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JAMES A ELEY MD
NPI 1972614048
Family Medicine in Barberton, OH

Active since August 31, 2006PECOS EnrolledAccepts Medicare Assignment
79.48/100
CMS Quality Rating
62 CONSERVATORY DRIVE, SUITE B, BARBERTON, OH 44203(330) 753-5026(330) 753-5778 Get Directions Write a Review

NPPES record last updated: July 10, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About James A Eley Md NPPES

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

JAMES A ELEY MD (NPI 1972614048) is an individual family medicine provider in Barberton, Ohio, licensed in Ohio (35059069) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with University Hospitals Portage Medical Center, and is a graduate of Northeastern Ohio University College Of Medicine (1988).

NPPES Registry Identity

NPI1972614048
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameJAMES A ELEYCredential: MD
Location Address62 CONSERVATORY DRIVE, SUITE BBarberton, OH 44203
Mailing Address62 Conservatory Drive, Suite BBarberton, OH 44203 · (330) 753-5026 · Fax (330) 753-5778
Phone(330) 753-5026
Fax(330) 753-5778
Sole ProprietorYes
Medical School CMSNortheastern Ohio University College Of MedicineGraduated 1988
Enumeration DateAugust 31, 2006
Last NPPES UpdateJuly 10, 2010
✔ NPI 1972614048 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 · 35059069
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.
62 CONSERVATORY DRIVE, Barberton, OH 44203
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Other Identifiers 3

Medicare UPINF20617OH
Medicaid0768905OH
Medicare PINEL4033261OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Antidote Health Plan of Ohio, Inc., CareSource.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

James A Eley 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 ID42342255
PECOS Enrollment IDI20100722000753
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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
434 services151 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
122 services115 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
33 services23 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
12 services12 patients

Hospital Affiliations CMS Care Compare

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

University Hospitals Portage Medical Center

Acute Care Hospitals · Ravenna, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360078
Location6847 N ChestnutRavenna, OH 44266 · Portage County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 44203 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.

79.48/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality68.51
Promoting Interoperability100
Improvement Activities40
Cost63.09

Referred Medical Equipment & Supplies CMS DME claims 2

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 supplier15 claims15 services$12.50 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
1 supplier15 claims15 services$57.15 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Eley's NPI number?

The NPI number for James Eley is 1972614048. It was assigned to this individual provider in the NPPES registry on August 31, 2006.

Where is James Eley located?

James Eley practices at 62 Conservatory Drive Suite B, Barberton, OH 44203. The listed phone number is (330) 753-5026.

What is James Eley's specialty?

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

Is James Eley enrolled in Medicare?

Yes. James Eley 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 Eley accept?

Health plans from Antidote Health Plan of Ohio, Inc. and CareSource list James Eley 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 Eley affiliated with any hospitals?

According to CMS data, James Eley is affiliated with University Hospitals Portage Medical Center.

When was this NPI record last updated?

The NPPES record for James Eley was last updated on July 10, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.