JAMES P SOSNOWSKI MD
NPI 1649231986
Obstetrics & Gynecology in Cincinnati, OH

Active since March 28, 2006PECOS EnrolledAccepts Medicare Assignment
90.38/100
CMS Quality Rating
440 RAY NORRISH DR, CINCINNATI, OH 45246(513) 671-7700(513) 671-5435 Get Directions Write a Review

NPPES record last updated: September 30, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About James P Sosnowski Md NPPES

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

JAMES P SOSNOWSKI MD (NPI 1649231986) is an individual obstetrics & gynecology provider in Cincinnati, Ohio, licensed in Ohio (BS4659249) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS, is affiliated with Bethesda North, and is a graduate of Rutgers R W Johnson Medical School (cam/new Bruns/pisc) (1992).

NPPES Registry Identity

NPI1649231986
Entity TypeIndividualMale
Primary Taxonomy207V00000X
Provider Legal NameJAMES P SOSNOWSKICredential: MD
Location Address440 RAY NORRISH DRCincinnati, OH 45246-1520
Mailing Address4685 Forest Ave, Ste CCincinnati, OH 45212-3359 · (513) 671-7700 · Fax (513) 671-5435
Fax(513) 671-5435
Sole ProprietorNo
Medical School CMSRutgers R W Johnson Medical School (cam/new Bruns/pisc)Graduated 1992
Enumeration DateMarch 28, 2006
Last NPPES UpdateSeptember 30, 2016
NPI 1649231986 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License Licensed in OH · BS4659249
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
440 RAY NORRISH DR, Cincinnati, OH 45246

Other Identifiers 3

Medicare ID-Type UnspecifiedSO0799304
Medicaid2159793OH
Medicare UPING25531

Accepted 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 P Sosnowski 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 ID8729084850
PECOS Enrollment IDI20110512000654
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

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.

Cervical or vaginal cancer screening; pelvic and clinical breast examination G0101
This procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.
12 services12 patients

Hospital Affiliations CMS Care Compare

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

Bethesda North

Acute Care Hospitals · Cincinnati, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number360179
Location10500 Montgomery RoadCincinnati, OH 45242 · Hamilton County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45246 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
$68.07 typical visit price
range $17.10 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
Most-billed visit code 99213
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.

90.38/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality80.76
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 12

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

Obstetrics & Gynecology
440 RAY NORRISH DR
CINCINNATI, OH 45246
Physical Medicine & Rehabilitation (Pain Medicine)
440 RAY NORRISH DR
CINCINNATI, OH 45246
Obstetrics & Gynecology
440 RAY NORRISH DR
CINCINNATI, OH 45246
Physical Medicine & Rehabilitation (Pain Medicine)
440 RAY NORRISH DR
CINCINNATI, OH 45246
Obstetrics & Gynecology
440 RAY NORRISH DR
CINCINNATI, OH 45246
Obstetrics & Gynecology
440 RAY NORRISH DR
CINCINNATI, OH 45246
Obstetrics & Gynecology
440 RAY NORRISH DR
CINCINNATI, OH 45246
Obstetrics & Gynecology
440 RAY NORRISH DR
CINCINNATI, OH 45246

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 Sosnowski's NPI number?

The NPI number for James Sosnowski is 1649231986. It was assigned to this individual provider in the NPPES registry on March 28, 2006.

Where is James Sosnowski located?

James Sosnowski practices at 440 Ray Norrish Dr, Cincinnati, OH 45246. The listed phone number is (513) 671-7700.

What is James Sosnowski's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is James Sosnowski enrolled in Medicare?

Yes. James Sosnowski 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 Sosnowski accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 1 other insurer list James Sosnowski 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 Sosnowski affiliated with any hospitals?

According to CMS data, James Sosnowski is affiliated with Bethesda North.

When was this NPI record last updated?

The NPPES record for James Sosnowski was last updated on September 30, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.