Active NPI 1467410258 Individual Practitioner Male Practitioner

Dr. Gregory Krivchenia , MD

Orthopaedic Surgery • Marietta, OH

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Gregory Krivchenia, MD is a certified Orthopaedic Surgery practicing in Marietta, OH. With approximately 45 years of clinical experience since graduating from University Of Cincinnati College Of Medicine in 1981, Dr. Krivchenia delivers high-quality medical care to the local community at 611 2ND ST.

Dr. Krivchenia is affiliated with Hospital Development Co. and accepts Medicare assignment.

Frequently performed procedures and clinical services include aspiration and/or injection of fluid from large joint, established patient outpatient office visit, x-ray of knee, 1-2 views. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

611 2nd St

Marietta, OH 457502123

Telephone 7403738756

Fax 7403730091

Associated Practice Facility / Clinic

🏢 First Settlement Physical Therapy Facility NPI 1962453100

Medicare Profile & Education

Medical School

University Of Cincinnati College Of Medicine

Graduation Year

1981

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Orthopaedic Surgery in Marietta, OH

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

45 Yrs +14.2 yrs vs City Avg

City Avg: 30.8 Yrs

State Avg: 25.4 Yrs

Regional Practice Density

7 Specialists

Practicing in Marietta, OH (984 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

57.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Krivchenia (45 Years) 45 Yrs

Marietta Specialty Average (30.8 Years) 30.8 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
20610 Aspiration and/or injection of fluid from large joint	193	106	$125.93	$49.94
99213 Established patient office or other outpatient visit, typically 15 minutes	193	130	$138.56	$65.01
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	76	64	$198.57	$96.33
20610 Aspiration and/or injection of fluid from large joint	67	37	$163.38	$49.98
99213 Established patient office or other outpatient visit, typically 15 minutes	63	33	$148.00	$65.47
73560 X-ray of knee, 1-2 views	57	53	$16.61	$9.54
73502 X-ray of hip, 2-3 views	42	34	$21.86	$10.64
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	33	33	$181.51	$82.11
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	31	26	$84.00	$35.25
73030 X-ray of shoulder, minimum of 2 views	30	23	$18.73	$9.86
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	25	23	$72.08	$35.12
73565 X-ray of both knees while standing	19	19	$77.04	$7.51
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	17	17	$173.05	$82.53
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	16	16	$283.37	$119.44
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	15	15	$272.08	$129.74

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	238	170	$137.63	$69.03
20610 Aspiration and/or injection of fluid from large joint	223	114	$139.55	$52.54
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	185	121	$194.96	$95.81
73560 X-ray of knee, 1-2 views	71	58	$38.57	$16.13
73502 X-ray of hip, 2-3 views	67	48	$36.05	$16.80
J1040 Injection, methylprednisolone acetate, 80 mg	48	35	$23.64	$11.40
20610 Aspiration and/or injection of fluid from large joint	45	23	$160.80	$47.51
99213 Established patient office or other outpatient visit, typically 15 minutes	44	30	$148.00	$64.53
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	40	39	$79.25	$42.06
73030 X-ray of shoulder, minimum of 2 views	38	31	$32.92	$14.57
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	38	38	$268.26	$130.99
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	27	27	$182.00	$81.51
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	24	23	$272.08	$128.16
73565 X-ray of both knees while standing	20	20	$77.04	$8.26
73610 X-ray of ankle, minimum of 3 views	19	17	$40.59	$17.60
99231 Follow-up hospital inpatient care per day, typically 15 minutes	18	11	$78.30	$49.04
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	17	17	$195.61	$86.98
20605 Aspiration and/or injection of medium joint or joint capsule	14	11	$106.35	$38.42
73630 X-ray of foot, minimum of 3 views	13	11	$37.65	$16.72
72170 X-ray of pelvis, 1-2 views	12	12	$54.91	$9.78

