JOHN MICHAEL PRICE MD
NPI 1295095966
Family Medicine in Columbus, OH
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 Genesis Hospital, and is a graduate of Other (2023).
NPPES Registry Identity
Specialties & Licenses 2
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
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.
Medicare Billing Reassignment
Medicare enrollment records show John Price reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
New Lexington, OH 43764
- Reassigned Medicare billing, Ohio enrollment
- 300 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.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Genesis Hospital
Acute Care Hospitals · Zanesville, OHFairfield Medical Center
Acute Care Hospitals · Lancaster, OHPhysician 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.
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.
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.
Which organization bills Medicare for John Price's services?
According to the CMS Revalidation Reassignment List (October 2026 release), John Price reassigns Medicare benefits to Genesis Medical Group, LLC (New Lexington, OH). 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 John Price's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does John Price accept?
Health plans from Anthem Blue Cross and Blue Shield, Antidote Health Plan of Ohio, Inc., CareSource and MedMutual 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 Genesis Hospital and 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.
# John Michael Price, MD · NPI 1295095966
Family Medicine physician in Columbus, Ohio. Individual provider, active in the CMS NPPES registry since May 29, 2012.
## Identity
- **NPI:** 1295095966 (Entity type: Individual)
- **Enumerated:** May 29, 2012
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** 57.256607 (Ohio)
- **Sole proprietor:** No
## Practice location
- **Address:** 8227 S ACCESS RD BLDG 943, 73RD TRP CMD, ATTN: CPT JOHN M PRICE, Columbus, OH 43217-5943
- **Phone:** (614) 336-6000
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Genesis Medical Group, LLC (NPI 1942503099, New Lexington, OH), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2023
## Record status
- **NPPES last updated:** March 29, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1295095966) · Data from the CMS NPPES public registry.