SARAH SZCZEPANIK
NPI 1790132884
Nurse Practitioner - Adult Health in Columbus, OH

Active since May 18, 2016PECOS EnrolledAccepts Medicare Assignment
95.31/100
CMS Quality Rating
460 W 10TH AVE, COLUMBUS, OH 43210(614) 293-5066 Get Directions Write a Review

NPPES record last updated: October 11, 2016. Verified against the NPPES registry weekly; last sync: September 13, 2026.

Record update history: Oct 11, 2016, May 18, 2016 (2 updates tracked since 2016).

About Sarah Szczepanik NPPES

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

SARAH SZCZEPANIK (NPI 1790132884) is an individual adult health provider in Columbus, Ohio, licensed in Ohio (019695-CNP) and active in the NPI registry since May 2016. She is enrolled in Medicare PECOS, is affiliated with Genesis Hospital, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1790132884
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameSARAH SZCZEPANIK
Location Address460 W 10TH AVEColumbus, OH 43210-1240
Mailing Address460 W 10th AveColumbus, OH 43210-1240 · (614) 293-5066
Sole ProprietorYes
Medical School CMSOtherGraduated 2016
Enumeration DateMay 18, 2016
Last NPPES UpdateOctober 11, 20162 updates tracked since enumeration
NPI 1790132884 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License Licensed in OH · 019695-CNP
Also ListedRegistered Nurse · General PracticeTaxonomy 163WG0000X · License RN.410616 (OH)
460 W 10TH AVE, Columbus, OH 43210

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

Sarah Szczepanik 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 ID4688953987
PECOS Enrollment IDI20161109000580
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 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.
69 services62 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.
65 services36 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
23 services16 patients

Hospital Affiliations CMS Care Compare 4

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

Genesis Hospital

Acute Care Hospitals · Zanesville, OH
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360039
Location2951 Maple AvenueZanesville, OH 43701 · Muskingum County
Emergency services Birthing friendly

Mercy Health-St Rita's Medical Center

Acute Care Hospitals · Lima, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360066
Location730 West Market StreetLima, OH 45801 · Allen County
Emergency services Birthing friendly

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

Licking Memorial Hospital

Acute Care Hospitals · Newark, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360218
Location1320 West Main StreetNewark, OH 43055 · Licking 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
$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.

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.

Radiology (Diagnostic Radiology)
460 W 10TH AVE
COLUMBUS, OH 43210
Pharmacist
460 W 10TH AVE
COLUMBUS, OH 43210
Internal Medicine (Hospice and Palliative Medicine)
460 W 10TH AVE
COLUMBUS, OH 43210
Internal Medicine (Hematology)
460 W 10TH AVE
COLUMBUS, OH 43210
Pharmacist
460 W 10TH AVE
COLUMBUS, OH 43210
Nurse Practitioner (Family)
460 W 10TH AVE
COLUMBUS, OH 43210
Hospitalist
460 W 10TH AVE
COLUMBUS, OH 43210
Pharmacist
460 W 10TH AVE
COLUMBUS, OH 43210

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 Sarah Szczepanik's NPI number?

The NPI number for Sarah Szczepanik is 1790132884. It was assigned to this individual provider in the NPPES registry on May 18, 2016.

Where is Sarah Szczepanik located?

Sarah Szczepanik practices at 460 W 10th Ave, Columbus, OH 43210. The listed phone number is (614) 293-5066.

What is Sarah Szczepanik's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Sarah Szczepanik enrolled in Medicare?

Yes. Sarah Szczepanik 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 Sarah Szczepanik accept?

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

According to CMS data, Sarah Szczepanik is affiliated with Genesis Hospital, Mercy Health-St Rita's Medical Center, Ohio State University State Health System and Licking Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Sarah Szczepanik was last updated on October 11, 2016. 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.