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JOHN GAFFNEY CNP
NPI 1134583248
Nurse Practitioner - Family in Norwood, OH

Active since April 06, 2016PECOS EnrolledAccepts Medicare Assignment
4406 MONTGOMERY RD, NORWOOD, OH 45212(513) 376-7116 Get Directions Write a Review

NPPES record last updated: August 15, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 15, 2023, Sep 15, 2017 (2 updates tracked since 2017).

About John Gaffney Cnp NPPES

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

JOHN GAFFNEY CNP (NPI 1134583248) is an individual family provider in Norwood, Ohio, licensed in Ohio (APRN.CNP.021669) and active in the NPI registry since April 2016. He is enrolled in Medicare PECOS, is affiliated with Mercy Health - West Hospital, and maintains a secondary practice location in Milford.

NPPES Registry Identity

NPI1134583248
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameJOHN GAFFNEYCredential: CNP
Location Address4406 MONTGOMERY RDNorwood, OH 45212-3116
Mailing Address4406 Montgomery RdNorwood, OH 45212-3116
Phone(513) 376-7116
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateApril 6, 2016
Last NPPES UpdateAugust 15, 20232 updates tracked since enumeration
NPPES CertifiedAugust 15, 2023
✔ NPI 1134583248 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.021669
4406 MONTGOMERY RD, Norwood, OH 45212
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Secondary Practice Location 1

Location 11064 State Route 28 Ste FMilford, OH 45150-4940 · Phone (513) 981-4050 · Fax (513) 322-4859

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.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

John Gaffney Cnp 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 ID8628342276
PECOS Enrollment IDI20170920000798
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 5

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.

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
64 services64 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
29 services29 patients
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.
29 services23 patients
Urinalysis, manual test 81002
A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.
13 services12 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
12 services12 patients

Hospital Affiliations CMS Care Compare

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

Mercy Health - West Hospital

Acute Care Hospitals · Cincinnati, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360234
Location3300 Mercy Health BlvdCincinnati, OH 45211 · Hamilton County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45212 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 5

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

KELSEY CURRY
Nurse Practitioner (Family)
4406 MONTGOMERY RD
NORWOOD, OH 45212
Hamilton County (513) 376-7116
MS. GRACE LAMANTIA PA-C
Physician Assistant
4406 MONTGOMERY RD
NORWOOD, OH 45212
Hamilton County (513) 376-7116
LARRY M. ISAACS M.D.
Surgery
4406 MONTGOMERY RD
CINCINNATI, OH 45212
Hamilton County (513) 376-9354
MADELINE KIEHL PA-C
Physician Assistant
4406 MONTGOMERY RD
NORWOOD, OH 45212
Hamilton County (513) 376-7116
CODY KIRSCHNER
Physician Assistant
4406 MONTGOMERY RD
CINCINNATI, OH 45212
Hamilton County (513) 376-7116

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 John Gaffney's NPI number?

The NPI number for John Gaffney is 1134583248. It was assigned to this individual provider in the NPPES registry on April 6, 2016.

Where is John Gaffney located?

John Gaffney practices at 4406 Montgomery Rd, Norwood, OH 45212. The listed phone number is (513) 376-7116.

What is John Gaffney's specialty?

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

Is John Gaffney enrolled in Medicare?

Yes. John Gaffney 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 John Gaffney accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and Antidote Health Plan of Ohio, Inc. and 1 other insurer list John Gaffney 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 John Gaffney affiliated with any hospitals?

According to CMS data, John Gaffney is affiliated with Mercy Health - West Hospital.

When was this NPI record last updated?

The NPPES record for John Gaffney was last updated on August 15, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.