NICHOLAS J KSENICH MD
NPI 1952513277
Family Medicine in Elyria, OH

Q: What is Nicholas Ksenich's NPI number?

The NPI number for Nicholas Ksenich is 1952513277. It was assigned to this individual provider in the NPPES registry on May 7, 2007.

Q: What is Nicholas Ksenich's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Nicholas Ksenich was last updated on December 8, 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.

Active since May 07, 2007PECOS EnrolledAccepts Medicare Assignment

1120 E BROAD ST, ELYRIA, OH 44035(440) 365-2600(440) 365-5543 Get Directions Write a Review

NPPES record last updated: December 8, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Nicholas J Ksenich Md NPPES

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

NICHOLAS J KSENICH MD (NPI 1952513277) is an individual family medicine provider in Elyria, Ohio, licensed in Ohio (35061954) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS, is affiliated with Uh St John Medical Center, and is a graduate of Ohio State University College Of Medicine (1990).

NPPES Registry Identity

NPI1952513277

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameNICHOLAS J KSENICHCredential: MD

Location Address1120 E BROAD STElyria, OH 44035-6306

Mailing AddressPo Box 636643Cincinnati, OH 45263-6643 · (440) 989-3801 · Fax (440) 960-0264

Phone(440) 365-2600

Fax(440) 365-5543

Sole ProprietorNo

Medical School CMSOhio State University College Of MedicineGraduated 1990

Enumeration DateMay 7, 2007

Last NPPES UpdateDecember 8, 2020

NPPES CertifiedDecember 8, 2020

✔ NPI 1952513277 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in OH · 35061954

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.

1120 E BROAD ST, Elyria, OH 44035

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Other Identifiers 2

Medicaid3025372OH

Medicaid0868173OH

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, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Nicholas J Ksenich 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 ID345386678

PECOS Enrollment IDI20100524000167

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 Nicholas Ksenich reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

University Primary Care Practices Inc

4.2 mi

Orthopaedic Surgery

5001 TRANSPORTATION DR
Sheffield Village, OH 44054

Reassigned Medicare billing, Ohio enrollment
1,437 clinicians in this Medicare group

NPI 1114054384 (440) 329-2800

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.

633 services227 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.

182 services182 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.

46 services46 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.

45 services45 patients

Injection of drug or substance under skin or into muscle 96372

This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.

39 services13 patients

Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use 90677

The Pneumococcal Conjugate Vaccine (PCV20) is a shot given to protect against 20 types of bacteria that can cause serious infections like pneumonia and meningitis. It's administered through a muscle, usually in the arm. It's important for overall health.

25 services25 patients

Hospital Affiliations CMS Care Compare 3

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

Uh St John Medical Center

Acute Care Hospitals · Westlake, OH

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number360123

Location29000 Center Ridge RoadWestlake, OH 44145 · Cuyahoga County

Emergency services

Uh Cleveland Medical Center

Acute Care Hospitals · Cleveland, OH

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number360137

Location11100 Euclid AvenueCleveland, OH 44106 · Cuyahoga County

Emergency services Birthing friendly

University Hospitals - Elyria Medical Center

Acute Care Hospitals · Elyria, OH

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number360145

Location630 East River StreetElyria, OH 44035 · Lorain County

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 44035 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 5

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

12 suppliers54 claims145 services$5.54 avg. paid by Medicare

Lancets, per box of 100 A4259

DME-Medical/Surgical Supplies · category DA000N

10 suppliers37 claims48 services$0.93 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

2 suppliers16 claims16 services$57.55 avg. paid by Medicare

Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg J7613

DME-Drugs Administered Through DME · category DG006N

2 suppliers11 claims1,311 services$0.02 avg. paid by Medicare

Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513

DME-Other DME · category DE000N

2 suppliers12 claims12 services$19.18 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 15

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

JACK W CRAMER DO

Family Medicine