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	407	247	$140.00	$87.21
J1040 Injection, methylprednisolone acetate, 80 mg	266	118	$20.00	$10.67
20610 Aspiration and/or injection of fluid from large joint	220	122	$227.45	$69.68
73560 X-ray of knee, 1-2 views	128	99	$104.92	$39.08
73502 X-ray of hip, 2-3 views	94	56	$95.00	$38.52
20610 Aspiration and/or injection of fluid from large joint	71	30	$164.90	$45.31
99213 Established patient office or other outpatient visit, typically 15 minutes	68	33	$147.88	$64.47
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	59	56	$90.00	$54.50
73030 X-ray of shoulder, minimum of 2 views	51	37	$98.33	$33.26
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	51	46	$225.00	$123.93
73610 X-ray of ankle, minimum of 3 views	40	19	$80.00	$28.68
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	37	36	$110.00	$69.81
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	33	33	$249.82	$109.81
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	26	26	$325.00	$159.97
72170 X-ray of pelvis, 1-2 views	26	20	$68.00	$23.02
73630 X-ray of foot, minimum of 3 views	18	14	$84.44	$35.08
27447 Replacement of knee joint, both sides of knee	18	18	$4230.64	$1103.12
27236 Treatment of upper end of broken thigh bone with placement of stabilizing device or prosthetic replacement	16	16	$3143.59	$1131.38
20985 Computer-assisted surgery for muscle and bone procedure	16	16	$388.44	$138.52
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	15	15	$186.53	$81.67
99231 Follow-up hospital inpatient care per day, typically 15 minutes	12	12	$73.31	$38.13
27245 Treatment of broken neck of thigh bone with bone implant	12	12	$4156.00	$1225.24
73070 X-ray of elbow, 2 views	12	11	$70.00	$24.84
73221 Mri scan of arm joint without contrast	12	12	$1400.00	$205.16

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	486	301	$142.56	$88.33
J1040 Injection, methylprednisolone acetate, 80 mg	327	149	$20.62	$10.48
20610 Aspiration and/or injection of fluid from large joint	278	160	$235.44	$69.81
73560 X-ray of knee, 1-2 views	137	93	$85.00	$32.63
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	85	76	$226.76	$123.65
73502 X-ray of hip, 2-3 views	68	54	$95.00	$41.87
73030 X-ray of shoulder, minimum of 2 views	63	43	$85.00	$32.32
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	56	56	$326.56	$163.59
20610 Aspiration and/or injection of fluid from large joint	42	21	$157.67	$42.75
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	40	39	$90.00	$54.49
99213 Established patient office or other outpatient visit, typically 15 minutes	36	24	$146.08	$66.68
73610 X-ray of ankle, minimum of 3 views	29	19	$80.00	$34.29
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	28	28	$111.96	$70.72
72148 MRI scan of lower spinal canal	24	24	$1312.00	$203.09
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	18	18	$250.42	$109.84
27447 Replacement of knee joint, both sides of knee	18	17	$3930.31	$1293.72
20985 Computer-assisted surgery for muscle and bone procedure	15	14	$372.13	$147.04
72100 X-ray of lower and sacral spine, 2-3 views	13	13	$100.00	$37.90
73221 Mri scan of arm joint without contrast	13	13	$1400.00	$208.48
72170 X-ray of pelvis, 1-2 views	13	13	$68.00	$26.58
27236 Treatment of upper end of broken thigh bone with placement of stabilizing device or prosthetic replacement	13	13	$3245.00	$1198.88
73630 X-ray of foot, minimum of 3 views	12	11	$80.00	$32.67
27245 Treatment of broken neck of thigh bone with bone implant	12	12	$3982.83	$1144.52
73721 Mri scan of leg joint without contrast	11	11	$1400.00	$198.92

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	496	313	$142.51	$72.39
J1040 Injection, methylprednisolone acetate, 80 mg	352	148	$21.67	$11.32
20610 Aspiration and/or injection of fluid from large joint	318	166	$236.72	$66.95
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	169	131	$225.00	$104.28
73560 X-ray of knee, 1-2 views	159	108	$84.20	$30.13
73502 X-ray of hip, 2-3 views	109	75	$94.31	$38.84
J1885 Injection, ketorolac tromethamine, per 15 mg	95	30	$5.09	$0.54
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	67	67	$237.10	$103.74
73030 X-ray of shoulder, minimum of 2 views	42	33	$85.00	$31.48
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	31	31	$325.00	$158.92
73100 X-ray of wrist, 2 views	27	15	$75.00	$28.74
72148 MRI scan of lower spinal canal	25	25	$1312.00	$204.64
73610 X-ray of ankle, minimum of 3 views	22	12	$80.00	$33.00
J1030 Injection, methylprednisolone acetate, 40 mg	19	16	$15.00	$5.72
73630 X-ray of foot, minimum of 3 views	19	12	$80.00	$29.97
99231 Follow-up hospital inpatient care per day, typically 15 minutes	19	19	$67.00	$39.31
73130 X-ray of hand, minimum of 3 views	17	12	$80.00	$33.15
27245 Treatment of broken neck of thigh bone with bone implant	16	16	$4156.00	$1244.00
73110 X-ray of wrist, minimum of 3 views	16	12	$95.00	$35.06
72100 X-ray of lower and sacral spine, 2-3 views	16	16	$100.00	$36.28
27447 Replacement of knee joint, both sides of knee	15	15	$3799.75	$1372.11
72170 X-ray of pelvis, 1-2 views	15	15	$68.00	$24.61
27130 Replacement of thigh bone and hip joint with prosthesis	13	13	$4085.00	$1379.30

