RACHELLE METZ
NPI 1538540844
Orthopaedic Surgery in Lorain, OH

Active since June 11, 2015PECOS EnrolledAccepts Medicare Assignment
5940 OAK POINT RD, LORAIN, OH 44053(440) 222-4970(440) 222-4971 Get Directions Write a Review

NPPES record last updated: June 5, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 5, 2024, Oct 13, 2022 (2 updates tracked since 2022).

About Rachelle Metz NPPES

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

RACHELLE METZ (NPI 1538540844) is an individual orthopaedic surgery provider in Lorain, Ohio, licensed in Ohio (35.146383) and active in the NPI registry since June 2015. She is enrolled in Medicare PECOS, is affiliated with Mercy Regional Medical Center, and is a graduate of University Of Cincinnati College Of Medicine (2015).

NPPES Registry Identity

NPI1538540844
Entity TypeIndividualFemale
Primary Taxonomy207X00000X
Provider Legal NameRACHELLE METZ
Location Address5940 OAK POINT RDLorain, OH 44053-4100
Mailing Address5940 Oak Point RdLorain, OH 44053-4100 · (440) 222-4970 · Fax (440) 222-4971
Fax(440) 222-4971
Sole ProprietorNo
Medical School CMSUniversity Of Cincinnati College Of MedicineGraduated 2015
Enumeration DateJune 11, 2015
Last NPPES UpdateJune 5, 20242 updates tracked since enumeration
NPPES CertifiedJune 5, 2024
NPI 1538540844 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License Licensed in OH · 35.146383
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.
5940 OAK POINT RD, Lorain, OH 44053

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

Rachelle Metz 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 ID9133421670
PECOS Enrollment IDI20220929000556
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 5

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.

Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
146 services26 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.
91 services59 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.
78 services78 patients
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.
48 services38 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.
11 services11 patients

Hospital Affiliations CMS Care Compare

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

Mercy Regional Medical Center

Acute Care Hospitals · Lorain, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360172
Location3700 Kolbe RoadLorain, OH 44053 · Lorain County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 44053 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.

Other Providers at the Same Location NPPES 12

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

Family Medicine
5940 OAK POINT RD
LORAIN, OH 44053
Family Medicine
5940 OAK POINT RD
LORAIN, OH 44053
Physician Assistant
5940 OAK POINT RD
LORAIN, OH 44053
Nurse Practitioner (Family)
5940 OAK POINT RD
LORAIN, OH 44053
Physician Assistant
5940 OAK POINT RD
LORAIN, OH 44053
Family Medicine
5940 OAK POINT RD
LORAIN, OH 44053
Family Medicine
5940 OAK POINT RD
LORAIN, OH 44053
Physical Therapist
5940 OAK POINT RD
LORAIN, OH 44053

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 Rachelle Metz's NPI number?

The NPI number for Rachelle Metz is 1538540844. It was assigned to this individual provider in the NPPES registry on June 11, 2015.

Where is Rachelle Metz located?

Rachelle Metz practices at 5940 Oak Point Rd, Lorain, OH 44053. The listed phone number is (440) 222-4970.

What is Rachelle Metz's specialty?

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

Is Rachelle Metz enrolled in Medicare?

Yes. Rachelle Metz 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 Rachelle Metz accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 3 other insurers list Rachelle Metz 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 Rachelle Metz affiliated with any hospitals?

According to CMS data, Rachelle Metz is affiliated with Mercy Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Rachelle Metz was last updated on June 5, 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.