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JAMES BIANCHI III
NPI 1093778748
Emergency Medicine in Springfield, OH

Active since April 11, 2006PECOS EnrolledAccepts Medicare Assignment
2615 E HIGH ST, SPRINGFIELD, OH 45505(937) 325-0531 Get Directions Write a Review

NPPES record last updated: January 7, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About James Bianchi Iii NPPES

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

JAMES BIANCHI III (NPI 1093778748) is an individual emergency medicine provider in Springfield, Ohio, licensed in Ohio (35.069560) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS, is affiliated with Mccullough-hyde Memorial Hospital, and is a graduate of University Of Toledo College Of Medicine (1994).

NPPES Registry Identity

NPI1093778748
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameJAMES BIANCHI III
Location Address2615 E HIGH STSpringfield, OH 45505-1412
Mailing Address6896 W Snowville RdBrecksville, OH 44141-3214
Phone(937) 325-0531
Sole ProprietorNo
Medical School CMSUniversity Of Toledo College Of MedicineGraduated 1994
Enumeration DateApril 11, 2006
Last NPPES UpdateJanuary 7, 2008
✔ NPI 1093778748 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in OH · 35.069560
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
2615 E HIGH ST, Springfield, OH 45505
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Other Identifiers 5

Medicaid0251043OH
Other000000296911OH · Anthem
Medicare UPING29048OH
Medicare PINP00072670OH
Medicare PINBI0835525OH

Accepted Insurance

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

James Bianchi Iii 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 ID9032013669
PECOS Enrollment IDI20031125000048
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 4

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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
174 services155 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.
100 services93 patients
Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
42 services42 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
16 services16 patients

Hospital Affiliations CMS Care Compare

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

Mccullough-Hyde Memorial Hospital

Acute Care Hospitals · Oxford, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360046
Location110 North Poplar StreetOxford, OH 45056 · Butler County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45505 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 19

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

AJMAL SHAMIM MD
Internal Medicine
2615 E HIGH ST
SPRINGFIELD, OH 45505
Clark County (937) 325-0531
SPRINGFIELD PULMONARY INC
Internal Medicine (Pulmonary Disease)
2615 E HIGH ST, SUITE 1350
SPRINGFIELD, OH 45505
Clark County (937) 322-4352
THE COMMUNITY HOSPITAL OF SPRINGFIELD AND CLARK COUNTY
General Acute Care Hospital
2615 E HIGH ST
SPRINGFIELD, OH 45505
Clark County (937) 325-0531
COMMUNITY MERCY HEALTH PARTNERS
Point of Service
2615 E HIGH ST
SPRINGFIELD, OH 45505
Clark County (937) 328-9515
KENNETH LEE DINE JACOBS D.O.
Emergency Medicine
2615 E HIGH ST
SPRINGFIELD, OH 45505
Clark County (937) 325-0531
SOUND INPATIENT PHYSICIANS OF OHIO, LLC
Hospitalist
2615 E HIGH ST
SPRINGFIELD, OH 45505
Clark County (937) 325-0531
SPRINGFIELD EMERGENCY PHYSICIANS, INC.
Emergency Medicine
2615 E HIGH ST
SPRINGFIELD, OH 45505
Clark County (937) 325-0531
NORTHSTAR ANESTHESIA OF OHIO LLC
Anesthesiology
2615 E HIGH ST
SPRINGFIELD, OH 45505
Clark County (214) 687-0496

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 Bianchi's NPI number?

The NPI number for James Bianchi is 1093778748. It was assigned to this individual provider in the NPPES registry on April 11, 2006.

Where is James Bianchi located?

James Bianchi practices at 2615 E High St, Springfield, OH 45505. The listed phone number is (937) 325-0531.

What is James Bianchi's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is James Bianchi enrolled in Medicare?

Yes. James Bianchi 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 Bianchi accept?

Health plans from CareSource list James Bianchi 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 Bianchi affiliated with any hospitals?

According to CMS data, James Bianchi is affiliated with Mccullough-Hyde Memorial Hospital.

When was this NPI record last updated?

The NPPES record for James Bianchi was last updated on January 7, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.