MICHAEL P PLANALP MD
NPI 1891058368
Orthopaedic Surgery - Orthopaedic Surgery of the Spine in Cincinnati, OH

Q: What is Michael Planalp's NPI number?

The NPI number for Michael Planalp is 1891058368. It was assigned to this individual provider in the NPPES registry on June 20, 2012.

Q: What is Michael Planalp's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Orthopaedic Surgery of the Spine, with taxonomy code 207XS0117X.

Q: When was this NPI record last updated?

The NPPES record for Michael Planalp was last updated on October 25, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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 June 20, 2012PECOS EnrolledAccepts Medicare Assignment

90.38/100

CMS Quality Rating

500 E BUSINESS WAY, CINCINNATI, OH 45241(513) 354-3700(513) 354-3705 Get Directions Write a Review

NPPES record last updated: October 25, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 25, 2018, Sep 6, 2018, Aug 21, 2018 and 3 more (6 updates tracked since 2017).

On this page

About Michael P Planalp Md NPPES

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

MICHAEL P PLANALP MD (NPI 1891058368) is an individual orthopaedic surgery of the spine provider in Cincinnati, Ohio, licensed in Ohio (35.133870) and active in the NPI registry since June 2012. He is enrolled in Medicare PECOS, is affiliated with Margaret Mary Community Hospital Inc, and is a graduate of University Of Cincinnati College Of Medicine (2012).

NPPES Registry Identity

NPI1891058368

Entity TypeIndividualMale

Primary Taxonomy207XS0117X

Provider Legal NameMICHAEL P PLANALPCredential: MD

Location Address500 E BUSINESS WAYCincinnati, OH 45241

Mailing Address6480 Harrison Ave Ste 201Cincinnati, OH 45247-7961 · (513) 354-3700 · Fax (513) 354-7651

Phone(513) 354-3700

Fax(513) 354-3705

Sole ProprietorNo

Medical School CMSUniversity Of Cincinnati College Of MedicineGraduated 2012

Enumeration DateJune 20, 2012

Last NPPES UpdateOctober 25, 20186 updates tracked since enumeration

✔ NPI 1891058368 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOrthopaedic Surgery · Orthopaedic Surgery of the SpineAllopathic & Osteopathic Physicians

Taxonomy Code207XS0117X

License✔ Licensed in OH · 35.133870

Definition

Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic surgeons of the spine deal with the evaluation and nonoperative and operative treatment of the full spectrum of primary spinal disorders including trauma, degenerative, deformity, tumor, and reconstructive.

Also ListedOrthopaedic SurgeryTaxonomy 207X00000X · License 4301101292 (MI)

500 E BUSINESS WAY, Cincinnati, OH 45241

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Other Identifiers 1

Medicaid0284127OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Antidote Health Plan of Ohio, Inc., 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

Michael P Planalp 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 ID2769613512

PECOS Enrollment IDI20180613003046, I20250509000392

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 17

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.

266 services169 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.

181 services173 patients

X-ray of lower and sacral spine, 2-3 views 72100

An X-ray of the lower and sacral spine involves capturing images of your lower back area, including the tailbone. This procedure helps in identifying problems like fractures, infections, or deformities. 2-3 different angle views provide a comprehensive picture.

86 services64 patients

X-ray of lower and sacral spine, minimum of 4 views 72110

An X-ray of the lower and sacral spine involves capturing images of your lower back and tailbone area. It helps in identifying issues like fractures, arthritis, or other abnormalities. At least four different angles or 'views' are taken to get a comprehensive picture.

84 services83 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

73 services49 patients

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.

61 services14 patients

Mri scan of lower spinal canal without contrast 72148

An MRI scan of the lower spinal canal without contrast is a non-invasive imaging test. It uses a magnetic field and radio waves to produce detailed images of your lower spine. This helps identify issues like disc problems, tumors, or nerve conditions. No dye is used.

45 services43 patients

Mri scan of upper spinal canal without contrast 72141

An MRI scan of the upper spinal canal without contrast is a non-invasive imaging test. It uses a magnetic field and radio waves to create detailed images of your upper spine. This helps doctors identify issues such as injuries, infections or diseases. No dye is used.

44 services41 patients

X-ray of upper spine, 6 or more views 72052

An X-ray of the upper spine with 6 or more views involves capturing multiple images of your neck and upper back. This non-invasive procedure helps doctors visualize the bones and joints, aiding in diagnosing conditions such as arthritis, fractures, or spinal deformities.

41 services41 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.

34 services14 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.

34 services34 patients

Mri scan of middle spinal canal without contrast 72146

An MRI scan of the middle spinal canal without contrast is a non-invasive imaging test. It uses magnetic fields and radio waves to create detailed images of your spine. This helps doctors identify any abnormalities or issues in your spinal canal. No dye is used in this procedure.

