DR. JAMES MAURICE WELLBAUM II M.D.
NPI 1326481342
Family Medicine in New Albany, OH

Q: What is James Wellbaum's NPI number?

The NPI number for James Wellbaum is 1326481342. It was assigned to this individual provider in the NPPES registry on April 9, 2013.

Q: What is James Wellbaum's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for James Wellbaum was last updated on March 4, 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 April 09, 2013PECOS EnrolledAccepts Medicare Assignment

5121 FOREST DR STE D, NEW ALBANY, OH 43054(614) 933-9100 Get Directions Write a Review

NPPES record last updated: March 4, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 4, 2024, Dec 4, 2023, Jan 25, 2022 and 3 more (6 updates tracked since 2016).

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About Dr. James Maurice Wellbaum Ii M.d. NPPES

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

DR. JAMES MAURICE WELLBAUM II M.D. (NPI 1326481342) is an individual family medicine provider in New Albany, Ohio, licensed in Ohio (35.128079) and active in the NPI registry since April 2013. He is enrolled in Medicare PECOS, is affiliated with Riverside Methodist Hospital, and is a graduate of Other (2013).

NPPES Registry Identity

NPI1326481342

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameDR. JAMES MAURICE WELLBAUM IICredential: M.D.

Location Address5121 FOREST DR STE DNew Albany, OH 43054-7102

Mailing AddressPo Box 7527Dublin, OH 43017-0727

Phone(614) 933-9100

Sole ProprietorNo

Medical School CMSOtherGraduated 2013

Enumeration DateApril 9, 2013

Last NPPES UpdateMarch 4, 20246 updates tracked since enumeration

NPPES CertifiedMarch 4, 2024

✔ NPI 1326481342 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in OH · 35.128079

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.

5121 FOREST DR STE D, New Albany, OH 43054

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource, MedMutual and more.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

Dr. James Maurice Wellbaum Ii M.d. 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 ID7618269499

PECOS Enrollment IDI20160714002547

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 3

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 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.

81 services63 patients

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.

50 services39 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.

15 services15 patients

Hospital Affiliations CMS Care Compare 2

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

Riverside Methodist Hospital

Acute Care Hospitals · Columbus, OH

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number360006

Location3535 Olentangy River RdColumbus, OH 43214 · Franklin County

Emergency services Birthing friendly

Mount Carmel New Albany Surgical Hospital

Acute Care Hospitals · New Albany, OH

OwnershipProprietary

CMS Certification Number360266

Location7333 Smith's Mill RoadNew Albany, OH 43054 · Franklin County

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43054 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.

Referred Medical Equipment & Supplies CMS DME claims 2

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

9 suppliers34 claims57 services$6.21 avg. paid by Medicare

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553

DME-Other DME · category DE017N

1 supplier11 claims11 services$198.65 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 3

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

MIRANDA L QUINTANA CNP

Nurse Practitioner (Adult Health)

5121 FOREST DR STE D
NEW ALBANY, OH 43054

Franklin County (614) 933-9100

BRIDGIT BUCHHEIT NP

Nurse Practitioner (Family)

5121 FOREST DR STE D
NEW ALBANY, OH 43054

Franklin County (614) 933-9100

DR. BRADLEY CHARLES HERPOLSHEIMER M.D.

Family Medicine

5121 FOREST DR STE D
NEW ALBANY, OH 43054

Franklin County (614) 933-9100

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 Wellbaum's NPI number?

The NPI number for James Wellbaum is 1326481342. It was assigned to this individual provider in the NPPES registry on April 9, 2013.

Where is James Wellbaum located?

James Wellbaum practices at 5121 Forest Dr Ste D, New Albany, OH 43054. The listed phone number is (614) 933-9100.

What is James Wellbaum's specialty?

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

Is James Wellbaum enrolled in Medicare?

Yes. James Wellbaum 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 Wellbaum accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource, MedMutual and UnitedHealthcare list James Wellbaum 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 Wellbaum affiliated with any hospitals?

According to CMS data, James Wellbaum is affiliated with Riverside Methodist Hospital and Mount Carmel New Albany Surgical Hospital.

When was this NPI record last updated?

The NPPES record for James Wellbaum was last updated on March 4, 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.