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JAMES W DESAPRI
NPI 1851334072
Family Medicine in Newark, OH

Active since June 14, 2006PECOS EnrolledAccepts Medicare Assignment
79.35/100
CMS Quality Rating
1272 W MAIN ST STE 503, NEWARK, OH 43055(220) 564-1788(220) 564-1789 Get Directions Write a Review

NPPES record last updated: March 24, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Mar 24, 2023, Feb 20, 2017, Sep 13, 2016 (3 updates tracked since 2016).

About James W Desapri NPPES

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

JAMES W DESAPRI (NPI 1851334072) is an individual family medicine provider in Newark, Ohio, licensed in Ohio (34-00-7988-D) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Licking Memorial Hospital, and maintains a secondary practice location in Newark.

NPPES Registry Identity

NPI1851334072
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameJAMES W DESAPRI
Location Address1272 W MAIN ST STE 503Newark, OH 43055-2058
Mailing Address1272 W Main St Ste 503Newark, OH 43055-2058 · (220) 564-1788 · Fax (220) 564-1789
Phone(220) 564-1788
Fax(220) 564-1789
Sole ProprietorNo
Medical School CMSOhio University, College Of Osteopathic MedicineGraduated 2000
Enumeration DateJune 14, 2006
Last NPPES UpdateMarch 24, 20233 updates tracked since enumeration
✔ NPI 1851334072 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 · 34-00-7988-D✔ Licensed in OH · 34007998
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.
1272 W MAIN ST STE 503, Newark, OH 43055
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Secondary Practice Location 1

Location 11970 Tamarack RdNewark, OH 43055-1363 · Phone (220) 564-1784

Other Identifiers 1

Medicaid2420106OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Antidote Health Plan of Ohio, Inc., MedMutual 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 W Desapri 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 ID9537143862
PECOS Enrollment IDI20040615001036
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 Reassignment

Medicare enrollment records show James Desapri reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Licking Memorial Professional Corporation
0.1 mi
Anatomic Pathology & Clinical Pathology
1320 W MAIN ST
Newark, OH 43055
  • Reassigned Medicare billing, Ohio enrollment
  • Medicare enrollment name: Licking Memorial Health Professionals
  • 280 clinicians in this Medicare group
NPI 1932186053 (740) 348-4266

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

Areas of Expertise CMS Part B claims 5

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 moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
181 services102 patients
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.
158 services106 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.
47 services47 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
34 services33 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
33 services32 patients

Hospital Affiliations CMS Care Compare

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

Licking Memorial Hospital

Acute Care Hospitals · Newark, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360218
Location1320 West Main StreetNewark, OH 43055 · Licking County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43055 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.

79.35/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality71.02
Promoting Interoperability100
Improvement Activities40
Cost57.85

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.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
11 suppliers36 claims71 services$5.90 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
1 supplier36 claims42 services$4.18 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
2 suppliers13 claims13 services$215.52 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 4

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

MOHAMMAD ISLAM
Internal Medicine (Pulmonary Disease)
1272 W MAIN ST STE 503
NEWARK, OH 43055
Licking County (220) 564-1805
EMILIA N. ANIGBO M.D.
Internal Medicine (Pulmonary Disease)
1272 W MAIN ST STE 503
NEWARK, OH 43055
Licking County (220) 564-1805
DR. MATTHEW R HARRIS DO
Family Medicine
1272 W MAIN ST STE 503
NEWARK, OH 43055
Licking County (220) 564-1778
OLUWATOYIN VICTORIA ADULOJU-ODUNAIYA
Nurse Practitioner
1272 W MAIN ST STE 503
NEWARK, OH 43055
Licking County (220) 564-1805

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 Desapri's NPI number?

The NPI number for James Desapri is 1851334072. It was assigned to this individual provider in the NPPES registry on June 14, 2006.

Where is James Desapri located?

James Desapri practices at 1272 W Main St Ste 503, Newark, OH 43055. The listed phone number is (220) 564-1788.

What is James Desapri's specialty?

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

Is James Desapri enrolled in Medicare?

Yes. James Desapri 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 organization bills Medicare for James Desapri's services?

According to the CMS Revalidation Reassignment List (October 2026 release), James Desapri reassigns Medicare benefits to Licking Memorial Professional Corporation (Newark, OH). The 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 Desapri's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does James Desapri accept?

Health plans from Anthem Blue Cross and Blue Shield, Antidote Health Plan of Ohio, Inc., MedMutual and Molina Healthcare list James Desapri 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 Desapri affiliated with any hospitals?

According to CMS data, James Desapri is affiliated with Licking Memorial Hospital.

When was this NPI record last updated?

The NPPES record for James Desapri was last updated on March 24, 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.