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	675	414	$142.18	$71.15
J1040 Injection, methylprednisolone acetate, 80 mg	398	160	$21.72	$11.93
20610 Aspiration and/or injection of fluid from large joint	352	181	$326.65	$65.85
73560 X-ray of knee, 1-2 views	170	105	$85.00	$29.10
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	136	117	$224.65	$104.23
J1885 Injection, ketorolac tromethamine, per 15 mg	128	46	$5.06	$0.52
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	94	94	$236.98	$103.60
73502 X-ray of hip, 2-3 views	93	67	$94.30	$34.21
73030 X-ray of shoulder, minimum of 2 views	61	47	$85.00	$27.69
73610 X-ray of ankle, minimum of 3 views	47	30	$80.00	$30.40
72148 MRI scan of lower spinal canal	43	43	$1312.00	$208.67
73100 X-ray of wrist, 2 views	38	22	$75.00	$28.52
72170 X-ray of pelvis, 1-2 views	36	28	$68.00	$30.00
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	31	31	$325.00	$153.38
27447 Replacement of knee joint, both sides of knee	30	28	$3902.99	$1194.55
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	26	26	$110.00	$72.05
73130 X-ray of hand, minimum of 3 views	24	17	$80.00	$31.58
73721 Mri scan of leg joint without contrast	24	22	$1400.00	$217.75
99231 Follow-up hospital inpatient care per day, typically 15 minutes	22	22	$67.00	$39.07
73110 X-ray of wrist, minimum of 3 views	22	16	$95.00	$34.55
27245 Treatment of broken neck of thigh bone with bone implant	20	19	$4156.00	$1221.59
73552 X-ray of thigh bone, minimum 2 views	20	13	$94.00	$24.87
73221 Mri scan of arm joint without contrast	20	20	$1400.00	$213.50
20985 Computer-assisted surgery for muscle and bone procedure	18	18	$400.00	$148.88
73630 X-ray of foot, minimum of 3 views	15	14	$80.00	$29.60
27130 Replacement of thigh bone and hip joint with prosthesis	14	13	$3939.11	$1282.18
72100 X-ray of lower and sacral spine, 2-3 views	13	13	$100.00	$34.70

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	642	411	$142.06	$69.39
J1040 Injection, methylprednisolone acetate, 80 mg	462	198	$21.97	$12.95
20610 Aspiration and/or injection of fluid from large joint	442	237	$307.45	$63.43
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	240	189	$225.00	$101.62
73560 X-ray of knee, 1-2 views	234	127	$85.00	$28.12
J1885 Injection, ketorolac tromethamine, per 15 mg	155	55	$5.06	$0.58
73502 X-ray of hip, 2-3 views	121	75	$95.00	$33.58
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	97	97	$235.90	$102.37
73030 X-ray of shoulder, minimum of 2 views	69	50	$83.26	$26.52
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	64	64	$324.33	$157.13
73100 X-ray of wrist, 2 views	49	29	$75.00	$27.31
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	41	41	$110.00	$71.20
73610 X-ray of ankle, minimum of 3 views	40	22	$80.00	$26.91
72170 X-ray of pelvis, 1-2 views	37	31	$68.00	$27.54
27447 Replacement of knee joint, both sides of knee	35	34	$4024.40	$1298.65
72148 MRI scan of lower spinal canal	26	25	$1312.00	$211.70
20985 Computer-assisted surgery for muscle and bone procedure	24	23	$400.00	$147.29
72100 X-ray of lower and sacral spine, 2-3 views	24	23	$99.00	$32.91
J1030 Injection, methylprednisolone acetate, 40 mg	24	17	$15.00	$6.67
73221 Mri scan of arm joint without contrast	23	22	$1400.00	$215.84
73130 X-ray of hand, minimum of 3 views	21	15	$80.00	$28.79
27245 Treatment of broken neck of thigh bone with bone implant	21	21	$4156.00	$1221.90
20605 Aspiration and/or injection of medium joint or joint capsule	20	17	$219.10	$41.49
99231 Follow-up hospital inpatient care per day, typically 15 minutes	19	19	$67.00	$38.47
27130 Replacement of thigh bone and hip joint with prosthesis	19	18	$4085.00	$1346.90
27236 Treatment of upper end of broken thigh bone with placement of stabilizing device or prosthetic replacement	18	17	$3245.00	$1166.32
73521 X-ray of both hips, 2 views	13	12	$190.00	$31.44
73721 Mri scan of leg joint without contrast	13	13	$1400.00	$201.69

