JAMES MICHAEL ADDINGTON
NPI 1467741082
Psychiatry & Neurology - Neurology in Columbus, OH

Q: What is James Addington's NPI number?

The NPI number for James Addington is 1467741082. It was assigned to this individual provider in the NPPES registry on April 5, 2011.

Q: What is James Addington's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Q: When was this NPI record last updated?

The NPPES record for James Addington was last updated on January 25, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since April 05, 2011PECOS EnrolledAccepts Medicare Assignment

81.3/100

CMS Quality Rating

3535 OLENTANGY RIVER RD, STE S1501, COLUMBUS, OH 43214(614) 788-6100(614) 788-6096 Get Directions Write a Review

NPPES record last updated: January 25, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 25, 2022, Aug 9, 2016 (2 updates tracked since 2016).

On this page

About James Michael Addington NPPES

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

JAMES MICHAEL ADDINGTON (NPI 1467741082) is an individual neurology provider in Columbus, Ohio, licensed in Ohio (35.126437) and active in the NPI registry since April 2011. He is enrolled in Medicare PECOS, is affiliated with Riverside Methodist Hospital, and is a graduate of Indiana University School Of Medicine (2011).

NPPES Registry Identity

NPI1467741082

Entity TypeIndividualMale

Primary Taxonomy2084N0400X

Provider Legal NameJAMES MICHAEL ADDINGTON

Location Address3535 OLENTANGY RIVER RD, STE S1501Columbus, OH 43214-3908

Mailing Address5400 Frantz Rd, Ste 250Dublin, OH 43016-4144 · (614) 544-6210 · Fax (614) 544-6370

Phone(614) 788-6100

Fax(614) 788-6096

Sole ProprietorNo

Medical School CMSIndiana University School Of MedicineGraduated 2011

Enumeration DateApril 5, 2011

Last NPPES UpdateJanuary 25, 20222 updates tracked since enumeration

✔ NPI 1467741082 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians

Taxonomy Code2084N0400X

License✔ Licensed in OH · 35.126437

Definition

A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.

3535 OLENTANGY RIVER RD, Columbus, OH 43214

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, MedMutual.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 Michael Addington 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 ID9830328632

PECOS Enrollment IDI20160401000974

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 4

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.

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.

42 services41 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.

37 services28 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

25 services25 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.

13 services12 patients

Hospital Affiliations CMS Care Compare

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

Riverside Methodist Hospital

Acute Care Hospitals · Columbus, OH

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number360006

Location3535 Olentangy River RdColumbus, OH 43214 · Franklin County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43214 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.

81.3/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

73.58

Promoting Interoperability

Improvement Activities

Cost

65.77

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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 BRIGDEN HALPIN D.O.

Obstetrics & Gynecology (Maternal & Fetal Medicine)

3535 OLENTANGY RIVER RD
COLUMBUS, OH 43214

Franklin County (614) 566-4378

PAYTON JOY

Physician Assistant

3535 OLENTANGY RIVER RD
COLUMBUS, OH 43214

Franklin County (614) 566-5000

BRENNON PINION DNP, CRNA

Nurse Anesthetist, Certified Registered

3535 OLENTANGY RIVER RD
COLUMBUS, OH 43214

Franklin County (614) 566-5000

CATHERINE LEE PELFREY PA-C

Physician Assistant

3535 OLENTANGY RIVER RD
COLUMBUS, OH 43214

Franklin County (614) 566-5000

NICHOLAS T WONGCHAOWART M.D.

Pathology (Anatomic Pathology & Clinical Pathology)

3535 OLENTANGY RIVER RD, RMH PATHOLOGY DEPT
COLUMBUS, OH 43214

Franklin County (614) 566-4945

LISA CHRISTINE NOVAK CRNA

Nurse Anesthetist, Certified Registered

3535 OLENTANGY RIVER RD
COLUMBUS, OH 43214

Franklin County (614) 566-4919

KAITLYN N NEWKIRK CRNA

Nurse Anesthetist, Certified Registered

3535 OLENTANGY RIVER RD
COLUMBUS, OH 43214

Franklin County (614) 566-4919

RIVERSIDE METHODIST HOSPITAL

Medicare Defined Swing Bed Unit

3535 OLENTANGY RIVER RD
COLUMBUS, OH 43214

Franklin County (614) 322-3202

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 Addington's NPI number?

The NPI number for James Addington is 1467741082. It was assigned to this individual provider in the NPPES registry on April 5, 2011.

Where is James Addington located?

James Addington practices at 3535 Olentangy River Rd Ste S1501, Columbus, OH 43214. The listed phone number is (614) 788-6100.

What is James Addington's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is James Addington enrolled in Medicare?

Yes. James Addington 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 Addington accept?

Health plans from CareSource and MedMutual list James Addington 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 Addington affiliated with any hospitals?

According to CMS data, James Addington is affiliated with Riverside Methodist Hospital.

When was this NPI record last updated?

The NPPES record for James Addington was last updated on January 25, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.