Active NPI 1497719199 Individual Practitioner Male Practitioner

Dr. James Frecka , MD

Internal Medicine • Cincinnati, OH

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. James Frecka, MD is a certified Internal Medicine practicing in Cincinnati, OH. With approximately 38 years of clinical experience since graduating from Cincinnati College Of Medicine And Surgery in 1988, Dr. Frecka delivers high-quality medical care to the local community at 2123 AUBURN AVE STE 334.

Dr. Frecka accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit, visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

2123 Auburn Ave Ste 334

Cincinnati, OH 452192906

Telephone 5135851500

Fax 5135851510

Medicare Profile & Education

Medical School

Cincinnati College Of Medicine And Surgery

Graduation Year

1988

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Cincinnati, OH

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

38 Yrs +15.7 yrs vs City Avg

City Avg: 22.3 Yrs

State Avg: 26.9 Yrs

Regional Practice Density

593 Specialists

Practicing in Cincinnati, OH (5516 Statewide)

Telehealth Adoption Rate

13.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

52.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Frecka (38 Years) 38 Yrs

Cincinnati Specialty Average (22.3 Years) 22.3 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	214	130	$110.00	$70.01
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	152	152	$168.00	$38.04
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's	74	55	$23.00	$15.48
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	59	47	$160.00	$86.84
G0008 Administration of influenza virus vaccine	49	48	$40.00	$30.43
90662 Influenza vaccine split virus, preservative free	46	45	$106.00	$80.31
83036 Hemoglobin A1C level	31	21	$15.00	$9.52
99421 Online digital evaluation and management service for an established patient for up to 7 days, total time 5-10 minutes	28	23	$23.00	$14.29
91322 Sarscov2 vac 50 mcg/0.5ml im	24	22	$292.00	$153.28
90480 Admn sarscov2 vacc 1 dose	24	22	$50.00	$40.65
83037 Hemoglobin a1c level, by device for home use	19	18	$15.00	$9.52
93000 Routine ekg using at least 12 leads including interpretation and report	15	15	$25.00	$13.46
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	11	11	$248.00	$45.80

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	188	128	$110.00	$72.85
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	144	144	$168.00	$42.69
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	102	74	$160.00	$86.95
83037 Hemoglobin a1c level, by device for home use	50	27	$15.00	$9.52
G0008 Administration of influenza virus vaccine	33	33	$40.00	$29.36
93000 Routine ekg using at least 12 leads including interpretation and report	28	27	$25.00	$13.72
90662 Influenza vaccine split virus, preservative free	28	28	$100.00	$71.93
99421 Online digital evaluation and management service for an established patient for up to 7 days, total time 5-10 minutes	27	23	$23.00	$14.31
0134A Fee covid-19 vac 14 res	18	18	$50.00	$39.14
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	17	13	$77.00	$49.31
90677 Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use	14	14	$500.00	$280.82
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	14	14	$248.00	$52.69
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	12	12	$242.00	$127.76

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	187	124	$110.00	$79.35
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	138	138	$168.00	$89.05
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	119	89	$160.00	$104.85
83037 Hemoglobin a1c level, by device for home use	53	30	$15.00	$9.59
G0008 Administration of influenza virus vaccine	48	46	$40.00	$27.99
90662 Influenza vaccine split virus, preservative free	45	43	$100.00	$68.32
99421 Online digital evaluation and management service for an established patient for up to 7 days, total time 5-10 minutes	43	34	$23.00	$14.60
93000 Routine ekg using at least 12 leads including interpretation and report	31	31	$25.00	$13.50
90677 Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use	25	25	$500.00	$274.13
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	23	11	$59.00	$39.08
G0009 Administration of pneumococcal vaccine	23	23	$40.00	$28.16
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	16	16	$242.00	$146.23
0134A Fee covid-19 vac 14 res	16	16	$50.00	$36.91
81002 Urinalysis, manual test	15	13	$5.00	$3.44
99441 Telephone medical discussion with physician, 5-10 minutes	14	12	$66.00	$53.74
G0403 Electrocardiogram, routine ecg with 12 leads; performed as a screening for the initial preventive physical examination with interpretation and report	12	12	$25.00	$13.87
0064A Adm sarscov2 50mcg/0.25mlbst	12	12	$50.00	$37.19
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	12	12	$248.00	$138.55

