JACOB A NYSATHER DO
NPI 1407376312
Internal Medicine - Nephrology in Montgomery, OH

Active since June 21, 2017PECOS EnrolledAccepts Medicare Assignment
9275 MONTGOMERY RD, MONTGOMERY, OH 45242(513) 475-8525(513) 936-4511 Get Directions Write a Review

NPPES record last updated: March 6, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 6, 2023, Jul 21, 2022, Feb 2, 2022 and 1 more (4 updates tracked since 2017).

About Jacob A Nysather Do NPPES

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

JACOB A NYSATHER DO (NPI 1407376312) is an individual nephrology provider in Montgomery, Ohio, licensed in Ohio (34.015521) and active in the NPI registry since June 2017. He is enrolled in Medicare PECOS, is affiliated with University Of Cincinnati Medical Center, Llc, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1407376312
Entity TypeIndividualMale
Primary Taxonomy207RN0300X
Provider Legal NameJACOB A NYSATHERCredential: DO
Location Address9275 MONTGOMERY RDMontgomery, OH 45242-7779
Mailing AddressPo Box 636256Cincinnati, OH 45263-6256 · (513) 585-6200 · Fax (513) 245-3672
Fax(513) 936-4511
Sole ProprietorYes
Medical School CMSLincoln Mem Univ, Debusk Col Of Osteopathic MedGraduated 2017
Enumeration DateJune 21, 2017
Last NPPES UpdateMarch 6, 20234 updates tracked since enumeration
NPPES CertifiedMarch 6, 2023
NPI 1407376312 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
License Licensed in OH · 34.015521
Definition

An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.

Also ListedInternal MedicineTaxonomy 207R00000X · License 0116030769 (VA)
Also ListedHospitalistTaxonomy 208M00000X · License 34.015521 (OH)
9275 MONTGOMERY RD, Montgomery, OH 45242

Secondary Practice Locations 2

Location 110500 Montgomery RdMontgomery, OH 45242-4402 · Phone (513) 865-5552 · Fax (513) 865-2227
Location 2375 Dixmyth AveCincinnati, OH 45220-2475 · Phone (513) 865-2246 · Fax (513) 865-5552

Other Identifiers 1

Medicaid0462231OH

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

Jacob A Nysather 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 ID5496179608
PECOS Enrollment IDI20220211001460
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 8

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.

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.
136 services52 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.
103 services54 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.
48 services30 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
28 services26 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.
26 services26 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
19 services16 patients

Hospital Affiliations CMS Care Compare 3

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

University Of Cincinnati Medical Center, LLC

Acute Care Hospitals · Cincinnati, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360003
Location3188 Bellevue AvenueCincinnati, OH 45219 · Hamilton County
Emergency services Birthing friendly

West Chester Hospital

Acute Care Hospitals · West Chester, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360354
Location7700 University DriveWest Chester, OH 45069 · Butler County
Emergency services Birthing friendly
OwnershipVoluntary non-profit - Private
CMS Certification Number363300
Location3333 Burnet AvenueCincinnati, OH 45229 · Hamilton County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45242 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
$126.12 typical visit price
range $54.34 – $166.65
Typical copayment $31.53 (range $13.58 – $41.66)
Most-billed visit code 99204
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.

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.

Internal Medicine
9275 MONTGOMERY RD, STE 200
CINCINNATI, OH 45242
Nurse Anesthetist, Certified Registered
9275 MONTGOMERY RD
CINCINNATI, OH 45242
Nurse Anesthetist, Certified Registered
9275 MONTGOMERY RD
CINCINNATI, OH 45242
Internal Medicine
9275 MONTGOMERY RD, STE. 200
CINCINNATI, OH 45242
Internal Medicine
9275 MONTGOMERY RD
MONTGOMERY, OH 45242
Internal Medicine
9275 MONTGOMERY RD, STE 200
CINCINNATI, OH 45242
Internal Medicine
9275 MONTGOMERY RD
CINCINNATI, OH 45242
Internal Medicine
9275 MONTGOMERY RD, SUITE 200
CINCINNATI, OH 45242

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 Jacob Nysather's NPI number?

The NPI number for Jacob Nysather is 1407376312. It was assigned to this individual provider in the NPPES registry on June 21, 2017.

Where is Jacob Nysather located?

Jacob Nysather practices at 9275 Montgomery Rd, Montgomery, OH 45242. The listed phone number is (513) 475-8525.

What is Jacob Nysather's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Jacob Nysather enrolled in Medicare?

Yes. Jacob Nysather 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 Jacob Nysather accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 3 other insurers list Jacob Nysather 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 Jacob Nysather affiliated with any hospitals?

According to CMS data, Jacob Nysather is affiliated with University Of Cincinnati Medical Center, LLC, West Chester Hospital and Cincinnati Children's Hospital Medical Center.

When was this NPI record last updated?

The NPPES record for Jacob Nysather was last updated on March 6, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.