RALPH J NAPOLITANO DPM
NPI 1831240795
Podiatrist in New Albany, OH

Active since January 16, 2007PECOS EnrolledAccepts Medicare Assignment
79.35/100
CMS Quality Rating
5040 FOREST DR STE 300, NEW ALBANY, OH 43054(614) 890-6555 Get Directions Write a Review

NPPES record last updated: March 27, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 27, 2023, Dec 19, 2019 (2 updates tracked since 2019).

About Ralph J Napolitano Dpm NPPES

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

RALPH J NAPOLITANO DPM (NPI 1831240795) is an individual podiatrist in New Albany, Ohio, licensed in Ohio (36003326) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS, is affiliated with Riverside Methodist Hospital, and maintains a secondary practice location in Newark.

NPPES Registry Identity

NPI1831240795
Entity TypeIndividualMale
Primary Taxonomy213E00000X
Provider Legal NameRALPH J NAPOLITANOCredential: DPM
Location Address5040 FOREST DR STE 300New Albany, OH 43054-8166
Mailing Address70 S Cleveland AveWesterville, OH 43081-1397 · (740) 345-8800 · Fax (740) 344-5829
Sole ProprietorNo
Medical School CMSOtherGraduated 1997
Enumeration DateJanuary 16, 2007
Last NPPES UpdateMarch 27, 20232 updates tracked since enumeration
NPPES CertifiedDecember 19, 2019
NPI 1831240795 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPodiatristPodiatric Medicine & Surgery Service Providers
Taxonomy Code213E00000X
License Licensed in OH · 36003326
Definition
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
5040 FOREST DR STE 300, New Albany, OH 43054

Secondary Practice Location 1

Location 12000 Tamarack RdNewark, OH 43055-1183 · Phone (220) 564-1994

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

Ralph J Napolitano Dpm 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 ID8022057959
PECOS Enrollment IDI20050804000944
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 12

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.
276 services135 patients
Removal of fingernails or toenails, 6 or more nails 11721
This procedure involves the removal of six or more fingernails or toenails. It's typically done to treat severe nail infections, persistent pain, or abnormal nail growth. Local anesthesia is used to minimize discomfort. Healing usually takes a few weeks.
226 services80 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.
160 services44 patients
Removal of skin and tissue, 20.0 sq cm or less 11042
This procedure involves the surgical removal of skin and tissue, up to 20.0 square cm in size. It's often performed to treat conditions like skin cancer or to remove moles, warts, and other skin lesions. The area is numbed and the unwanted tissue is carefully cut out.
134 services35 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.
80 services80 patients
Removal of skin and tissue, 20.0 sq cm or less 11042
This procedure involves the surgical removal of skin and tissue, up to 20.0 square cm in size. It's often performed to treat conditions like skin cancer or to remove moles, warts, and other skin lesions. The area is numbed and the unwanted tissue is carefully cut out.
43 services24 patients

Hospital Affiliations CMS Care Compare 5

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

Mount Carmel St Ann's

Acute Care Hospitals · Westerville, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360012
Location500 South Cleveland AvenueWesterville, OH 43081 · Franklin 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

Mount Carmel East & West

Acute Care Hospitals · Columbus, OH
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360035
Location6001 East Broad StreetColumbus, OH 43213 · 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 43054 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.

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.

79.35/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality71.02
Promoting Interoperability100
Improvement Activities40
Cost57.85

Other Providers at the Same Location NPPES 14

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

Physician Assistant
5040 FOREST DR STE 300
NEW ALBANY, OH 43054
Physician Assistant
5040 FOREST DR STE 300
NEW ALBANY, OH 43054
Occupational Therapist
5040 FOREST DR STE 300
NEW ALBANY, OH 43054
Physical Therapist
5040 FOREST DR STE 300
NEW ALBANY, OH 43054
Physician Assistant
5040 FOREST DR STE 300
NEW ALBANY, OH 43054
Nurse Practitioner (Gerontology)
5040 FOREST DR STE 300
NEW ALBANY, OH 43054
Physical Therapist
5040 FOREST DR STE 300
NEW ALBANY, OH 43054
Pain Medicine (Interventional Pain Medicine)
5040 FOREST DR STE 300
NEW ALBANY, OH 43054

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 Ralph Napolitano's NPI number?

The NPI number for Ralph Napolitano is 1831240795. It was assigned to this individual provider in the NPPES registry on January 16, 2007.

Where is Ralph Napolitano located?

Ralph Napolitano practices at 5040 Forest Dr Ste 300, New Albany, OH 43054. The listed phone number is (614) 890-6555.

What is Ralph Napolitano's specialty?

The primary specialty registered for this NPI is Podiatrist with taxonomy code 213E00000X.

Is Ralph Napolitano enrolled in Medicare?

Yes. Ralph Napolitano 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 Ralph Napolitano accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource, MedMutual, Molina Healthcare and Oscar Health Insurance list Ralph Napolitano 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 Ralph Napolitano affiliated with any hospitals?

According to CMS data, Ralph Napolitano is affiliated with Riverside Methodist Hospital, Mount Carmel St Ann's, Grant Medical Center, Mount Carmel East & West and Licking Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Ralph Napolitano was last updated on March 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.