DR. BRETT CRAIG SKLAW M.D.
NPI 1982839775
Internal Medicine - Gastroenterology in Westerville, OH

Active since May 21, 2009PECOS EnrolledAccepts Medicare Assignment
87.77/100
CMS Quality Rating
430 ALTAIR PKWY STE 110, WESTERVILLE, OH 43082(614) 754-5500(614) 754-5501 Get Directions Write a Review

NPPES record last updated: November 6, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 6, 2023, May 15, 2020, Feb 13, 2017 and 2 more (5 updates tracked since 2016).

About Dr. Brett Craig Sklaw M.d. NPPES

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

DR. BRETT CRAIG SKLAW M.D. (NPI 1982839775) is an individual gastroenterology provider in Westerville, Ohio, licensed in Ohio (35.097474) and active in the NPI registry since May 2009. He is enrolled in Medicare PECOS, is affiliated with Riverside Methodist Hospital, and maintains a secondary practice location in Columbus.

NPPES Registry Identity

NPI1982839775
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NameDR. BRETT CRAIG SKLAWCredential: M.D.
Location Address430 ALTAIR PKWY STE 110Westerville, OH 43082-7647
Mailing Address3400 Olentangy River RdColumbus, OH 43202-1523 · (614) 754-5500 · Fax (614) 457-9519
Fax(614) 754-5501
Sole ProprietorNo
Medical School CMSState University Of Ny Upstate Medical UniversityGraduated 2009
Enumeration DateMay 21, 2009
Last NPPES UpdateNovember 6, 20235 updates tracked since enumeration
NPPES CertifiedNovember 6, 2023
NPI 1982839775 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License Licensed in OH · 35.097474
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
430 ALTAIR PKWY STE 110, Westerville, OH 43082

Secondary Practice Location 1

Location 13595 Olentangy River RdColumbus, OH 43214-3440 · Phone (614) 566-5456 · Fax (614) 566-6902

Other Identifiers 2

Other35.097474OH · State Of Ohio Medical Board
Medicaid0198431OH

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

Dr. Brett Craig Sklaw M.d. 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 ID7911146881
PECOS Enrollment IDI20170213001552
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 9

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.

Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385
This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.
52 services52 patients
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.
44 services36 patients
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
33 services33 patients
Biopsy of large bowel using a flexible endoscope 45380
A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.
32 services32 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.
32 services25 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.
23 services23 patients

Hospital Affiliations CMS Care Compare 5

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

Mount Carmel St Ann's

Acute Care Hospitals · Westerville, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360012
Location500 South Cleveland AvenueWesterville, OH 43081 · Franklin County
Emergency services Birthing friendly

Grant Medical Center

Acute Care Hospitals · Columbus, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number360017
Location111 South Grant AvenueColumbus, OH 43215 · Franklin County
Emergency services Birthing friendly

Mount Carmel East & West

Acute Care Hospitals · Columbus, OH
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360035
Location6001 East Broad StreetColumbus, OH 43213 · Franklin County
Emergency services Birthing friendly

Doctors Hospital

Acute Care Hospitals · Columbus, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number360152
Location5100 West Broad StreetColumbus, OH 43228 · Franklin County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43082 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.

87.77/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality88.17
Promoting Interoperability100
Improvement Activities40
Cost71.09

Other Providers at the Same Location NPPES 6

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

Internal Medicine (Gastroenterology)
430 ALTAIR PKWY STE 110
WESTERVILLE, OH 43082
Physician Assistant
430 ALTAIR PKWY STE 110
WESTERVILLE, OH 43082
Internal Medicine (Gastroenterology)
430 ALTAIR PKWY STE 110
WESTERVILLE, OH 43082
Internal Medicine (Gastroenterology)
430 ALTAIR PKWY STE 110
WESTERVILLE, OH 43082
Internal Medicine (Gastroenterology)
430 ALTAIR PKWY STE 110
WESTERVILLE, OH 43082
Nurse Practitioner
430 ALTAIR PKWY STE 110
WESTERVILLE, OH 43082

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 Brett Sklaw's NPI number?

The NPI number for Brett Sklaw is 1982839775. It was assigned to this individual provider in the NPPES registry on May 21, 2009.

Where is Brett Sklaw located?

Brett Sklaw practices at 430 Altair Pkwy Ste 110, Westerville, OH 43082. The listed phone number is (614) 754-5500.

What is Brett Sklaw's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Brett Sklaw enrolled in Medicare?

Yes. Brett Sklaw 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 Brett Sklaw accept?

Health plans from Anthem Blue Cross and Blue Shield, Antidote Health Plan of Ohio, Inc., CareSource, MedMutual and Molina Healthcare and 1 other insurer list Brett Sklaw 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 Brett Sklaw affiliated with any hospitals?

According to CMS data, Brett Sklaw is affiliated with Riverside Methodist Hospital, Mount Carmel St Ann's, Grant Medical Center, Mount Carmel East & West and Doctors Hospital.

When was this NPI record last updated?

The NPPES record for Brett Sklaw was last updated on November 6, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.