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JAMES DEAN LERAKIS MD
NPI 1538749106
Family Medicine in Mason, OH

Active since April 08, 2021PECOS EnrolledAccepts Medicare Assignment
6030 S MASON MONTGOMERY RD, MASON, OH 45040(513) 246-7000(513) 204-6355 Get Directions Write a Review

NPPES record last updated: September 8, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Sep 8, 2026, Jul 8, 2024, Jul 5, 2024 and 1 more (4 updates tracked since 2021).

About James Dean Lerakis Md NPPES

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

JAMES DEAN LERAKIS MD (NPI 1538749106) is an individual family medicine provider in Mason, Ohio, licensed in Ohio (35.151140) and active in the NPI registry since April 2021. He is enrolled in Medicare PECOS, is affiliated with Mount Carmel St Ann's, and maintains a secondary practice location in Columbus.

NPPES Registry Identity

NPI1538749106
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameJAMES DEAN LERAKISCredential: MD
Location Address6030 S MASON MONTGOMERY RDMason, OH 45040-3706
Mailing Address4685 Forest AveCincinnati, OH 45212-3397 · (513) 246-1964 · Fax (513) 852-8525
Phone(513) 246-7000
Fax(513) 204-6355
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateApril 8, 2021
Last NPPES UpdateSeptember 8, 20264 updates tracked since enumeration
NPPES CertifiedSeptember 8, 2026
✔ NPI 1538749106 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 · 35.151140
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.
6030 S MASON MONTGOMERY RD, Mason, OH 45040
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Secondary Practice Location 1

Location 13555 Olentangy River Rd Ste 1080Columbus, OH 43214-3984 · Phone (614) 268-8164 · Fax (614) 268-8406

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., CareSource and more.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 Dean Lerakis 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 ID9133578941
PECOS Enrollment IDI20241104001927
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 Lerakis reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Central Ohio Primary Care Physicians, Inc.
91 mi
Internal Medicine
655 AFRICA RD
Westerville, OH 43082
  • Reassigned Medicare billing, Ohio enrollment
  • 675 clinicians in this Medicare group
NPI 1194705194 (614) 326-2672

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 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.

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.
75 services36 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.
30 services18 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.
23 services23 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
23 services23 patients

Hospital Affiliations CMS Care Compare 2

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

Mount Carmel East & West

Acute Care Hospitals · Columbus, OH
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360035
Location6001 East Broad StreetColumbus, OH 43213 · Franklin County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45040 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.

Other Providers at the Same Location NPPES 4

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

JUSTIN R SPENCER MD
Family Medicine
6030 S MASON MONTGOMERY RD
MASON, OH 45040
Warren County (513) 246-7000
NAGA PRASUNA MADIREDDY M.D.
Internal Medicine
6030 S MASON MONTGOMERY RD
MASON, OH 45040
Warren County (513) 246-7000
MRS. LAURA ELIZABETH SINGER NP
Nurse Practitioner (Family)
6030 S MASON MONTGOMERY RD
MASON, OH 45040
Warren County (513) 246-7000
KRISTEN MARIE MUELLER CNP
Nurse Practitioner (Family)
6030 S MASON MONTGOMERY RD
MASON, OH 45040
Warren County (513) 246-7000

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 Lerakis's NPI number?

The NPI number for James Lerakis is 1538749106. It was assigned to this individual provider in the NPPES registry on April 8, 2021.

Where is James Lerakis located?

James Lerakis practices at 6030 S Mason Montgomery Rd, Mason, OH 45040. The listed phone number is (513) 246-7000.

What is James Lerakis's specialty?

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

Is James Lerakis enrolled in Medicare?

Yes. James Lerakis 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 Lerakis's services?

According to the CMS Revalidation Reassignment List (October 2026 release), James Lerakis reassigns Medicare benefits to Central Ohio Primary Care Physicians, Inc. (Westerville, 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 Lerakis's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does James Lerakis accept?

Health plans from Anthem Blue Cross and Blue Shield, Antidote Health Plan of Ohio, Inc., CareSource and MedMutual list James Lerakis 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 Lerakis affiliated with any hospitals?

According to CMS data, James Lerakis is affiliated with Mount Carmel St Ann's and Mount Carmel East & West.

When was this NPI record last updated?

The NPPES record for James Lerakis was last updated on September 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.