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DR. DOUGLAS ANTHONY MISQUITTA MD
NPI 1619268885
Psychiatry & Neurology - Psychiatry in Columbus, OH

Active since April 22, 2011PECOS EnrolledAccepts Medicare Assignment
95.31/100
CMS Quality Rating
1670 UPHAM DR, COLUMBUS, OH 43210(614) 293-9600 Get Directions Write a Review

NPPES record last updated: May 17, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Douglas Anthony Misquitta Md NPPES

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

DR. DOUGLAS ANTHONY MISQUITTA MD (NPI 1619268885) is an individual psychiatry provider in Columbus, Ohio, licensed in Ohio (35.127022) and active in the NPI registry since April 2011. He is enrolled in Medicare PECOS, is affiliated with Ohio State University State Health System, and is a graduate of Northeastern Ohio University College Of Medicine (2011).

NPPES Registry Identity

NPI1619268885
Entity TypeIndividualMale
Primary Taxonomy2084P0800X
Provider Legal NameDR. DOUGLAS ANTHONY MISQUITTACredential: MD
Location Address1670 UPHAM DRColumbus, OH 43210-1250
Mailing Address1670 Upham DrColumbus, OH 43210-1250 · (614) 293-9600
Phone(614) 293-9600
Sole ProprietorNo
Medical School CMSNortheastern Ohio University College Of MedicineGraduated 2011
Enumeration DateApril 22, 2011
Last NPPES UpdateMay 17, 2016
✔ NPI 1619268885 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License✔ Licensed in OH · 35.127022
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
1670 UPHAM DR, Columbus, OH 43210
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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, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Douglas Anthony Misquitta 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 ID5890936629
PECOS Enrollment IDI20151028002368
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

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.

Psychiatric diagnostic evaluation with medical services 90792
A psychiatric diagnostic evaluation with medical services is a comprehensive assessment. It includes a detailed examination of your mental health and physical wellbeing, as well as your personal and family history. This evaluation aids in creating an effective treatment plan.
16 services16 patients

Hospital Affiliations CMS Care Compare

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

Ohio State University State Health System

Acute Care Hospitals · Columbus, OH
4/5 CMS rating
OwnershipGovernment - State
CMS Certification Number360085
Location410 West 10th AvenueColumbus, OH 43210 · Franklin County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43210 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
$166.65 typical visit price
range $54.34 – $166.65
Typical copayment $41.66 (range $13.58 – $41.66)
Most-billed visit code 99205
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.

95.31/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality76.58
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.

SAMIRA ABDI SHIRE
Student in an Organized Health Care Education/Training Program
1670 UPHAM DR
COLUMBUS, OH 43210
Franklin County (614) 293-4540
NOUREEN BHUIYA MD
Student in an Organized Health Care Education/Training Program
1670 UPHAM DR
COLUMBUS, OH 43210
Franklin County (614) 293-4540
JULIE A NIEDERMIER MD
Psychiatry & Neurology (Psychiatry)
1670 UPHAM DR
COLUMBUS, OH 43210
Franklin County (614) 293-9600
ELIZABETH M MUENKS PH.D.
Psychologist
1670 UPHAM DR
COLUMBUS, OH 43210
Franklin County (614) 293-9600
THE OHIO STATE UNIVERSITY WEXNER MEDICAL CENTER
Psychiatric Hospital
1670 UPHAM DR
COLUMBUS, OH 43210
Franklin County (614) 293-9600
MRS. LLENA DURANTE CARTER LISW
Social Worker (Clinical)
1670 UPHAM DR
COLUMBUS, OH 43210
Franklin County (614) 293-9600
CAROLE DELAFORET LISWS
Social Worker (Clinical)
1670 UPHAM DR
COLUMBUS, OH 43210
Franklin County (614) 293-8205
MALLORY ANNE SCHUCKERT LPCC
Counselor (Professional)
1670 UPHAM DR
COLUMBUS, OH 43210
Franklin County (614) 293-9600

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 Douglas Misquitta's NPI number?

The NPI number for Douglas Misquitta is 1619268885. It was assigned to this individual provider in the NPPES registry on April 22, 2011.

Where is Douglas Misquitta located?

Douglas Misquitta practices at 1670 Upham Dr, Columbus, OH 43210. The listed phone number is (614) 293-9600.

What is Douglas Misquitta's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Douglas Misquitta enrolled in Medicare?

Yes. Douglas Misquitta 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 Douglas Misquitta accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, CareSource and Molina Healthcare and 2 other insurers list Douglas Misquitta 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 Douglas Misquitta affiliated with any hospitals?

According to CMS data, Douglas Misquitta is affiliated with Ohio State University State Health System.

When was this NPI record last updated?

The NPPES record for Douglas Misquitta was last updated on May 17, 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.