NPIMap

Individual provider Active NPI

Kevin Joseph Paley, MD

  • Orthopaedic Surgery Physician
  • Dayton, OH
National Provider Identifier
1982603627
Registry record updated Nov 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
35068914P Issued in OH
Practice address
3205 Woodman Dr
Dayton, OH 45420-1143
Phone
(937) 298-4417
Fax
(937) 298-8260
NPI assigned
Jul 15, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 35068914P OH Primary

Addresses

Primary practice location

3205 Woodman Dr
Dayton, OH 45420-1143

Mailing address

6480 Harrison Ave Ste 201
Cincinnati, OH 45247-7961
Phone (513) 713-1779

Other identifiers 1

IdentifierTypeStateIssuer
2159300MedicaidOH

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041201000107 OH Practitioner - Orthopedic Surgery 2567427651 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
University of Toledo College of Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

3205 Woodman Dr
Dayton, OH 45420-1143
Phone (937) 298-4417

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

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

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement1-10
Knee replacement19
Lower limb (leg) arthroscopy (minimally invasive joint repair)19
Upper limb (arm) arthroscopy (minimally invasive joint repair)59

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35068914POHMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Beacon Orthopaedics & Sports Medicine, LTD CurrentSince Dec 30, 2022 Accepting new patients
Beacon Orthopaedics & Sports Medicine LTD Orthopaedic Surgery CurrentSince Dec 30, 2022 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

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

6480 Harrison Ave
Ste 201
Cincinnati, OH 45247
Phone (513) 354-7650

3205 Woodman Dr
Kettering, OH 45420
Phone (937) 298-4417

2835 Miami Village Dr
Miamisburg, OH 45342
Phone (937) 449-0796

360 W Central Ave
Springboro, OH 45066
Phone (937) 208-7100

70 Weller Dr
Tipp City, OH 45371
Phone (937) 298-4417

Interoperability endpoints

  • Direct secure messaging: kpaley@direct-orthodayton.com
  • Direct secure messaging: kevin.paley.p1@direct.beaconortho.nextgenshare.com

Organizations & group practices 3

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 7

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": "1121385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699488000000",
    "number": "1982603627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6480 HARRISON AVE STE 201",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452477961",
            "telephone_number": "513-713-1779",
            "fax_number": "513-854-9921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3205 WOODMAN DR",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454201143",
            "telephone_number": "937-298-4417",
            "fax_number": "937-298-8260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALEY",
        "first_name": "KEVIN",
        "middle_name": "JOSEPH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-15",
        "last_updated": "2023-11-09",
        "certification_date": "2023-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "OH",
            "license": "35068914P",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2159300",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dayton, OH

Sources for this page

Verify at the official NPI Registry.