DR. MARK E GITTINS D.O.
NPI 1598749699
Orthopaedic Surgery in Westerville, OH

Active since December 01, 2005PECOS EnrolledAccepts Medicare Assignment
70 S CLEVELAND AVE, WESTERVILLE, OH 43081(614) 890-6555(614) 823-8881 Get Directions Write a Review

NPPES record last updated: February 25, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Mark E Gittins D.o. NPPES

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

DR. MARK E GITTINS D.O. (NPI 1598749699) is an individual orthopaedic surgery provider in Westerville, Ohio, licensed in Ohio (34004688) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS, is affiliated with Mount Carmel St Ann's, and is a graduate of At Still University Of Health Sciences, College Of Osteo Med, Kirksville (1987).

NPPES Registry Identity

NPI1598749699
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameDR. MARK E GITTINSCredential: D.O.
Location Address70 S CLEVELAND AVEWesterville, OH 43081-1329
Mailing Address70 S Cleveland AveWesterville, OH 43081-1329 · (614) 890-6555 · Fax (614) 823-8881
Fax(614) 823-8881
Sole ProprietorNo
Medical School CMSAt Still University Of Health Sciences, College Of Osteo Med, KirksvilleGraduated 1987
Enumeration DateDecember 1, 2005
Last NPPES UpdateFebruary 25, 2016
NPI 1598749699 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 · 34004688
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.
70 S CLEVELAND AVE, Westerville, OH 43081

Other Identifiers 5

Medicare UPINF06592OH
Medicaid0856239OH
Medicare ID-Type UnspecifiedGI0712392OH
Medicare PINGI0712394OH
Medicare PINGI0712391OH

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. Mark E Gittins D.o. 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 ID4486567187
PECOS Enrollment IDI20091116000168
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 19

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 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.
230 services173 patients
X-ray of knee, 4 or more views 73564
An X-ray of the knee, 4 or more views, is a non-invasive imaging test. It involves capturing multiple images of your knee from different angles. This helps in diagnosing conditions such as fractures, arthritis, or infections. The procedure is quick and painless.
212 services202 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.
180 services133 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.
139 services105 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.
126 services126 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.
72 services66 patients

Hospital Affiliations CMS Care Compare 5

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

Mount Carmel St Ann's

Acute Care Hospitals · Westerville, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360012
Location500 South Cleveland AvenueWesterville, OH 43081 · Franklin County
Emergency services Birthing friendly

Knox Community Hospital

Acute Care Hospitals · Mount Vernon, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number360040
Location1330 Coshocton RoadMount Vernon, OH 43050 · Knox County
Emergency services Birthing friendly

Fairfield Medical Center

Acute Care Hospitals · Lancaster, OH
1/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number360072
Location401 North Ewing StreetLancaster, OH 43130 · Fairfield County
Emergency services Birthing friendly

Berger Hospital

Acute Care Hospitals · Circleville, OH
2/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number360170
Location600 North Pickaway StreetCircleville, OH 43113 · Pickaway County
Emergency services Birthing friendly

Mount Carmel New Albany Surgical Hospital

Acute Care Hospitals · New Albany, OH
OwnershipProprietary
CMS Certification Number360266
Location7333 Smith's Mill RoadNew Albany, OH 43054 · Franklin County

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43081 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.

Reported Quality Measures

Perioperative Care: Selection of Prophylactic Antibiotic - First OR Second Generation Cephalosporin
Percentage of surgical patients aged 18 years and older undergoing procedures with the indications for a first OR second generation cephalosporin prophylactic antibiotic, who had an order for a first OR second generation cephalosporin for antimicrobial…
100%109 patients
Perioperative Care: Venous Thromboembolism (VTE) Prophylaxis (When Indicated in ALL Patients)
Percentage of surgical patients aged 18 years and older undergoing procedures for which venous thromboembolism (VTE) prophylaxis is indicated in all patients, who had an order for Low Molecular Weight Heparin (LMWH), Low- Dose Unfractionated Heparin (LDUH)…
100%109 patients
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
68%405 patients3/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 3

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

Walker, folding (pickup), adjustable or fixed height E0135
DME-Other DME · category DE000N
4 suppliers22 claims22 services$42.82 avg. paid by Medicare
Knee orthosis, elastic with condylar pads and joints, with or without patellar control, prefabricated, includes fitting and adjustment L1820
DME-Orthotic Devices · category DF011N
4 suppliers11 claims11 services$118.53 avg. paid by Medicare
Knee orthosis, immobilizer, canvas longitudinal, prefabricated, off-the-shelf L1830
DME-Orthotic Devices · category DF011N
5 suppliers16 claims16 services$56.29 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.

Occupational Therapist (Hand)
70 S CLEVELAND AVE
WESTERVILLE, OH 43081
Emergency Medicine
70 S CLEVELAND AVE
WESTERVILLE, OH 43081
Orthopaedic Surgery (Sports Medicine)
70 S CLEVELAND AVE
WESTERVILLE, OH 43081
Occupational Therapist
70 S CLEVELAND AVE
WESTERVILLE, OH 43081
Physical Therapist
70 S CLEVELAND AVE
WESTERVILLE, OH 43081
Specialist/Technologist (Athletic Trainer)
70 S CLEVELAND AVE
WESTERVILLE, OH 43081
Physician Assistant
70 S CLEVELAND AVE
WESTERVILLE, OH 43081
Specialist/Technologist (Athletic Trainer)
70 S CLEVELAND AVE
WESTERVILLE, OH 43081

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 Mark Gittins's NPI number?

The NPI number for Mark Gittins is 1598749699. It was assigned to this individual provider in the NPPES registry on December 1, 2005.

Where is Mark Gittins located?

Mark Gittins practices at 70 S Cleveland Ave, Westerville, OH 43081. The listed phone number is (614) 890-6555.

What is Mark Gittins's specialty?

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

Is Mark Gittins enrolled in Medicare?

Yes. Mark Gittins 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 Mark Gittins accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource, MedMutual and Oscar Health Insurance list Mark Gittins 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 Mark Gittins affiliated with any hospitals?

According to CMS data, Mark Gittins is affiliated with Mount Carmel St Ann's, Knox Community Hospital, Fairfield Medical Center, Berger Hospital and Mount Carmel New Albany Surgical Hospital.

When was this NPI record last updated?

The NPPES record for Mark Gittins was last updated on February 25, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.