Sanjay Mehta, MD
NPI 1265416374 · Orthopaedic Surgery Physician · Hilliard, OH
Enrolled with Medicare as Practitioner - Orthopedic Surgery · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Sanjay Mehta, MD is a Orthopaedic Surgery Physician provider in Hilliard, OH (NPI 1265416374).
Provider details
- NPI number
- 1265416374
- Entity type
- Individual
- Primary specialty
- Orthopaedic Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 35070797 (OH)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
20 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
3 documented practice locations
- Medicare service volume (vs. specialty peers)25% of score
219 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 95 | $89 |
| X-Ray of Hip, 2-3 Views73502 | 40 | $45 |
| X-Ray of Knee, 1-2 Views73560 | 36 | $34 |
| Initial Hospital Care With Same-Day Admission and Discharge With Straightforward Or Low Level of Medical Decision Making, Per Day, If Using Time, at Least 45 Minutes99234 | 24 | $96 |
| Treatment of Upper End of Broken Thigh Bone With Placement of Stabilizing Device Or Prosthetic Replacement27236 | 12 | $1,181 |
| Initial Hospital Care With Straightforward Or Low Level of Medical Decision Making, Per Day, If Using Time, at Least 40 Minutes99221 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 2 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Oxycodone Hcl | 31 | 16 |
| Oxycodone Hcl/Acetaminophenbrand: Oxycodone-Acetaminophen | 31 | 17 |
Medicare Part D only. These counts cover prescriptions paid through Medicare Part D in 2024 — they do notinclude cash-pay, commercial-insurance, Medicaid, or Part B–administered drugs, and badly undercount high cash-pay categories (e.g. GLP-1 weight-loss, testosterone, and ED medications). Any drug with 10 or fewer claims is omitted by CMS, and beneficiary counts under 11 are suppressed — so a missing drug means no Part D record, never zero. This is a factual claims summary, not an endorsement, not medical advice, and not a consumer report. Source: CMS Medicare Part D Prescribers — by Provider and Drug.
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$1,510 across 17 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Additional practice locations (2)
- 75 Hospital Dr Ste 140Athens, OH 45701-2858Phone: (740) 566-4720Fax: (740) 566-4721
- 285 E State StSte 500Columbus, OH 43215-4354Phone: (614) 566-7777Fax: (614) 566-8880
Registry dates
- Enumerated
- 2005-12-01
- Last updated
- 2026-03-18
- Certified
- 2026-03-18
Frequently asked questions
- What is Sanjay Mehta's NPI number?
- Sanjay Mehta's National Provider Identifier (NPI) is 1265416374, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Sanjay Mehta's specialty?
- Sanjay Mehta is listed in the NPPES registry with a primary specialty of Orthopaedic Surgery Physician (Allopathic & Osteopathic Physicians).
- Where is Sanjay Mehta located?
- Sanjay Mehta's practice location on file with NPPES is 4343 All Seasons Dr Ste 140, Hilliard, OH 43026-1962.
- What is Sanjay Mehta's phone number?
- The practice phone number listed in the NPPES registry for Sanjay Mehta is (614) 544-1401.
- Does Sanjay Mehta accept Medicare?
- Sanjay Mehta is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Sanjay Mehta's NPI active?
- Yes — Sanjay Mehta's NPI (1265416374) is active in the NPPES registry as of the last update on 2026-03-18.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.