DR. JAMES W. ROCCO M.D.,PHD
NPI 1972594091
Otolaryngology in Columbus, OH

Q: What is James Rocco's NPI number?

The NPI number for James Rocco is 1972594091. It was assigned to this individual provider in the NPPES registry on October 31, 2005.

Q: What is James Rocco's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Q: When was this NPI record last updated?

The NPPES record for James Rocco was last updated on December 29, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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 October 31, 2005PECOS EnrolledAccepts Medicare Assignment

95.31/100

CMS Quality Rating

915 OLENTANGY RIVER RD, COLUMBUS, OH 43212(614) 366-3687(614) 293-7292 Get Directions Write a Review

NPPES record last updated: December 29, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. James W. Rocco M.d.,phd NPPES

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

DR. JAMES W. ROCCO M.D.,PHD (NPI 1972594091) is an individual otolaryngology provider in Columbus, Ohio, licensed in Ohio (35125186) and active in the NPI registry since October 2005. He is enrolled in Medicare PECOS, is affiliated with Ohio State University State Health System, and is a graduate of Icahn School Of Medicine At Mount Sinai (1994).

NPPES Registry Identity

NPI1972594091

Entity TypeIndividualMale

Primary Taxonomy207Y00000X

Provider Legal NameDR. JAMES W. ROCCOCredential: M.D.,PHD

Location Address915 OLENTANGY RIVER RDColumbus, OH 43212-3153

Mailing Address915 Olentangy River RdColumbus, OH 43212-3153 · (614) 366-3687 · Fax (614) 293-7292

Phone(614) 366-3687

Fax(614) 293-7292

Sole ProprietorNo

Medical School CMSIcahn School Of Medicine At Mount SinaiGraduated 1994

Enumeration DateOctober 31, 2005

Last NPPES UpdateDecember 29, 2014

✔ NPI 1972594091 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians

Taxonomy Code207Y00000X

License✔ Licensed in OH · 35125186

Definition

An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.

Also ListedOtolaryngology · Plastic Surgery within the Head & NeckTaxonomy 207YX0007X · License 161152 (MA)

915 OLENTANGY RIVER RD, Columbus, OH 43212

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Other Identifiers 3

Medicaid3203620MA

Medicare UPINH05088MA

Medicare ID-Type UnspecifiedA30258MA

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

Dr. James W. Rocco M.d.,phd 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 ID3971681495

PECOS Enrollment IDI20150202000150

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 3

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 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.

134 services101 patients

Diagnostic exam of voice box using a flexible endoscope 31575

This procedure involves a doctor examining your voice box using a flexible endoscope, a thin tube with a light and camera. It's inserted through your nose or mouth to visualize your throat area. It helps detect any abnormalities in your voice box, ensuring optimal vocal health.

23 services20 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.

12 services12 patients

Hospital Affiliations CMS Care Compare

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

Ohio State University State Health System

Acute Care Hospitals · Columbus, OH

4/5 CMS rating

OwnershipGovernment - State

CMS Certification Number360085

Location410 West 10th AvenueColumbus, OH 43210 · Franklin County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43212 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

$126.12 typical visit price

range $54.34 – $166.65

Typical copayment $31.53 (range $13.58 – $41.66)

Most-billed visit code 99204

Established Patient

$68.07 typical visit price

range $17.10 – $135.40

Typical copayment $17.01 (range $4.27 – $33.85)

Most-billed visit code 99213

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.

95.31/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

76.58

Promoting Interoperability

100

Improvement Activities

Other Providers at the Same Location NPPES 20

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

WEN XU MD

Plastic Surgery (Surgery of the Hand)

915 OLENTANGY RIVER RD
COLUMBUS, OH 43212

Franklin County (614) 293-8566

SHADI MEHRABI MD

Otolaryngology

915 OLENTANGY RIVER RD
COLUMBUS, OH 43212

Franklin County (614) 366-3687

MATTHEW PAUL OHR MD

Ophthalmology (Retina Specialist)

915 OLENTANGY RIVER RD, SUITE 5000
COLUMBUS, OH 43212

Franklin County (614) 293-8116

MICHAELLE SUZANNE PALMER MPAS, PA-C

Physician Assistant (Surgical)

915 OLENTANGY RIVER RD, SUITE 2100
COLUMBUS, OH 43212

Franklin County (614) 293-8566

JOHN OLIVER LANG DELANCEY M.D.

Urology

915 OLENTANGY RIVER RD
COLUMBUS, OH 43212

Franklin County (614) 293-8155

LAUREN RENEE SCHLOSSER APRN-CNP

Nurse Practitioner (Family)

915 OLENTANGY RIVER RD
COLUMBUS, OH 43212

Franklin County (614) 293-8155

JOHN SWOGGER

Ophthalmology

915 OLENTANGY RIVER RD, EEINS 6TH 7TH AND 8TH FLOORS
COLUMBUS, OH 43212

Franklin County (614) 293-8116

KRISTEN ANN V. MENDOZA M.D.

Ophthalmology

915 OLENTANGY RIVER RD
COLUMBUS, OH 43212

Franklin County (614) 293-8116

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 Rocco's NPI number?

The NPI number for James Rocco is 1972594091. It was assigned to this individual provider in the NPPES registry on October 31, 2005.

Where is James Rocco located?

James Rocco practices at 915 Olentangy River Rd, Columbus, OH 43212. The listed phone number is (614) 366-3687.

What is James Rocco's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Is James Rocco enrolled in Medicare?

Yes. James Rocco 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 Rocco accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, CareSource and Molina Healthcare list James Rocco 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 Rocco affiliated with any hospitals?

According to CMS data, James Rocco is affiliated with Ohio State University State Health System.

When was this NPI record last updated?

The NPPES record for James Rocco was last updated on December 29, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.