DR. JAMES S. DENNINGHOFF M.D.
NPI 1033104005
Otolaryngology in Columbia, MO
NPI Status: Active since September 15, 2005
Contact Information
1701 E BROADWAY
SUITE 304
COLUMBIA, MO
ZIP 65201
Phone: (573) 815-0662
Fax: (573) 443-1162
- Individual
- Male
- Otolaryngology
- PECOS Enrolled
- Opted-Out Medicare
About JAMES DENNINGHOFF
This page provides the complete NPI Profile along with additional information for James Denninghoff, a provider established in Columbia, Missouri with a medical specialization in Otolaryngology. The healthcare provider is registered in the NPI registry with number 1033104005 assigned on September 2005. The practitioner's primary taxonomy code is 207Y00000X with license number 36275 (MO). The provider is registered as an individual and his NPI record was last updated 9 years ago.
- NPI
- 1033104005
- Provider Name
- DR. JAMES S. DENNINGHOFF M.D.
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 1701 E BROADWAY SUITE 304 COLUMBIA, MO 65201
- Location Phone
- (573) 815-0662
- Location Fax
- (573) 443-1162
- Mailing Address
- 1701 E BROADWAY SUITE 304 COLUMBIA, MO 65201
- Mailing Phone
- (573) 815-0662
- Mailing Fax
- (573) 443-1162
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 09-15-2005
- Last Update Date
- 05-24-2016
- Code Navigator
The provider doesn't accept Medicare and has signed an affidavit to be excluded from the Medicare program. If you are a Medicare beneficiary this means a provider can charge whatever they want for services rendered but must follow certain rules to do so. James Denninghoff opted out of Medicare effective on 07-01-2024 until 07-01-2026. Opt out periods last for two years and cannot be terminated unless the provider is opting out for the very first time and the affidavit is terminated no later than 90 days after the opt out effective date. Opt-out affidavits might renew automatically renew every two years. The provider opted out of Medicare but is permitted to order and refer services to other healthcare providers.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Otolaryngology
- Taxonomy Code
- 207Y00000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 36275
- License State
- MO
- Taxonomy Description
- 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.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 202330700 | MEDICAID (05) | MO | |
| 001013527 | MEDICARE ID-TYPE UNSPECIFIED (04) | MO | |
| A10415 | MEDICARE UPIN (02) | MO |
Medicare Participation & PECOS Enrollment Status
James Denninghoff is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Opted-Out of Medicare? Yes
Opt-Out Effective Date: 07-01-2024
Opt-Out End Date: 07-01-2026
Eligible to Order and Refer? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Areas of Expertise
The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.
Established patient office or other outpatient visit, 10-19 minutes
Established patient office or other outpatient visit, 20-29 minutes
Established patient office or other outpatient visit, 30-39 minutes
New patient office or other outpatient visit, 15-29 minutes
New patient office or other outpatient visit, 30-44 minutes
New patient office or other outpatient visit, 45-59 minutes
Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional
Professional service for multiple injections of allergen
Professional service for preparation and provision of 1 or more antigens
Professional service for single injection of allergen
Removal of impacted ear wax
Test for allergy using airborne allergenic extract injected into skin
Test to assess middle ear function
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
This service was performed 25 times for 19 patientsThis 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.
This service was performed 151 times for 123 patientsThis is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
This service was performed 25 times for 22 patientsThis service involves an initial visit to the doctor's office or other outpatient setting. It typically lasts between 15-29 minutes. The doctor will review your medical history, conduct a physical examination, and discuss your health concerns. It's a chance to establish your health baseline and address any immediate medical issues.
This service was performed 11 times for 11 patientsThis service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
This service was performed 55 times for 55 patientsThis is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
This service was performed 17 times for 17 patientsThis service involves an outpatient visit for established patients who may not need direct interaction with a healthcare professional. It could include reviewing test results, monitoring existing conditions, or adjusting treatment plans. It's typically done remotely, ensuring your comfort and convenience.
This service was performed 32 times for 17 patientsThe professional service for multiple injections of allergens involves administering small doses of specific allergens into your body. This is done to help your immune system become less sensitive to them, reducing your allergic reaction over time. It's a safe, effective way to manage allergies.
This service was performed 119 times for 30 patientsThis service involves the creation and supply of antigens, substances that stimulate your immune system to fight diseases. These antigens can be used in vaccines or allergy tests to help your body build defenses against specific health threats.
This service was performed 2,235 times for 131 patientsA single allergen injection is a procedure where a small amount of a specific allergen is injected into your body. This is done to test your body's reaction to the allergen or to help your immune system become less sensitive to it, reducing allergic symptoms.
This service was performed 455 times for 103 patientsImpacted ear wax removal is a safe procedure to clear blockages in the ear canal caused by hardened ear wax. A healthcare professional uses specialized tools or a gentle irrigation method to loosen and remove the wax, improving hearing and alleviating discomfort.
