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JAMES APESOS M.D.
NPI 1184717076
Plastic Surgery in Dayton, OH

Active since October 02, 2006PECOS Enrolled
5441 FAR HILLS AVE, DAYTON, OH 45429(937) 435-0031(937) 435-3055 Get Directions Write a Review

NPPES record last updated: August 16, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 16, 2024, Mar 7, 2023 (2 updates tracked since 2023).

About James Apesos M.d. NPPES

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

JAMES APESOS M.D. (NPI 1184717076) is an individual plastic surgery provider in Dayton, Ohio, licensed in Ohio (051155) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS and maintains a secondary practice location in Neenah.

NPPES Registry Identity

NPI1184717076
Entity TypeIndividualMale
Primary Taxonomy208200000X
Provider Legal NameJAMES APESOSCredential: M.D.
Location Address5441 FAR HILLS AVEDayton, OH 45429-2315
Mailing Address5441 Far Hills AveDayton, OH 45429-2315 · (937) 435-0031 · Fax (937) 435-3055
Phone(937) 435-0031
Fax(937) 435-3055
Sole ProprietorNo
Enumeration DateOctober 2, 2006
Last NPPES UpdateAugust 16, 20242 updates tracked since enumeration
NPPES CertifiedAugust 16, 2024
✔ NPI 1184717076 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPlastic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208200000X
Licenses✔ Licensed in OH · 051155✔ Licensed in WI · 4593
Definition
A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.
5441 FAR HILLS AVE, Dayton, OH 45429
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Secondary Practice Location 1

Location 1130 2nd StNeenah, WI 54956-2883 · Phone (920) 358-1223

Other Identifiers 1

Medicaid0563037OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource (Common Ground Healthcare).Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

James Apesos M.d. 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 James Apesos reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Thedacare, Incorporated
384 mi
Counselor
1095 MIDWAY RD
Menasha, WI 54952
  • Reassigned Medicare billing, Wisconsin enrollment
  • 988 clinicians in this Medicare group
NPI 1306959515 (920) 720-2300

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 45429 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
$68.07 typical visit price
range $17.10 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Apesos's NPI number?

The NPI number for James Apesos is 1184717076. It was assigned to this individual provider in the NPPES registry on October 2, 2006.

Where is James Apesos located?

James Apesos practices at 5441 Far Hills Ave, Dayton, OH 45429. The listed phone number is (937) 435-0031.

What is James Apesos's specialty?

The primary specialty registered for this NPI is Plastic Surgery with taxonomy code 208200000X.

Is James Apesos enrolled in Medicare?

Yes. James Apesos is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for James Apesos's services?

According to the CMS Revalidation Reassignment List (October 2026 release), James Apesos reassigns Medicare benefits to Thedacare, Incorporated (Menasha, WI). 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 James Apesos's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does James Apesos accept?

Health plans from CareSource (Common Ground Healthcare) list James Apesos 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 James Apesos was last updated on August 16, 2024. 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.