JAMES M ALFORD MD
NPI 1790751998
Obstetrics & Gynecology in Mansfield, OH

Q: What is James Alford's NPI number?

The NPI number for James Alford is 1790751998. It was assigned to this individual provider in the NPPES registry on February 27, 2006.

Q: What is James Alford's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for James Alford was last updated on January 25, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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 February 27, 2006PECOS EnrolledAccepts Medicare Assignment

81.3/100

CMS Quality Rating

770 BALGREEN DR, SUITE 207, MANSFIELD, OH 44906(419) 522-6800(419) 522-6816 Get Directions Write a Review

NPPES record last updated: January 25, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jan 25, 2022, Oct 19, 2021, May 17, 2021 (3 updates tracked since 2021).

On this page

About James M Alford Md NPPES

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

JAMES M ALFORD MD (NPI 1790751998) is an individual obstetrics & gynecology provider in Mansfield, Ohio, licensed in Ohio (35-07-5677) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS, is affiliated with Marietta Memorial Hospital, and is a graduate of Other (1982).

NPPES Registry Identity

NPI1790751998

Entity TypeIndividualMale

Primary Taxonomy207V00000X

Provider Legal NameJAMES M ALFORDCredential: MD

Location Address770 BALGREEN DR, SUITE 207Mansfield, OH 44906-4106

Mailing Address600 W 3rd StMansfield, OH 44906-2633 · (419) 522-6191

Phone(419) 522-6800

Fax(419) 522-6816

Sole ProprietorNo

Medical School CMSOtherGraduated 1982

Enumeration DateFebruary 27, 2006

Last NPPES UpdateJanuary 25, 20223 updates tracked since enumeration

NPPES CertifiedOctober 19, 2021

✔ NPI 1790751998 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 · 35-07-5677

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.

770 BALGREEN DR, Mansfield, OH 44906

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Other Identifiers 1

Medicaid2109480OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, MedMutual, Molina Healthcare.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 M Alford 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 ID6002952652

PECOS Enrollment IDI20110901000558

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 Alford reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Marion Area Physicians LLC

32 mi

Internal Medicine

1040 DELAWARE AVE
Marion, OH 43302

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

NPI 1619230802 (740) 383-7000

Ohiohealth Corporation

55 mi

Thoracic Surgery (Cardiothoracic Vascular Surgery)

85 MCNAUGHTEN RD STE 110
Columbus, OH 43213

Reassigned Medicare billing, Ohio enrollment
3,314 clinicians in this Medicare group

NPI 1265627301 (614) 856-9100

Obhg Ohio Corp

61 mi

Obstetrics & Gynecology

1320 MERCY DR NW
Canton, OH 44708

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

NPI 1043596257 (864) 908-3530

Marietta Memorial Hospital

102 mi

Rural Health

127 S MAIN ST
Woodsfield, OH 43793

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

NPI 1962106328 (740) 472-1330

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

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

Marietta Memorial Hospital

Acute Care Hospitals · Marietta, OH

4/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number360147

Location401 Matthew StreetMarietta, OH 45750 · Washington County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 44906 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.

81.3/100

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

Scored as part of a group practice

Quality

73.58

Promoting Interoperability

Improvement Activities

Cost

65.77

Other Providers at the Same Location NPPES 14

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

MIDWESTERN CARDIAC SURGERY, INC.

Specialist

770 BALGREEN DR, SUITE 107
MANSFIELD, OH 44906

Richland County (419) 522-0320

LAB ONE OF OHIO INC

Clinical Medical Laboratory

770 BALGREEN DR
MANSFIELD, OH 44906

Richland County (419) 283-0714

ADVANCED DERMATOLOGY OF NORTH CENTRAL OHIO INC

Dermatology (Procedural Dermatology)

770 BALGREEN DR, STE 201
MANSFIELD, OH 44906

Richland County (419) 756-1600

WILLIAM SCOTT BALLINGER,M.D.

Internal Medicine

770 BALGREEN DR, SUITE 203
MANSFIELD, OH 44906

Richland County (419) 756-6366

ELIZABETH A BROWN M.D.

Internal Medicine (Pulmonary Disease)

770 BALGREEN DR, SUITE 107
MANSFIELD, OH 44906

Richland County (419) 522-0320

WALTER G. BODJANAC, DO, LLC

Plastic Surgery

770 BALGREEN DR, SUITE 109
MANSFIELD, OH 44906

Richland County (419) 756-9996

JEFFREY M. WALTHOUR PHARM.D.

Pharmacist

770 BALGREEN DR, SUITE 104
MANSFIELD, OH 44906

Richland County (419) 526-8972

CORNERSTONE OB-GYN, INC

Obstetrics & Gynecology

770 BALGREEN DR, SUITE 207
MANSFIELD, OH 44906

Richland County (419) 522-6800

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 Alford's NPI number?

The NPI number for James Alford is 1790751998. It was assigned to this individual provider in the NPPES registry on February 27, 2006.

Where is James Alford located?

James Alford practices at 770 Balgreen Dr Suite 207, Mansfield, OH 44906. The listed phone number is (419) 522-6800.

What is James Alford's specialty?

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

Is James Alford enrolled in Medicare?

Yes. James Alford 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.

Which organizations bill Medicare for James Alford's services?

According to the CMS Revalidation Reassignment List (October 2026 release), James Alford reassigns Medicare benefits to 4 organizations: Marion Area Physicians LLC (Marion, OH), Ohiohealth Corporation (Columbus, OH), Obhg Ohio Corp (Canton, OH) and Marietta Memorial Hospital (Woodsfield, OH). Each 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 Alford's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does James Alford accept?

Health plans from CareSource, MedMutual and Molina Healthcare list James Alford 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 Alford affiliated with any hospitals?

According to CMS data, James Alford is affiliated with Marietta Memorial Hospital.

When was this NPI record last updated?

The NPPES record for James Alford was last updated on January 25, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.