HALEY DEFIBAUGH PA-C
NPI 1801535182
Physician Assistant in Upper Arlington, OH

Active since June 03, 2022PECOS EnrolledAccepts Medicare Assignment
4605 SAWMILL RD, UPPER ARLINGTON, OH 43220(614) 827-8700(614) 827-8701 Get Directions Write a Review

NPPES record last updated: January 6, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jan 6, 2025, Mar 17, 2023 (2 updates tracked since 2023).

About Haley Defibaugh Pa-c NPPES

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

HALEY DEFIBAUGH PA-C (NPI 1801535182) is an individual physician assistant in Upper Arlington, Ohio, licensed in Ohio (50.007822RX) and active in the NPI registry since June 2022. She is enrolled in Medicare PECOS, is affiliated with Riverside Methodist Hospital, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1801535182
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameHALEY DEFIBAUGHCredential: PA-C
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 CMSOtherGraduated 2022
Enumeration DateJune 3, 2022
Last NPPES UpdateJanuary 6, 20252 updates tracked since enumeration
NPPES CertifiedJanuary 6, 2025
NPI 1801535182 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in OH · 50.007822RX
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
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

Haley Defibaugh Pa-c 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 ID4789058298
PECOS Enrollment IDI20230324000586
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.

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.
333 services44 patients
Replacement of knee joint, both sides of knee 27447
A bilateral knee joint replacement is a procedure where the damaged parts of both your knee joints are replaced with artificial parts. It aims to relieve pain and improve mobility. The process involves a surgical operation under anesthesia.
122 services116 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.
80 services52 patients
Replacement of thigh bone and hip joint with prosthesis 27130
This procedure, known as hip arthroplasty, involves replacing your damaged thigh bone and hip joint with artificial parts, called a prosthesis. It helps relieve pain, improve mobility, and enhance your quality of life.
76 services76 patients
X-ray of knee, 3 views 73562
An X-ray of the knee, 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the knee from three different angles. This helps medical professionals to diagnose and monitor conditions like arthritis, fractures, or infections. The process is quick and painless.
59 services52 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.
56 services56 patients

Hospital Affiliations CMS Care Compare

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

Riverside Methodist Hospital

Acute Care Hospitals · Columbus, OH
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360006
Location3535 Olentangy River RdColumbus, OH 43214 · Franklin 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.

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 Haley Defibaugh's NPI number?

The NPI number for Haley Defibaugh is 1801535182. It was assigned to this individual provider in the NPPES registry on June 3, 2022.

Where is Haley Defibaugh located?

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

What is Haley Defibaugh's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Haley Defibaugh enrolled in Medicare?

Yes. Haley Defibaugh 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 Haley Defibaugh accept?

Health plans from CareSource and MedMutual list Haley Defibaugh 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 Haley Defibaugh affiliated with any hospitals?

According to CMS data, Haley Defibaugh is affiliated with Riverside Methodist Hospital.

When was this NPI record last updated?

The NPPES record for Haley Defibaugh was last updated on January 6, 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.