NPIMap

Haley Defibaugh, PA-C

Individual provider Active NPI Physician Assistant · Upper Arlington, OH

NPI 1801535182 · NPPES record last updated Jan 6, 2025

Key facts

NPI
1801535182
Entity type
Individual (NPI type 1)
Primary specialty
Physician Assistant 363A00000X
License
50.007822RX (OH)
Practice address
4605 Sawmill Rd
Upper Arlington, OH 43220-2246
Phone
(614) 827-8700
Fax
(614) 827-8701
NPI assigned
Jun 3, 2022
Sex
Female
Sole proprietor
No

Organizations & group practices 13

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 2

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

Medicare Care Compare profile

Specialty
Physician Assistant
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orthopedic One, Inc. (282 clinicians)

Practice addresses (Care Compare)

4604 Sawmill Rd
Upper Arlington, OH 43220-2247
Phone (614) 827-8700

4605 Sawmill Rd
Upper Arlington, OH 43220-2246
Phone (614) 827-8700

Hospital & facility affiliations

  • Riverside Methodist Hospital Hospital · Columbus, OH · CCN 360006

Merit-based Incentive Payment System (MIPS)

Final score
90.64 of 100 (group)
Quality
89.85
Promoting interoperability
100
Improvement activities
40
Cost
78.97

Medicare participation

Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20230324000586 OH Practitioner - Physician Assistant 4789058298 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
50.007822RXOHMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Orthopedic One, Inc Current
since Mar 20, 2023		 Accepting new patients
Orthopedic One, Inc Current
since Mar 20, 2023		 Accepting new patients
Orthopedic One, Inc. Past Accepting new patients

Locations

4604 Sawmill Rd
Upper Arlngtn, OH 43220
Phone (614) 839-2300

4605 Sawmill Rd
Upper Arlngtn, OH 43220
Phone (614) 827-1050

340 Polaris Pkwy
Westerville, OH 43082
Phone (614) 839-2300

Interoperability endpoints

  • Direct secure messaging: hdefibaugh@orthopedicone.medentdirect.com

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Physician Assistant 363A00000X 50.007822RX OH Yes

Addresses

Primary practice location

4605 Sawmill Rd
Upper Arlington, OH 43220-2246

Mailing address

340 Polaris Pkwy
Westerville, OH 43082-7971
Phone (614) 545-7900

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jan 6, 2025.

{
    "created_epoch": "1654214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736121600000",
    "number": "1801535182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "340 POLARIS PKWY",
            "city": "WESTERVILLE",
            "state": "OH",
            "postal_code": "430827971",
            "telephone_number": "614-545-7900",
            "fax_number": "614-545-7901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4605 SAWMILL RD",
            "city": "UPPER ARLINGTON",
            "state": "OH",
            "postal_code": "432202246",
            "telephone_number": "614-827-8700",
            "fax_number": "614-827-8701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEFIBAUGH",
        "first_name": "HALEY",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-03",
        "last_updated": "2025-01-06",
        "certification_date": "2025-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OH",
            "license": "50.007822RX",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Upper Arlington, OH

All providers in Upper Arlington, OH · Physician Assistant in Ohio

Sources for this page

Verify at the official NPI Registry.