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JAMES CAREY ENGLISH MD
NPI 1417992785
Family Medicine in Westerville, OH

Active since June 19, 2006PECOS EnrolledAccepts Medicare Assignment
85 COMMERCE PARK DR, WESTERVILLE, OH 43082(614) 882-2397(614) 898-5999 Get Directions Write a Review

NPPES record last updated: March 18, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 18, 2021, Sep 3, 2020 (2 updates tracked since 2020).

About James Carey English Md NPPES

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

JAMES CAREY ENGLISH MD (NPI 1417992785) is an individual family medicine provider in Westerville, Ohio, licensed in Ohio (35.048622) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Mount Carmel St Ann's, and is a graduate of Other (1979).

NPPES Registry Identity

NPI1417992785
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameJAMES CAREY ENGLISHCredential: MD
Location Address85 COMMERCE PARK DRWesterville, OH 43082-8348
Mailing Address85 Commerce Park DrWesterville, OH 43082-8348 · (614) 882-2397 · Fax (614) 898-5999
Phone(614) 882-2397
Fax(614) 898-5999
Sole ProprietorNo
Medical School CMSOtherGraduated 1979
Enumeration DateJune 19, 2006
Last NPPES UpdateMarch 18, 20212 updates tracked since enumeration
NPPES CertifiedMarch 18, 2021
✔ NPI 1417992785 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in OH · 35.048622
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.
85 COMMERCE PARK DR, Westerville, OH 43082
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Other Names 1

Other Name (5)James C English Md

Other Identifiers 1

Medicaid0545125OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, Oscar Health Insurance.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 Carey English 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 ID5092847723
PECOS Enrollment IDI20160909000866
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 6

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.

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.
229 services117 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.
174 services99 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
125 services86 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
23 services23 patients
Influenza vaccine, inactivated 90653
The Influenza vaccine, inactivated, is a shot given to protect against the flu. It contains killed virus particles that help your body build immunity to the flu. It's recommended annually to keep your protection up-to-date. It's safe for ages 6 months and up.
20 services20 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
17 services14 patients

Hospital Affiliations CMS Care Compare 3

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

Mount Carmel St Ann's

Acute Care Hospitals · Westerville, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360012
Location500 South Cleveland AvenueWesterville, OH 43081 · Franklin County
Emergency services Birthing friendly

Grant Medical Center

Acute Care Hospitals · Columbus, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number360017
Location111 South Grant AvenueColumbus, OH 43215 · Franklin County
Emergency services Birthing friendly

Ohio State University State Health System

Acute Care Hospitals · Columbus, OH
4/5 CMS rating
OwnershipGovernment - State
CMS Certification Number360085
Location410 West 10th AvenueColumbus, OH 43210 · Franklin County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43082 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
$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.

Referred Medical Equipment & Supplies CMS DME claims

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
4 suppliers11 claims29 services$4.08 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 3

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

AMERICAN HEALTH NETWORK OF OHIO, LLC
Family Medicine
85 COMMERCE PARK DR
WESTERVILLE, OH 43082
Delaware County (614) 882-2397
SCOTT A KURZER MD
Family Medicine
85 COMMERCE PARK DR
WESTERVILLE, OH 43082
Delaware County (614) 882-2397
DR. RASHA ELHAG M.D.
Internal Medicine
85 COMMERCE PARK DR
WESTERVILLE, OH 43082
Delaware County (614) 882-2397

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 English's NPI number?

The NPI number for James English is 1417992785. It was assigned to this individual provider in the NPPES registry on June 19, 2006. The provider is also known as James C English MD.

Where is James English located?

James English practices at 85 Commerce Park Dr, Westerville, OH 43082. The listed phone number is (614) 882-2397.

What is James English's specialty?

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

Is James English enrolled in Medicare?

Yes. James English 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 English accept?

Health plans from CareSource and Oscar Health Insurance list James English 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 English affiliated with any hospitals?

According to CMS data, James English is affiliated with Mount Carmel St Ann's, Grant Medical Center and Ohio State University State Health System.

When was this NPI record last updated?

The NPPES record for James English was last updated on March 18, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.