PAUL A. CONTI M.D.
NPI 1952377889
Internal Medicine in Columbus, OH

Active since February 28, 2006PECOS Enrolled
5175 E MAIN ST, COLUMBUS, OH 43213(614) 575-1200 Get Directions Write a Review

NPPES record last updated: November 23, 2011. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Paul A. Conti M.d. NPPES

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

PAUL A. CONTI M.D. (NPI 1952377889) is an individual internal medicine provider in Columbus, Ohio, licensed in Ohio (35079753) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1952377889
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NamePAUL A. CONTICredential: M.D.
Location Address5175 E MAIN STColumbus, OH 43213-2425
Mailing Address486 Englander CtColumbus, OH 43085-5825
Sole ProprietorYes
Enumeration DateFebruary 28, 2006
Last NPPES UpdateNovember 23, 2011
NPI 1952377889 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in OH · 35079753
Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

5175 E MAIN ST, Columbus, OH 43213

Other Identifiers 1

Medicare UPINH39361OH

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 (PECOS)

Paul A. Conti M.d. 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43213 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
$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.

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
100%144 patients5/55-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.

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.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
3 suppliers34 claims34 services$14.36 avg. paid by Medicare
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
4 suppliers40 claims46 services$81.65 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 5

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

Internal Medicine
5175 E MAIN ST
COLUMBUS, OH 43213
Clinic/Center (Urgent Care)
5175 E MAIN ST
COLUMBUS, OH 43213
Family Medicine
5175 E MAIN ST
COLUMBUS, OH 43213
Family Medicine
5175 E MAIN ST, PREMIUM MEDICAL CARE, LLC
COLUMBUS, OH 43213
Internal Medicine
5175 E MAIN ST
COLUMBUS, OH 43213

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 Paul Conti's NPI number?

The NPI number for Paul Conti is 1952377889. It was assigned to this individual provider in the NPPES registry on February 28, 2006.

Where is Paul Conti located?

Paul Conti practices at 5175 E Main St, Columbus, OH 43213. The listed phone number is (614) 575-1200.

What is Paul Conti's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Paul Conti enrolled in Medicare?

Yes. Paul Conti is registered in the Medicare PECOS enrollment system.

What insurance does Paul Conti accept?

Health plans from CareSource list Paul Conti 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.

When was this NPI record last updated?

The NPPES record for Paul Conti was last updated on November 23, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.