SUSAN M KAUFMAN D.O
NPI 1053316489
Family Medicine in Wapakoneta, OH

Active since June 13, 2005PECOS Enrolled
1251 LINCOLN HWY, SUITE 1, WAPAKONETA, OH 45895(419) 738-5151(419) 941-1092 Get Directions Write a Review

NPPES record last updated: October 27, 2016. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Susan M Kaufman D.o NPPES

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

SUSAN M KAUFMAN D.O (NPI 1053316489) is an individual family medicine provider in Wapakoneta, Ohio, licensed in Ohio (34010062) and active in the NPI registry since June 2005. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1053316489
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameSUSAN M KAUFMANCredential: D.O
Location Address1251 LINCOLN HWY, SUITE 1Wapakoneta, OH 45895-7356
Mailing Address951 Commerce Pkwy, Suite 101Lima, OH 45804-4040 · (419) 998-4575 · Fax (419) 998-4586
Fax(419) 941-1092
Sole ProprietorNo
Enumeration DateJune 13, 2005
Last NPPES UpdateOctober 27, 2016
✔ NPI 1053316489 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in OH · 34010062✔ Licensed in PA · OS006866L
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1251 LINCOLN HWY, Wapakoneta, OH 45895

Other Identifiers 21

Other080169885PA · Railroad Medicare Pin
Medicaid0011702840011PA
Medicare PIN580453KAMPA
Other25-1754199PA · Vantage
Medicare PIN580453JJNPA
Other0025215401NY · Univera Insurance Co
Medicaid0011702840010PA
Medicaid3126316OH
Other25-1754199PA · Health America
Other25-1754199PA · Selectcare
Other25-1754199PA · Intergroup
Other2725313PA · Cigna
Other25-1754199PA · Devon
Medicaid0011702840005PA
Medicare PINKA4313511OH
OtherKA580453PA · Highmark
Medicare PIN580453TEWPA
Other303685PA · Upmc Health Plan
Other580453PA · Blue Shield
Other25-1754199PA · United Healthcare
Medicare UPINE27621PA

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Susan M Kaufman D.o is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show Susan Kaufman reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Family Medicine
602 W REDSKIN TRL
Wapakoneta, OH 45895
  • Reassigned Medicare billing, Ohio enrollment
  • 228 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45895 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.

Referred Medical Equipment & Supplies CMS DME claims 10

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
10 suppliers88 claims211 services$5.78 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
6 suppliers20 claims20 services$0.80 avg. paid by Medicare
Ostomy pouch, urinary, with extended wear barrier attached, with built-in convexity, with faucet-type tap with valve (1 piece), each A4430
DME-Orthotic Devices · category DF010N
1 supplier12 claims80 services$5.90 avg. paid by Medicare
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable A7003
DME-Other DME · category DE000N
4 suppliers14 claims19 services$1.75 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
3 suppliers27 claims27 services$91.07 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
2 suppliers14 claims14 services$31.63 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES

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

Physical Therapist
1251 LINCOLN HWY
WAPAKONETA, OH 45895

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 Susan Kaufman's NPI number?

The NPI number for Susan Kaufman is 1053316489. It was assigned to this individual provider in the NPPES registry on June 13, 2005.

Where is Susan Kaufman located?

Susan Kaufman practices at 1251 Lincoln Hwy Suite 1, Wapakoneta, OH 45895. The listed phone number is (419) 738-5151.

What is Susan Kaufman's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Susan Kaufman enrolled in Medicare?

Yes. Susan Kaufman is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Susan Kaufman's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Susan Kaufman reassigns Medicare benefits to Lima Memorial Professional Corporation (Wapakoneta, OH). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Susan Kaufman's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Susan Kaufman accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 2 other insurers list Susan Kaufman 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.

When was this NPI record last updated?

The NPPES record for Susan Kaufman was last updated on October 27, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.