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JOHN MICHAEL PRICE MD
NPI 1295095966
Family Medicine in Columbus, OH

Active since May 29, 2012PECOS EnrolledAccepts Medicare Assignment
97.58/100
CMS Quality Rating
8227 S ACCESS RD BLDG 943, 73RD TRP CMD, ATTN: CPT JOHN M PRICE, COLUMBUS, OH 43217(614) 336-6000 Get Directions Write a Review

NPPES record last updated: March 29, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About John Michael Price Md NPPES

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

JOHN MICHAEL PRICE MD (NPI 1295095966) is an individual family medicine provider in Columbus, Ohio, licensed in Ohio (57.256607) and active in the NPI registry since May 2012. He is enrolled in Medicare PECOS, is affiliated with Fairfield Medical Center, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1295095966
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameJOHN MICHAEL PRICECredential: MD
Location Address8227 S ACCESS RD BLDG 943, 73RD TRP CMD, ATTN: CPT JOHN M PRICEColumbus, OH 43217-5943
Mailing Address401 N Ewing StLancaster, OH 43130-3371 · (740) 687-8000
Phone(614) 336-6000
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateMay 29, 2012
Last NPPES UpdateMarch 29, 2024
NPPES CertifiedMarch 26, 2024
✔ NPI 1295095966 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in OH · 57.256607
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedPhysician AssistantTaxonomy 363A00000X · License 54.001213-P-RX (OH)
8227 S ACCESS RD BLDG 943, Columbus, OH 43217
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.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 Michael Price 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 ID5193966901
PECOS Enrollment IDI20251229001725
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.

Hospital Affiliations CMS Care Compare

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

Fairfield Medical Center

Acute Care Hospitals · Lancaster, OH
1/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number360072
Location401 North Ewing StreetLancaster, OH 43130 · Fairfield County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43217 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.

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.

97.58/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality86.53
Promoting Interoperability100
Improvement Activities40

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 Price's NPI number?

The NPI number for John Price is 1295095966. It was assigned to this individual provider in the NPPES registry on May 29, 2012.

Where is John Price located?

John Price practices at 8227 S Access Rd Bldg 943 73rd Trp Cmd, Attn: Cpt John M Price, Columbus, OH 43217. The listed phone number is (614) 336-6000.

What is John Price's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is John Price enrolled in Medicare?

Yes. John Price 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 Price accept?

Health plans from CareSource list John Price 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 Price affiliated with any hospitals?

According to CMS data, John Price is affiliated with Fairfield Medical Center.

When was this NPI record last updated?

The NPPES record for John Price was last updated on March 29, 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.