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JOEL D PRANIKOFF M.D.
NPI 1629060132
Obstetrics & Gynecology in Cincinnati, OH

Active since August 19, 2005PECOS Enrolled
90.38/100
CMS Quality Rating
2123 AUBURN AVE, 528, CINCINNATI, OH 45219(513) 792-5800(513) 792-5806 Get Directions Write a Review

NPPES record last updated: February 19, 2018. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Joel D Pranikoff M.d. NPPES

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

JOEL D PRANIKOFF M.D. (NPI 1629060132) is an individual obstetrics & gynecology provider in Cincinnati, Ohio, licensed in Ohio (35059105) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1629060132
Entity TypeIndividualMale
Primary Taxonomy207V00000X
Provider Legal NameJOEL D PRANIKOFFCredential: M.D.
Location Address2123 AUBURN AVE, 528Cincinnati, OH 45219-2906
Mailing Address4685 Forest Ave, Ste CCincinnati, OH 45212-3359 · (513) 853-4749 · Fax (513) 853-4740
Phone(513) 792-5800
Fax(513) 792-5806
Sole ProprietorNo
Enumeration DateAugust 19, 2005
Last NPPES UpdateFebruary 19, 2018
✔ NPI 1629060132 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 · 35059105
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.
2123 AUBURN AVE, Cincinnati, OH 45219
Open in Google Maps ↗

Other Identifiers 1

Medicaid0821721OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Joel D Pranikoff M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Joel Pranikoff 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
1.5 mi
Internal Medicine
375 DIXMYTH AVE
Cincinnati, OH 45220
  • Reassigned Medicare billing, Ohio enrollment
  • 1,102 clinicians in this Medicare group
NPI 1659783793 (513) 862-1400
Trihealth G LLC
1.6 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.

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
$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.

DR. KIRANMAYEE LANKA M.D., M.P.H
Internal Medicine (Critical Care Medicine)
2123 AUBURN AVE, SUITE 401
CINCINNATI, OH 45219
Hamilton County (513) 241-5489
NOEMI CLEOFAS RICO-CEPPI MD
Family Medicine
2123 AUBURN AVE
CINCINNATI, OH 45219
Hamilton County (513) 585-3238
EUGENE CHUNG M.D.
Internal Medicine (Advanced Heart Failure and Transplant Cardiology)
2123 AUBURN AVE, SU. 137
CINCINNATI, OH 45219
Hamilton County (513) 206-1180
DR. REID ARTHUR HARTMANN M.D.
Family Medicine
2123 AUBURN AVE, SUITE 235
CINCINNATI, OH 45219
Hamilton County (513) 585-3238
LABORATORY CORPORATION OF AMERICA HOLDINGS
Clinical Medical Laboratory
2123 AUBURN AVE, SUITE 320
CINCINNATI, OH 45219
Hamilton County (513) 381-5227
JILL GAST APRN.CNP
Nurse Practitioner (Family)
2123 AUBURN AVE, SUITE 320
CINCINNATI, OH 45219
Hamilton County (513) 241-4223
YOLANDA DANIELA FARHEY M.D.
Internal Medicine (Rheumatology)
2123 AUBURN AVE, STE 630
CINCINNATI, OH 45219
Hamilton County (513) 585-1970
BRIAN REVIS MD
Internal Medicine (Nephrology)
2123 AUBURN AVE, STE 404
CINCINNATI, OH 45219
Hamilton County (513) 241-5630

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 Joel Pranikoff's NPI number?

The NPI number for Joel Pranikoff is 1629060132. It was assigned to this individual provider in the NPPES registry on August 19, 2005.

Where is Joel Pranikoff located?

Joel Pranikoff practices at 2123 Auburn Ave 528, Cincinnati, OH 45219. The listed phone number is (513) 792-5800.

What is Joel Pranikoff's specialty?

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

Is Joel Pranikoff enrolled in Medicare?

Yes. Joel Pranikoff is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Joel Pranikoff's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Joel Pranikoff 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 Joel Pranikoff's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Joel Pranikoff accept?

Health plans from Anthem Blue Cross and Blue Shield and CareSource list Joel Pranikoff 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.

When was this NPI record last updated?

The NPPES record for Joel Pranikoff was last updated on February 19, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.