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DR. CAROL L EGNER MD
NPI 1922073485
Obstetrics & Gynecology - Obstetrics in Cincinnati, OH

Active since February 20, 2006PECOS Enrolled
90.38/100
CMS Quality Rating
6480 HARRISON AVE, SUITE 300, CINCINNATI, OH 45247(513) 662-8222(513) 662-8002 Get Directions Write a Review

NPPES record last updated: January 25, 2017. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Dr. Carol L Egner Md NPPES

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

DR. CAROL L EGNER MD (NPI 1922073485) is an individual obstetrics provider in Cincinnati, Ohio, licensed in Ohio (35049746) and active in the NPI registry since February 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1922073485
Entity TypeIndividualFemale
Primary Taxonomy207VX0000X
Provider Legal NameDR. CAROL L EGNERCredential: MD
Location Address6480 HARRISON AVE, SUITE 300Cincinnati, OH 45247-7961
Mailing Address4685 Forest Ave, Ste CCincinnati, OH 45212-3359 · (513) 662-8222 · Fax (513) 662-8002
Phone(513) 662-8222
Fax(513) 662-8002
Sole ProprietorNo
Enumeration DateFebruary 20, 2006
Last NPPES UpdateJanuary 25, 2017
✔ NPI 1922073485 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & Gynecology · ObstetricsAllopathic & Osteopathic Physicians
Taxonomy Code207VX0000X
License✔ Licensed in OH · 35049746
Definition
A physician who specializes in diagnosis, treatment, and management of patients with obstetric conditions. Source: National Uniform Claim Committee
6480 HARRISON AVE, Cincinnati, OH 45247
Open in Google Maps ↗

Other Identifiers 3

Other110021648OH · Railroad Medicare
Medicare PIN0575773OH
Medicare UPINA16273OH

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Carol L Egner Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignments

2

Medicare enrollment records show Carol Egner reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Trihealth H LLC
8.4 mi
Obstetrics
375 DIXMYTH AVE
Cincinnati, OH 45220
  • Reassigned Medicare billing, Ohio enrollment
  • 1,102 clinicians in this Medicare group
NPI 1811215742 (513) 862-3452
Trihealth G LLC
8.5 mi
Internal Medicine
379 DIXMYTH AVE
Cincinnati, OH 45220
  • Reassigned Medicare billing, Ohio enrollment
  • 1,126 clinicians in this Medicare group
NPI 1295862944 (513) 246-7000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45247 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
$126.12 typical visit price
range $54.34 – $166.65
Typical copayment $31.53 (range $13.58 – $41.66)
Most-billed visit code 99204
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.

90.38/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality80.76
Promoting Interoperability100
Improvement Activities40

Reported Quality Measures

Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
24%29 patients1/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
21%195 patients1/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

JAMES M BRUTZ DPT
Physical Therapist
6480 HARRISON AVE
CINCINNATI, OH 45247
Hamilton County (513) 354-7777
DR. HALEEM N. CHAUDHARY MD
Orthopaedic Surgery
6480 HARRISON AVE, SUITE 100
CINCINNATI, OH 45247
Hamilton County (513) 354-3700
MEGAN MICHELLE WHITEHOUSE PA-C
Physician Assistant (Surgical)
6480 HARRISON AVE, STE. 303
CINCINNATI, OH 45247
Hamilton County (513) 541-5051
JODI LOUDER OTR
Occupational Therapy Assistant
6480 HARRISON AVE, SUITE 301
CINCINNATI, OH 45247
Hamilton County (513) 574-5400
TYLER M SCHMIDT PT, DPT
Physical Therapist
6480 HARRISON AVE
CINCINNATI, OH 45247
Hamilton County (513) 354-7777
DR. HENRY ALBERT STIENE M.D.
Internal Medicine (Sports Medicine)
6480 HARRISON AVE, SUITE 201
CINCINNATI, OH 45247
Hamilton County (513) 354-3700
DR. ROBERT RICHARD BURGER M.D.
Orthopaedic Surgery (Sports Medicine)
6480 HARRISON AVE, SUITE 201
CINCINNATI, OH 45247
Hamilton County (513) 354-3700
MRS. MELISSA L KONTSIS P.T.
Physical Therapist
6480 HARRISON AVE, SUITE 202
CINCINNATI, OH 45247
Hamilton County (513) 354-7777

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 Carol Egner's NPI number?

The NPI number for Carol Egner is 1922073485. It was assigned to this individual provider in the NPPES registry on February 20, 2006.

Where is Carol Egner located?

Carol Egner practices at 6480 Harrison Ave Suite 300, Cincinnati, OH 45247. The listed phone number is (513) 662-8222.

What is Carol Egner's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Obstetrics, with taxonomy code 207VX0000X.

Is Carol Egner enrolled in Medicare?

Yes. Carol Egner is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Carol Egner's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Carol Egner reassigns Medicare benefits to 2 organizations: Trihealth H LLC (Cincinnati, OH) and Trihealth G LLC (Cincinnati, OH). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Carol Egner's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Carol Egner was last updated on January 25, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.