JAMES HOOVER M.D.
NPI 1386987741
Family Medicine in Hilliard, OH
About James Hoover M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JAMES HOOVER M.D. (NPI 1386987741) is an individual family medicine provider in Hilliard, Ohio, licensed in Ohio (35.125691) 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 Ohio State University College Of Medicine (2013).
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 1
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
James Hoover 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.
Medicare Billing Reassignments
2Medicare enrollment records show James Hoover reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Columbus, OH 43214
- Reassigned Medicare billing, Ohio enrollment
- 3,314 clinicians in this Medicare group
Westerville, OH 43082
- Reassigned Medicare billing, Ohio enrollment
- 675 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.
Areas of Expertise CMS Part B claims 34
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.
Hospital Affiliations CMS Care Compare 5
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Riverside Methodist Hospital
Acute Care Hospitals · Columbus, OHGrant Medical Center
Acute Care Hospitals · Columbus, OHMemorial Hospital
Acute Care Hospitals · Marysville, OHDoctors Hospital
Acute Care Hospitals · Columbus, OHDublin Methodist Hospital
Acute Care Hospitals · Dublin, OHPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 43026 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Other Providers at the Same Location NPPES 8
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
HILLIARD, OH 43026
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 Hoover's NPI number?
The NPI number for James Hoover is 1386987741. It was assigned to this individual provider in the NPPES registry on April 3, 2013. The provider is also known as James William Chase Hoover M.D..
Where is James Hoover located?
James Hoover practices at 3958 Leap Rd Ste 101, Hilliard, OH 43026. The listed phone number is (614) 876-7300.
What is James Hoover's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is James Hoover enrolled in Medicare?
Yes. James Hoover 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 organizations bill Medicare for James Hoover's services?
According to the CMS Revalidation Reassignment List (October 2026 release), James Hoover reassigns Medicare benefits to 2 organizations: Ohiohealth Corporation (Columbus, OH) and Central Ohio Primary Care Physicians, Inc. (Westerville, OH). Each 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 Hoover's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does James Hoover accept?
Health plans from Anthem Blue Cross and Blue Shield, Antidote Health Plan of Ohio, Inc., CareSource, MedMutual and Oscar Health Insurance and 1 other insurer list James Hoover 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 Hoover affiliated with any hospitals?
According to CMS data, James Hoover is affiliated with Riverside Methodist Hospital, Grant Medical Center, Memorial Hospital, Doctors Hospital and Dublin Methodist Hospital.
When was this NPI record last updated?
The NPPES record for James Hoover was last updated on March 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.