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

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: August 09, 2026.

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

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 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
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

Other Identifiers 1

Medicaid2109480OH

Accepted 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

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.

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
Quality73.58
Promoting Interoperability98
Improvement Activities40
Cost65.77

Other Providers at the Same Location NPPES 15

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

Specialist
770 BALGREEN DR, SUITE 107
MANSFIELD, OH 44906
Clinical Medical Laboratory
770 BALGREEN DR
MANSFIELD, OH 44906
Dermatology (Procedural Dermatology)
770 BALGREEN DR, STE 201
MANSFIELD, OH 44906
Internal Medicine
770 BALGREEN DR, SUITE 203
MANSFIELD, OH 44906
Internal Medicine (Pulmonary Disease)
770 BALGREEN DR, SUITE 107
MANSFIELD, OH 44906
Plastic Surgery
770 BALGREEN DR, SUITE 109
MANSFIELD, OH 44906
Pharmacist
770 BALGREEN DR, SUITE 104
MANSFIELD, OH 44906
Obstetrics & Gynecology
770 BALGREEN DR, SUITE 207
MANSFIELD, OH 44906

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.

What insurance does James Alford accept?

Health plans from CareSource and MedMutual 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.

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.