Active NPI 1184144990 Individual Practitioner Male Practitioner

James Gilbert Cross , PA-C

Physician Assistant • Kettering, OH

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

James Cross, PA-C is a certified Physician Assistant practicing in Kettering, OH. With approximately 9 years of clinical experience since completing medical education in 2017, James Cross delivers high-quality medical care to the local community at 3535 SOUTHERN BLVD.

James Cross is affiliated with Kettering Network Radiologists Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include aspiration of fluid from chest cavity using imaging guidance, drainage of fluid from abdominal cavity using imaging guidance, fluoroscopic guidance for insertion, replacement or removal of central venous access device. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

3535 Southern Blvd

Kettering, OH 454291221

Telephone 9373958166

Associated Practice Facility / Clinic

🏢 Kettering Physiatrists, Inc. Facility NPI 1902893035

Medicare Profile & Education

Medical School

Other

Graduation Year

2017

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Kettering, OH

Experienced Practitioner (5-10 Yrs)

Practitioner Clinical Experience

9 Yrs +1.3 yrs vs City Avg

City Avg: 7.7 Yrs

State Avg: 9.7 Yrs

Regional Practice Density

115 Specialists

Practicing in Kettering, OH (5376 Statewide)

Telehealth Adoption Rate

7.8% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

73.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Cross (9 Years) 9 Yrs

Kettering Specialty Average (7.7 Years) 7.7 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
32555 Aspiration of fluid from chest cavity using imaging guidance	46	44	$309.00	$92.93
49083 Drainage of fluid from abdominal cavity using imaging guidance	30	24	$290.00	$88.70
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	17	17	$78.00	$15.44
99152 Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 15 minutes	15	15	$50.00	$10.49
77012 Review by radiologist of ct guidance for needle placement	13	13	$200.00	$59.63
74221 Double contrast x-ray of esophagus	11	11	$140.00	$28.48
38222 Biopsy and aspiration of bone marrow sample for diagnosis	11	11	$297.00	$64.16

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
32555 Aspiration of fluid from chest cavity using imaging guidance	31	28	$309.00	$91.16
49083 Drainage of fluid from abdominal cavity using imaging guidance	28	20	$290.00	$88.05
77012 Review by radiologist of ct guidance for needle placement	18	18	$200.00	$59.02
38222 Biopsy and aspiration of bone marrow sample for diagnosis	16	16	$297.00	$62.90
74221 Double contrast x-ray of esophagus	11	11	$140.00	$28.02

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
74230 Imaging for evaluation of swallowing function	63	62	$105.00	$22.11
32555 Aspiration of fluid from chest cavity using imaging guidance	44	41	$309.00	$93.41
49083 Drainage of fluid from abdominal cavity using imaging guidance	28	17	$290.00	$86.61
99231 Follow-up hospital inpatient care per day, typically 15 minutes	17	17	$105.00	$32.72
74221 Double contrast x-ray of esophagus	15	15	$140.00	$28.75
77012 Review by radiologist of ct guidance for needle placement	14	14	$200.00	$60.20
38222 Biopsy and aspiration of bone marrow sample for diagnosis	11	11	$297.00	$64.44

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
74230 Imaging for evaluation of swallowing function	76	74	$105.00	$22.47
32555 Aspiration of fluid from chest cavity using imaging guidance	39	35	$309.00	$95.44
49083 Drainage of fluid from abdominal cavity using imaging guidance	38	27	$290.00	$86.80
99231 Follow-up hospital inpatient care per day, typically 15 minutes	29	28	$105.00	$32.47
99152 Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 15 minutes	17	17	$50.00	$10.64
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	16	16	$134.00	$26.69
77012 Review by radiologist of ct guidance for needle placement	16	15	$200.00	$55.47
38222 Biopsy and aspiration of bone marrow sample for diagnosis	12	11	$297.00	$57.22
74221 Double contrast x-ray of esophagus	12	12	$140.00	$29.20

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
77080 Dxa bone density measurement of hip, pelvis, spine	536	536	$61.00	$8.50
74230 Imaging for evaluation of swallowing function	69	68	$105.00	$22.64
49083 Drainage of fluid from abdominal cavity using imaging guidance	61	41	$290.00	$91.67
32555 Aspiration of fluid from chest cavity using imaging guidance	34	30	$309.00	$97.50
99152 Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 15 minutes	27	27	$50.00	$10.64
77012 Review by radiologist of ct guidance for needle placement	21	21	$200.00	$63.59
77080 Dxa bone density measurement of hip, pelvis, spine	18	18	$61.00	$8.51
38222 Biopsy and aspiration of bone marrow sample for diagnosis	14	14	$297.00	$67.58
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	14	13	$134.00	$27.30
74221 Double contrast x-ray of esophagus	13	13	$140.00	$30.05
99231 Follow-up hospital inpatient care per day, typically 15 minutes	11	11	$105.00	$33.45

