Dr James R Pacholka, MD - Medicare General Surgery in Portsmouth, OH

Dr James R Pacholka, MD is a medicare enrolled "Surgery" physician in Portsmouth, Ohio. He graduated from medical school in 1986 and has 38 years of diverse experience with area of expertise as General Surgery. He is a member of the group practice Somc Medical Care Foundation, Inc. and his current practice location is 1711 27th St Ste 402, Portsmouth, Ohio. You can reach out to his office (for appointments etc.) via phone at (740) 356-3562.

Dr James R Pacholka is licensed to practice in Ohio (license number 35.127947) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1255395646.

Contact Information

Dr James R Pacholka, MD
1711 27th St Ste 402,
Portsmouth, OH 45662-2669
(740) 356-3562
(740) 355-6938

Map and Direction




Physician's Profile

Full NameDr James R Pacholka
GenderMale
SpecialityGeneral Surgery
Experience38 Years
Location1711 27th St Ste 402, Portsmouth, Ohio
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr James R Pacholka graduated from medical school in 1986
  NPI Data:
  • NPI Number: 1255395646
  • Provider Enumeration Date: 04/13/2006
  • Last Update Date: 12/17/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 5294890190
  • Enrollment ID: I20160518002271

Medical Identifiers

Medical identifiers for Dr James R Pacholka such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1255395646NPI-NPPES
7100414720MedicaidKY
01344687MedicaidNY
0175848MedicaidOH

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208600000XSurgery 174644 (New York)Secondary
208600000XSurgery 35.127947 (Ohio)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Southern Ohio Medical CenterPortsmouth, OHHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Somc Medical Care Foundation, Inc.9436061645234

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr James R Pacholka allows following entities to bill medicare on his behalf.
Entity NameSomc Medical Care Foundation, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1457467227
PECOS PAC ID: 9436061645
Enrollment ID: O20031125000203

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr James R Pacholka is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr James R Pacholka, MD
1735 27th St Ste B06,
Portsmouth, OH 45662-2681

Ph: (740) 356-6942
Dr James R Pacholka, MD
1711 27th St Ste 402,
Portsmouth, OH 45662-2669

Ph: (740) 356-3562

Reviews and Comments


Surgery Doctors in Portsmouth, OH

Dr. Joseph J Lach, MD
Surgery
Medicare: Not Enrolled in Medicare
Practice Location: 1711 27th Street, Braunlin Bldg, Suite 306, Portsmouth, OH 45662
Phone: 740-353-8661    Fax: 740-354-3254
Dr. Andrew James Dittenhofer, D.O
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 1711 27th St Ste 402, Portsmouth, OH 45662
Phone: 740-356-3562    Fax: 740-355-6938
Mrs. Jennifer Lynn Thayer, FNP-BC
Surgery
Medicare: Not Enrolled in Medicare
Practice Location: 1711 27th St Braunlin Bldg, Suite 306, Portsmouth, OH 45662
Phone: 740-353-8661    
Dr. Vincent Michael Scarpinato, M.D.
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 1711 27th St Ste 402, Portsmouth, OH 45662
Phone: 740-356-3562    Fax: 740-355-6938
Thomas L Khoury, M.D.
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 1711 27th St, Braunlin Bldg, Suite 306, Portsmouth, OH 45662
Phone: 740-353-8661    Fax: 740-354-3254
Marion Richard Hochstetler Jr., MD
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 1711 27th St Ste 206, Portsmouth, OH 45662
Phone: 740-356-8772    Fax: 740-356-1264

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.