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DR. ANIL SUDHIR GOKHALE MD
NPI 1740353879
Otolaryngology in Lancaster, OH

Active since November 16, 2006PECOS EnrolledAccepts Medicare Assignment
81.3/100
CMS Quality Rating
3064 COLUMBUS LANCASTER RD NW, LANCASTER, OH 43130(740) 687-5445(740) 687-5699 Get Directions Write a Review

NPPES record last updated: August 14, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 14, 2025, Mar 24, 2023, Sep 23, 2019 (3 updates tracked since 2019).

About Dr. Anil Sudhir Gokhale Md NPPES

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

DR. ANIL SUDHIR GOKHALE MD (NPI 1740353879) is an individual otolaryngology provider in Lancaster, Ohio, licensed in Ohio (35079020G) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS, is affiliated with Ohiohealth O'bleness Hospital, and maintains a secondary practice location in Newark.

NPPES Registry Identity

NPI1740353879
Entity TypeIndividualMale
Primary Taxonomy207Y00000X
Provider Legal NameDR. ANIL SUDHIR GOKHALECredential: MD
Location Address3064 COLUMBUS LANCASTER RD NWLancaster, OH 43130
Mailing Address3064 Columbus Lancaster Rd NwLancaster, OH 43130-8126 · (740) 687-5445 · Fax (740) 687-5699
Phone(740) 687-5445
Fax(740) 687-5699
Sole ProprietorNo
Medical School CMSUniversity Of Pittsburgh School Of MedicineGraduated 1996
Enumeration DateNovember 16, 2006
Last NPPES UpdateAugust 14, 20253 updates tracked since enumeration
NPPES CertifiedAugust 14, 2025
✔ NPI 1740353879 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
Licenses✔ Licensed in OH · 35079020G✔ Licensed in OH · 35079020
Definition
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
3064 COLUMBUS LANCASTER RD NW, Lancaster, OH 43130
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Secondary Practice Location 1

Location 136 McMillen DrNewark, OH 43055-1809 · Phone (220) 564-4272

Other Identifiers 2

OtherP00252119OH · Railroad Medicare
Medicaid2245896OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Antidote Health Plan of Ohio, Inc., CareSource and more.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. Anil Sudhir Gokhale 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 ID244136554
PECOS Enrollment IDI20031209000205
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 Reassignments

4

Medicare enrollment records show Anil Gokhale reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Aryeh Gorenstein MD Inc
0.1 mi
Otolaryngology
3064 COLUMBUS LANCASTER RD NW
Lancaster, OH 43130
  • Reassigned Medicare billing, Ohio enrollment
NPI 1558433680 (740) 687-5445
Ohiohealth Corporation
18 mi
Thoracic Surgery (Cardiothoracic Vascular Surgery)
85 MCNAUGHTEN RD STE 110
Columbus, OH 43213
  • Reassigned Medicare billing, Ohio enrollment
  • 3,314 clinicians in this Medicare group
NPI 1265627301 (614) 856-9100
Licking Memorial Professional Corporation
23 mi
Anatomic Pathology & Clinical Pathology
1320 W MAIN ST
Newark, OH 43055
  • Reassigned Medicare billing, Ohio enrollment
  • Medicare enrollment name: Licking Memorial Health Professionals
  • 280 clinicians in this Medicare group
NPI 1932186053 (740) 348-4266
Genesis Medical Group, LLC
25 mi
Primary Care
401 LINCOLN PARK DR
New Lexington, OH 43764
  • Reassigned Medicare billing, Ohio enrollment
  • 300 clinicians in this Medicare group
NPI 1942503099 (740) 342-5107

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 9

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.
313 services243 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
253 services175 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
138 services138 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.
114 services104 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.
99 services99 patients
Comprehensive hearing and speech recognition test 92557
A comprehensive hearing and speech recognition test assesses your ability to hear and understand spoken words. It includes hearing tests to check for issues with sound perception and speech tests to evaluate your word recognition. It's a crucial step in identifying any hearing or speech problems.
62 services61 patients

Hospital Affiliations CMS Care Compare 5

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

Ohiohealth O'bleness Hospital

Acute Care Hospitals · Athens, OH
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number360014
Location55 Hospital DriveAthens, OH 45701 · Athens 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

Fairfield Medical Center

Acute Care Hospitals · Lancaster, OH
1/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number360072
Location401 North Ewing StreetLancaster, OH 43130 · Fairfield County
Emergency services Birthing friendly

Diley Ridge Medical Center

Acute Care Hospitals · Canal Winchester, OH
OwnershipVoluntary non-profit - Private
CMS Certification Number360358
Location7911 Diley RoadCanal Winchester, OH 43110 · Franklin County
Emergency services

Hocking Valley Community Hospital

Critical Access Hospitals · Logan, OH
OwnershipVoluntary non-profit - Other
CMS Certification Number361330
Location601 State Route 664NLogan, OH 43138 · Hocking County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43130 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.

