DR. JAMES MICHAEL HOZALSKI JR. DO
NPI 1245797539
Emergency Medicine in Avon, IN

Active since February 22, 2019PECOS EnrolledAccepts Medicare Assignment
94.63/100
CMS Quality Rating
1111 RONALD REAGAN PKWY, AVON, IN 46123(317) 217-3000 Get Directions Write a Review

NPPES record last updated: July 14, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 14, 2026, May 20, 2026, Jan 28, 2022 and 2 more (5 updates tracked since 2019).

About Dr. James Michael Hozalski Jr. Do NPPES

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

DR. JAMES MICHAEL HOZALSKI JR. DO (NPI 1245797539) is an individual emergency medicine provider in Avon, Indiana, licensed in Indiana (02008855A) and active in the NPI registry since February 2019. He is enrolled in Medicare PECOS, is affiliated with Indiana University Health, and maintains 4 additional practice locations.

NPPES Registry Identity

NPI1245797539
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameDR. JAMES MICHAEL HOZALSKI JR.Credential: DO
Location Address1111 RONALD REAGAN PKWYAvon, IN 46123-7085
Mailing Address250 N Shadeland AveIndianapolis, IN 46219-4959
Sole ProprietorNo
Medical School CMSOhio University, College Of Osteopathic MedicineGraduated 2019
Enumeration DateFebruary 22, 2019
Last NPPES UpdateJuly 14, 20265 updates tracked since enumeration
NPPES CertifiedJuly 14, 2026
✔ NPI 1245797539 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
Licenses✔ Licensed in IN · 02008855A✔ Licensed in OH · 34.015258
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
1111 RONALD REAGAN PKWY, Avon, IN 46123

Secondary Practice Locations 4

Location 12400 Unser Blvd SERio Rancho, NM 87124-3392 · Phone (505) 253-7878
Location 21111 Ronald Reagan PkwyAvon, IN 46123-7085 · Phone (317) 217-3000
Location 3405 W Grand AveDayton, OH 45405-7538 · Phone (937) 723-3200
Location 41185 N 1000 WLinton, IN 47441-5282 · Phone (812) 847-2281

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. James Michael Hozalski Jr. 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 ID4082949383
PECOS Enrollment IDI20220103001685, I20260416001678
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 Reassignments

8

Medicare enrollment records show James Hozalski reassigns Medicare billing to 8 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

General Practice
1701 N SENATE BLVD
Indianapolis, IN 46202
  • Reassigned Medicare billing, Indiana enrollment
  • 5,212 clinicians in this Medicare group
Emergency Medicine
450F WASHINGTON JACKSON RD
Eaton, OH 45320
  • Reassigned Medicare billing, Ohio enrollment
  • 151 clinicians in this Medicare group
Emergency Medicine
10500 MONTGOMERY RD
Montgomery, OH 45242
  • Reassigned Medicare billing, Ohio enrollment
  • 119 clinicians in this Medicare group
Emergency Medicine
630 E RIVER ST
Elyria, OH 44035
  • Reassigned Medicare billing, Ohio enrollment
  • 251 clinicians in this Medicare group
Emergency Medicine
7007 POWERS BLVD
Parma, OH 44129
  • Reassigned Medicare billing, Ohio enrollment
  • 237 clinicians in this Medicare group
Pain Medicine
1900 23RD ST
Cuyahoga Falls, OH 44223
  • Reassigned Medicare billing, Ohio enrollment
  • 176 clinicians in this Medicare group
Emergency Medicine
3999 RICHMOND RD
Beachwood, OH 44122
  • Reassigned Medicare billing, Ohio enrollment
  • 187 clinicians in this Medicare group
Rural
2100 MARTIN LUTHER KING JR BLVD
Clovis, NM 88101
  • Reassigned Medicare billing, New Mexico enrollment
  • 2,331 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
427 services393 patients
Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
215 services211 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
72 services70 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
60 services58 patients
Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
25 services22 patients

Hospital Affiliations CMS Care Compare 5

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

Indiana University Health

Acute Care Hospitals · Indianapolis, IN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150056
Location1701 N Senate BlvdIndianapolis, IN 46202 · Marion County
Emergency services Birthing friendly

Greene County General Hospital

Critical Access Hospitals · Linton, IN
4/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number151317
Location1185 N 1000 WLinton, IN 47441 · Greene County
Emergency services Birthing friendly

Presbyterian Hospital

Acute Care Hospitals · Albuquerque, NM
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number320021
Location1100 Central Avenue SEAlbuquerque, NM 87106 · Bernalillo County
Emergency services Birthing friendly

Summa Western Reserve Hospital

Acute Care Hospitals · Cuyahoga Falls, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number360150
Location1900 23rd StreetCuyahoga Falls, OH 44223 · Summit County
Emergency services

Clinton Memorial Hospital

Acute Care Hospitals · Wilmington, OH
2/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number360175
Location610 West Main StreetWilmington, OH 45177 · Clinton County
Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46123 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
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
Established Patient
$94.22 typical visit price
range $16.93 – $132.22
Typical copayment $23.55 (range $4.23 – $33.05)
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.

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.

94.63/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality90.64
Improvement Activities40

Other Providers at the Same Location NPPES 20

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

Emergency Medicine
1111 RONALD REAGAN PKWY
AVON, IN 46123
Physician Assistant
1111 RONALD REAGAN PKWY
AVON, IN 46123
Physician Assistant
1111 RONALD REAGAN PKWY
AVON, IN 46123
Surgery
1111 RONALD REAGAN PKWY
AVON, IN 46123
Physical Therapist
1111 RONALD REAGAN PKWY, SUITE MG214
AVON, IN 46123
Physician Assistant
1111 RONALD REAGAN PKWY
AVON, IN 46123
Emergency Medicine
1111 RONALD REAGAN PKWY
AVON, IN 46123
Physician Assistant
1111 RONALD REAGAN PKWY
AVON, IN 46123

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 Hozalski's NPI number?

The NPI number for James Hozalski is 1245797539. It was assigned to this individual provider in the NPPES registry on February 22, 2019.

Where is James Hozalski located?

James Hozalski practices at 1111 Ronald Reagan Pkwy, Avon, IN 46123. The listed phone number is (317) 217-3000.

What is James Hozalski's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is James Hozalski enrolled in Medicare?

Yes. James Hozalski 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.

Which organizations bill Medicare for James Hozalski's services?

According to the CMS Revalidation Reassignment List (October 2026 release), James Hozalski reassigns Medicare benefits to 8 organizations: Iu Health Medical Group, LLC (Indianapolis, IN), Emergency Medicine Specialists, Inc. (Eaton, OH), Qualified Emergency Specialists Inc (Montgomery, OH), Physicians Link Center LLC (Elyria, OH), Magis Emergency Medicine LLC (Parma, OH) and 3 more organizations, listed in the Medicare section above. Each 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 Hozalski's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does James Hozalski accept?

Health plans from CareSource list James Hozalski 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 Hozalski affiliated with any hospitals?

According to CMS data, James Hozalski is affiliated with Indiana University Health, Greene County General Hospital, Presbyterian Hospital, Summa Western Reserve Hospital and Clinton Memorial Hospital.

When was this NPI record last updated?

The NPPES record for James Hozalski was last updated on July 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.