JOHN EDWARD PHAY MD
NPI 1790869899
Surgery - Surgical Oncology in Columbus, OH

Active since October 25, 2006PECOS EnrolledAccepts Medicare Assignment
95.31/100
CMS Quality Rating
2050 KENNY RD, COLUMBUS, OH 43221(614) 293-7171(614) 293-3465 Get Directions Write a Review

NPPES record last updated: January 7, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 7, 2021, Mar 12, 2020 (2 updates tracked since 2020).

About John Edward Phay Md NPPES

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

JOHN EDWARD PHAY MD (NPI 1790869899) is an individual surgical oncology provider in Columbus, Ohio, licensed in Ohio (35093740) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS, is affiliated with Ohio State University State Health System, and is a graduate of University Of California, San Francisco School Of Medicine (1993).

NPPES Registry Identity

NPI1790869899
Entity TypeIndividualMale
Primary Taxonomy2086X0206X
Provider Legal NameJOHN EDWARD PHAYCredential: MD
Location Address2050 KENNY RDColumbus, OH 43221-3502
Mailing Address700 Ackerman Rd Ste 2120Columbus, OH 43202-1559 · (614) 293-7171 · Fax (614) 293-3277
Fax(614) 293-3465
Sole ProprietorNo
Medical School CMSUniversity Of California, San Francisco School Of MedicineGraduated 1993
Enumeration DateOctober 25, 2006
Last NPPES UpdateJanuary 7, 20212 updates tracked since enumeration
NPPES CertifiedJanuary 7, 2021
NPI 1790869899 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySurgery · Surgical OncologyAllopathic & Osteopathic Physicians
Taxonomy Code2086X0206X
License Licensed in OH · 35093740
Definition
A surgical oncologist is a well-qualified surgeon who has obtained additional training and experience in the multidisciplinary approach to the prevention, diagnosis, treatment, and rehabilitation of cancer patients, and devotes a major portion of his or her professional practice to these activities and cancer research.
2050 KENNY RD, Columbus, OH 43221

Other Identifiers 1

Medicaid2956681OH

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

John Edward Phay 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 ID3779629365
PECOS Enrollment IDI20091013000319
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 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.
67 services55 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.
45 services45 patients
Ultrasound scan of head and neck soft tissue 76536
An ultrasound scan of the head and neck soft tissue is a non-invasive procedure that uses sound waves to create images of the soft tissues in these areas. It helps identify any abnormalities or issues, such as tumors, cysts, or infections. It's painless and doesn't involve radiation.
33 services33 patients
Ultrasonic guidance during surgery 76998
Ultrasonic guidance during surgery is a technique that uses sound waves to create real-time images of the inside of your body. This helps the surgeon navigate and perform procedures more accurately, reducing the risk of complications. It's like a GPS for your body's internal structures.
25 services24 patients
Ultrasonic guidance during surgery 76998
Ultrasonic guidance during surgery is a technique that uses sound waves to create real-time images of the inside of your body. This helps the surgeon navigate and perform procedures more accurately, reducing the risk of complications. It's like a GPS for your body's internal structures.
22 services22 patients
Insertion of tube into vein with collection of blood sample 36500
This procedure involves placing a small tube into a vein, commonly in the arm, to collect a blood sample. The process is quick and typically causes minor discomfort. The blood sample is then checked in a lab to help diagnose health conditions.
13 services13 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 43221 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.

Pharmacist (Oncology)
2050 KENNY RD, ROOM 824
COLUMBUS, OH 43221
Prosthetic/Orthotic Supplier
2050 KENNY RD, SUITE 3300
COLUMBUS, OH 43221
Surgery (Surgical Oncology)
2050 KENNY RD
COLUMBUS, OH 43221
Nurse Practitioner
2050 KENNY RD
COLUMBUS, OH 43221
Nurse Practitioner
2050 KENNY RD
COLUMBUS, OH 43221
Nurse Practitioner
2050 KENNY RD
COLUMBUS, OH 43221
Physical Medicine & Rehabilitation
2050 KENNY RD
COLUMBUS, OH 43221
Internal Medicine (Endocrinology, Diabetes & Metabolism)
2050 KENNY RD
COLUMBUS, OH 43221

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 Phay's NPI number?

The NPI number for John Phay is 1790869899. It was assigned to this individual provider in the NPPES registry on October 25, 2006.

Where is John Phay located?

John Phay practices at 2050 Kenny Rd, Columbus, OH 43221. The listed phone number is (614) 293-7171.

What is John Phay's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Surgical Oncology, with taxonomy code 2086X0206X.

Is John Phay enrolled in Medicare?

Yes. John Phay 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 Phay accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Antidote Health Plan of Ohio, Inc. and CareSource and 1 other insurer list John Phay 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 Phay affiliated with any hospitals?

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

When was this NPI record last updated?

The NPPES record for John Phay was last updated on January 7, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.