JOHN BIEDENBACH NP
NPI 1174878979
Nurse Practitioner - Family in Caldwell, OH

Active since July 17, 2012PECOS EnrolledAccepts Medicare Assignment
304 MAIN ST, CALDWELL, OH 43724(740) 732-2339(740) 732-2350 Get Directions Write a Review

NPPES record last updated: June 19, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 19, 2025, Sep 13, 2024, Aug 12, 2020 and 2 more (5 updates tracked since 2020).

About John Biedenbach Np NPPES

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

JOHN BIEDENBACH NP (NPI 1174878979) is an individual family provider in Caldwell, Ohio, licensed in Ohio (13436) and active in the NPI registry since July 2012. He is enrolled in Medicare PECOS, is affiliated with Genesis Hospital, and is a graduate of Other (2012).

NPPES Registry Identity

NPI1174878979
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameJOHN BIEDENBACHCredential: NP
Location Address304 MAIN STCaldwell, OH 43724-1322
Mailing Address416 Colegate Dr Bldg 3Marietta, OH 45750-9549 · (740) 374-3526 · Fax (740) 374-3165
Fax(740) 732-2350
Sole ProprietorYes
Medical School CMSOtherGraduated 2012
Enumeration DateJuly 17, 2012
Last NPPES UpdateJune 19, 20255 updates tracked since enumeration
NPPES CertifiedJune 19, 2025
NPI 1174878979 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 · 13436
304 MAIN ST, Caldwell, OH 43724

Accepted 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 Biedenbach Np 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 ID9335397520
PECOS Enrollment IDI20120912000889
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 6

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 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.
323 services183 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.
293 services180 patients
Anticoagulant management of patient taking warfarin 93793
Anticoagulant management with warfarin involves monitoring and adjusting your medication to prevent blood clots while minimizing the risk of bleeding. Regular blood tests measure your response to warfarin, helping adjust your dose if necessary. It's crucial to maintain a consistent diet and promptly report any changes in your health.
131 services13 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
34 services34 patients
Transitional care management services for problem of at least moderate complexity 99495
Transitional care management services focus on coordinating and managing your care after you leave the hospital. For moderate complexity problems, this involves managing your medications, arranging further treatments, and ensuring you have the necessary follow-ups.
18 services16 patients
Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians a G0179
This procedure involves a doctor or approved practitioner reviewing your health status and re-certifying your need for Medicare-covered home health services. It includes communication with the home health agency and assessment of your health reports, even when you're not physically present.
17 services11 patients

Hospital Affiliations CMS Care Compare 4

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

Genesis Hospital

Acute Care Hospitals · Zanesville, OH
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360039
Location2951 Maple AvenueZanesville, OH 43701 · Muskingum County
Emergency services Birthing friendly

Marietta Memorial Hospital

Acute Care Hospitals · Marietta, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number360147
Location401 Matthew StreetMarietta, OH 45750 · Washington County
Emergency services Birthing friendly

Southeastern Ohio Regional Medical Center

Acute Care Hospitals · Cambridge, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360203
Location1341 North Clark StreetCambridge, OH 43725 · Guernsey County
Emergency services Birthing friendly

Selby General Hospital

Critical Access Hospitals · Marietta, OH
OwnershipVoluntary non-profit - Private
CMS Certification Number361319
Location1106 Colegate DriveMarietta, OH 45750 · Washington County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43724 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 9

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
8 suppliers70 claims115 services$5.49 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
5 suppliers22 claims22 services$1.05 avg. paid by Medicare
Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each A4357
DME-Orthotic Devices · category DF000N
2 suppliers11 claims34 services$8.84 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
4 suppliers51 claims51 services$20.02 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
2 suppliers26 claims26 services$5.70 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
4 suppliers66 claims66 services$109.40 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 3

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

Clinic/Center (Rural Health)
304 MAIN ST
CALDWELL, OH 43724
Family Medicine
304 MAIN ST
CALDWELL, OH 43724
Nurse Practitioner (Primary Care)
304 MAIN ST
CALDWELL, OH 43724

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 Biedenbach's NPI number?

The NPI number for John Biedenbach is 1174878979. It was assigned to this individual provider in the NPPES registry on July 17, 2012.

Where is John Biedenbach located?

John Biedenbach practices at 304 Main St, Caldwell, OH 43724. The listed phone number is (740) 732-2339.

What is John Biedenbach's specialty?

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

Is John Biedenbach enrolled in Medicare?

Yes. John Biedenbach 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 Biedenbach accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource and MedMutual list John Biedenbach 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 Biedenbach affiliated with any hospitals?

According to CMS data, John Biedenbach is affiliated with Genesis Hospital, Marietta Memorial Hospital, Southeastern Ohio Regional Medical Center and Selby General Hospital.

When was this NPI record last updated?

The NPPES record for John Biedenbach was last updated on June 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.