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MR. JAMES L. ROE III
NPI 1679920425
Nurse Practitioner - Family in Columbus, OH

Active since May 23, 2016PECOS EnrolledAccepts Medicare Assignment
1670 UPHAM DR, COLUMBUS, OH 43210(614) 293-9600(614) 293-4200 Get Directions Write a Review

NPPES record last updated: September 1, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mr. James L. Roe Iii NPPES

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

MR. JAMES L. ROE III (NPI 1679920425) is an individual family provider in Columbus, Ohio, licensed in Ohio (COA.18534-NP) and active in the NPI registry since May 2016. He is enrolled in Medicare PECOS and is a graduate of University Of Cincinnati College Of Medicine (2015).

NPPES Registry Identity

NPI1679920425
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameMR. JAMES L. ROE III
Location Address1670 UPHAM DRColumbus, OH 43210-1250
Mailing Address1670 Upham DrColumbus, OH 43210-1250 · (614) 293-9600 · Fax (614) 293-4200
Phone(614) 293-9600
Fax(614) 293-4200
Sole ProprietorNo
Medical School CMSUniversity Of Cincinnati College Of MedicineGraduated 2015
Enumeration DateMay 23, 2016
Last NPPES UpdateSeptember 1, 2016
✔ NPI 1679920425 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in OH · COA.18534-NP
1670 UPHAM DR, Columbus, OH 43210
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.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

Mr. James L. Roe Iii 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 ID7810289188
PECOS Enrollment IDI20160706001780
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.

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.
122 services40 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43210 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.

SAMIRA ABDI SHIRE
Student in an Organized Health Care Education/Training Program
1670 UPHAM DR
COLUMBUS, OH 43210
Franklin County (614) 293-4540
NOUREEN BHUIYA MD
Student in an Organized Health Care Education/Training Program
1670 UPHAM DR
COLUMBUS, OH 43210
Franklin County (614) 293-4540
JULIE A NIEDERMIER MD
Psychiatry & Neurology (Psychiatry)
1670 UPHAM DR
COLUMBUS, OH 43210
Franklin County (614) 293-9600
ELIZABETH M MUENKS PH.D.
Psychologist
1670 UPHAM DR
COLUMBUS, OH 43210
Franklin County (614) 293-9600
THE OHIO STATE UNIVERSITY WEXNER MEDICAL CENTER
Psychiatric Hospital
1670 UPHAM DR
COLUMBUS, OH 43210
Franklin County (614) 293-9600
MRS. LLENA DURANTE CARTER LISW
Social Worker (Clinical)
1670 UPHAM DR
COLUMBUS, OH 43210
Franklin County (614) 293-9600
CAROLE DELAFORET LISWS
Social Worker (Clinical)
1670 UPHAM DR
COLUMBUS, OH 43210
Franklin County (614) 293-8205
MALLORY ANNE SCHUCKERT LPCC
Counselor (Professional)
1670 UPHAM DR
COLUMBUS, OH 43210
Franklin County (614) 293-9600

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 Roe's NPI number?

The NPI number for James Roe is 1679920425. It was assigned to this individual provider in the NPPES registry on May 23, 2016.

Where is James Roe located?

James Roe practices at 1670 Upham Dr, Columbus, OH 43210. The listed phone number is (614) 293-9600.

What is James Roe's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is James Roe enrolled in Medicare?

Yes. James Roe 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 Roe accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, MedMutual and Oscar Health Insurance and 1 other insurer list James Roe 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 Roe was last updated on September 1, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.