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JACINTA K FORD PA-C
NPI 1669776753
Physician Assistant - Medical in Beavercreek, OH

Active since January 04, 2011PECOS EnrolledAccepts Medicare Assignment
86.02/100
CMS Quality Rating
4031 COLONEL GLENN HWY, SUITE 133, BEAVERCREEK, OH 45431(855) 232-0644(888) 546-0488 Get Directions Write a Review

NPPES record last updated: February 28, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Feb 28, 2023, Nov 2, 2022, Aug 29, 2018 and 1 more (4 updates tracked since 2015).

About Jacinta K Ford Pa-c NPPES

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

JACINTA K FORD PA-C (NPI 1669776753) is an individual medical provider in Beavercreek, Ohio, licensed in Ohio (003112) and active in the NPI registry since January 2011. She is enrolled in Medicare PECOS and is a graduate of Other (2009).

NPPES Registry Identity

NPI1669776753
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameJACINTA K FORDCredential: PA-C
Location Address4031 COLONEL GLENN HWY, SUITE 133Beavercreek, OH 45431-2774
Mailing Address4031 Colonel Glenn Hwy, Suite 133Beavercreek, OH 45431-2774 · (855) 232-0644 · Fax (888) 546-0488
Phone(855) 232-0644
Fax(888) 546-0488
Sole ProprietorNo
Medical School CMSOtherGraduated 2009
Enumeration DateJanuary 4, 2011
Last NPPES UpdateFebruary 28, 20234 updates tracked since enumeration
NPPES CertifiedFebruary 28, 2023
✔ NPI 1669776753 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in OH · 003112
4031 COLONEL GLENN HWY, Beavercreek, OH 45431
Open in Google Maps ↗

Accepted Insurance

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

Jacinta K Ford Pa-c 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 ID1052591435
PECOS Enrollment IDI20110203000015
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 11

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.

Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes 99350
An established patient home visit is a service where a healthcare professional visits a patient's home for a check-up or treatment. The visit typically lasts for about an hour. This service is especially beneficial for patients who may have difficulty traveling to a healthcare facility.
553 services96 patients
Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490
Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.
242 services82 patients
Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month 99439
Chronic Care Management services involve regular check-ins with healthcare professionals to manage two or more chronic conditions. It includes an additional 20 minutes of clinical staff time per month, directed by a healthcare professional, to ensure optimal health management.
172 services59 patients
Residence visit for new patient with high level of medical decision making, per day, if using time, at least 75 minutes 99345
A new patient home visit is a comprehensive 75-minute appointment conducted at your home. The healthcare professional will assess your health, discuss any concerns, and create a personalized care plan. It's convenient, comfortable, and tailored to your specific needs.
37 services37 patients
Telephone medical discussion with physician, 11-20 minutes 99442
This is a service where you have a phone conversation with your doctor for 11-20 minutes. It's used for discussing health concerns, reviewing test results, or managing ongoing conditions. It's a convenient way to receive medical advice without an in-person visit.
34 services22 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.
20 services20 patients

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.

86.02/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality60.41
Promoting Interoperability95
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier12 claims12 services$67.60 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES

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

LISA KAY GOODRICH APRN
Nurse Practitioner
4031 COLONEL GLENN HWY, STE 133
BEAVERCREEK, OH 45431
Greene County (552) 320-6448

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 Jacinta Ford's NPI number?

The NPI number for Jacinta Ford is 1669776753. It was assigned to this individual provider in the NPPES registry on January 4, 2011.

Where is Jacinta Ford located?

Jacinta Ford practices at 4031 Colonel Glenn Hwy Suite 133, Beavercreek, OH 45431. The listed phone number is (855) 232-0644.

What is Jacinta Ford's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Jacinta Ford enrolled in Medicare?

Yes. Jacinta Ford 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 Jacinta Ford accept?

Health plans from CareSource list Jacinta Ford 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 Jacinta Ford was last updated on February 28, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.