DR. JOHN W MCGRAIL MD
NPI 1730117854
Orthopaedic Surgery - Sports Medicine in Columbus, OH

Active since June 29, 2006PECOS EnrolledAccepts Medicare Assignment
95.31/100
CMS Quality Rating
543 TAYLOR AVE FL 1, COLUMBUS, OH 43203(614) 293-2663(614) 293-2053 Get Directions Write a Review

NPPES record last updated: October 8, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 8, 2024, Mar 23, 2021, Oct 9, 2019 (3 updates tracked since 2019).

About Dr. John W Mcgrail Md NPPES

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

DR. JOHN W MCGRAIL MD (NPI 1730117854) is an individual sports medicine provider in Columbus, Ohio, licensed in Ohio (35036972) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Ohio State University State Health System, and is a graduate of Medical College Of Wisconsin (1970).

NPPES Registry Identity

NPI1730117854
Entity TypeIndividualMale
Primary Taxonomy207XX0005X
Provider Legal NameDR. JOHN W MCGRAILCredential: MD
Location Address543 TAYLOR AVE FL 1Columbus, OH 43203-1278
Mailing Address700 Ackerman Rd Ste 2120Columbus, OH 43202-1559 · (614) 293-2663 · Fax (614) 293-2053
Fax(614) 293-2053
Sole ProprietorNo
Medical School CMSMedical College Of WisconsinGraduated 1970
Enumeration DateJune 29, 2006
Last NPPES UpdateOctober 8, 20243 updates tracked since enumeration
NPPES CertifiedOctober 8, 2024
NPI 1730117854 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOrthopaedic Surgery · Sports MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207XX0005X
License Licensed in OH · 35036972
Definition
An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries.
543 TAYLOR AVE FL 1, Columbus, OH 43203

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. John W Mcgrail 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 ID5193781144
PECOS Enrollment IDI20101029000862
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 4

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.
98 services13 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.
19 services14 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.
18 services18 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.
17 services17 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

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.

Neurological Surgery
543 TAYLOR AVE FL 1
COLUMBUS, OH 43203
Orthopaedic Surgery
543 TAYLOR AVE FL 1
COLUMBUS, OH 43203
Physician Assistant
543 TAYLOR AVE FL 1
COLUMBUS, OH 43203
Physician Assistant
543 TAYLOR AVE FL 1
COLUMBUS, OH 43203
Orthopaedic Surgery (Orthopaedic Surgery of the Spine)
543 TAYLOR AVE FL 1
COLUMBUS, OH 43203
Nurse Practitioner (Adult Health)
543 TAYLOR AVE FL 1
COLUMBUS, OH 43203
Nurse Practitioner (Gerontology)
543 TAYLOR AVE FL 1
COLUMBUS, OH 43203
Physician Assistant
543 TAYLOR AVE FL 1
COLUMBUS, OH 43203

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 John Mcgrail's NPI number?

The NPI number for John Mcgrail is 1730117854. It was assigned to this individual provider in the NPPES registry on June 29, 2006.

Where is John Mcgrail located?

John Mcgrail practices at 543 Taylor Ave Fl 1, Columbus, OH 43203. The listed phone number is (614) 293-2663.

What is John Mcgrail's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Sports Medicine, with taxonomy code 207XX0005X.

Is John Mcgrail enrolled in Medicare?

Yes. John Mcgrail 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 John Mcgrail accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, CareSource and Molina Healthcare list John Mcgrail 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 John Mcgrail affiliated with any hospitals?

According to CMS data, John Mcgrail is affiliated with Ohio State University State Health System.

When was this NPI record last updated?

The NPPES record for John Mcgrail was last updated on October 8, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.