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James Benjamin Oatney , PA-C

Physician Assistant โ€ข Columbus, OH

Active NPI 1801547237 Individual Practitioner Male Practitioner Accepts Medicare assignment
Practice location in NPPES

111 S Grant Ave
Columbus, OH 432154701

Call 6145668883 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

111 S Grant Ave

Columbus, OH 432154701

Telephone 6145668883
Fax 6145668149
Organization at the Same NPPES Address or Phone
Central Ohio Radiation Oncology, Inc. Facility NPI 1851392211

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

CMS Doctors and Clinicians lists 1 group name: Ohiohealth Corporation. See the list

Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File

Graduation Year

2021

Medicare patients

126 people with Original Medicare in 2024

Different Original Medicare patients in 2024; counts below 11 are hidden; this does not show availability or quality.

Source: CMS, Medicare Physician & Other Practitioners โ€“ by Provider, 2024.

Medicare-allowed amount

About $19,687 in 2024

The total amount Medicare approved for these services in 2024. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.

What this does not show: Medicare-allowed amount

This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.

Source: CMS, Medicare Physician & Other Practitioners โ€“ by Provider and Service, 2024.

Paid by Medicare

About $15,186 in 2024

The part of the Medicare-allowed amount that Medicare itself paid in 2024, after patients' deductibles and coinsurance.

What this does not show: Paid by Medicare

This is not the clinician's income and not a measure of quality.

Source: CMS, Medicare Physician & Other Practitioners โ€“ by Provider and Service, 2024.

30-day fills

14 standardized 30-day fills in 2023

CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.

What this does not show: 30-day fills

It is not a count of patients and not a measure of quality.

Part D drug cost

$28 in 2023

The total cost of these prescriptions in 2023, paid by Medicare drug plans, patients and other payers together.

What this does not show: Part D drug cost

A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.

Source: CMS, Medicare Part D Prescribers โ€“ by Provider and Drug, 2023.

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2021โ€“2025.

Guide: How to read an Open Payments record

Years since graduation

5 years (graduated 2021)

CMS Doctors and Clinicians data list 2021 as the year this clinician finished professional school.

What this does not show: Years since graduation

It is not the number of years in practice, and more years does not mean better care.

Source: CMS Doctors and Clinicians National Downloadable File.

NPI first issued

2022

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Accepts Medicare assignment

CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, โ€œDoes your provider accept Medicare as full payment?โ€

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

James Oatney has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists James Oatney as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Columbus and Ohio

Billing and prescribing volume is not a quality rating.

Medicare Part B services

More Medicare Part B services than 75% of clinicians listed under Physician Assistant in Columbus, OH (2024, 318 clinicians with data). Median for this group: 98. Middle half: 42 to 233.

More Medicare Part B services than 60% of clinicians listed under Physician Assistant in Ohio (2024, 2,811 clinicians with data). Median for this group: 169. Middle half: 67 to 400.

Medicare-allowed amount

A higher Medicare-allowed amount than 75% of clinicians listed under Physician Assistant in Columbus, OH (2024, 318 clinicians with data). Median for this group: $7,912. Middle half: $3,573 to $17,069.

A higher Medicare-allowed amount than 60% of clinicians listed under Physician Assistant in Ohio (2024, 2,811 clinicians with data). Median for this group: $13,051. Middle half: $5,335 to $26,160.

Paid by Medicare

A higher Medicare payment amount than 80% of clinicians listed under Physician Assistant in Columbus, OH (2024, 318 clinicians with data). Median for this group: $6,128. Middle half: $2,627 to $12,336.

A higher Medicare payment amount than 65% of clinicians listed under Physician Assistant in Ohio (2024, 2,811 clinicians with data). Median for this group: $9,581. Middle half: $3,849 to $19,099.

Medicare Part D

Comparisons use 2024 data. The latest CMS data for James Oatney are from 2023.

727 active clinicians are listed under Physician Assistant with a practice address in Columbus, OH (5,329 in Ohio).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Columbus

9.8% of these 727 clinicians have the CMS telehealth indicator.

64.6% of these 727 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Medicare Part D Prescribers (2023), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo ยท Report an error.