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	439	303	$225.00	$101.84
20610 Aspiration and/or injection of fluid from large joint	432	214	$346.89	$64.30
99213 Established patient office or other outpatient visit, typically 15 minutes	414	304	$140.00	$69.32
J1040 Injection, methylprednisolone acetate, 80 mg	414	176	$20.00	$10.97
64721 Release and/or relocation of hand nerve	317	12	$46.67	$11.67
73560 X-ray of knee, 1-2 views	217	137	$73.32	$28.01
J1885 Injection, ketorolac tromethamine, per 15 mg	201	57	$5.00	$0.65
73502 X-ray of hip, 2-3 views	124	79	$95.00	$34.78
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	85	85	$250.00	$100.12
73030 X-ray of shoulder, minimum of 2 views	67	54	$75.00	$25.67
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	60	60	$325.00	$156.99
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	41	41	$115.93	$70.12
73610 X-ray of ankle, minimum of 3 views	38	26	$80.00	$28.95
27447 Replacement of knee joint, both sides of knee	36	35	$4411.00	$1339.03
72170 X-ray of pelvis, 1-2 views	33	32	$68.00	$28.83
73100 X-ray of wrist, 2 views	27	18	$75.00	$26.42
73552 X-ray of thigh bone, minimum 2 views	27	16	$88.52	$21.72
73630 X-ray of foot, minimum of 3 views	26	20	$80.00	$26.64
72148 MRI scan of lower spinal canal	25	25	$1312.00	$157.17
20985 Computer-assisted surgery for muscle and bone procedure	25	24	$400.00	$146.77
J1030 Injection, methylprednisolone acetate, 40 mg	24	22	$15.00	$5.75
73130 X-ray of hand, minimum of 3 views	22	16	$80.00	$28.20
27245 Treatment of broken neck of thigh bone with bone implant	21	21	$4034.19	$1212.70
73110 X-ray of wrist, minimum of 3 views	20	16	$80.00	$32.31
73120 X-ray of hand, 2 views	18	14	$70.00	$23.41
27130 Replacement of thigh bone and hip joint with prosthesis	18	18	$4085.00	$1339.71
72100 X-ray of lower and sacral spine, 2-3 views	17	17	$88.00	$32.62
20605 Aspiration and/or injection of medium joint or joint capsule	17	15	$247.06	$46.73
99231 Follow-up hospital inpatient care per day, typically 15 minutes	15	15	$69.60	$38.26
25600 Closed treatment of broken forearm bones	14	14	$780.00	$297.51
73721 Mri scan of leg joint without contrast	13	13	$1400.00	$169.85
27236 Treatment of upper end of broken thigh bone with placement of stabilizing device or prosthetic replacement	11	11	$3069.09	$1173.05

Medical Specialties & State Licenses

CMS Verified: 2026-06-29

Orthopaedic Surgery Primary Specialty

NUCC Taxonomy Code: 207X00000X

State License OH 35046510

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.

Orthopaedic Surgery

NUCC Taxonomy Code: 207X00000X

State License WV 14610

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

0631365 (OH)

Medicaid State Provider ID

00970530000 (WV)

Commercial Insurance / Payer ID Bcbs

000077407

Commercial Insurance / Payer ID Rr Medicare

200006583

Commercial Insurance / Payer ID Anthem

000000117049

Hospital & Practice Group Affiliations

Hospital Development Co.

200 Hospital Dr, Spencer, WV 252761050

Phone: 3049274444

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

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Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

13 Historical Events

📍

Updated Practice Location June 29, 2026

Registered at 611 2ND ST, MARIETTA, OH 457502123 (Tel: 7403738756)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) January 15, 2024

Orthopaedic Surgery (License #35046510 in OH)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) February 13, 2023

Orthopaedic Surgery (License #14610 in WV)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) April 18, 2022

Orthopaedic Surgery (License #35046510 in OH)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 04, 2021

Orthopaedic Surgery (License #14610 in WV)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) January 09, 2021

Orthopaedic Surgery (License #35046510 in OH)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) June 25, 2020

Orthopaedic Surgery (License #14610 in WV)

✅

NPI Profile Active January 28, 2014

NPI status registered as active in NPPES database

📍

Updated Practice Location January 28, 2014

Registered at 611 SECOND ST, MARIETTA, OH 45750 (Tel: 7403738756)

📍

Updated Business Mailing Address January 28, 2014

Registered at 611 SECOND ST, MARIETTA, OH 45750 (Tel: 7403738756)

👤

Provider Name / Credentials Updated January 28, 2014

Recorded as GREGORY KRIVCHENIA, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) January 28, 2014

Orthopaedic Surgery (License #35046510 in OH)

🟢

Initial NPI Registration & Enumeration May 02, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1467410258

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: May 02, 2006

Last Update: June 29, 2026

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

611 Second St

Marietta, OH 45750

Phone: 7403738756

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.