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DR. JAMES H GALBRAITH MD
NPI 1407848252
Internal Medicine - Infectious Disease in Dayton, OH

Active since August 18, 2005PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
33 W RAHN RD, DAYTON, OH 45429(937) 433-8990(937) 433-8691 Get Directions Write a Review

NPPES record last updated: December 19, 2007. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. James H Galbraith Md NPPES

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

DR. JAMES H GALBRAITH MD (NPI 1407848252) is an individual infectious disease provider in Dayton, Ohio, licensed in Ohio (35079595G) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS, is affiliated with Kettering Health Main Campus, and is a graduate of Ohio State University College Of Medicine (1995).

NPPES Registry Identity

NPI1407848252
Entity TypeIndividualMale
Primary Taxonomy207RI0200X
Provider Legal NameDR. JAMES H GALBRAITHCredential: MD
Location Address33 W RAHN RDDayton, OH 45429-2219
Mailing Address1011 Wild Hickory LnCenterville, OH 45458-6093 · (937) 433-8990 · Fax (937) 433-8691
Phone(937) 433-8990
Fax(937) 433-8691
Sole ProprietorNo
Medical School CMSOhio State University College Of MedicineGraduated 1995
Enumeration DateAugust 18, 2005
Last NPPES UpdateDecember 19, 2007
✔ NPI 1407848252 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Infectious DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RI0200X
License✔ Licensed in OH · 35079595G
Definition

An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine.

33 W RAHN RD, Dayton, OH 45429
Open in Google Maps ↗

Other Identifiers 3

Medicare PINGA4050031OH
Medicare UPINH36545OH
Medicaid2245109OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, Molina Healthcare, UnitedHealthcare.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

Dr. James H Galbraith 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 ID6305979055
PECOS Enrollment IDI20100802000104
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 5

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 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.
546 services173 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.
153 services139 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.
100 services63 patients
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.
49 services34 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.
21 services19 patients

Hospital Affiliations CMS Care Compare 4

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

Kettering Health Main Campus

Acute Care Hospitals · Kettering, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number360079
Location3535 Southern BoulevardKettering, OH 45429 · Montgomery County
Emergency services Birthing friendly

Fort Hamilton Hughes Memorial Hospital

Acute Care Hospitals · Hamilton, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360132
Location630 Eaton AvenueHamilton, OH 45013 · Butler County
Emergency services Birthing friendly

Kettering Health Dayton

Acute Care Hospitals · Dayton, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number360133
Location405 Grand AvenueDayton, OH 45405 · Montgomery County
Birthing friendly

Kettering Health Miamisburg

Acute Care Hospitals · Miamisburg, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number360239
Location4000 Miamisburg-Centerville RoadMiamisburg, OH 45342 · Montgomery County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45429 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.

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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Improvement Activities40
Cost91.25

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
100%199 patients5/55-star benchmark: 100%
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.

DR. ROBERT L BARKER M.D.
Internal Medicine (Critical Care Medicine)
33 W RAHN RD
KETTERING, OH 45429
Montgomery County (937) 433-8990
DR. JORGE H CRESPO MD
Internal Medicine (Critical Care Medicine)
33 W RAHN RD
DAYTON, OH 45429
Montgomery County (937) 433-8990
DR. SHACHI RATTAN MD
Internal Medicine (Critical Care Medicine)
33 W RAHN RD
DAYTON, OH 45429
Montgomery County (937) 433-8990
DR. KAILI FAN MD
Internal Medicine (Infectious Disease)
33 W RAHN RD
DAYTON, OH 45429
Montgomery County (937) 433-8990
DR. LOVELEEN BAINS MD
Internal Medicine
33 W RAHN RD
DAYTON, OH 45429
Montgomery County (937) 433-8990
DR. MELODY M SINGER MD
Internal Medicine
33 W RAHN RD
DAYTON, OH 45429
Montgomery County (937) 433-8990
DR. TALAL R ZRAIK MD
Internal Medicine (Infectious Disease)
33 W RAHN RD
DAYTON, OH 45429
Montgomery County (937) 433-8990
DR. JEFFREY W WEINSTEIN MD
Internal Medicine (Infectious Disease)
33 W RAHN RD
DAYTON, OH 45429
Montgomery County (937) 433-8990

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 Galbraith's NPI number?

The NPI number for James Galbraith is 1407848252. It was assigned to this individual provider in the NPPES registry on August 18, 2005.

Where is James Galbraith located?

James Galbraith practices at 33 W Rahn Rd, Dayton, OH 45429. The listed phone number is (937) 433-8990.

What is James Galbraith's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Infectious Disease, with taxonomy code 207RI0200X.

Is James Galbraith enrolled in Medicare?

Yes. James Galbraith 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 Galbraith accept?

Health plans from CareSource, Molina Healthcare and UnitedHealthcare list James Galbraith 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 Galbraith affiliated with any hospitals?

According to CMS data, James Galbraith is affiliated with Kettering Health Main Campus, Fort Hamilton Hughes Memorial Hospital, Kettering Health Dayton and Kettering Health Miamisburg.

When was this NPI record last updated?

The NPPES record for James Galbraith was last updated on December 19, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.