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	232	150	$110.00	$88.68
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	138	104	$160.00	$126.50
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	124	124	$168.00	$128.66
83037 Hemoglobin a1c level, by device for home use	65	34	$15.00	$9.71
G0008 Administration of influenza virus vaccine	58	57	$40.00	$16.19
90662 Influenza vaccine split virus, preservative free	52	51	$100.00	$65.01
99421 Online digital evaluation and management service for an established patient for up to 7 days, total time 5-10 minutes	28	23	$23.00	$14.58
93000 Routine ekg using at least 12 leads including interpretation and report	23	23	$25.00	$14.34
99442 Telephone medical discussion with physician, 11-20 minutes	21	18	$110.00	$89.38
G0009 Administration of pneumococcal vaccine	20	20	$40.00	$16.21
81002 Urinalysis, manual test	18	17	$5.00	$3.48
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	13	13	$226.00	$124.07
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	12	12	$242.00	$163.67

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	266	147	$110.00	$72.46
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	131	131	$166.90	$111.91
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	122	90	$160.00	$104.47
G0008 Administration of influenza virus vaccine	56	54	$40.00	$16.04
83037 Hemoglobin a1c level, by device for home use	50	28	$22.79	$9.66
90662 Influenza vaccine split virus, preservative free	45	45	$100.00	$60.98
99442 Telephone medical discussion with physician, 11-20 minutes	37	27	$96.76	$66.70
99421 Online digital evaluation and management service for an established patient for up to 7 days, total time 5-10 minutes	33	26	$23.00	$14.96
93000 Routine ekg using at least 12 leads including interpretation and report	24	23	$31.25	$16.42
G0009 Administration of pneumococcal vaccine	20	20	$40.00	$15.99
81002 Urinalysis, manual test	19	19	$12.53	$3.45
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	16	13	$81.88	$51.62
99441 Telephone medical discussion with physician, 5-10 minutes	16	16	$48.63	$34.88
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	15	15	$176.57	$117.26
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	11	11	$249.09	$165.35

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	378	209	$110.00	$70.45
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	159	113	$160.00	$103.72
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	152	152	$165.00	$110.94
G0008 Administration of influenza virus vaccine	64	63	$40.00	$15.75
83037 Hemoglobin a1c level, by device for home use	58	35	$32.00	$10.57
90653 Vaccine for influenza for injection into muscle	56	56	$115.00	$58.34
93000 Routine ekg using at least 12 leads including interpretation and report	26	26	$40.00	$16.19
G0009 Administration of pneumococcal vaccine	26	26	$40.00	$15.75
99495 Transitional care management services for problem of at least moderate complexity	23	18	$240.00	$156.92
81002 Urinalysis, manual test	21	20	$18.00	$3.41
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	20	16	$90.00	$50.94
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	20	20	$120.00	$111.61
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	17	14	$65.00	$41.92
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	16	16	$250.00	$164.38
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	13	13	$240.00	$159.49

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	404	227	$110.00	$69.96
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	173	108	$160.00	$103.16
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	133	133	$165.00	$111.76
36415 Insertion of needle into vein for collection of blood sample	120	104	$12.00	$2.94
G0008 Administration of influenza virus vaccine	91	90	$40.00	$19.30
90662 Influenza vaccine split virus, preservative free	88	87	$113.64	$51.66
83037 Hemoglobin a1c level, by device for home use	38	27	$32.00	$11.75
93000 Routine ekg using at least 12 leads including interpretation and report	35	35	$40.00	$16.19
G0009 Administration of pneumococcal vaccine	30	30	$40.00	$19.30
81002 Urinalysis, manual test	28	18	$18.00	$3.41
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	19	19	$65.00	$41.94
90670 Pneumococcal vaccine for injection into muscle	17	17	$260.00	$198.13
99495 Transitional care management services for problem of at least moderate complexity	16	14	$240.00	$157.33
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	15	15	$250.00	$165.16
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	14	14	$120.00	$98.05
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	13	12	$90.00	$51.53
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	12	12	$240.00	$160.21

