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JOHN M. CAFARDI M.D.
NPI 1912187543
Internal Medicine - Infectious Disease in Cincinnati, OH

Active since November 12, 2007PECOS EnrolledAccepts Medicare Assignment
85.49/100
CMS Quality Rating
2123 AUBURN AVE STE A44, CINCINNATI, OH 45219(513) 585-2791(513) 585-3882 Get Directions Write a Review

NPPES record last updated: October 29, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About John M. Cafardi M.d. NPPES

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

JOHN M. CAFARDI M.D. (NPI 1912187543) is an individual infectious disease provider in Cincinnati, Ohio, licensed in Ohio (35.122782) and active in the NPI registry since November 2007. He is enrolled in Medicare PECOS, is affiliated with St Elizabeth Edgewood, and is a graduate of University Of Pittsburgh School Of Medicine (2004).

NPPES Registry Identity

NPI1912187543
Entity TypeIndividualMale
Primary Taxonomy207RI0200X
Provider Legal NameJOHN M. CAFARDICredential: M.D.
Location Address2123 AUBURN AVE STE A44Cincinnati, OH 45219-2906
Mailing Address2123 Auburn Ave Ste A44Cincinnati, OH 45219-2906 · (513) 585-2791 · Fax (513) 585-3882
Phone(513) 585-2791
Fax(513) 585-3882
Sole ProprietorNo
Medical School CMSUniversity Of Pittsburgh School Of MedicineGraduated 2004
Enumeration DateNovember 12, 2007
Last NPPES UpdateOctober 29, 2020
NPPES CertifiedOctober 29, 2020
✔ NPI 1912187543 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Infectious DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RI0200X
License✔ Licensed in OH · 35.122782
Definition
An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine.
2123 AUBURN AVE STE A44, Cincinnati, OH 45219
Open in Google Maps ↗

Other Identifiers 2

Medicaid7100271140KY
Medicaid0097400OH

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

John M. Cafardi M.d. 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 ID4880726314
PECOS Enrollment IDI20140218000714
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 6

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
158 services59 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
99 services50 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
83 services70 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
52 services28 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
15 services12 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
13 services13 patients

Hospital Affiliations CMS Care Compare 4

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

St Elizabeth Edgewood

Acute Care Hospitals · Edgewood, KY
5/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number180035
Location1 Medical Village DriveEdgewood, KY 41017 · Kenton County
Emergency services Birthing friendly

Christ Hospital

Acute Care Hospitals · Cincinnati, OH
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360163
Location2139 Auburn AvenueCincinnati, OH 45219 · Hamilton County
Emergency services Birthing friendly

Bethesda North

Acute Care Hospitals · Cincinnati, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number360179
Location10500 Montgomery RoadCincinnati, OH 45242 · Hamilton County
Emergency services Birthing friendly

Mercy Health - West Hospital

Acute Care Hospitals · Cincinnati, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360234
Location3300 Mercy Health BlvdCincinnati, OH 45211 · Hamilton County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45219 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
$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.

85.49/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality91.06
Promoting Interoperability100
Improvement Activities40
Cost60.59

Other Providers at the Same Location NPPES 5

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

DR. THOMAS DAVID LAMARRE JR. MD
Internal Medicine (Infectious Disease)
2123 AUBURN AVE STE A44
CINCINNATI, OH 45219
Hamilton County (513) 585-2791
DR. PATRICIA GILLIGAN YOUNG M.D.
Internal Medicine (Infectious Disease)
2123 AUBURN AVE STE A44
CINCINNATI, OH 45219
Hamilton County (513) 585-2791
DR. SABRINA E. NEWSTEAD MD
Internal Medicine (Infectious Disease)
2123 AUBURN AVE STE A44
CINCINNATI, OH 45219
Hamilton County (513) 585-2791
DR. DOUGLAS M HAAS MD
Internal Medicine (Infectious Disease)
2123 AUBURN AVE STE A44
CINCINNATI, OH 45219
Hamilton County (513) 585-2791
DR. THOMAS ANDREW BURKHEAD M.D.
Internal Medicine (Infectious Disease)
2123 AUBURN AVE STE A44
CINCINNATI, OH 45219
Hamilton County (513) 585-2791

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 John Cafardi's NPI number?

The NPI number for John Cafardi is 1912187543. It was assigned to this individual provider in the NPPES registry on November 12, 2007.

Where is John Cafardi located?

John Cafardi practices at 2123 Auburn Ave Ste A44, Cincinnati, OH 45219. The listed phone number is (513) 585-2791.

What is John Cafardi's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Infectious Disease, with taxonomy code 207RI0200X.

Is John Cafardi enrolled in Medicare?

Yes. John Cafardi 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 John Cafardi accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, CareSource and MedMutual and 2 other insurers list John Cafardi 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 John Cafardi affiliated with any hospitals?

According to CMS data, John Cafardi is affiliated with St Elizabeth Edgewood, Christ Hospital, Bethesda North and Mercy Health - West Hospital.

When was this NPI record last updated?

The NPPES record for John Cafardi was last updated on October 29, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.