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JAMES E DECAESTECKER DO
NPI 1376533463
Surgery in Dayton, OH

Active since October 28, 2005PECOS EnrolledAccepts Medicare Assignment
76.79/100
CMS Quality Rating
9000 N MAIN ST, SUITE 233, DAYTON, OH 45415(937) 832-9310(937) 832-8613 Get Directions Write a Review

NPPES record last updated: August 18, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About James E Decaestecker Do NPPES

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

JAMES E DECAESTECKER DO (NPI 1376533463) is an individual surgery provider in Dayton, Ohio, licensed in Ohio (34007854) and active in the NPI registry since October 2005. He is enrolled in Medicare PECOS, is affiliated with Miami Valley Hospital, and is a graduate of Uniformed Services Uhs Fe Hebert School Of Med (1995).

NPPES Registry Identity

NPI1376533463
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameJAMES E DECAESTECKERCredential: DO
Location Address9000 N MAIN ST, SUITE 233Dayton, OH 45415-1180
Mailing Address9000 N Main St, Suite 233Dayton, OH 45415-1180 · (937) 832-9310 · Fax (937) 832-8613
Phone(937) 832-9310
Fax(937) 832-8613
Sole ProprietorNo
Medical School CMSUniformed Services Uhs Fe Hebert School Of MedGraduated 1995
Enumeration DateOctober 28, 2005
Last NPPES UpdateAugust 18, 2014
✔ NPI 1376533463 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in OH · 34007854
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
9000 N MAIN ST, Dayton, OH 45415
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Other Identifiers 4

Medicare PIN4084055OH
Medicare PIN4084052OH
Medicaid2341282OH
Medicare UPINH43311OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource, MedMutual.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 E Decaestecker Do 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 ID1355348228
PECOS Enrollment IDI20061107000367
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 7

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.

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.
70 services70 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
36 services27 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.
32 services28 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
29 services29 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
15 services12 patients
Insertion of central venous tube with port (5 years or older) 36561
A central venous tube with port is a small, flexible tube inserted into a large vein, usually in the chest. It allows for easy administration of medication, fluids, or blood products over a long period. A port is attached under the skin for easy access. It's safe for individuals aged 5 and above.
12 services11 patients

Hospital Affiliations CMS Care Compare

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

Miami Valley Hospital

Acute Care Hospitals · Dayton, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360051
LocationOne Wyoming StreetDayton, OH 45409 · Montgomery County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45415 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
$68.07 typical visit price
range $17.10 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
Most-billed visit code 99213
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.

76.79/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality64.65
Promoting Interoperability100
Improvement Activities40
Cost57.98

Reported Quality Measures

Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
44%84 patients2/55-star benchmark: 100%
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
74%115 patients3/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
36%142 patients2/55-star benchmark: 100%
Screening for Osteoporosis for Women Aged 65-85 Years of Age
Percentage of female patients aged 65-85 years of age who ever had a central dual-energy X-ray absorptiometry (DXA) to check for osteoporosis
63%38 patients3/55-star benchmark: 98%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 20

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

MS. NIKI FRANCES HARRY CST
9000 N MAIN ST
DAYTON, OH 45415
Montgomery County (937) 836-3118
DR. SUSAN M EMMERLING MD
Obstetrics & Gynecology
9000 N MAIN ST, SUITE 232
DAYTON, OH 45415
Montgomery County (937) 277-8988
CARLA RENEE KING CNM
Advanced Practice Midwife
9000 N MAIN ST, SUITE 232
DAYTON, OH 45415
Montgomery County (937) 277-8988
INFECTIOUS DISEASE PHYSICIANS OF DAYTON LLC
Internal Medicine (Infectious Disease)
9000 N MAIN ST, INFUSION SERVICES
DAYTON, OH 45415
Montgomery County (937) 279-5803
NON-INVASIVE INTERPRETATIONS LLC
Internal Medicine (Cardiovascular Disease)
9000 N MAIN ST, STE 101
DAYTON, OH 45415
Montgomery County (938) 832-2425
BENJAMIN DELOSS MISHLER PA-C, AT
Family Medicine
9000 N MAIN ST
ENGLEWOOD, OH 45415
Montgomery County (260) 223-5666
BRIAN D LEWIS MD
Orthopaedic Surgery
9000 N MAIN ST, STE 227
DAYTON, OH 45415
Montgomery County (937) 832-4773
DOUGLAS E MCCAFFERTY PA
Physician Assistant
9000 N MAIN ST, STE 227
DAYTON, OH 45415
Montgomery County (937) 832-4773

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 Decaestecker's NPI number?

The NPI number for James Decaestecker is 1376533463. It was assigned to this individual provider in the NPPES registry on October 28, 2005.

Where is James Decaestecker located?

James Decaestecker practices at 9000 N Main St Suite 233, Dayton, OH 45415. The listed phone number is (937) 832-9310.

What is James Decaestecker's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is James Decaestecker enrolled in Medicare?

Yes. James Decaestecker 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 Decaestecker accept?

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

According to CMS data, James Decaestecker is affiliated with Miami Valley Hospital.

When was this NPI record last updated?

The NPPES record for James Decaestecker was last updated on August 18, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.