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LUKE MISQUITTA
NPI 1710220124
Psychiatry & Neurology - Psychiatry in Columbus, OH

Active since April 03, 2013PECOS EnrolledAccepts Medicare Assignment
95.31/100
CMS Quality Rating
1670 UPHAM DR, COLUMBUS, OH 43210(614) 293-4540 Get Directions Write a Review

NPPES record last updated: May 24, 2017. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 24, 2017, Oct 26, 2016 (2 updates tracked since 2016).

About Luke Misquitta NPPES

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

LUKE MISQUITTA (NPI 1710220124) is an individual psychiatry provider in Columbus, Ohio, licensed in Ohio (35131308) and active in the NPI registry since April 2013. 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 (2013).

NPPES Registry Identity

NPI1710220124
Entity TypeIndividualMale
Primary Taxonomy2084P0800X
Provider Legal NameLUKE MISQUITTA
Location Address1670 UPHAM DRColumbus, OH 43210-1250
Mailing Address1670 Upham DrColumbus, OH 43210-1250 · (614) 293-4540
Phone(614) 293-4540
Sole ProprietorNo
Medical School CMSNortheastern Ohio University College Of MedicineGraduated 2013
Enumeration DateApril 3, 2013
Last NPPES UpdateMay 24, 20172 updates tracked since enumeration
✔ NPI 1710220124 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 · 35131308
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

Luke Misquitta 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 ID4688996952
PECOS Enrollment IDI20170606001970
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 3

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.
167 services50 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
28 services12 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.
27 services14 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 Luke Misquitta's NPI number?

The NPI number for Luke Misquitta is 1710220124. It was assigned to this individual provider in the NPPES registry on April 3, 2013.

Where is Luke Misquitta located?

Luke Misquitta practices at 1670 Upham Dr, Columbus, OH 43210. The listed phone number is (614) 293-4540.

What is Luke Misquitta's specialty?

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

Is Luke Misquitta enrolled in Medicare?

Yes. Luke 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 Luke Misquitta accept?

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

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

When was this NPI record last updated?

The NPPES record for Luke Misquitta was last updated on May 24, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.