DR. JAMES F. MAHER M.D.
NPI 1962440305
Internal Medicine - Medical Oncology in Cincinnati, OH

Active since June 04, 2006PECOS EnrolledAccepts Medicare Assignment
90.38/100
CMS Quality Rating
5520 CHEVIOT ROAD, CINCINNATI, OH 45247(513) 451-4033(513) 451-4033 Get Directions Write a Review

NPPES record last updated: May 14, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. James F. Maher M.d. NPPES

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

DR. JAMES F. MAHER M.D. (NPI 1962440305) is an individual medical oncology provider in Cincinnati, Ohio, licensed in Ohio (35-075102) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Good Samaritan Hospital, and is a graduate of University Of Oklahoma College Of Medicine (1998).

NPPES Registry Identity

NPI1962440305
Entity TypeIndividualMale
Primary Taxonomy207RX0202X
Provider Legal NameDR. JAMES F. MAHERCredential: M.D.
Location Address5520 CHEVIOT ROADCincinnati, OH 45247
Mailing AddressP.o. Box 636745Cincinnati, OH 45263-6745 · (513) 451-4033 · Fax (513) 451-4118
Fax(513) 451-4033
Sole ProprietorNo
Medical School CMSUniversity Of Oklahoma College Of MedicineGraduated 1998
Enumeration DateJune 4, 2006
Last NPPES UpdateMay 14, 2012
NPI 1962440305 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · Medical OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RX0202X
Licenses Licensed in OH · 35-075102 Licensed in OH · 75102
Definition
An internist who specializes in the diagnosis and treatment of all types of cancer and other benign and malignant tumors. This specialist decides on and administers therapy for these malignancies as well as consults with surgeons and radiotherapists on other treatments for cancer.
Also ListedInternal Medicine · HematologyTaxonomy 207RH0000X · License 35-075102 (OH)
5520 CHEVIOT ROAD, Cincinnati, OH 45247

Other Identifiers 7

Medicare PINMA9289641OH
Medicaid2694197OH
Medicare UPING89460OH
Medicare PIN0867378OH
Medicaid2138047OH
Medicare PIN4199073
Medicare UPINH98717

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

Dr. James F. Maher 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 ID7214919497
PECOS Enrollment IDI20040602000688
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 4

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.
263 services159 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.
191 services60 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.
27 services27 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.
15 services15 patients

Hospital Affiliations CMS Care Compare 2

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

Good Samaritan Hospital

Acute Care Hospitals · Cincinnati, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360134
Location375 Dixmyth AvenueCincinnati, OH 45220 · 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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45247 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
$166.65 typical visit price
range $54.34 – $166.65
Typical copayment $41.66 (range $13.58 – $41.66)
Most-billed visit code 99205
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.

90.38/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality80.76
Promoting Interoperability100
Improvement Activities40

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
2%246 patients1/55-star benchmark: 100%
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.

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.

Internal Medicine (Hematology & Oncology)
5520 CHEVIOT ROAD
CINCINNATI, OH 45247
Internal Medicine (Hematology & Oncology)
5520 CHEVIOT ROAD
CINCINNATI, OH 45247
Internal Medicine (Hematology & Oncology)
5520 CHEVIOT ROAD
CINCINNATI, OH 45247
Internal Medicine (Medical Oncology)
5520 CHEVIOT ROAD
CINCINNATI, OH 45247
Physician Assistant
5520 CHEVIOT ROAD
CINCINNATI, OH 45247

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 Maher's NPI number?

The NPI number for James Maher is 1962440305. It was assigned to this individual provider in the NPPES registry on June 4, 2006.

Where is James Maher located?

James Maher practices at 5520 Cheviot Road, Cincinnati, OH 45247. The listed phone number is (513) 451-4033.

What is James Maher's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Medical Oncology, with taxonomy code 207RX0202X.

Is James Maher enrolled in Medicare?

Yes. James Maher 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 Maher accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 1 other insurer list James Maher 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 Maher affiliated with any hospitals?

According to CMS data, James Maher is affiliated with Good Samaritan Hospital and Bethesda North.

When was this NPI record last updated?

The NPPES record for James Maher was last updated on May 14, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.