DOUGLAS J DEPROFIO PA
NPI 1871587071
Physician Assistant - Surgical in Columbus, OH

Q: What is Douglas Deprofio's NPI number?

The NPI number for Douglas Deprofio is 1871587071. It was assigned to this individual provider in the NPPES registry on September 2, 2005.

Q: What is Douglas Deprofio's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Q: When was this NPI record last updated?

The NPPES record for Douglas Deprofio was last updated on January 25, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since September 02, 2005PECOS EnrolledAccepts Medicare Assignment

81.3/100

CMS Quality Rating

931 CHATHAM LN, COLUMBUS, OH 43221(614) 533-5500(614) 533-5593 Get Directions Write a Review

NPPES record last updated: January 25, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 25, 2022, Jun 7, 2019 (2 updates tracked since 2019).

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About Douglas J Deprofio Pa NPPES

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

DOUGLAS J DEPROFIO PA (NPI 1871587071) is an individual surgical provider in Columbus, Ohio, licensed in Ohio (50-001909) and active in the NPI registry since September 2005. He is enrolled in Medicare PECOS, is affiliated with Riverside Methodist Hospital, and is a graduate of Other (2002).

NPPES Registry Identity

NPI1871587071

Entity TypeIndividualMale

Primary Taxonomy363AS0400X

Provider Legal NameDOUGLAS J DEPROFIOCredential: PA

Location Address931 CHATHAM LNColumbus, OH 43221-2417

Mailing Address5450 Frantz Rd, Ste 360Dublin, OH 43016-4134 · (614) 544-6155 · Fax (614) 544-6370

Phone(614) 533-5500

Fax(614) 533-5593

Sole ProprietorNo

Medical School CMSOtherGraduated 2002

Enumeration DateSeptember 2, 2005

Last NPPES UpdateJanuary 25, 20222 updates tracked since enumeration

✔ NPI 1871587071 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AS0400X

License✔ Licensed in OH · 50-001909

931 CHATHAM LN, Columbus, OH 43221

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Other Identifiers 1

Medicaid0068078OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource, MedMutual.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

Douglas J Deprofio Pa 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 ID7416085857

PECOS Enrollment IDI20100505001076

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 15

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.

Fusion of additional segment of spine 22614

Fusion of an additional segment of the spine is a surgical procedure to join two or more vertebrae together. This is done to stabilize the spine and reduce pain or correct a deformity. The procedure involves using bone grafts, rods, or screws to secure the spine.

189 services40 patients

Insertion of cage or mesh device to spine bone and disc space during spine fusion 22853

Spine fusion is a procedure to join two or more vertebrae. During this process, a cage or mesh device is inserted into the spine bone and disc space. This helps to stabilize the spine, reduce pain, and improve functionality. The device acts as a bridge for new bone to grow on.

75 services37 patients

Partial removal of spine bone with release of spinal cord and/or nerves, each additional segment 63048

This procedure involves the partial removal of a bone in your spine to alleviate pressure on your spinal cord or nerves. It may be performed on multiple spine segments depending on your condition. The aim is to improve mobility and reduce pain or discomfort.

70 services29 patients

Fusion of spine in lower back with partial removal of spine bone and disc 22633

This procedure, called lumbar spinal fusion, involves joining two or more vertebrae in your lower back. It includes a partial removal of a spine bone and disc to alleviate pain and improve stability. The goal is to reduce motion between vertebrae and prevent nerve irritation.

28 services28 patients

Placement of stabilizing device to back, 3-6 spine bone segments 22842

This procedure involves placing a device on your back to stabilize 3-6 spine bone segments. It aids in maintaining spine alignment and reducing pain. The device is secured to the bones, providing support and promoting healing.

27 services27 patients

Partial removal of bone of single segment of spine in lower back with release of spinal cord and/or nerves during fusion of spine in lower back 63052

This procedure involves the partial removal of a bone segment in your lower back to relieve pressure on your spinal cord or nerves. It's usually done during a spinal fusion in the lower back, which helps to stabilize your spine by joining two or more vertebrae together.

27 services27 patients

Fusion of additional segment of spine with partial removal of spine bone and disc 22634

This procedure involves merging an extra part of your spine with a partial removal of your spine bone and disc. It's done to provide stability, reduce pain, and correct deformities. It's like creating a natural bridge of bone that stabilizes the spine.

21 services11 patients

Partial removal of bone of additional segment of spine in lower back with release of spinal cord and/or nerves during fusion of spine in lower back 63053

This procedure involves partially removing a bone section in the lower back to relieve pressure on the spinal cord or nerves. It's performed during a spinal fusion, where bones in the lower back are joined to improve stability and reduce pain.

