonomy Code207RG0100X

License✔ Licensed in OH · 35084881

Definition

An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.

2925 VERNON PL, Cincinnati, OH 45219

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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

Dr. Terry R Kaylor 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 ID6103889340

PECOS Enrollment IDI20041108001317

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 Terry Kaylor reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Gcga Physicians Inc.

Same address

Gastroenterology

2925 VERNON PL, SUITE 100
Cincinnati, OH 45219

Reassigned Medicare billing, Ohio enrollment
96 clinicians in this Medicare group

NPI 1790851095 (513) 751-6667

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 17

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.

Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385

This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.

181 services176 patients

Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239

This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.

99 services93 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.

81 services53 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.

62 services60 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.

58 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.

41 services37 patients

Balloon dilation of esophagus, stomach, and/or upper small bowel using a flexible endoscope, less than 3.0 cm 43249

This procedure involves using a flexible tube with a camera, called an endoscope, to gently expand narrowed areas in your esophagus, stomach, or upper small bowel. A small balloon is inflated, making it easier for food and liquid to pass through. It's safe and effective.

31 services29 patients

Colorectal cancer screening; colonoscopy on individual at high risk G0105

Colorectal cancer screening, specifically a colonoscopy, is a preventive measure for those at high risk. A thin, flexible tube with a camera inspects the colon to spot any abnormal growths. This test helps detect potential issues early, enhancing the effectiveness of treatment.

27 services27 patients

Biopsy of large bowel using a flexible endoscope 45380

A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.

26 services26 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.

26 services26 patients

Study of esophagus to assess movement 91010

This procedure, known as esophageal manometry, involves studying the esophagus or food pipe to evaluate its movement and pressure. It helps understand how well the esophagus can move food to the stomach. Involving a thin, flexible tube, it's a safe, minimally invasive test.

25 services25 patients

Monitoring and recording of esophageal function through nasal tube with electrode 91037

This procedure involves placing a thin tube with an electrode through your nose and into your esophagus. It helps to monitor and record the function of your esophagus, aiding in diagnosing any potential issues.

25 services25 patients

Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43235

This procedure, known as an upper endoscopy, involves inserting a thin, flexible tube with a camera down the throat to examine the esophagus, stomach, and upper small bowel. It helps diagnose conditions like ulcers or inflammation.

21 services21 patients

Limited ultrasound scan of abdomen 76705

A limited ultrasound scan of the abdomen is a non-invasive imaging test. It uses sound waves to produce images of the abdominal organs such as the liver, gallbladder, spleen, pancreas, and kidneys. This helps to identify any abnormalities or issues.

17 services13 patients

Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk G0121

Colorectal cancer screening, such as a colonoscopy, is a preventive measure to detect early signs of cancer in the large intestine. For individuals not at high risk, it's typically recommended at age 50. A small, flexible tube with a camera is used to examine your colon. It's a safe, effective way to catch issues early.

17 services17 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.

16 services16 patients

Diagnostic exam of large bowel using a flexible endoscope 45378

This procedure, known as a colonoscopy, involves using a flexible tube with a light and camera to examine the large intestine. It helps detect any abnormalities such as polyps or inflammation. It's a standard procedure to ensure gut health.

12 services12 patients

Hospital Affiliations CMS Care Compare 2

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

Mercy Health - Fairfield Hospital

Acute Care Hospitals · Fairfield, OH

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number360056

Location3000 Mack RoadFairfield, OH 45014 · Butler County

Emergency services Birthing friendly

Mercy Health - West Hospital

Acute Care Hospitals · Cincinnati, OH

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number360234

Location3300 Mercy Health BlvdCincinnati, OH 45211 · Hamilton County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45219 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.

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. KIM RICHARD JURELL M.D.

Internal Medicine (Gastroenterology)

2925 VERNON PL, SUITE 100
CINCINNATI, OH 45219

Hamilton County (513) 751-6667

DR. TERRANCE MICHAEL O'TOOLE JR. D.O

Internal Medicine (Gastroenterology)

2925 VERNON PL, STE 100
CINCINNATI, OH 45219

Hamilton County (513) 751-6667

HSC SURGICAL ASSOCIATES OF CINCINNATI, LLC

Clinic/Center (Ambulatory Surgical)

2925 VERNON PL, SUITE 101
CINCINNATI, OH 45219

Hamilton County (513) 872-4538

DR. MARK E. JONAS M.D.

Internal Medicine (Gastroenterology)

2925 VERNON PL, SUITE 100
CINCINNATI, OH 45219

Hamilton County (513) 751-6667

AMIT GAJERA M.D.

Internal Medicine (Gastroenterology)

2925 VERNON PL, STE 100
CINCINNATI, OH 45219

Hamilton County (513) 751-6667

MICHAEL MARKOW M.D.

Pathology (Anatomic Pathology & Clinical Pathology)

2925 VERNON PL, SUITE 100
CINCINNATI, OH 45219

Hamilton County (513) 569-1310

DR. MICHAEL D. KREINES M.D.

Internal Medicine (Gastroenterology)

2925 VERNON PL, SUITE100
CINCINNATI, OH 45219

Hamilton County (513) 751-6667

DR. MATTHEW ATKINSON M.D.

Internal Medicine (Gastroenterology)

2925 VERNON PL
CINCINNATI, OH 45219

Hamilton County (513) 751-6667

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 Terry Kaylor's NPI number?

The NPI number for Terry Kaylor is 1497849988. It was assigned to this individual provider in the NPPES registry on October 2, 2006.

Where is Terry Kaylor located?

Terry Kaylor practices at 2925 Vernon Pl Suite 100, Cincinnati, OH 45219. The listed phone number is (513) 751-6667.

What is Terry Kaylor's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Terry Kaylor enrolled in Medicare?

Yes. Terry Kaylor 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 organization bills Medicare for Terry Kaylor's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Terry Kaylor reassigns Medicare benefits to Gcga Physicians Inc. (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 Terry Kaylor's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Terry Kaylor 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 Terry Kaylor 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 Terry Kaylor affiliated with any hospitals?

According to CMS data, Terry Kaylor is affiliated with Mercy Health - Fairfield Hospital and Mercy Health - West Hospital.

When was this NPI record last updated?

The NPPES record for Terry Kaylor was last updated on April 18, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.