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DR. DOUGLAS J DIORIO M.D.
NPI 1699751859
Family Medicine - Sports Medicine in Columbus, OH

Active since December 20, 2005PECOS EnrolledAccepts Medicare Assignment
81.3/100
CMS Quality Rating
3705 OLENTANGY RIVER RD, #260, COLUMBUS, OH 43214(614) 586-1220(614) 586-1237 Get Directions Write a Review

NPPES record last updated: December 22, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Dr. Douglas J Diorio M.d. NPPES

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

DR. DOUGLAS J DIORIO M.D. (NPI 1699751859) is an individual sports medicine provider in Columbus, Ohio, licensed in Ohio (35-069373) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS, is affiliated with Riverside Methodist Hospital, and is a graduate of Ohio State University College Of Medicine (1994).

NPPES Registry Identity

NPI1699751859
Entity TypeIndividualMale
Primary Taxonomy207QS0010X
Provider Legal NameDR. DOUGLAS J DIORIOCredential: M.D.
Location Address3705 OLENTANGY RIVER RD, #260Columbus, OH 43214-3467
Mailing Address5350 Frantz RdDublin, OH 43016-4259
Phone(614) 586-1220
Fax(614) 586-1237
Sole ProprietorNo
Medical School CMSOhio State University College Of MedicineGraduated 1994
Enumeration DateDecember 20, 2005
Last NPPES UpdateDecember 22, 2021
✔ NPI 1699751859 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily Medicine · Sports MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QS0010X
License✔ Licensed in OH · 35-069373
Definition
A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation.
3705 OLENTANGY RIVER RD, Columbus, OH 43214
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Accepted Insurance

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Douglas J Diorio 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 ID1759432099
PECOS Enrollment IDI20090629000014
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 Reassignment

Medicare enrollment records show Douglas Diorio reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Ohiohealth Corporation
Same address
Cardiovascular Disease
3705 OLENTANGY RIVER RD, SUITE 100
Columbus, OH 43214
  • Reassigned Medicare billing, Ohio enrollment
  • 3,314 clinicians in this Medicare group
NPI 1194979526 (614) 262-6772

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 10

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 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.
746 services133 patients
Injection, dexamethasone sodium phosphate, 1 mg J1100
Dexamethasone sodium phosphate is a medication given via injection. It is a type of steroid that helps reduce inflammation and immune responses. It can be used to treat a variety of conditions, such as allergies, skin conditions, arthritis, and more.
286 services29 patients
Acupuncture, initial 15 minutes 97810
Acupuncture is a traditional therapy where thin needles are inserted into specific points on your body. This initial 15-minute session aims to balance energy flow, relieve pain, and improve overall health. It's generally painless and considered safe.
283 services72 patients
Acupuncture with electrical stimulation, initial 15 minutes 97813
Acupuncture with electrical stimulation is a therapy where thin needles are inserted into specific points on your body. A mild electrical current is then passed through the needles to stimulate these points, helping to alleviate pain and promote healing. This initial session lasts 15 minutes.
203 services49 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.
111 services63 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.
37 services20 patients

Hospital Affiliations CMS Care Compare 5

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

Riverside Methodist Hospital

Acute Care Hospitals · Columbus, OH
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360006
Location3535 Olentangy River RdColumbus, OH 43214 · Franklin County
Emergency services Birthing friendly

Grant Medical Center

Acute Care Hospitals · Columbus, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number360017
Location111 South Grant AvenueColumbus, OH 43215 · Franklin County
Emergency services Birthing friendly

Doctors Hospital

Acute Care Hospitals · Columbus, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number360152
Location5100 West Broad StreetColumbus, OH 43228 · Franklin County
Emergency services Birthing friendly

Grady Memorial Hospital

Acute Care Hospitals · Delaware, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360210
Location561 West Central AvenueDelaware, OH 43015 · Delaware County
Emergency services Birthing friendly

Dublin Methodist Hospital

Acute Care Hospitals · Dublin, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360348
Location7500 Hospital AvenueDublin, OH 43016 · Franklin County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43214 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
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
Most-billed visit code 99214
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.

81.3/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality73.58
Promoting Interoperability98
Improvement Activities40
Cost65.77

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.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
5 suppliers18 claims40 services$6.73 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier12 claims12 services$63.60 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
1 supplier12 claims12 services$30.64 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.

JAYANTA MUKHERJEE MD
Internal Medicine (Cardiovascular Disease)
3705 OLENTANGY RIVER RD, SUITE 100
COLUMBUS, OH 43214
Franklin County (614) 262-6772
THOMAS W GOODLIVE MD
Internal Medicine (Cardiovascular Disease)
3705 OLENTANGY RIVER RD, SUITE 100
COLUMBUS, OH 43214
Franklin County (614) 262-6772
MIDOHIO CARDIOLOGY AND VASCULAR CONSULTANTS, INC
Internal Medicine (Cardiovascular Disease)
3705 OLENTANGY RIVER RD, STE 100
COLUMBUS, OH 43214
Franklin County (614) 262-6772
RAGHU KOLLURI M.D.
Internal Medicine
3705 OLENTANGY RIVER RD, SUITE 100
COLUMBUS, OH 43214
Franklin County (614) 262-6772
CHELSEA RENEE JONES
Nurse Practitioner (Family)
3705 OLENTANGY RIVER RD, SUITE 100
COLUMBUS, OH 43214
Franklin County (614) 262-6772
NATHAN H KANDER MD
Internal Medicine (Interventional Cardiology)
3705 OLENTANGY RIVER RD, SUITE 100
COLUMBUS, OH 43214
Franklin County (614) 262-6772
JOSEPH E SIMKO LPT
Physical Therapist
3705 OLENTANGY RIVER RD, #260
COLUMBUS, OH 43214
Franklin County (614) 586-1200
GRANT/RIVERSIDE MEDICAL CARE FOUNDATION, INC
Family Medicine (Sports Medicine)
3705 OLENTANGY RIVER RD, STE 260
COLUMBUS, OH 43214
Franklin County (614) 586-1220

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 Diorio's NPI number?

The NPI number for Douglas Diorio is 1699751859. It was assigned to this individual provider in the NPPES registry on December 20, 2005.

Where is Douglas Diorio located?

Douglas Diorio practices at 3705 Olentangy River Rd #260, Columbus, OH 43214. The listed phone number is (614) 586-1220.

What is Douglas Diorio's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Sports Medicine, with taxonomy code 207QS0010X.

Is Douglas Diorio enrolled in Medicare?

Yes. Douglas Diorio 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.

Which organization bills Medicare for Douglas Diorio's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Douglas Diorio reassigns Medicare benefits to Ohiohealth Corporation (Columbus, OH). The 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 Douglas Diorio's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Douglas Diorio accept?

Health plans from Anthem Blue Cross and Blue Shield and MedMutual list Douglas Diorio 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 Diorio affiliated with any hospitals?

According to CMS data, Douglas Diorio is affiliated with Riverside Methodist Hospital, Grant Medical Center, Doctors Hospital, Grady Memorial Hospital and Dublin Methodist Hospital.

When was this NPI record last updated?

The NPPES record for Douglas Diorio was last updated on December 22, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.