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BRENT CHARLES NIMETH MD
NPI 1912935545
Family Medicine in Mount Vernon, OH

Active since June 30, 2006PECOS EnrolledAccepts Medicare Assignment
1220 YAUGER RD, MOUNT VERNON, OH 43050(740) 263-7036(740) 399-3753 Get Directions Write a Review

NPPES record last updated: July 14, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Brent Charles Nimeth Md NPPES

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

BRENT CHARLES NIMETH MD (NPI 1912935545) is an individual family medicine provider in Mount Vernon, Ohio, licensed in Ohio (35.058819) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Riverside Methodist Hospital, and is a graduate of Medical College Of Ohio (1988).

NPPES Registry Identity

NPI1912935545
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameBRENT CHARLES NIMETHCredential: MD
Location Address1220 YAUGER RDMount Vernon, OH 43050-9233
Mailing AddressKnox Community Hospital, Department Of Primary Care / Family MedicineMount Vernon, OH 43050-9233 · (740) 393-9000 · Fax (740) 392-2987
Phone(740) 263-7036
Fax(740) 399-3753
Sole ProprietorNo
Medical School CMSMedical College Of OhioGraduated 1988
Enumeration DateJune 30, 2006
Last NPPES UpdateJuly 14, 2021
NPPES CertifiedJuly 14, 2021
✔ NPI 1912935545 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 OH · 35.058819
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 ListedRadiologic Technologist · Bone DensitometryTaxonomy 2471B0102X
1220 YAUGER RD, Mount Vernon, OH 43050
Open in Google Maps ↗

Other Identifiers 1

Medicaid0136678OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource, MedMutual.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

Brent Charles Nimeth 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 ID8628108321
PECOS Enrollment IDI20100716000404
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 Brent Nimeth reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Knox Community Hospital
0.2 mi
Home Health
307 VERNEDALE DR STE A
Mount Vernon, OH 43050
  • Reassigned Medicare billing, Ohio enrollment
  • 191 clinicians in this Medicare group
NPI 1720251325 (740) 399-3748

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 10

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.
915 services355 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.
293 services293 patients
Annual depression screening, 5 to 15 minutes G0444
An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.
288 services288 patients
Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490
Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.
234 services54 patients
Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month 99439
Chronic Care Management services involve regular check-ins with healthcare professionals to manage two or more chronic conditions. It includes an additional 20 minutes of clinical staff time per month, directed by a healthcare professional, to ensure optimal health management.
223 services51 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.
125 services86 patients

Hospital Affiliations CMS Care Compare 4

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

Riverside Methodist Hospital

Acute Care Hospitals · Columbus, OH
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360006
Location3535 Olentangy River RdColumbus, OH 43214 · Franklin County
Emergency services Birthing friendly

Grant Medical Center

Acute Care Hospitals · Columbus, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number360017
Location111 South Grant AvenueColumbus, OH 43215 · Franklin County
Emergency services Birthing friendly

Knox Community Hospital

Acute Care Hospitals · Mount Vernon, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number360040
Location1330 Coshocton RoadMount Vernon, OH 43050 · Knox County
Emergency services Birthing friendly

Ohiohealth Mansfield Hospital

Acute Care Hospitals · Mansfield, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360118
Location335 Glessner AvenueMansfield, OH 44903 · Richland County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43050 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.

Referred Medical Equipment & Supplies CMS DME claims 15

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
8 suppliers48 claims70 services$6.46 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
6 suppliers12 claims13 services$1.20 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
3 suppliers11 claims11 services$74.90 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
3 suppliers15 claims90 services$2.50 avg. paid by Medicare
Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape B4034
Other-Enteral and Parenteral · category OB006N
1 supplier12 claims360 services$4.15 avg. paid by Medicare
Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit B4152
Other-Enteral and Parenteral · category OB006N
1 supplier12 claims7,668 services$0.38 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.

LAURA MARIE BARBUTO CNP
Nurse Practitioner
1220 YAUGER RD, AMERICAN HEALTH NETWORK OF OHIO
MOUNT VERNON, OH 43050
Knox County (740) 392-1171
PHYSICAL THERAPY SERVICES OF MT
Physical Therapist
1220 YAUGER RD
MOUNT VERNON, OH 43050
Knox County (740) 393-1144

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 Brent Nimeth's NPI number?

The NPI number for Brent Nimeth is 1912935545. It was assigned to this individual provider in the NPPES registry on June 30, 2006.

Where is Brent Nimeth located?

Brent Nimeth practices at 1220 Yauger Rd, Mount Vernon, OH 43050. The listed phone number is (740) 263-7036.

What is Brent Nimeth's specialty?

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

Is Brent Nimeth enrolled in Medicare?

Yes. Brent Nimeth 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 Brent Nimeth's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Brent Nimeth reassigns Medicare benefits to Knox Community Hospital (Mount Vernon, 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 Brent Nimeth's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Brent Nimeth accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource and MedMutual list Brent Nimeth 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 Brent Nimeth affiliated with any hospitals?

According to CMS data, Brent Nimeth is affiliated with Riverside Methodist Hospital, Grant Medical Center, Knox Community Hospital and Ohiohealth Mansfield Hospital.

When was this NPI record last updated?

The NPPES record for Brent Nimeth was last updated on July 14, 2021. 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.