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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

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

Active since June 19, 2006PECOS EnrolledAccepts Medicare Assignment
5682 BLACKHAWK FOREST DR, WESTERVILLE, OH 43082(614) 882-2299 Get Directions Write a Review

NPPES record last updated: October 13, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 13, 2026, Mar 18, 2021, Sep 3, 2020 (3 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 Grant Medical Center, and is a graduate of Other (1979).

NPPES Registry Identity

NPI1417992785
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameJAMES CAREY ENGLISHCredential: MD
Location Address5682 BLACKHAWK FOREST DRWesterville, OH 43082-9222
Mailing Address5682 Blackhawk Forest DrWesterville, OH 43082-9222 · (614) 882-2299
Phone(614) 882-2299
Sole ProprietorYes
Medical School CMSOtherGraduated 1979
Enumeration DateJune 19, 2006
Last NPPES UpdateOctober 13, 20263 updates tracked since enumeration
NPPES CertifiedOctober 13, 2026
✔ 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.
5682 BLACKHAWK FOREST DR, Westerville, OH 43082
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Other Identifiers 1

Medicaid0545125OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Antidote Health Plan of Ohio, Inc..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 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.

Medicare Billing Reassignment

Medicare enrollment records show James English reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

American Health Network Of Ohio, LLC
12 mi
Family Medicine
680 BUCKLES CT N STE 1A
Columbus, OH 43230
  • Reassigned Medicare billing, Ohio enrollment
  • 74 clinicians in this Medicare group
NPI 1386675544 (614) 986-0125

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 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 2

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

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.

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.

Where is James English located?

James English practices at 5682 Blackhawk Forest Dr, Westerville, OH 43082. The listed phone number is (614) 882-2299.

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.

Which organization bills Medicare for James English's services?

According to the CMS Revalidation Reassignment List (October 2026 release), James English reassigns Medicare benefits to American Health Network Of Ohio, LLC (Columbus, OH). The 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 English's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does James English accept?

Health plans from Anthem Blue Cross and Blue Shield and Antidote Health Plan of Ohio, Inc. 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 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 October 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 days 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.