JAMES HALDERMAN
NPI 1750676672
Family Medicine in Jamestown, OH

Q: What is James Halderman's NPI number?

The NPI number for James Halderman is 1750676672. It was assigned to this individual provider in the NPPES registry on June 20, 2011.

Q: What is James Halderman's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for James Halderman was last updated on September 11, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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 June 20, 2011PECOS EnrolledAccepts Medicare Assignment

84.5/100

CMS Quality Rating

4940 COTTONVILLE RD, SUITE 100, JAMESTOWN, OH 45335(937) 675-6830(937) 675-6835 Get Directions Write a Review

NPPES record last updated: September 11, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About James Halderman NPPES

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

JAMES HALDERMAN (NPI 1750676672) is an individual family medicine provider in Jamestown, Ohio, licensed in Ohio (35.123241) and active in the NPI registry since June 2011. He is enrolled in Medicare PECOS, is affiliated with Kettering Health Greene Memorial, and is a graduate of Ohio State University College Of Medicine (2011).

NPPES Registry Identity

NPI1750676672

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameJAMES HALDERMAN

Location Address4940 COTTONVILLE RD, SUITE 100Jamestown, OH 45335-1522

Mailing Address4940 Cottonville RdJamestown, OH 45335-1522 · (937) 675-2870 · Fax (937) 675-2873

Phone(937) 675-6830

Fax(937) 675-6835

Sole ProprietorYes

Medical School CMSOhio State University College Of MedicineGraduated 2011

Enumeration DateJune 20, 2011

Last NPPES UpdateSeptember 11, 2023

NPPES CertifiedSeptember 11, 2023

✔ NPI 1750676672 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Licenses✔ Licensed in OH · 35.123241✔ Licensed in SC · 33853

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.

4940 COTTONVILLE RD, Jamestown, OH 45335

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Other Identifiers 1

Medicaid0105881OH

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, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

James Halderman 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 ID4587811658

PECOS Enrollment IDI20140902001393

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 Reassignments

Medicare enrollment records show James Halderman reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Mvhe Inc

Same address

Family Medicine

4940 COTTONVILLE RD, SUITE 100
Jamestown, OH 45335

Reassigned Medicare billing, Ohio enrollment
744 clinicians in this Medicare group

NPI 1982657318 (937) 675-6830

Alliance Physicians, Inc.

10.0 mi

Surgery

244 WILSON DR
Xenia, OH 45385

Reassigned Medicare billing, Ohio enrollment
364 clinicians in this Medicare group

NPI 1902220437 (937) 372-1602

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

Hospital Affiliations CMS Care Compare 4

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

Kettering Health Greene Memorial

Acute Care Hospitals · Xenia, OH

OwnershipVoluntary non-profit - Private

CMS Certification Number360026

Location1141 North Monroe DriveXenia, OH 45385 · Greene County

Emergency services

Kettering Health Main Campus

Acute Care Hospitals · Kettering, OH

4/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number360079

Location3535 Southern BoulevardKettering, OH 45429 · Montgomery County

Emergency services Birthing friendly

Kettering Health Dayton

Acute Care Hospitals · Dayton, OH

3/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number360133

Location405 Grand AvenueDayton, OH 45405 · Montgomery County

Birthing friendly

Soin Medical Center

Acute Care Hospitals · Beaver Creek, OH

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number360360

Location3535 Pentagon Park BlvdBeaver Creek, OH 45431 · Greene County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45335 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.

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.

84.5/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

81.16

Promoting Interoperability

100

Improvement Activities

Cost

67.18

Reported Quality Measures

Colorectal Cancer Screening

Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer

95%86 patients4/55-star benchmark: 100%

Pneumococcal Vaccination Status for Older Adults

Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine

96%109 patients4/55-star benchmark: 100%

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan

Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…

61%133 patients3/55-star benchmark: 100%

Screening for Osteoporosis for Women Aged 65-85 Years of Age

Percentage of female patients aged 65-85 years of age who ever had a central dual-energy X-ray absorptiometry (DXA) to check for osteoporosis

77%39 patients4/55-star benchmark: 98%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 3

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$61.89 avg. paid by Medicare

Portable oxygen concentrator, rental E1392

DME-Oxygen and Supplies · category DC002N

1 supplier12 claims12 services$30.47 avg. paid by Medicare

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553

DME-Other DME · category DE017N

1 supplier11 claims11 services$215.80 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 13

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

DR. MEGAN REES

Pharmacist