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ERIC VAILLANT MD
NPI 1992963227
Orthopaedic Surgery in Cincinnati, OH

Active since May 22, 2008PECOS EnrolledAccepts Medicare Assignment
91.65/100
CMS Quality Rating
4700 E GALBRAITH RD STE 300A, CINCINNATI, OH 45236(513) 347-9999(513) 792-3239 Get Directions Write a Review

NPPES record last updated: September 11, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 11, 2024, Feb 16, 2022, Sep 17, 2020 and 2 more (5 updates tracked since 2016).

About Eric Vaillant Md NPPES

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

ERIC VAILLANT MD (NPI 1992963227) is an individual orthopaedic surgery provider in Cincinnati, Ohio, licensed in Ohio (35.143222) and active in the NPI registry since May 2008. He is enrolled in Medicare PECOS, is affiliated with Piedmont Athens Regional Medical Center, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1992963227
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameERIC VAILLANTCredential: MD
Location Address4700 E GALBRAITH RD STE 300ACincinnati, OH 45236-2754
Mailing Address4700 E Galbraith Rd Ste 300aCincinnati, OH 45236-2754 · (513) 347-9999 · Fax (513) 792-3239
Phone(513) 347-9999
Fax(513) 792-3239
Sole ProprietorNo
Medical School CMSOtherGraduated 2007
Enumeration DateMay 22, 2008
Last NPPES UpdateSeptember 11, 20245 updates tracked since enumeration
NPPES CertifiedSeptember 11, 2024
✔ NPI 1992963227 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
Licenses✔ Licensed in OH · 35.143222✔ Licensed in VA · 0101266559
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
4700 E GALBRAITH RD STE 300A, Cincinnati, OH 45236
Open in Google Maps ↗

Secondary Practice Locations 3

Location 12315 Stockton Blvd, Room 6309Sacramento, CA 95817-2201 · Phone (916) 734-2724
Location 21501 Maple Ave Ste 200Richmond, VA 23226-2553 · Phone (804) 285-2300 ext. 1627 · Fax (804) 527-5961
Location 388 MDG/SGHJ, 4881 Sugar Maple Dr.Wright Patterson AFB, OH 45433-5529 · Phone (937) 257-0466

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Antidote Health Plan of Ohio, Inc., CareSource and more.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

Eric Vaillant 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 ID7517387699
PECOS Enrollment IDI20221213002169, I20240104001111
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

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.

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
17 services17 patients

Hospital Affiliations CMS Care Compare

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

Piedmont Athens Regional Medical Center

Acute Care Hospitals · Athens, GA
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number110074
Location1199 Prince AvenueAthens, GA 30606 · Clarke County
Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45236 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
$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.

91.65/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability99
Improvement Activities20

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.

DR. JAMES TREVOR STEFANSKI M.D.
Orthopaedic Surgery
4700 E GALBRAITH RD STE 300A
CINCINNATI, OH 45236
Hamilton County (513) 347-9999
FRANK R NOYES MD
Orthopaedic Surgery (Sports Medicine)
4700 E GALBRAITH RD STE 300A
CINCINNATI, OH 45236
Hamilton County (513) 347-9999
MRS. SUSHMA D NAGAR PA-C
Physician Assistant
4700 E GALBRAITH RD STE 300A
CINCINNATI, OH 45236
Hamilton County (513) 347-9999
DR. ERIC SMITH MD
Orthopaedic Surgery (Sports Medicine)
4700 E GALBRAITH RD STE 300A
CINCINNATI, OH 45236
Hamilton County (513) 347-9999
MERCY HEALTH PHYSICIANS CINCINNATI SPECIALTY CARE LLC
Durable Medical Equipment & Medical Supplies
4700 E GALBRAITH RD STE 300A
CINCINNATI, OH 45236
Hamilton County (513) 347-9999
MRS. MACKENZIE LARIN HOPPER PA-C, ATC
Physician Assistant
4700 E GALBRAITH RD STE 300A
CINCINNATI, OH 45236
Hamilton County (513) 347-9999

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 Eric Vaillant's NPI number?

The NPI number for Eric Vaillant is 1992963227. It was assigned to this individual provider in the NPPES registry on May 22, 2008.

Where is Eric Vaillant located?

Eric Vaillant practices at 4700 E Galbraith Rd Ste 300A, Cincinnati, OH 45236. The listed phone number is (513) 347-9999.

What is Eric Vaillant's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Eric Vaillant enrolled in Medicare?

Yes. Eric Vaillant 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 Eric Vaillant accept?

Health plans from Anthem Blue Cross and Blue Shield, Antidote Health Plan of Ohio, Inc., CareSource, MedMutual and Molina Healthcare list Eric Vaillant 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 Eric Vaillant affiliated with any hospitals?

According to CMS data, Eric Vaillant is affiliated with Piedmont Athens Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Eric Vaillant was last updated on September 11, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months 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.