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
77080 Dxa bone density measurement of hip, pelvis, spine	653	653	$61.00	$8.23
74230 Imaging for evaluation of swallowing function	108	104	$105.00	$22.42
99231 Follow-up hospital inpatient care per day, typically 15 minutes	31	22	$105.00	$32.75
32555 Aspiration of fluid from chest cavity using imaging guidance	25	22	$309.00	$94.27
49083 Drainage of fluid from abdominal cavity using imaging guidance	23	17	$290.00	$87.47
99152 Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 15 minutes	22	22	$50.00	$10.35
71045 X-ray of chest, 1 view	19	16	$37.00	$7.67
77012 Review by radiologist of ct guidance for needle placement	18	18	$200.00	$62.08

Medical Specialties & State Licenses

CMS Verified: 2020-05-05

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License OH 50.005201RX

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

0246772 (OH)

Hospital & Practice Group Affiliations

Kettering Network Radiologists Inc

630 Eaton Ave, Hamilton, OH 450132767

Phone: 5138672000

Kettering Network Radiologists Inc

4000 Miamisburg Centerville Rd, Miamisburg, OH 453427615

Phone: 9372967227

Kettering Network Radiologists Inc

100 Medical Ctr Dr, Springfield, OH 455042687

Phone: 9375231000

Kettering Network Radiologists Inc

450 B Washington Jackson Rd, Eaton, OH 453208699

Phone: 9374568376

Kettering Network Radiologists Inc

1977 Miamisburg Centerville Rd, Dayton, OH 454593811

Phone: 9374396000

Kettering Network Radiologists Inc

600 W Main St, Troy, OH 453732928

Phone: 9379807000

Kettering Network Radiologists Inc

3535 Southern Blvd, Kettering, OH 454291221

Phone: 9373958627

Secondary Practice Locations

3535 Pentagon Blvd

Beavercreek, OH 454311705

Phone: 9377024500

100 Kettering Way

Franklin, OH 450051155

Phone: 9374584700

8701 Old Troy Pike

Huber Heights, OH 454241066

Phone: 9375583338

1141 N Monroe Dr

Xenia, OH 453851619

Phone: 9373522500

4000 Miamisburg Centerville Rd

Miamisburg, OH 453427615

Phone: 9373848791

600 W Main St

Troy, OH 453732928

Phone: 9379807010

6147 State Route 122

Middletown, OH 450055201

Phone: 5132613410

1997 Miamisburg Centerville Rd

Centerville, OH 454593811

Phone: 9374016228

450 Washington Jackson Rd Ste F

Eaton, OH 453208699

Phone: 9374568376

405 W Grand Ave

Dayton, OH 454057538

Phone: 9377233211

Practice Associates & Co-Workers

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

40 Associated Practitioners

Annemarie Underwood , PA-C

Physician Assistant

NPI 1003551920

Physician Assistant (Certified)

Dr. Richard Garrison , MD

Emergency Medicine

NPI 1013994300

Doctor of Medicine (M.D.)

Zachary Carlisle , PA

Physician Assistant

NPI 1023994035

Physician Assistant

Kathryn Schwendler , MPAS, PA-C

Physician Assistant

NPI 1033837091

MPAS, Physician Assistant (Certified)

Dr. Matthew Kiefaber , MD

Emergency Medicine

NPI 1043268519

Doctor of Medicine (M.D.)

Dr. Mitchell Garey , DO

Emergency Medicine

NPI 1053052860

Doctor of Osteopathic Medicine (D.O.)

Career & Practice History Timeline

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

12 Historical Events

📍

Updated Business Mailing Address July 16, 2019

Registered at 3131 NEWMARK DR STE 220, MIAMISBURG, OH 453425400 (Tel: 9374364658)

✅

NPI Profile Active September 27, 2017

NPI status registered as active in NPPES database

📍

Updated Practice Location September 27, 2017

Registered at 3535 SOUTHERN BLVD, KETTERING, OH 454291221 (Tel: 9373958166)

📍

Updated Business Mailing Address September 27, 2017

Registered at 8280 YANKEE ST, CENTERVILLE, OH 454581806 (Tel: (937) 436-4658)

👤

Provider Name / Credentials Updated September 27, 2017

Recorded as JAMES CROSS, PA-C

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) September 27, 2017

Physician Assistant (License #50.005201RX in OH)

✅

NPI Profile Active June 22, 2017

NPI status registered as active in NPPES database

📍

Updated Practice Location June 22, 2017

Registered at 3737 SOUTHERN BLVD, KETTERING, OH 454291262 (Tel: 9373958601)

📍

Updated Business Mailing Address June 22, 2017

Registered at 7495 PLACID LAKE DR APT 310, MASON, OH 450408274 (Tel: 4193402569)

👤

Provider Name / Credentials Updated June 22, 2017

Recorded as JAMES CROSS, STUDENT

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) June 22, 2017

Student in an Organized Health Care Education/Training Program

🟢

Initial NPI Registration & Enumeration June 22, 2017

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1184144990

Entity Type:

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

Enumeration Date: June 22, 2017

Last Update: May 05, 2020

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

3131 Newmark Dr Ste 220

Miamisburg, OH 453425400

Phone: 9374364658

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.