JOSEPH P ALLEN MD
NPI 1952516544
Family Medicine in Vandalia, OH

Active since May 14, 2007PECOS EnrolledAccepts Medicare Assignment
1 W NATIONAL RD, VANDALIA, OH 45377(937) 208-7776(937) 208-7751 Get Directions Write a Review

NPPES record last updated: July 26, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 26, 2018, Mar 17, 2018 (2 updates tracked since 2018).

About Joseph P Allen Md NPPES

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

JOSEPH P ALLEN MD (NPI 1952516544) is an individual family medicine provider in Vandalia, Ohio, licensed in Ohio (35.092416) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS, is affiliated with Miami Valley Hospital, and maintains 6 additional practice locations.

NPPES Registry Identity

NPI1952516544
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameJOSEPH P ALLENCredential: MD
Location Address1 W NATIONAL RDVandalia, OH 45377
Mailing Address810 Falls Creek Dr, Ste BVandalia, OH 45377-8600 · (937) 454-0317
Fax(937) 208-7751
Sole ProprietorYes
Medical School CMSWright State University Boonshoft School Of MedicineGraduated 2006
Enumeration DateMay 14, 2007
Last NPPES UpdateJuly 26, 20182 updates tracked since enumeration
NPI 1952516544 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 · 35.092416
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.
1 W NATIONAL RD, Vandalia, OH 45377

Secondary Practice Locations 6

Location 1810 Falls Creek Dr, Ste BVandalia, OH 45377-8600 · Phone (937) 454-0317
Location 2752 N Main StSpringboro, OH 45066-8944 · Phone (937) 208-6865 · Fax (937) 208-6868
Location 38 Prestige Plaza Dr Ste 107Miamisburg, OH 45342-7304 · Phone (937) 208-6871 · Fax (937) 208-6874
Location 46700 Commerce Center DrDayton, OH 45414-2672 · Phone (937) 208-6875 · Fax (937) 208-6878
Location 51130 S Main StEnglewood, OH 45322-2819 · Phone (937) 208-6879 · Fax (937) 208-6886
Location 67450 S Mason Montgomery RdMason, OH 45040-7802 · Phone (513) 770-2800 · Fax (513) 770-2809

Other Identifiers 1

Medicaid2980823OH

Accepted 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

Joseph P Allen 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 ID3173677606
PECOS Enrollment IDI20090819000199
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 15

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.
168 services98 patients
Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
112 services23 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.
108 services108 patients
Annual alcohol misuse screening, 5 to 15 minutes G0442
An annual alcohol misuse screening is a 15-minute check-up to assess your drinking habits. It helps identify if you're consuming alcohol in a way that could harm your health. This is not a judgment, but a tool to promote your wellbeing.
102 services102 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.
93 services93 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.
90 services63 patients

Hospital Affiliations CMS Care Compare 2

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

Miami Valley Hospital

Acute Care Hospitals · Dayton, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360051
LocationOne Wyoming StreetDayton, OH 45409 · Montgomery County
Emergency services Birthing friendly

Upper Valley Medical Center

Acute Care Hospitals · Troy, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360174
Location3130 North County Road 25ATroy, OH 45373 · Miami County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45377 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.

Reported Quality Measures

Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
56%112 patients3/55-star benchmark: 100%
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
75%160 patients4/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
93%180 patients4/55-star benchmark: 100%
Screening for Osteoporosis for Women Aged 65-85 Years of Age
Percentage of female patients aged 65-85 years of age who ever had a central dual-energy X-ray absorptiometry (DXA) to check for osteoporosis
74%61 patients4/55-star benchmark: 98%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier11 claims11 services$15.39 avg. paid by Medicare
Continuous positive airway pressure (cpap) device E0601
DME-Other DME · category DE001N
2 suppliers17 claims17 services$37.53 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 suppliers12 claims12 services$67.60 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

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

Family Medicine
1 W NATIONAL RD
VANDALIA, OH 45377

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 Joseph Allen's NPI number?

The NPI number for Joseph Allen is 1952516544. It was assigned to this individual provider in the NPPES registry on May 14, 2007.

Where is Joseph Allen located?

Joseph Allen practices at 1 W National Rd, Vandalia, OH 45377. The listed phone number is (937) 208-7776.

What is Joseph Allen's specialty?

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

Is Joseph Allen enrolled in Medicare?

Yes. Joseph Allen 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 Joseph Allen accept?

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

According to CMS data, Joseph Allen is affiliated with Miami Valley Hospital and Upper Valley Medical Center.

When was this NPI record last updated?

The NPPES record for Joseph Allen was last updated on July 26, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.