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JAMES BEITZEL MD
NPI 1912901851
Family Medicine in Columbia City, IN

Active since June 09, 2005PECOS EnrolledAccepts Medicare Assignment
81.23/100
CMS Quality Rating
1270 E STATE ROAD 205, SUITE 210, COLUMBIA CITY, IN 46725(260) 248-9230(260) 248-9249 Get Directions Write a Review

NPPES record last updated: October 17, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 17, 2022, May 17, 2021, Mar 3, 2016 (3 updates tracked since 2016).

About James Beitzel Md NPPES

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

JAMES BEITZEL MD (NPI 1912901851) is an individual family medicine provider in Columbia City, Indiana, licensed in Indiana (01061931A) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS, is affiliated with Lutheran Hospital Of Indiana, and is a graduate of Temple University School Of Medicine (1984).

NPPES Registry Identity

NPI1912901851
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameJAMES BEITZELCredential: MD
Location Address1270 E STATE ROAD 205, SUITE 210Columbia City, IN 46725-9499
Mailing Address11109 Parkview Plaza Dr Ste 3Fort Wayne, IN 46845-1701 · (260) 266-6013
Phone(260) 248-9230
Fax(260) 248-9249
Sole ProprietorNo
Medical School CMSTemple University School Of MedicineGraduated 1984
Enumeration DateJune 9, 2005
Last NPPES UpdateOctober 17, 20223 updates tracked since enumeration
NPPES CertifiedOctober 17, 2022
✔ NPI 1912901851 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in IN · 01061931A
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.
Also ListedInternal MedicineTaxonomy 207R00000X · License MD034166E (PA)
1270 E STATE ROAD 205, Columbia City, IN 46725
Open in Google Maps ↗

Other Identifiers 10

Other000000570559IN · Anthem
Medicaid200855470IN
Other21412IN · Php
OtherP00465455IN · Railroad Medicare
Medicaid001083302PA
Other351972384027IN · Tricare
Other1194655IN · Cigna
Other4239333IN · Aetna
Other000000513051IN · Anthem
Other3937240002IN · Medicare Dmepos

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

James Beitzel 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 ID244247450
PECOS Enrollment IDI20070529000182
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 8

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.
350 services231 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.
197 services135 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.
60 services59 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.
53 services52 patients
Skin test for tuberculosis 86580
A skin test for tuberculosis, also known as a PPD test, is a simple procedure where a small amount of testing material is injected under the skin on your arm. After 48-72 hours, the test site is checked for a reaction which may indicate TB exposure.
20 services19 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
19 services17 patients

Hospital Affiliations CMS Care Compare 5

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

Lutheran Hospital Of Indiana

Acute Care Hospitals · Fort Wayne, IN
3/5 CMS rating
OwnershipProprietary
CMS Certification Number150017
Location7950 W Jefferson BlvdFort Wayne, IN 46804 · Allen County
Emergency services Birthing friendly

Parkview Regional Medical Center

Acute Care Hospitals · Fort Wayne, IN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150021
Location11109 Parkview Plaza DriveFort Wayne, IN 46845 · Allen County
Emergency services Birthing friendly

Parkview Huntington Hospital

Acute Care Hospitals · Huntington, IN
OwnershipVoluntary non-profit - Private
CMS Certification Number150091
Location2001 Stults RdHuntington, IN 46750 · Huntington County
Emergency services Birthing friendly

Parkview Whitley Hospital

Acute Care Hospitals · Columbia City, IN
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150101
Location1260 E Sr 205Columbia City, IN 46725 · Whitley County
Emergency services Birthing friendly

Parkview Noble Hospital

Acute Care Hospitals · Kendallville, IN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150146
Location401 Sawyer RdKendallville, IN 46755 · Noble County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46725 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
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
Established Patient
$94.22 typical visit price
range $16.93 – $132.22
Typical copayment $23.55 (range $4.23 – $33.05)
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.

81.23/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality68.95
Promoting Interoperability100
Improvement Activities40
Cost68.49

Referred Medical Equipment & Supplies CMS DME claims 17

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
17 suppliers128 claims308 services$5.89 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
12 suppliers40 claims62 services$0.96 avg. paid by Medicare
Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
6 suppliers27 claims27 services$33.54 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
4 suppliers22 claims22 services$95.79 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
4 suppliers23 claims62 services$34.61 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
6 suppliers18 claims100 services$19.17 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 2

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

DR. RICHARD S DICKMEYER M.D.
Family Medicine
1270 E STATE ROAD 205, SUITE 240
COLUMBIA CITY, IN 46725
Whitley County (260) 244-7600
MARK A. BURKETT D.O.
Internal Medicine
1270 E STATE ROAD 205, SUITE 150
COLUMBIA CITY, IN 46725
Whitley County (260) 248-9890

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 Beitzel's NPI number?

The NPI number for James Beitzel is 1912901851. It was assigned to this individual provider in the NPPES registry on June 9, 2005.

Where is James Beitzel located?

James Beitzel practices at 1270 E State Road 205 Suite 210, Columbia City, IN 46725. The listed phone number is (260) 248-9230.

What is James Beitzel's specialty?

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

Is James Beitzel enrolled in Medicare?

Yes. James Beitzel 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 Beitzel accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource list James Beitzel 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 Beitzel affiliated with any hospitals?

According to CMS data, James Beitzel is affiliated with Lutheran Hospital Of Indiana, Parkview Regional Medical Center, Parkview Huntington Hospital, Parkview Whitley Hospital and Parkview Noble Hospital.

When was this NPI record last updated?

The NPPES record for James Beitzel was last updated on October 17, 2022. 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.