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CAROL M CHOI M.D.
NPI 1679519060
Obstetrics & Gynecology in Cincinnati, OH

Active since June 22, 2006PECOS EnrolledAccepts Medicare Assignment
90.38/100
CMS Quality Rating
3219 CLIFTON AVE, SUITE 230, CINCINNATI, OH 45220(513) 559-9411(513) 559-0419 Get Directions Write a Review

NPPES record last updated: September 21, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Carol M Choi M.d. NPPES

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

CAROL M CHOI M.D. (NPI 1679519060) is an individual obstetrics & gynecology provider in Cincinnati, Ohio, licensed in Ohio (35-069448) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS, is affiliated with Good Samaritan Hospital, and is a graduate of University Of Cincinnati College Of Medicine (1997).

NPPES Registry Identity

NPI1679519060
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameCAROL M CHOICredential: M.D.
Location Address3219 CLIFTON AVE, SUITE 230Cincinnati, OH 45220-3027
Mailing Address3219 Clifton Ave, Suite 230Cincinnati, OH 45220-3027 · (513) 559-9411 · Fax (513) 559-0419
Phone(513) 559-9411
Fax(513) 559-0419
Sole ProprietorNo
Medical School CMSUniversity Of Cincinnati College Of MedicineGraduated 1997
Enumeration DateJune 22, 2006
Last NPPES UpdateSeptember 21, 2011
✔ NPI 1679519060 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 · 35-069448
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.
3219 CLIFTON AVE, Cincinnati, OH 45220
Open in Google Maps ↗

Other Identifiers 5

Medicare PINCH0879038OH
Medicare PINCH0879037OH
Medicaid2141195OH
Medicare UPING71525
Medicare PIN0879032OH

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

Carol M Choi M.d. 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 ID7416859004
PECOS Enrollment IDI20040123000599
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.

Cervical or vaginal cancer screening; pelvic and clinical breast examination G0101
This procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.
18 services18 patients

Hospital Affiliations CMS Care Compare 2

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

Good Samaritan Hospital

Acute Care Hospitals · Cincinnati, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360134
Location375 Dixmyth AvenueCincinnati, OH 45220 · Hamilton County
Emergency services Birthing friendly

Bethesda North

Acute Care Hospitals · Cincinnati, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number360179
Location10500 Montgomery RoadCincinnati, OH 45242 · Hamilton County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45220 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.

HELEN K KOSELKA M.D.
Internal Medicine
3219 CLIFTON AVE, SUITE 100
CINCINNATI, OH 45220
Hamilton County (513) 528-5600
HELMUT F SCHELLHAS MD
Obstetrics & Gynecology (Gynecologic Oncology)
3219 CLIFTON AVE, SUITE 100
CINCINNATI, OH 45220
Hamilton County (513) 862-1888
FOR WOMEN INC
Obstetrics & Gynecology
3219 CLIFTON AVE, SUITE 125
CINCINNATI, OH 45220
Hamilton County (513) 563-2030
JACK B BASIL MD
Obstetrics & Gynecology (Gynecologic Oncology)
3219 CLIFTON AVE, SUITE 100
CINCINNATI, OH 45220
Hamilton County (513) 862-1888
DR. KENNETH J NEWMARK M.D.
Internal Medicine (Nephrology)
3219 CLIFTON AVE, #325
CINCINNATI, OH 45220
Hamilton County (513) 861-0800
DR. ROBERT K HUTCHINS MD
Ophthalmology
3219 CLIFTON AVE, SUITE 210
CINCINNATI, OH 45220
Hamilton County (513) 861-7575
DR. AMIR IZHAR M.D.
Internal Medicine (Nephrology)
3219 CLIFTON AVE, #325
CINCINNATI, OH 45220
Hamilton County (513) 861-0800
SAMARITAN OB GYN INC
Obstetrics & Gynecology
3219 CLIFTON AVE, SUITE 230
CINCINNATI, OH 45220
Hamilton County (513) 559-9411

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 Carol Choi's NPI number?

The NPI number for Carol Choi is 1679519060. It was assigned to this individual provider in the NPPES registry on June 22, 2006.

Where is Carol Choi located?

Carol Choi practices at 3219 Clifton Ave Suite 230, Cincinnati, OH 45220. The listed phone number is (513) 559-9411.

What is Carol Choi's specialty?

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

Is Carol Choi enrolled in Medicare?

Yes. Carol Choi 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 Carol Choi accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 1 other insurer list Carol Choi 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 Carol Choi affiliated with any hospitals?

According to CMS data, Carol Choi is affiliated with Good Samaritan Hospital and Bethesda North.

When was this NPI record last updated?

The NPPES record for Carol Choi was last updated on September 21, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.