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

Reported Quality Measures

Acute Otitis Externa (AOE): Systemic Antimicrobial Therapy - Avoidance of Inappropriate Use
Percentage of patients aged 2 years and older with a diagnosis of AOE who were not prescribed systemic antimicrobial therapy
100%36 patients
Acute Otitis Externa (AOE): Topical Therapy
Percentage of patients aged 2 years and older with a diagnosis of AOE who were prescribed topical preparations
79%97 patients4/55-star benchmark: 100%
Adult Sinusitis: Antibiotic Prescribed for Acute Viral Sinusitis (Overuse)
Percentage of patients, aged 18 years and older, with a diagnosis of acute viral sinusitis who were prescribed an antibiotic within 10 days after onset of symptoms
Lower rates are better for this measure.
77%31 patients1/55-star benchmark: 100%
Adult Sinusitis: Computerized Tomography (CT) for Acute Sinusitis (Overuse)
Percentage of patients aged 18 years and older with a diagnosis of acute sinusitis who had a computerized tomography (CT) scan of the paranasal sinuses ordered at the time of diagnosis or received within 28 days after date of diagnosis
Lower rates are better for this measure.
4%27 patients
Breast Cancer Screening
Percentage of women 50-74 years of age who had a mammogram to screen for breast cancer
51%389 patients3/55-star benchmark: 92%
Cervical Cancer Screening
Percentage of women 21-64 years of age who were screened for cervical cancer using either of the following criteria: - Women age 21-64 who had cervical cytology performed every 3 years - Women age 30-64 who had cervical cytology/human papillomavirus (HPV)…
45%413 patients
Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
56%755 patients3/55-star benchmark: 85%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
97%2,521 patients4/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
94%1,720 patients4/55-star benchmark: 99%
Health Information Exchange
The MIPS eligible clinician that transitions or refers their patient to another setting of care or health care clinician (1) uses CEHRT to create a summary of care record; and (2) electronically transmits such summary to a receiving health care clinician for…
42%858 patients2/55-star benchmark: 88%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
97%1,117 patients4/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
85%1,929 patients4/55-star benchmark: 97%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
Patients screenedForUse: 97% · 1,046 patients
Patients tobacco: 14% · 51 patients
79%632 patients4/55-star benchmark: 98%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
99%1,929 patients4/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
19%1,929 patients1/55-star benchmark: 89%
View, Download, or Transmit (VDT)
At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.
26%1,929 patients
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.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

OHIO SLEEP TREATMENT LLC
Durable Medical Equipment & Medical Supplies
3064 COLUMBUS LANCASTER RD NW
LANCASTER, OH 43130
Fairfield County (614) 396-8286
ARYEH GORENSTEIN MD INC
Otolaryngology
3064 COLUMBUS LANCASTER RD NW
LANCASTER, OH 43130
Fairfield County (740) 687-5445

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 Anil Gokhale's NPI number?

The NPI number for Anil Gokhale is 1740353879. It was assigned to this individual provider in the NPPES registry on November 16, 2006.

Where is Anil Gokhale located?

Anil Gokhale practices at 3064 Columbus Lancaster Rd NW, Lancaster, OH 43130. The listed phone number is (740) 687-5445.

What is Anil Gokhale's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Is Anil Gokhale enrolled in Medicare?

Yes. Anil Gokhale 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 organizations bill Medicare for Anil Gokhale's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Anil Gokhale reassigns Medicare benefits to 4 organizations: Aryeh Gorenstein MD Inc (Lancaster, OH), Ohiohealth Corporation (Columbus, OH), Licking Memorial Professional Corporation (Newark, OH) and Genesis Medical Group, LLC (New Lexington, OH). Each 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 Anil Gokhale's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Anil Gokhale accept?

Health plans from Anthem Blue Cross and Blue Shield, Antidote Health Plan of Ohio, Inc., CareSource, MedMutual and Molina Healthcare and 1 other insurer list Anil Gokhale 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 Anil Gokhale affiliated with any hospitals?

According to CMS data, Anil Gokhale is affiliated with Ohiohealth O'bleness Hospital, Grant Medical Center, Fairfield Medical Center, Diley Ridge Medical Center and Hocking Valley Community Hospital.

When was this NPI record last updated?

The NPPES record for Anil Gokhale was last updated on August 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.