30 services28 patients

X-ray of upper spine, 2-3 views 72040

An X-ray of the upper spine, with 2-3 views, is a painless procedure that employs a small amount of radiation to capture images of your neck and upper back. It assists in diagnosing conditions like arthritis, fractures, or spinal deformities.

26 services21 patients

X-ray of upper spine, 4-5 views 72050

An X-ray of the upper spine with 4-5 views is a non-invasive imaging test. It uses radiation to capture detailed images of the bones and structures in your neck and upper back. This procedure helps identify issues like fractures, infections, or deformities.

21 services20 patients

Computer-assisted spinal procedure 61783

A computer-assisted spinal procedure is a surgical technique that uses computer technology for improved precision. It involves creating a 3D image of your spine to guide the surgeon during the operation. This method enhances accuracy, reduces risk, and promotes quicker recovery.

17 services17 patients

X-ray of entire middle and lower spine, 2-3 views 72082

An X-ray of your middle and lower spine involves capturing images of these areas to identify any abnormalities. The procedure involves taking 2-3 different views for a comprehensive understanding. It's non-invasive and usually painless, helping doctors diagnose conditions like fractures or infections.

17 services14 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.

16 services12 patients

Hospital Affiliations CMS Care Compare 5

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

Margaret Mary Community Hospital Inc

Critical Access Hospitals · Batesville, IN

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number151329

Location321 Mitchell AveBatesville, IN 47006 · Franklin County

Emergency services

Mccullough-Hyde Memorial Hospital

Acute Care Hospitals · Oxford, OH

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number360046

Location110 North Poplar StreetOxford, OH 45056 · Butler County

Emergency services Birthing friendly

Good Samaritan Hospital

Acute Care Hospitals · Cincinnati, OH

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number360134

Location375 Dixmyth AvenueCincinnati, OH 45220 · Hamilton County

Emergency services Birthing friendly

Christ Hospital

Acute Care Hospitals · Cincinnati, OH

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number360163

Location2139 Auburn AvenueCincinnati, OH 45219 · Hamilton County

Emergency services Birthing friendly

Bethesda North

Acute Care Hospitals · Cincinnati, OH

3/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number360179

Location10500 Montgomery RoadCincinnati, OH 45242 · Hamilton 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.

90.38/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

80.76

Promoting Interoperability

100

Improvement Activities

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.

DR. MICHAEL T ROHMILLER M.D.

Orthopaedic Surgery (Orthopaedic Surgery of the Spine)

500 E BUSINESS WAY, SUITE A
CINCINNATI, OH 45241

Hamilton County (513) 354-3700

ELLEN M IACIOFANO PA-C

Physician Assistant

500 E BUSINESS WAY
CINCINNATI, OH 45241

Hamilton County (513) 354-3700

CATHERINE ELLIOTT PT

Physical Therapist

500 E BUSINESS WAY
CINCINNATI, OH 45241

Hamilton County (513) 389-3666

JAYDE HOFFMANN PA

Physician Assistant

500 E BUSINESS WAY
CINCINNATI, OH 45241

Hamilton County (513) 354-3700

CLINTON BARTLETT WHEELER PA-C

Physician Assistant (Surgical)

500 E BUSINESS WAY, SUITE A
CINCINNATI, OH 45241

Hamilton County (513) 354-3700

MARK A. KEISER LAT, ATC

Specialist/Technologist (Athletic Trainer)

500 E BUSINESS WAY
CINCINNATI, OH 45241

Hamilton County (513) 389-3666

BODRIE J JENSEN DO

Student in an Organized Health Care Education/Training Program

500 E BUSINESS WAY
SHARONVILLE, OH 45241

Hamilton County (513) 354-3700

AARTI A SINGLA MD

Physical Medicine & Rehabilitation (Pain Medicine)

500 E BUSINESS WAY
CINCINNATI, OH 45241

Hamilton County (513) 354-3700

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 Michael Planalp's NPI number?

The NPI number for Michael Planalp is 1891058368. It was assigned to this individual provider in the NPPES registry on June 20, 2012.

Where is Michael Planalp located?

Michael Planalp practices at 500 E Business Way, Cincinnati, OH 45241. The listed phone number is (513) 354-3700.

What is Michael Planalp's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Orthopaedic Surgery of the Spine, with taxonomy code 207XS0117X.

Is Michael Planalp enrolled in Medicare?

Yes. Michael Planalp 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 Michael Planalp accept?

Health plans from Antidote Health Plan of Ohio, Inc., CareSource and MedMutual list Michael Planalp 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 Michael Planalp affiliated with any hospitals?

According to CMS data, Michael Planalp is affiliated with Margaret Mary Community Hospital Inc, Mccullough-Hyde Memorial Hospital, Good Samaritan Hospital, Christ Hospital and Bethesda North.

When was this NPI record last updated?

The NPPES record for Michael Planalp was last updated on October 25, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.