Individual provider Active NPI

Clinton Cooper Highley, D.O.

  • Anesthesiology Physician
  • Columbus, OH
National Provider Identifier
1063772291
Registry record updated Oct 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
34-011548 Issued in OH
Practice address
3535 Olentangy River Rd
Columbus, OH 43214-3908
Phone
(614) 566-4919
NPI assigned
May 22, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 34-011548 OH Primary

Addresses

Primary practice location

3535 Olentangy River Rd
Columbus, OH 43214-3908

Mailing address

5151 Reed Rd
Suite 225-C
Columbus, OH 43220-2553
Phone (614) 884-0641

Other identifiers 2

IdentifierTypeStateIssuer
0166714MedicaidOH
P01666323OtherOHRAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150814013948 OH Practitioner - Anesthesiology 0446487391 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University Primary Care Practices IncGroup PAC ID 3072417534, 1,071 clinicians

Practice addresses (Care Compare)

158 W Main Rd
Conneaut, OH 44030-2039

Hospital & facility affiliations

  • Uh St John Medical Center Hospital, Westlake, OH, CCN 360123

Merit-based Incentive Payment System (MIPS)

Final score
91.15 of 100Reported as apm
Quality
82.31
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
78.79 of 100Reported as group
Quality
71.01
Improvement activities
40
Cost
82.45

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
34-011548OHMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University Primary Care Practices Inc CurrentSince Oct 1, 2024 Accepting new patients
Radius Anesthesia of Ohio, LLC Anesthesiology CurrentSince Dec 1, 2021 Accepting new patients
University Primary Care Practices Inc Current Accepting new patients
North East Ohio Group Practice LLC CurrentSince Jul 1, 2015 Accepting new patients
Ohio Anesthesia Group, Inc Anesthesiology CurrentSince Jul 1, 2020 Accepting new patients
University Hospitals Medical Group Inc Anesthesiology CurrentSince Oct 1, 2024 Accepting new patients
University Primary Care Practices Inc CurrentSince Oct 1, 2024 Accepting new patients
Premier Anesthesia of Ohio LLC Anesthesiology CurrentSince Jan 1, 2019 Accepting new patients
Mask Anesthesia Consultants Inc Anesthesiology CurrentSince Mar 2, 2020 Accepting new patients
Deperro Plastic Surgery, LLC Past Accepting new patients

Locations

111 Town Square Pl
Ste 420
Jersey City, NJ 07310
Phone (201) 258-4700

1320 Timken Mercy Dr NW
Canton, OH 44708
Phone (330) 489-1000

24025 Commerce Park
Cleveland, OH 44122
Phone (216) 591-1420

6900 Pearl Rd
Ste 101
Cleveland, OH 44130
Phone (440) 882-0103

11100 Euclid Ave
Cleveland Heights, OH 44106

793 W State St
Columbus, OH 43222
Phone (614) 234-1862

175 S 3rd St
Ste 200
Columbus, OH 43215
Phone (267) 817-8902

275 Taylor Station Rd
Columbus, OH 43213
Phone (614) 566-9983

7590 Auburn Rd
Concord Township, OH 44077
Phone (440) 354-1899

158 W Main Rd
Ste 203
Conneaut, OH 44030
Phone (440) 285-2960

2060 Lander Rd
Mayfield Hts, OH 44124
Phone (440) 461-6100

2165 Mentor Ave
Ste 1
Painesville, OH 44077

30680 Bainbridge Rd
Solon, OH 44139
Phone (330) 414-1844

29000 Center Ridge Rd
Westlake, OH 44145
Phone (440) 414-6046

36000 Euclid Ave
Willoughby Hills, OH 44094
Phone (440) 375-8166

Interoperability endpoints

  • Direct secure messaging: chighley218954@ehrdirect.uhhospitals.org

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1337644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1475798400000",
    "number": "1063772291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5151 REED RD",
            "address_2": "SUITE 225-C",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432202553",
            "telephone_number": "614-884-0641",
            "fax_number": "614-884-0776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3535 OLENTANGY RIVER RD",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432143908",
            "telephone_number": "614-566-4919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HIGHLEY",
        "first_name": "CLINTON",
        "middle_name": "COOPER",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-05-22",
        "last_updated": "2016-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "OH",
            "license": "34-011548",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0166714",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P01666323",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

Verify at the official NPI Registry.