1. Home
  2. Directory
  3. Ohio
  4. Centerville
  5. Surgery
  6. NPI Profile

JAMES R OUELLETTE DO
NPI 1245288422
Surgery - Surgical Oncology in Centerville, OH

Active since May 04, 2006PECOS EnrolledAccepts Medicare Assignment
76.79/100
CMS Quality Rating
2300 MIAMI VALLEY DR, SUITE 350, CENTERVILLE, OH 45459(937) 424-2469(937) 424-2479 Get Directions Write a Review

NPPES record last updated: August 1, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About James R Ouellette Do NPPES

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

JAMES R OUELLETTE DO (NPI 1245288422) is an individual surgical oncology provider in Centerville, Ohio, licensed in Ohio (340073869) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Miami Valley Hospital, and is a graduate of Kansas City University Of Med & Biosciences, College Of Osteo Med (1998).

NPPES Registry Identity

NPI1245288422
Entity TypeIndividualMale
Primary Taxonomy2086X0206X
Provider Legal NameJAMES R OUELLETTECredential: DO
Location Address2300 MIAMI VALLEY DR, SUITE 350Centerville, OH 45459
Mailing Address3170 Kettering Blvd Bldg B3Moraine, OH 45439-1924 · (937) 991-3191 · Fax (937) 223-9811
Phone(937) 424-2469
Fax(937) 424-2479
Sole ProprietorNo
Medical School CMSKansas City University Of Med & Biosciences, College Of Osteo MedGraduated 1998
Enumeration DateMay 4, 2006
Last NPPES UpdateAugust 1, 2018
✔ NPI 1245288422 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySurgery · Surgical OncologyAllopathic & Osteopathic Physicians
Taxonomy Code2086X0206X
License✔ Licensed in OH · 340073869
Definition
A surgical oncologist is a well-qualified surgeon who has obtained additional training and experience in the multidisciplinary approach to the prevention, diagnosis, treatment, and rehabilitation of cancer patients, and devotes a major portion of his or her professional practice to these activities and cancer research.
Also ListedSurgeryTaxonomy 208600000X · License 34007386 (OH)
2300 MIAMI VALLEY DR, Centerville, OH 45459
Open in Google Maps ↗

Other Identifiers 1

Medicaid2192550OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, MedMutual, 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 R Ouellette Do 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 ID7012812456
PECOS Enrollment IDI20031126000753
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.
139 services113 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
58 services58 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
40 services25 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.
32 services28 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
25 services25 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.
14 services14 patients

Hospital Affiliations CMS Care Compare 4

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

Miami Valley Hospital

Acute Care Hospitals · Dayton, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360051
LocationOne Wyoming StreetDayton, OH 45409 · Montgomery County
Emergency services Birthing friendly

Atrium Medical Center

Acute Care Hospitals · Franklin, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360076
LocationOne Medical Center DriveFranklin, OH 45005 · Warren County
Emergency services Birthing friendly

Kettering Health Main Campus

Acute Care Hospitals · Kettering, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number360079
Location3535 Southern BoulevardKettering, OH 45429 · Montgomery County
Emergency services Birthing friendly

Upper Valley Medical Center

Acute Care Hospitals · Troy, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360174
Location3130 North County Road 25ATroy, OH 45373 · Miami County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45459 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
$166.65 typical visit price
range $54.34 – $166.65
Typical copayment $41.66 (range $13.58 – $41.66)
Most-billed visit code 99205
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.

76.79/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality64.65
Promoting Interoperability100
Improvement Activities40
Cost57.98

Reported Quality Measures

Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
31%52 patients2/55-star benchmark: 100%
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
52%101 patients3/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
28%109 patients2/55-star benchmark: 100%
Screening for Osteoporosis for Women Aged 65-85 Years of Age
Percentage of female patients aged 65-85 years of age who ever had a central dual-energy X-ray absorptiometry (DXA) to check for osteoporosis
35%46 patients2/55-star benchmark: 98%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 8

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Skin barrier; solid, 4 x 4 or equivalent; each A4362
DME-Orthotic Devices · category DF010N
5 suppliers20 claims630 services$2.89 avg. paid by Medicare
Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each A4385
DME-Orthotic Devices · category DF010N
6 suppliers31 claims1,100 services$4.92 avg. paid by Medicare
Ostomy pouch, drainable, with barrier attached, with built-in convexity (1 piece), each A4389
DME-Orthotic Devices · category DF010N
4 suppliers12 claims230 services$5.47 avg. paid by Medicare
Ostomy deodorant, with or without lubricant, for use in ostomy pouch, per fluid ounce A4394
DME-Orthotic Devices · category DF010N
3 suppliers16 claims771 services$2.48 avg. paid by Medicare
Ostomy skin barrier, pectin-based, paste, per ounce A4406
DME-Orthotic Devices · category DF010N
4 suppliers14 claims100 services$5.53 avg. paid by Medicare
Ostomy pouch, drainable; for use on barrier with non-locking flange, with filter (2 piece system), each A4425
DME-Orthotic Devices · category DF010N
7 suppliers13 claims460 services$3.46 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 4

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

FIDELITY HEALTH CARE INC
Prosthetic/Orthotic Supplier
2300 MIAMI VALLEY DR, SUITE 360
CENTERVILLE, OH 45459
Montgomery County (937) 438-7355
HEATHER BREANNE MILES APRN
Nurse Practitioner
2300 MIAMI VALLEY DR, SUITE 550
CENTERVILLE, OH 45459
Montgomery County (937) 438-7500
COMPUNET CLINICAL LABORATORIES, LLC
Clinical Medical Laboratory
2300 MIAMI VALLEY DR
CENTERVILLE, OH 45459
Montgomery County (937) 312-1585
WILLIAM A NAHHAS MD
Obstetrics & Gynecology (Gynecologic Oncology)
2300 MIAMI VALLEY DR, SUITE 260
CENTERVILLE, OH 45459
Montgomery County (937) 438-7800

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 Ouellette's NPI number?

The NPI number for James Ouellette is 1245288422. It was assigned to this individual provider in the NPPES registry on May 4, 2006.

Where is James Ouellette located?

James Ouellette practices at 2300 Miami Valley Dr Suite 350, Centerville, OH 45459. The listed phone number is (937) 424-2469.

What is James Ouellette's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Surgical Oncology, with taxonomy code 2086X0206X.

Is James Ouellette enrolled in Medicare?

Yes. James Ouellette 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 Ouellette accept?

Health plans from CareSource, MedMutual and Molina Healthcare list James Ouellette 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 Ouellette affiliated with any hospitals?

According to CMS data, James Ouellette is affiliated with Miami Valley Hospital, Atrium Medical Center, Kettering Health Main Campus and Upper Valley Medical Center.

When was this NPI record last updated?

The NPPES record for James Ouellette was last updated on August 1, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.