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	453	236	$110.00	$69.31
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	147	104	$160.00	$101.36
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	138	138	$165.00	$110.51
G0008 Administration of influenza virus vaccine	82	81	$38.23	$23.76
90662 Influenza vaccine split virus, preservative free	77	77	$55.00	$48.05
G0009 Administration of pneumococcal vaccine	43	43	$40.00	$23.76
83037 Hemoglobin a1c level, by device for home use	33	26	$32.00	$13.05
90670 Pneumococcal vaccine for injection into muscle	30	30	$260.00	$186.90
81002 Urinalysis, manual test	29	24	$18.00	$3.17
93000 Routine ekg using at least 12 leads including interpretation and report	25	24	$40.00	$16.13
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	23	17	$90.00	$51.46
36415 Insertion of needle into vein for collection of blood sample	21	21	$12.00	$2.94
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	21	21	$250.00	$163.71
99495 Transitional care management services for problem of at least moderate complexity	15	14	$240.00	$155.93
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	15	14	$65.00	$41.64
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	13	13	$120.00	$95.53
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	13	13	$160.00	$103.94
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	13	13	$240.00	$159.18

Medical Specialties & State Licenses

CMS Verified: 2021-05-25

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License OH 35066299F

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

0971855 (OH)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

8 Associated Practitioners

Dr. Deborah Gerdes , MD

Internal Medicine

NPI 1255366001

Doctor of Medicine (M.D.)

Jessica Hesford , PA-C

Physician Assistant

NPI 1386075166

Physician Assistant (Certified)

Sondra Mccarty , CNP

Nurse Practitioner - Gerontology

NPI 1497189617

Certified Nurse Practitioner

Lindsay Krammes , PA

Physician Assistant

NPI 1578036497

Physician Assistant

Natalie Lyndon , FNP-BC

Nurse Practitioner - Family

NPI 1598101222

Family Nurse Practitioner (Board Certified)

Amanda Lass , CNP

Nurse Practitioner - Adult Health

NPI 1811017411

Certified Nurse Practitioner

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

13 Historical Events

📍

Updated Practice Location May 25, 2021

Registered at 2123 AUBURN AVE STE 334, CINCINNATI, OH 452192906 (Tel: 5135851500)

📍

Updated Business Mailing Address May 25, 2021

Registered at 2123 AUBURN AVE STE 334, CINCINNATI, OH 452192906 (Tel: 5135851500)

✅

NPI Profile Active May 12, 2017

NPI status registered as active in NPPES database

📍

Updated Practice Location May 12, 2017

Registered at 4460 RED BANK RD, SU. 100, CINCINNATI, OH 452272172 (Tel: 5135641390)

📍

Updated Business Mailing Address May 12, 2017

Registered at 237 WILLIAM HOWARD TAFT RD FL 2, CINCINNATI, OH 452192610 (Tel: 5135641390)

👤

Provider Name / Credentials Updated May 12, 2017

Recorded as JAMES FRECKA, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) May 12, 2017

Internal Medicine (License #35066299F in OH)

✅

NPI Profile Active May 31, 2011

NPI status registered as active in NPPES database

📍

Updated Practice Location May 31, 2011

Registered at 175 W GALBRAITH RD, CINCINNATI, OH 452161015 (Tel: 5134185700)

📍

Updated Business Mailing Address May 31, 2011

Registered at 175 W GALBRAITH RD, CINCINNATI, OH 452161015 (Tel: 5134185700)

👤

Provider Name / Credentials Updated May 31, 2011

Recorded as JAMES FRECKA, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) May 31, 2011

Internal Medicine (License #35066299F in OH)

🟢

Initial NPI Registration & Enumeration April 12, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1497719199

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: April 12, 2006

Last Update: May 25, 2021

Sole Proprietor: No

Update or Correct Profile

Mailing Address

2123 Auburn Ave Ste 334

Cincinnati, OH 452192906

Phone: 5135851500

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.