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DR. JAMES ROBERT RUMMEL JR. D.O.
NPI 1346520525
Family Medicine in Hermitage, PA

Active since August 19, 2011PECOS EnrolledAccepts Medicare Assignment
77.89/100
CMS Quality Rating
449 N HERMITAGE RD, HERMITAGE, PA 16148(724) 346-3116(724) 346-3185 Get Directions Write a Review

NPPES record last updated: August 20, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Aug 20, 2026, Dec 11, 2023, Nov 16, 2023 and 3 more (6 updates tracked since 2017).

About Dr. James Robert Rummel Jr. D.o. NPPES

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

DR. JAMES ROBERT RUMMEL JR. D.O. (NPI 1346520525) is an individual family medicine provider in Hermitage, Pennsylvania, licensed in Pennsylvania (OS021065) and active in the NPI registry since August 2011. He is enrolled in Medicare PECOS and is a graduate of Lake Erie College Of Osteopathic Medicine, Erie (2004).

NPPES Registry Identity

NPI1346520525
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. JAMES ROBERT RUMMEL JR.Credential: D.O.
Location Address449 N HERMITAGE RDHermitage, PA 16148-3342
Mailing Address449 N Hermitage RdHermitage, PA 16148-3342 · (724) 346-3116 · Fax (724) 346-3185
Phone(724) 346-3116
Fax(724) 346-3185
Sole ProprietorNo
Medical School CMSLake Erie College Of Osteopathic Medicine, ErieGraduated 2004
Enumeration DateAugust 19, 2011
Last NPPES UpdateAugust 20, 20266 updates tracked since enumeration
NPPES CertifiedAugust 20, 2026
✔ NPI 1346520525 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in PA · OS021065✔ Licensed in NY · 261966
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.
449 N HERMITAGE RD, Hermitage, PA 16148
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health.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 Robert Rummel Jr. D.o. 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 ID2668644535
PECOS Enrollment IDI20210316002645
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 Reassignment

Medicare enrollment records show James Rummel reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Upmc Community Medicine Inc
0.4 mi
Physical Medicine & Rehabilitation
875 N HERMITAGE RD, SUITE 2
Hermitage, PA 16148
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 1,182 clinicians in this Medicare group
NPI 1265568695 (724) 347-4840

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 16148 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
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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.

77.89/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality90.07
Promoting Interoperability100
Improvement Activities40
Cost36.25

Referred Medical Equipment & Supplies CMS DME claims 12

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
7 suppliers20 claims61 services$6.04 avg. paid by Medicare
Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
4 suppliers24 claims24 services$38.91 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
4 suppliers17 claims101 services$20.40 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
6 suppliers19 claims19 services$57.68 avg. paid by Medicare
Headgear used with positive airway pressure device A7035
DME-Other DME · category DE001N
6 suppliers15 claims15 services$21.10 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
7 suppliers28 claims156 services$2.51 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 14

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

MARY C DOUGHERTY
Internal Medicine
449 N HERMITAGE RD
HERMITAGE, PA 16148
Mercer County (724) 981-5613
DR. ADAM KEITH LUCICH D.O.
Family Medicine
449 N HERMITAGE RD
HERMITAGE, PA 16148
Mercer County (724) 962-3528
TRICIA WHITE CRNP
Nurse Practitioner (Family)
449 N HERMITAGE RD
HERMITAGE, PA 16148
Mercer County (724) 347-4099
JONATHAN KENT BIERY PA-C
Physician Assistant (Surgical)
449 N HERMITAGE RD
HERMITAGE, PA 16148
Mercer County (724) 962-9622
LEAH RENEE O'KRESIK
Physical Therapy Assistant
449 N HERMITAGE RD
HERMITAGE, PA 16148
Mercer County (724) 347-6660
UPMC COMMUNITY MEDICINE, INC
Family Medicine
449 N HERMITAGE RD
HERMITAGE, PA 16148
Mercer County (724) 342-4701
KATARINA LAVELLE LEWIS
Physician Assistant
449 N HERMITAGE RD
HERMITAGE, PA 16148
Mercer County (724) 374-1004
CAITLIN ANNE BABINCHOK PA-C
Physician Assistant
449 N HERMITAGE RD
HERMITAGE, PA 16148
Mercer County (724) 347-4099

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 Rummel's NPI number?

The NPI number for James Rummel is 1346520525. It was assigned to this individual provider in the NPPES registry on August 19, 2011.

Where is James Rummel located?

James Rummel practices at 449 N Hermitage Rd, Hermitage, PA 16148. The listed phone number is (724) 346-3116.

What is James Rummel's specialty?

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

Is James Rummel enrolled in Medicare?

Yes. James Rummel 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 James Rummel's services?

According to the CMS Revalidation Reassignment List (October 2026 release), James Rummel reassigns Medicare benefits to Upmc Community Medicine Inc (Hermitage, PA). 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 James Rummel's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does James Rummel accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan and Ambetter from Meridian list James Rummel 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.

When was this NPI record last updated?

The NPPES record for James Rummel was last updated on August 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.