Individual provider Active NPI

Desmond J Stutzman, D.O.

  • Surgery of the Hand (Surgery) Physician
  • Columbus, OH
National Provider Identifier
1720062888
Registry record updated Feb 5, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery of the Hand (Surgery) PhysicianTaxonomy code 2086S0105X
License
34.006638 Issued in OH
Practice address
1313 Olentangy River Rd
Columbus, OH 43212-3129
Phone
(614) 890-6555
Fax
(614) 823-8881
NPI assigned
Dec 2, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Hand Surgery Physician 207XS0106X 34006833S OH
Surgery of the Hand (Surgery) Physician 2086S0105X 34.006638 OH Primary

Addresses

Primary practice location

1313 Olentangy River Rd
Columbus, OH 43212-3129

Mailing address

70 S Cleveland Ave
Westerville, OH 43081-1397
Phone (614) 890-6555

Other identifiers 1

IdentifierTypeStateIssuer
2297296MedicaidOH

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
I20060223000797 OH Practitioner - Hand SurgeryPractitioner - Orthopedic Surgery 5799791026 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Hand SurgeryAlso: Orthopedic Surgery
Education
Ohio University, College of Osteopathic Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Beacon Orthopaedics and Sports Medicine LTDGroup PAC ID 0345136412, 471 clinicians

Practice addresses (Care Compare)

5040 Forest Dr
New Albany, OH 43054-8167
Phone (614) 890-6555

Hospital & facility affiliations

  • Mount Carmel New Albany Surgical Hospital Hospital, New Albany, OH, CCN 360266
  • Mount Carmel East & West Hospital, Columbus, OH, CCN 360035

Merit-based Incentive Payment System (MIPS)

Final score
93.01 of 100Reported as apm
Quality
86.02
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
34006833SOHMDOrthopaedic Hand Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Beacon Orthopaedics & Sports Medicine LTD Hand Surgery CurrentSince Aug 1, 2022 Accepting new patients
Beacon Orthopaedics & Sports Medicine, LTD CurrentSince Aug 1, 2022 Accepting new patients
New Albany Surgery Center, LLC Current Accepting new patients
Orthopedic & Neurological Consultants, Inc. Hand Surgery CurrentSince Mar 1, 2002 Accepting new patients
Orthopedic & Neurological Consultants, Inc CurrentSince Mar 1, 2002 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

6480 Harrison Ave
Cincinnati, OH 45247
Phone (513) 251-7827

L 3973
Columbus, OH 43260

1313 Olentangy River Rd
Columbus, OH 43212
Phone (614) 221-3725

7450 Hospital Dr
Ste 350
Dublin, OH 43016
Phone (614) 268-2323

5040 Forest Dr
Ste 300
New Albany, OH 43054
Phone (614) 839-2128

5040 Forest Dr
New Albany, OH 43054
Phone (614) 546-4300

1030 Refugee Rd
Ste 180
Pickerington, OH 43147

70 S Cleveland Ave
Westerville, OH 43081
Phone (614) 839-2115

Interoperability endpoints

  • Direct secure messaging: desmond.stutzman.p1@direct.beaconortho.nextgenshare.com
  • Direct secure messaging: dstutzman@orthon1642.srs-direct.com

Organizations & group practices 6

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 3

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": "1133481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1454630400000",
    "number": "1720062888",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "70 S CLEVELAND AVE",
            "city": "WESTERVILLE",
            "state": "OH",
            "postal_code": "430811397",
            "telephone_number": "614-890-6555",
            "fax_number": "614-823-8881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1313 OLENTANGY RIVER RD",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432123129",
            "telephone_number": "614-890-6555",
            "fax_number": "614-823-8881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STUTZMAN",
        "first_name": "DESMOND",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-02",
        "last_updated": "2016-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XS0106X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Hand Surgery",
            "state": "OH",
            "license": "34006833S",
            "primary": false
        },
        {
            "code": "2086S0105X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgery of the Hand",
            "state": "OH",
            "license": "34.006638",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2297296",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

Verify at the official NPI Registry.