Performed Procedures & Service Volume

Services billed to Original Medicare Part B in 2024.

CMS Part B ยท Data Year 2024
Reporting Year:

CPTยฎ is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2022โ€“2023 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners โ€“ by Provider and Service data, 2023โ€“2024; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.

HCPCS Code Services Patients Submitted Charge Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes
188 101 $183.00 $62.81
99239 Hospital discharge day management, more than 30 minutes
41 41 $191.00 $91.71
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes
39 38 $245.00 $105.60

Source: CMS Part B by Provider and Service, 2024; services under 11 beneficiaries omitted by CMS. Privacy limits

Submitted charges are billed amounts, not a price quote for your visit.

Medicare Part D Prescribing Profile & Medications

Medicare Part D prescriptions filled, including refills, in 2023.

CMS Part D ยท Data Year 2023
Brand Name Generic Name Prescriptions Day Supply Total Cost Patients
Oxycodone Hcl Oxycodone Hcl 14 43 $28.21 14

Source: CMS Part D by Provider and Drug, 2023; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2022-08-17
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

License # reported to NPPES OH 50.007410RX

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: State Medical Board of Ohio.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - PHYSICIAN ASSISTANT

Medicare Enrollment ID

I20220720001762

Enrollment State Jurisdiction

OH

PECOS Control ID

4183005234

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Medicare Group Practice Enrollments

Source: CMS Doctors and Clinicians National Downloadable File

Ohiohealth Corporation

5100 W Broad St, Columbus, OH 432281607

Phone: 6145442058

Ohiohealth Corporation

5154 W Braod St, Columbus, OH 432281607

Phone: 6145660774

Ohiohealth Corporation

393 E Town St, Columbus, OH 432154799

Ohiohealth Corporation

1030 Refugee Rd, Pickerington, OH 431479653

Phone: 6145662286

Ohiohealth Corporation

111 S Grant Ave, Columbus, OH 432154701

Ohiohealth Corporation

111 S Grant Ave 3rd Fl, Columbus, OH 432154701

Phone: 6145669184

Ohiohealth Corporation

7500 Hospital Dr, Dublin, OH 430168518

Phone: 6145668883

Ohiohealth Corporation

1010 Refugee Rd, Pickerington, OH 431479653

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

40 listed
NPI 1235260464

Doctor of Medicine (M.D.)

Matthew Adegboye

Internal Medicine

NPI 1881071827
Farhana Afrin , CNP

Nurse Practitioner - Family

NPI 1730720160

Certified Nurse Practitioner

NPI 1356572879

Doctor of Medicine (M.D.)

NPI 1588824387

Doctor of Medicine (M.D.)

NPI 1659546786

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

9 Historical Events
๐Ÿ“
Updated Practice Location August 17, 2022

Registered at 111 S GRANT AVE, COLUMBUS, OH 432154701 (Tel: 6145668883)

๐Ÿ“
Updated Business Mailing Address August 17, 2022

Registered at PO BOX 7527, DUBLIN, OH 430170727

๐ŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) August 17, 2022

Physician Assistant (license number reported to NPPES: OH 50.007410RX)

โœ…
NPI Profile Active January 19, 2022

NPI status registered as active in NPPES database

๐Ÿ“
Practice Location (Initial Record) January 19, 2022

Registered at 3535 OLENTANGY RIVER RD, COLUMBUS, OH 432143908 (Tel: 6145665000)

๐Ÿ“
Business Mailing Address (Initial Record) January 19, 2022

Registered at 3535 OLENTANGY RIVER RD, COLUMBUS, OH 432143908 (Tel: 6145665283)

๐Ÿ‘ค
Provider Name / Credentials (Initial Record) January 19, 2022

Recorded as JAMES OATNEY, PA-C

๐ŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) January 19, 2022

Student in an Organized Health Care Education/Training Program

๐ŸŸข
Initial NPI Registration & Enumeration January 18, 2022

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1801547237
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 18, 2022
Last Update: August 17, 2022
Sole Proprietor: No

Other Physician Assistants in Columbus

All Physician Assistants in Columbus

Mailing Address

Po Box 7527

Dublin, OH 430170727

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.