JAMES O DOONE MD
NPI 1346293701
Family Medicine in Kenton, OH

Active since May 18, 2006PECOS EnrolledAccepts Medicare Assignment
1211 E COLUMBUS ST, KENTON, OH 43326(419) 675-0668(419) 675-0669 Get Directions Write a Review

NPPES record last updated: January 4, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 4, 2021, Dec 28, 2020, Mar 7, 2019 and 1 more (4 updates tracked since 2018).

About James O Doone Md NPPES

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

JAMES O DOONE MD (NPI 1346293701) is an individual family medicine provider in Kenton, Ohio, licensed in Ohio (35064992) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Lima Memorial Health System, and maintains 6 additional practice locations.

NPPES Registry Identity

NPI1346293701
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameJAMES O DOONECredential: MD
Location Address1211 E COLUMBUS STKenton, OH 43326-1760
Mailing Address1001 Bellefontaine AveLima, OH 45804-2800 · (419) 998-4575 · Fax (419) 998-4586
Fax(419) 675-0669
Sole ProprietorNo
Medical School CMSWright State University Boonshoft School Of MedicineGraduated 1991
Enumeration DateMay 18, 2006
Last NPPES UpdateJanuary 4, 20214 updates tracked since enumeration
NPPES CertifiedJanuary 4, 2021
NPI 1346293701 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 · 35064992
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.
1211 E COLUMBUS ST, Kenton, OH 43326

Secondary Practice Locations 6

Location 1240 W Northern Ave Ste 3Lima, OH 45801-2839 · Phone (419) 998-8265 · Fax (419) 222-9057
Location 2520 W Lincoln Ave Ste AAda, OH 45810-9466 · Phone (419) 634-2015 · Fax (419) 634-9420
Location 31005 Bellefontaine Ave Ste 100Lima, OH 45804-2871 · Phone (419) 227-5298 · Fax (419) 227-5879
Location 4102 Putnam PkwyOttawa, OH 45875-8657 · Phone (419) 523-9632 · Fax (419) 523-9636
Location 5322 E Main StRussells Point, OH 43348-9601 · Phone (937) 842-2318 · Fax (937) 842-2414
Location 61251 Lincoln Hwy Ste 1Wapakoneta, OH 45895-7356 · Phone (419) 738-5151 · Fax (419) 941-1092

Accepted 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 O Doone 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 ID3971534918
PECOS Enrollment IDI20050830000000
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.
249 services108 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.
31 services27 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
14 services14 patients

Hospital Affiliations CMS Care Compare 3

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

Lima Memorial Health System

Acute Care Hospitals · Lima, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number360009
Location1001 Bellefontaine AvenueLima, OH 45804 · Allen County
Emergency services Birthing friendly

Mercy Health-St Rita's Medical Center

Acute Care Hospitals · Lima, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360066
Location730 West Market StreetLima, OH 45801 · Allen County
Emergency services Birthing friendly

Hardin Memorial Hospital

Critical Access Hospitals · Kenton, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number361315
Location921 East Franklin StreetKenton, OH 43326 · Hardin County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43326 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 4

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
6 suppliers40 claims91 services$5.81 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
5 suppliers14 claims14 services$0.56 avg. paid by Medicare
Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each A4357
DME-Orthotic Devices · category DF000N
2 suppliers11 claims14 services$8.06 avg. paid by Medicare
Standard wheelchair K0001
DME-Wheelchairs · category DD000N
3 suppliers13 claims13 services$26.42 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 7

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

Nurse Practitioner (Family)
1211 E COLUMBUS ST
KENTON, OH 43326
Internal Medicine (Nephrology)
1211 E COLUMBUS ST
KENTON, OH 43326
Nurse Practitioner (Family)
1211 E COLUMBUS ST
KENTON, OH 43326
Urology
1211 E COLUMBUS ST
KENTON, OH 43326
Internal Medicine (Nephrology)
1211 E COLUMBUS ST
KENTON, OH 43326
Family Medicine
1211 E COLUMBUS ST
KENTON, OH 43326
Internal Medicine (Cardiovascular Disease)
1211 E COLUMBUS ST
KENTON, OH 43326

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 Doone's NPI number?

The NPI number for James Doone is 1346293701. It was assigned to this individual provider in the NPPES registry on May 18, 2006.

Where is James Doone located?

James Doone practices at 1211 E Columbus St, Kenton, OH 43326. The listed phone number is (419) 675-0668.

What is James Doone's specialty?

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

Is James Doone enrolled in Medicare?

Yes. James Doone 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 Doone accept?

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

According to CMS data, James Doone is affiliated with Lima Memorial Health System, Mercy Health-St Rita's Medical Center and Hardin Memorial Hospital.

When was this NPI record last updated?

The NPPES record for James Doone was last updated on January 4, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.