JAMES H DUFFEE III MD
NPI 1649263203
Pediatrics in Dayton, OH

Q: What is James Duffee's NPI number?

The NPI number for James Duffee is 1649263203. It was assigned to this individual provider in the NPPES registry on August 29, 2005.

Q: What is James Duffee's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for James Duffee was last updated on April 11, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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 August 29, 2005PECOS Enrolled

1 CHILDRENS PLZ, DAYTON, OH 45404(937) 641-3000 Get Directions Write a Review

NPPES record last updated: April 11, 2018. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About James H Duffee Iii Md NPPES

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

JAMES H DUFFEE III MD (NPI 1649263203) is an individual pediatrics provider in Dayton, Ohio, licensed in Ohio (35060031) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1649263203

Entity TypeIndividualMale

Primary Taxonomy208000000X

Provider Legal NameJAMES H DUFFEE IIICredential: MD

Location Address1 CHILDRENS PLZDayton, OH 45404-1873

Mailing Address1 Childrens PlzDayton, OH 45404-1815 · (937) 641-3555 · Fax (937) 641-4528

Phone(937) 641-3000

Sole ProprietorNo

Enumeration DateAugust 29, 2005

Last NPPES UpdateApril 11, 2018

✔ NPI 1649263203 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in OH · 35060031

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Also ListedPediatrics · Developmental - Behavioral PediatricsTaxonomy 2080P0006X · License 35060031 (OH)

Also ListedPsychiatry & Neurology · Child & Adolescent PsychiatryTaxonomy 2084P0804X · License 35.060031 (OH)

1 CHILDRENS PLZ, Dayton, OH 45404

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Other Identifiers 2

Medicaid0791380OH

Medicaid2846675OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

James H Duffee Iii Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Duffee reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Pediatric Academic Association, Inc.

64 mi

Pediatrics

700 CHILDRENS DR
Columbus, OH 43205

Reassigned Medicare billing, Ohio enrollment
1,246 clinicians in this Medicare group

NPI 1063419943 (614) 722-4579

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45404 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 20

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

HEMANTH SHIMOGA LINGADEVARU MD,MPH,FAAP

Pediatrics (Pediatric Critical Care Medicine)

1 CHILDRENS PLZ
DAYTON, OH 45404

Montgomery County (937) 641-3000

TANYA PAUL M.D

Pediatrics (Pediatric Emergency Medicine)

1 CHILDRENS PLZ
DAYTON, OH 45404

Montgomery County (937) 641-3600

NICOLE LYNNE-BENDT SCOTT

Physician Assistant

1 CHILDRENS PLZ
DAYTON, OH 45404

Montgomery County (937) 641-3600

CODY H MCMILLAN

Physician Assistant

1 CHILDRENS PLZ
DAYTON, OH 45404

Montgomery County (937) 641-3000

TANIA MONTENEGRO MS, MPH

Genetic Counselor, MS

1 CHILDRENS PLZ
DAYTON, OH 45404

Montgomery County (937) 641-5923

MS. FAITH ANGELA CALLIF-DALEY M.S.

Genetic Counselor, MS

1 CHILDRENS PLZ, DAYTON CHILDREN'S MEDICAL CENTER
DAYTON, OH 45404

Montgomery County (937) 641-5645

DR. EMMETT H BROXSON JR. MD

Pediatrics (Pediatric Hematology-Oncology)

1 CHILDRENS PLZ
DAYTON, OH 45404

Montgomery County (937) 641-3111

MISS SAUNDRA D ZERBE FNP

Nurse Practitioner (Family)

1 CHILDRENS PLZ
DAYTON, OH 45404

Montgomery County (937) 641-3600

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 Duffee's NPI number?

The NPI number for James Duffee is 1649263203. It was assigned to this individual provider in the NPPES registry on August 29, 2005.

Where is James Duffee located?

James Duffee practices at 1 Childrens Plz, Dayton, OH 45404. The listed phone number is (937) 641-3000.

What is James Duffee's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is James Duffee enrolled in Medicare?

Yes. James Duffee is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for James Duffee's services?

According to the CMS Revalidation Reassignment List (October 2026 release), James Duffee reassigns Medicare benefits to Pediatric Academic Association, Inc. (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 Duffee's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does James Duffee accept?

Health plans from CareSource list James Duffee 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.

When was this NPI record last updated?

The NPPES record for James Duffee was last updated on April 11, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.