This service was performed 39 times for 32 patientsThis procedure, often called a skin prick test, helps identify allergies. A tiny amount of allergenic extract is introduced into the skin using a small needle. If you're allergic, you'll develop a small raised bump. It's a quick, simple way to diagnose allergies.
This service was performed 2,340 times for 33 patientsA test to assess middle ear function, also known as an impedance audiometry, helps evaluate how well your middle ear works. It measures the movement of your eardrum in response to changes in air pressure. This can help identify issues like fluid build-up, ear infections, or eardrum perforations.
This service was performed 22 times for 20 patientsPhysician Visit Costs
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 65201 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99204
- Average New Patient Price $121.96
- Minimum New Patient Price $52.28
- Maximum New Patient Price $161.24
- Average New Patient Copayment $30.49
- Minimum New Patient Copayment $13.07
- Maximum New Patient Copayment $40.31
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99213
- Average Established Patient Price $65.71
- Minimum Established Patient Price $16.3
- Maximum Established Patient Price $131.05
- Average Established Patient Copayment $16.42
- Minimum Established Patient Copayment $4.07
- Maximum Established Patient Copayment $32.76
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
Reviews for DR. JAMES S. DENNINGHOFF M.D.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 0 | 3 | 3 | 1 | 0 | 4 | 0 | 0 | 5 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 0 | 6 | 3 | 2 | 0 | 8 | 0 | 0 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 0 + 6 + 3 + 2 + 0 + 8 + 0 + 0 + 24 = 45 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 50 - 45 = 5 | 5 | ||||||||
The NPI number 1033104005 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 9 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1215922125 | MRS. DELIA A MATIAS I M.D. Individual | Pediatrics | 1701 E BROADWAY SUITE 205 COLUMBIA, MO 65201 (573) 875-2505 |
| 1811097686 | JENNIFER LYNN ANDERSON RD, LD, CDE Individual | Dietitian, Registered | 1701 E BROADWAY COLUMBIA, MO 65201 (573) 815-2649 |
| 1205937265 | MISS CHRISTINA ELAINE STIXRUD M.D. Individual | Internal Medicine | 1701 E BROADWAY SUITE 203 COLUMBIA, MO 65201 (573) 441-1000 |
| 1902907967 | CHRISTINA E. STIXRUD & ASSOCIATES, M.D., P.C. Organization | Internal Medicine | 1701 E BROADWAY SUITE 203 COLUMBIA, MO 65201 (573) 441-1000 |
| 1285765974 | MICHAEL SZEWCZYK M.D. Individual | Preventive Medicine (Occupational Medicine) | 1701 E BROADWAY SUITE 204 COLUMBIA, MO 65201 (573) 815-2667 |
| 1851506802 | DR. JOHN RICHARD ABEL D.D.S. Individual | Dentist | 1701 E BROADWAY SUTIE 106 COLUMBIA, MO 65201 (573) 449-5565 |
| 1063739159 | PLASTIC AND RECONSTRUCTIVE SURGERY OF MID-MISSOURI, INC Organization | Plastic Surgery | 1701 E BROADWAY SUITE 304 COLUMBIA, MO 65201 (573) 876-1700 |
| 1033426895 | DR. GARVEY LEE MEYERS MD Individual | Pediatrics | 1701 E BROADWAY COLUMBIA, MO 65201 (573) 875-2505 |
| 1215199369 | SONYA ADDISON M.D. Individual | Internal Medicine (Endocrinology, Diabetes & Metabolism) | 1701 E BROADWAY STE 302 COLUMBIA, MO 65201 (573) 815-7146 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1033104005, enumerated in the NPI registry as an "individual" on September 15, 2005
The provider is located at 1701 E Broadway Suite 304 Columbia, Mo 65201 and the phone number is (573) 815-0662
The provider's speciality is Otolaryngology with taxonomy code 207Y00000X
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
Medicare beneficiaries should expect a typical cost of $121.96 with an average copayment of $30.49 for new patient appointments. Established patients should expect a typical charge of $65.71 and an average copayment of 16.42. Please review your insurance plan or contact the provider directly to determine your specific costs.
The most common procedures or services performed by this practitioner are: Established patient office or other outpatient visit, 10-19 minutes, Established patient office or other outpatient visit, 20-29 minutes, Established patient office or other outpatient visit, 30-39 minutes, New patient office or other outpatient visit, 15-29 minutes, New patient office or other outpatient visit, 30-44 minutes, New patient office or other outpatient visit, 45-59 minutes, Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional, Professional service for multiple injections of allergen, Professional service for preparation and provision of 1 or more antigens, Professional service for single injection of allergen, Removal of impacted ear wax, Test for allergy using airborne allergenic extract injected into skin and Test to assess middle ear function.
No, the provider signed an affidavit on July 01, 2024 to opt-out of the Medicare program. The provider is excluded from the Medicare program until July 01, 2026.
This NPI record was last updated on September 15, 2005. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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