SALLY PASSERBY MD
NPI 1881957652
Family Medicine in London, OH

Active since June 18, 2012PECOS EnrolledAccepts Medicare Assignment
81.3/100
CMS Quality Rating
55 PARK AVE STE 275, LONDON, OH 43140(740) 845-7500(740) 845-7501 Get Directions Write a Review

NPPES record last updated: September 5, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Sep 5, 2025, Jan 25, 2022, Apr 17, 2017 (3 updates tracked since 2017).

About Sally Passerby Md NPPES

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

SALLY PASSERBY MD (NPI 1881957652) is an individual family medicine provider in London, Ohio, licensed in Ohio (35.823513) and active in the NPI registry since June 2012. She is enrolled in Medicare PECOS, is affiliated with Madison Health, and is a graduate of Other (2025).

NPPES Registry Identity

NPI1881957652
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameSALLY PASSERBYCredential: MD
Location Address55 PARK AVE STE 275London, OH 43140-1294
Mailing Address700 Ackerman Rd Ste 2120Columbus, OH 43202-1559 · (740) 845-7500 · Fax (740) 845-7501
Fax(740) 845-7501
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateJune 18, 2012
Last NPPES UpdateSeptember 5, 20253 updates tracked since enumeration
NPPES CertifiedSeptember 5, 2025
NPI 1881957652 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in OH · 35.823513
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

55 PARK AVE STE 275, London, OH 43140

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

Sally Passerby 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 ID1052544970
PECOS Enrollment IDI20260407001675, I20260424000511
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 4

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.
144 services81 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.
144 services86 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
46 services46 patients
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit G0438
An annual wellness visit is a yearly appointment with your doctor to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's an opportunity to discuss your health status and goals and get a plan tailored for you.
12 services12 patients

Hospital Affiliations CMS Care Compare

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

Madison Health

Acute Care Hospitals · London, OH
OwnershipVoluntary non-profit - Private
CMS Certification Number360189
Location210 North Main StreetLondon, OH 43140 · Madison County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43140 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.

81.3/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality73.58
Promoting Interoperability98
Improvement Activities40
Cost65.77

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
3 suppliers25 claims26 services$64.09 avg. paid by Medicare
Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing K0738
DME-Oxygen and Supplies · category DC000N
2 suppliers15 claims15 services$27.59 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 3

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

Nurse Practitioner
55 PARK AVE STE 275
LONDON, OH 43140
Nurse Practitioner
55 PARK AVE STE 275
LONDON, OH 43140
Nurse Practitioner
55 PARK AVE STE 275
LONDON, OH 43140

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 Sally Passerby's NPI number?

The NPI number for Sally Passerby is 1881957652. It was assigned to this individual provider in the NPPES registry on June 18, 2012.

Where is Sally Passerby located?

Sally Passerby practices at 55 Park Ave Ste 275, London, OH 43140. The listed phone number is (740) 845-7500.

What is Sally Passerby's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Sally Passerby enrolled in Medicare?

Yes. Sally Passerby 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 Sally Passerby accept?

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

According to CMS data, Sally Passerby is affiliated with Madison Health.

When was this NPI record last updated?

The NPPES record for Sally Passerby was last updated on September 5, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.