21 services11 patients

Placement of stabilizing device to back, 7-12 spine bone segments 22843

This procedure involves positioning a stabilizing device along your spine's 7th to 12th segments. It's done to support your back and enhance stability, reducing pain and improving mobility. It's a safe, commonly performed surgical procedure.

18 services17 patients

Partial removal of spine bone with release of lower spinal cord and/or nerves, 1 segment 63047

This procedure involves removing part of a spine bone to alleviate pressure on the lower spinal cord and/or nerves. It targets a single segment of the spine, improving mobility and reducing pain. It's a common treatment for conditions like herniated discs or spinal stenosis.

18 services18 patients

Fusion of spine in neck by posterior approach 22600

Fusion of the spine in the neck by a posterior approach is a surgery to stabilize the neck. It involves connecting two or more vertebrae in the neck from the back side. This can reduce pain and improve stability by limiting movement of the neck.

14 services13 patients

Fusion of sacroiliac joint between spine and pelvis with bone graft, open procedure 27280

This procedure involves fusing the sacroiliac joint, which connects the spine to the hip bones, to alleviate pain. An incision is made to access the joint, and a bone graft, or transplanted bone, is used to stimulate fusion. This is an open surgery.

13 services12 patients

Partial removal of spine bone with release of upper spinal cord and/or nerves, 1 segment 63045

This procedure involves removing a part of your spine bone to alleviate pressure on the upper spinal cord or nerves. It's performed on one segment of the spine to improve nerve function and reduce pain.

12 services12 patients

Fusion of spine in lower back 22612

Fusion of the spine in the lower back, also known as lumbar spinal fusion, is a surgery aimed to join, or fuse, two or more vertebrae in your lower back. This procedure can help alleviate pain and improve stability by reducing movement between the vertebrae.

11 services11 patients

Placement of stabilizing device to back of 1 spine bone in neck 22840

This procedure involves positioning a stabilizing device onto a single spinal bone in the neck. The goal is to provide support and prevent movement that could cause discomfort or further injury. It's performed by trained specialists under anesthesia.

11 services11 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

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

Quality

73.58

Promoting Interoperability

Improvement Activities

Cost

65.77

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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.

NEUROLOGICAL ASSOCIATES INCE

Neurological Surgery

931 CHATHAM LN
COLUMBUS, OH 43221

Franklin County (614) 457-4880

MICHAEL J MEAGHER MD

Neurological Surgery

931 CHATHAM LN
COLUMBUS, OH 43221

Franklin County (614) 533-5500

DR. DAVID A HINKLE MD, PHD

Psychiatry & Neurology (Neurology)

931 CHATHAM LN, SUITE 200
COLUMBUS, OH 43221

Franklin County (614) 533-5500

SIGURDUR A STEPHENSEN MD

Neurological Surgery

931 CHATHAM LN
COLUMBUS, OH 43221

Franklin County (614) 457-4880

ARLINGTON ORTHOPAEDIC & FOOT SURGEONS, INC

Orthopaedic Surgery

931 CHATHAM LN
COLUMBUS, OH 43221

Franklin County (614) 451-3643

LAURA A POPELAR CNP

Nurse Practitioner (Adult Health)

931 CHATHAM LN
COLUMBUS, OH 43221

Franklin County (614) 533-5500

JAMES FLEMING MD

Neurological Surgery

931 CHATHAM LN
COLUMBUS, OH 43221

Franklin County (614) 533-5500

KRISTEN D ANDERSON PA-C

Physician Assistant (Surgical)

931 CHATHAM LN
COLUMBUS, OH 43221

Franklin County (614) 533-5500

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 Douglas Deprofio's NPI number?

The NPI number for Douglas Deprofio is 1871587071. It was assigned to this individual provider in the NPPES registry on September 2, 2005.

Where is Douglas Deprofio located?

Douglas Deprofio practices at 931 Chatham Ln, Columbus, OH 43221. The listed phone number is (614) 533-5500.

What is Douglas Deprofio's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Douglas Deprofio enrolled in Medicare?

Yes. Douglas Deprofio 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 Douglas Deprofio accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource and MedMutual list Douglas Deprofio 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 Douglas Deprofio affiliated with any hospitals?

According to CMS data, Douglas Deprofio is affiliated with Riverside Methodist Hospital.

When was this NPI record last updated?

The NPPES record for Douglas Deprofio was last updated on January 25, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.