DR. MICHAEL ADELBERT RERKO MD
NPI 1720273089
Orthopaedic Surgery - Hand Surgery in Upper Arlington, OH

Active since September 10, 2007PECOS EnrolledAccepts Medicare Assignment
91.52/100
CMS Quality Rating
4605 SAWMILL RD, UPPER ARLINGTON, OH 43220(614) 827-8700(614) 827-8701 Get Directions Write a Review

NPPES record last updated: January 16, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Michael Adelbert Rerko Md NPPES

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

DR. MICHAEL ADELBERT RERKO MD (NPI 1720273089) is an individual hand surgery provider in Upper Arlington, Ohio, licensed in Ohio (35-095117) and active in the NPI registry since September 2007. He is enrolled in Medicare PECOS, is affiliated with Memorial Hospital, and is a graduate of Indiana University School Of Medicine (2007).

NPPES Registry Identity

NPI1720273089
Entity TypeIndividualMale
Primary Taxonomy207XS0106X
Provider Legal NameDR. MICHAEL ADELBERT RERKOCredential: MD
Location Address4605 SAWMILL RDUpper Arlington, OH 43220-2246
Mailing Address340 Polaris PkwyWesterville, OH 43082-7971 · (614) 545-7900 · Fax (614) 545-7901
Fax(614) 827-8701
Sole ProprietorNo
Medical School CMSIndiana University School Of MedicineGraduated 2007
Enumeration DateSeptember 10, 2007
Last NPPES UpdateJanuary 16, 2025
NPPES CertifiedJanuary 16, 2025
NPI 1720273089 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyOrthopaedic Surgery · Hand SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207XS0106X
License Licensed in OH · 35-095117
Definition
An orthopaedic surgeon trained in the investigation, preservation and restoration by medical, surgical and rehabilitative means of all structures of the upper extremity directly affecting the form and function of the hand and wrist.
Also ListedOrthopaedic SurgeryTaxonomy 207X00000X · License 35-095117 (OH)
4605 SAWMILL RD, Upper Arlington, OH 43220

Accepted 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. Michael Adelbert Rerko 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 ID8527200922
PECOS Enrollment IDI20130814000962
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 22

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.

Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
618 services219 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.
486 services280 patients
Injection into tendon or ligament 20550
An injection into a tendon or ligament involves placing medication directly into these areas to help reduce inflammation and pain. It's often used for conditions like arthritis or tendonitis. The procedure is quick and usually involves a local anesthetic.
182 services129 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
146 services146 patients
X-ray of wrist, minimum of 3 views 73110
An X-ray of the wrist, minimum of 3 views, is a diagnostic procedure that uses radiation to create images of your wrist from different angles. This helps detect fractures, infections, or other abnormalities for accurate diagnosis and treatment planning.
135 services66 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.
113 services99 patients

Hospital Affiliations CMS Care Compare

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

Memorial Hospital

Acute Care Hospitals · Marysville, OH
5/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number360092
Location500 London AvenueMarysville, OH 43040 · Union County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43220 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
$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.

91.52/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality86.23
Promoting Interoperability97
Improvement Activities40

Reported Quality Measures

Closing the Referral Loop: Receipt of Specialist Report
98%286 patients5/55-star benchmark: 87%
Documentation of Current Medications in the Medical Record
95%3,294 patients4/55-star benchmark: 100%
e-Prescribing
100%133 patients5/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
98%790 patients4/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
93%1,801 patients4/55-star benchmark: 98%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 92% · 1,636 patients
Patients screened: 92% · 1,636 patients
96%104 patients4/55-star benchmark: 100%
Provide Patients Electronic Access to Their Health Information
94%661 patients4/55-star benchmark: 100%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 0% · 839 patients
Patients totalRate: 0% · 839 patients
0%839 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 5

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Wrist hand finger orthosis, rigid without joints, may include soft interface material; straps, custom fabricated, includes fitting and adjustment L3808
DME-Orthotic Devices · category DF000N
1 supplier19 claims19 services$266.68 avg. paid by Medicare
Wrist hand orthosis, without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment L3906
DME-Orthotic Devices · category DF000N
2 suppliers11 claims11 services$379.65 avg. paid by Medicare
Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf L3908
DME-Orthotic Devices · category DF000N
2 suppliers51 claims55 services$50.93 avg. paid by Medicare
Hand finger orthosis, without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment L3913
DME-Orthotic Devices · category DF000N
3 suppliers34 claims41 services$200.69 avg. paid by Medicare
Finger orthosis, without joints, may include soft interface, custom fabricated, includes fitting and adjustment L3933
DME-Orthotic Devices · category DF000N
2 suppliers14 claims15 services$135.42 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.

Orthopaedic Surgery (Hand Surgery)
4605 SAWMILL RD
UPPER ARLINGTON, OH 43220
Physical Therapist
4605 SAWMILL RD
UPPER ARLINGTON, OH 43220
Orthopaedic Surgery (Adult Reconstructive Orthopaedic Surgery)
4605 SAWMILL RD
UPPER ARLINGTON, OH 43220
Physical Therapist
4605 SAWMILL RD
UPPER ARLINGTON, OH 43220
Physician Assistant
4605 SAWMILL RD
UPPER ARLINGTON, OH 43220
Physical Therapist
4605 SAWMILL RD
UPPER ARLINGTON, OH 43220
Occupational Therapist
4605 SAWMILL RD
UPPER ARLINGTON, OH 43220
Physician Assistant (Surgical)
4605 SAWMILL RD
UPPER ARLINGTON, OH 43220

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 Michael Rerko's NPI number?

The NPI number for Michael Rerko is 1720273089. It was assigned to this individual provider in the NPPES registry on September 10, 2007.

Where is Michael Rerko located?

Michael Rerko practices at 4605 Sawmill Rd, Upper Arlington, OH 43220. The listed phone number is (614) 827-8700.

What is Michael Rerko's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Hand Surgery, with taxonomy code 207XS0106X.

Is Michael Rerko enrolled in Medicare?

Yes. Michael Rerko 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 Michael Rerko accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource and MedMutual list Michael Rerko 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 Michael Rerko affiliated with any hospitals?

According to CMS data, Michael Rerko is affiliated with Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Michael Rerko was last updated on January 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months 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.