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MR. JAMES DAVID MCGAHA JR. FNP-C
NPI 1023708187
Nurse Practitioner - Family in Genoa, OH

Active since May 11, 2023PECOS EnrolledAccepts Medicare Assignment
22614 STATE ROUTE 51 W, GENOA, OH 43430(419) 855-7772 Get Directions Write a Review

NPPES record last updated: May 11, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. James David Mcgaha Jr. Fnp-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. JAMES DAVID MCGAHA JR. FNP-C (NPI 1023708187) is an individual family provider in Genoa, Ohio, licensed in Ohio (APRN.CNP.0033829) and active in the NPI registry since May 2023. He is enrolled in Medicare PECOS, is affiliated with Mercy St Vincent Medical Center, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1023708187
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameMR. JAMES DAVID MCGAHA JR.Credential: FNP-C
Location Address22614 STATE ROUTE 51 WGenoa, OH 43430-1143
Mailing Address1857 Meadowlark AveToledo, OH 43614-3943 · (419) 213-0556
Phone(419) 855-7772
Sole ProprietorYes
Medical School CMSOtherGraduated 2023
Enumeration DateMay 11, 2023
NPPES CertifiedMay 11, 2023
✔ NPI 1023708187 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in OH · APRN.CNP.0033829
22614 STATE ROUTE 51 W, Genoa, OH 43430
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, MedMutual.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mr. James David Mcgaha Jr. Fnp-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5092175026
PECOS Enrollment IDI20230721001122
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
54 services49 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
16 services16 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Mercy St Vincent Medical Center

Acute Care Hospitals · Toledo, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number360112
Location2213 Cherry StreetToledo, OH 43608 · Lucas County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43430 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

EMMA SZABO APRN.CNP
Nurse Practitioner
22614 STATE ROUTE 51 W
GENOA, OH 43430
Ottawa County (419) 855-7772
ALYSE MARIE ALEXANDER CNP
Nurse Practitioner (Family)
22614 STATE ROUTE 51 W
GENOA, OH 43430
Ottawa County (419) 855-7772

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is James Mcgaha's NPI number?

The NPI number for James Mcgaha is 1023708187. It was assigned to this individual provider in the NPPES registry on May 11, 2023.

Where is James Mcgaha located?

James Mcgaha practices at 22614 State Route 51 W, Genoa, OH 43430. The listed phone number is (419) 855-7772.

What is James Mcgaha's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is James Mcgaha enrolled in Medicare?

Yes. James Mcgaha is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does James Mcgaha accept?

Health plans from CareSource and MedMutual list James Mcgaha as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is James Mcgaha affiliated with any hospitals?

According to CMS data, James Mcgaha is affiliated with Mercy St Vincent Medical Center.

When was this NPI record last updated?

The NPPES record for James Mcgaha was last updated on May 11, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.