JAMES W. SPAIN MD
NPI 1215955471
Radiology - Vascular & Interventional Radiology in Columbus, OH

Q: What is James Spain's NPI number?

The NPI number for James Spain is 1215955471. It was assigned to this individual provider in the NPPES registry on July 17, 2006.

Q: What is James Spain's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Vascular & Interventional Radiology, with taxonomy code 2085R0204X.

Q: When was this NPI record last updated?

The NPPES record for James Spain was last updated on February 8, 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.

Active since July 17, 2006PECOS EnrolledAccepts Medicare Assignment

83.77/100

CMS Quality Rating

395 W 12TH AVE RM 482, COLUMBUS, OH 43210(614) 293-4333(614) 293-6935 Get Directions Write a Review

NPPES record last updated: February 8, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 8, 2024, Feb 26, 2021 (2 updates tracked since 2021).

On this page

About James W. Spain Md NPPES

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

JAMES W. SPAIN MD (NPI 1215955471) is an individual vascular & interventional radiology provider in Columbus, Ohio, licensed in Ohio (35-074464) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Ohio State University State Health System, and maintains a secondary practice location in Canton.

NPPES Registry Identity

NPI1215955471

Entity TypeIndividualMale

Primary Taxonomy2085R0204X

Provider Legal NameJAMES W. SPAINCredential: MD

Location Address395 W 12TH AVE RM 482Columbus, OH 43210-1267

Mailing Address395 W 12th Ave Rm 482Columbus, OH 43210-1267 · (614) 293-4333 · Fax (614) 293-6935

Phone(614) 293-4333

Fax(614) 293-6935

Sole ProprietorNo

Medical School CMSState University Of New York At Buffalo School Of MedicineGraduated 1994

Enumeration DateJuly 17, 2006

Last NPPES UpdateFebruary 8, 20242 updates tracked since enumeration

NPPES CertifiedFebruary 8, 2024

✔ NPI 1215955471 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyRadiology · Vascular & Interventional RadiologyAllopathic & Osteopathic Physicians

Taxonomy Code2085R0204X

License✔ Licensed in OH · 35-074464

Definition

A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging.

Also ListedRadiology · Diagnostic RadiologyTaxonomy 2085R0202X · License 35-074464 (OH)

395 W 12TH AVE RM 482, Columbus, OH 43210

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Secondary Practice Location 1

Location 12600 Sixth St SWCanton, OH 44710-1702 · Phone (303) 632-8423 · Fax (330) 580-5536

Other Identifiers 1

Medicaid2132221OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, Molina Healthcare.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 W. Spain Md 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 ID1052309754

PECOS Enrollment IDI20040503000741

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 7

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.

Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes 99152

This procedure involves a doctor administering a medication to reduce your consciousness during a procedure. This helps in managing discomfort and anxiety. The initial application lasts for 15 minutes and is for individuals aged 5 years or older.

68 services68 patients

Review by radiologist of ct guidance for needle placement 77012

This process involves a radiologist examining CT scan images to accurately guide a needle's placement within the body. This technique is often used for biopsies or treatments, ensuring precision and safety.

30 services30 patients

Ultrasonic guidance for needle placement 76942

Ultrasonic guidance for needle placement is a technique where sound waves create images that help accurately position the needle during procedures. This method ensures precision, minimizes discomfort, and increases safety.

22 services22 patients

Core needle biopsy of lung or center cavity of chest (mediastinum), accessed through skin 32408

A core needle biopsy of the lung or mediastinum is a procedure where a small sample of tissue is collected using a needle inserted through the skin. This helps in diagnosing lung conditions or diseases in the chest's central cavity. It's a safe and minimally invasive process.

17 services17 patients

Needle biopsy of kidney 50200

A needle biopsy of the kidney is a medical procedure where a small sample of kidney tissue is removed using a special needle. This is done to examine the tissue under a microscope for any abnormalities. It helps in diagnosing potential kidney conditions.

16 services16 patients

Needle biopsy of growth of abdominal cavity 49180

A needle biopsy of the abdominal cavity growth is a procedure where a thin needle is inserted into the abdomen to collect a small tissue sample from the growth. This sample is then examined under a microscope to identify the nature of the growth. It's a safe, minimally invasive procedure.

14 services14 patients

Hospital Affiliations CMS Care Compare

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

Ohio State University State Health System

Acute Care Hospitals · Columbus, OH

4/5 CMS rating

OwnershipGovernment - State

CMS Certification Number360085

Location410 West 10th AvenueColumbus, OH 43210 · Franklin County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43210 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

83.77/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

80.91

Improvement Activities

Other Providers at the Same Location NPPES

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

CHRISTOPHER SCOTT DAVIS M.D.

Radiology (Diagnostic Radiology)

395 W 12TH AVE RM 482
COLUMBUS, OH 43210

Franklin County (614) 293-4333

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 Spain's NPI number?

The NPI number for James Spain is 1215955471. It was assigned to this individual provider in the NPPES registry on July 17, 2006.

Where is James Spain located?

James Spain practices at 395 W 12th Ave Rm 482, Columbus, OH 43210. The listed phone number is (614) 293-4333.

What is James Spain's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Vascular & Interventional Radiology, with taxonomy code 2085R0204X.

Is James Spain enrolled in Medicare?

Yes. James Spain 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 Spain accept?

Health plans from CareSource and Molina Healthcare list James Spain 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 Spain affiliated with any hospitals?

According to CMS data, James Spain is affiliated with Ohio State University State Health System.

When was this NPI record last updated?

The NPPES record for James Spain was last updated on February 8, 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.