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DR. JOHN DAVID PELFREY M.D.
NPI 1609895390
Family Medicine in Dublin, OH

Active since July 19, 2006PECOS EnrolledAccepts Medicare Assignment
250 W BRIDGE ST STE 101, DUBLIN, OH 43017(614) 761-2244 Get Directions Write a Review

NPPES record last updated: January 5, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 5, 2022, Sep 13, 2021, Mar 17, 2018 and 1 more (4 updates tracked since 2018).

About Dr. John David Pelfrey M.d. NPPES

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

DR. JOHN DAVID PELFREY M.D. (NPI 1609895390) is an individual family medicine provider in Dublin, Ohio, licensed in Ohio (35057795) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Riverside Methodist Hospital, and maintains a secondary practice location in Dublin.

NPPES Registry Identity

NPI1609895390
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. JOHN DAVID PELFREYCredential: M.D.
Location Address250 W BRIDGE ST STE 101Dublin, OH 43017-1179
Mailing AddressPo Box 7527Dublin, OH 43017-0727 · (614) 761-2244
Phone(614) 761-2244
Sole ProprietorNo
Medical School CMSMedical College Of OhioGraduated 1987
Enumeration DateJuly 19, 2006
Last NPPES UpdateJanuary 5, 20224 updates tracked since enumeration
NPPES CertifiedSeptember 13, 2021
✔ NPI 1609895390 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 · 35057795
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.
250 W BRIDGE ST STE 101, Dublin, OH 43017
Open in Google Maps ↗

Secondary Practice Location 1

Location 1250 W Bridge StDublin, OH 43017-2123 · Phone (614) 761-2244 · Fax (614) 761-2559

Other Identifiers 1

Medicaid0777584OH

Accepted Insurance

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

Dr. John David Pelfrey M.d. 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 ID6002812658
PECOS Enrollment IDI20100723000327
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 8

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 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.
537 services298 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.
235 services153 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
152 services152 patients
Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous G0328
A fecal occult blood test is a screening tool for colorectal cancer. It checks for tiny amounts of blood in your stool that can't be seen with the naked eye. The immunoassay method can test 1-3 samples at once. This helps detect cancer early, when treatment is most effective.
69 services69 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
21 services21 patients
Urinalysis, manual test 81002
A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.
16 services14 patients

Hospital Affiliations CMS Care Compare 4

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

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

Doctors Hospital

Acute Care Hospitals · Columbus, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number360152
Location5100 West Broad StreetColumbus, OH 43228 · Franklin County
Emergency services Birthing friendly

Dublin Methodist Hospital

Acute Care Hospitals · Dublin, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360348
Location7500 Hospital AvenueDublin, OH 43016 · Franklin County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43017 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.

ANDREW ZHENG MD
Family Medicine
250 W BRIDGE ST STE 101
DUBLIN, OH 43017
Franklin County (614) 761-2244
DEBORAH JEAN SALTUS APRN
Nurse Practitioner (Family)
250 W BRIDGE ST STE 101
DUBLIN, OH 43017
Franklin County (614) 761-2244
JAMES J BARR MD
Family Medicine
250 W BRIDGE ST STE 101
DUBLIN, OH 43017
Franklin County (614) 761-2244
DR. JOSEPH CARDUCCI M.D.
Family Medicine
250 W BRIDGE ST STE 101
DUBLIN, OH 43017
Franklin County (614) 761-2244

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 John Pelfrey's NPI number?

The NPI number for John Pelfrey is 1609895390. It was assigned to this individual provider in the NPPES registry on July 19, 2006.

Where is John Pelfrey located?

John Pelfrey practices at 250 W Bridge St Ste 101, Dublin, OH 43017. The listed phone number is (614) 761-2244.

What is John Pelfrey's specialty?

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

Is John Pelfrey enrolled in Medicare?

Yes. John Pelfrey 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 John Pelfrey accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource and MedMutual list John Pelfrey 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 John Pelfrey affiliated with any hospitals?

According to CMS data, John Pelfrey is affiliated with Riverside Methodist Hospital, Grant Medical Center, Doctors Hospital and Dublin Methodist Hospital.

When was this NPI record last updated?

The NPPES record for John Pelfrey was last updated on January 5, 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.