DR. JOHN RICHARD HODGES JR. M. D.
NPI 1013945930
Internal Medicine - Gastroenterology in Augusta, GA

Active since June 29, 2006PECOS EnrolledAccepts Medicare Assignment
84.97/100
CMS Quality Rating
820 SAINT SEBASTIAN WAY, SUITE5B, AUGUSTA, GA 30901(706) 722-2400(706) 724-9211 Get Directions Write a Review

NPPES record last updated: September 6, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 6, 2023, Sep 25, 2018 (2 updates tracked since 2018).

About Dr. John Richard Hodges Jr. M. D. NPPES

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

DR. JOHN RICHARD HODGES JR. M. D. (NPI 1013945930) is an individual gastroenterology provider in Augusta, Georgia, licensed in Georgia (36175) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Piedmont Augusta Hospital, and is a graduate of Medical College Of Georgia School Of Medicine (1987).

NPPES Registry Identity

NPI1013945930
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NameDR. JOHN RICHARD HODGES JR.Credential: M. D.
Location Address820 SAINT SEBASTIAN WAY, SUITE5BAugusta, GA 30901-2643
Mailing Address393 N Belair RdEvans, GA 30809-3096 · (706) 868-0104
Fax(706) 724-9211
Sole ProprietorNo
Medical School CMSMedical College Of Georgia School Of MedicineGraduated 1987
Enumeration DateJune 29, 2006
Last NPPES UpdateSeptember 6, 20232 updates tracked since enumeration
NPI 1013945930 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License Licensed in GA · 36175
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
820 SAINT SEBASTIAN WAY, Augusta, GA 30901

Other Identifiers 1

Medicaid00532144AGA

Accepted 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

Dr. John Richard Hodges Jr. M. D. 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 ID4880613835
PECOS Enrollment IDI20110701000022
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 15

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This 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.
206 services172 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This 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.
178 services145 patients
Pathology examination of tissue using a microscope, intermediate complexity 88305
A pathology examination of tissue with intermediate complexity involves studying a small sample of your body tissue under a microscope. This helps in identifying any abnormal cells or signs of disease. It's a detailed process requiring expert analysis to ensure accurate results.
136 services93 patients
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
108 services107 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This 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.
75 services75 patients
Special stained specimen slides to identify organisms including interpretation and report 88312
This service involves coloring specimen slides in a special way to help identify organisms. The colors make different parts of the organism stand out. Afterward, a detailed interpretation and report on the findings are provided.
72 services52 patients

Hospital Affiliations CMS Care Compare 3

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

Piedmont Augusta Hospital

Acute Care Hospitals · Augusta, GA
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number110028
Location1350 Walton WayAugusta, GA 30901 · Richmond County
Emergency services Birthing friendly

Doctors Hospital

Acute Care Hospitals · Augusta, GA
3/5 CMS rating
OwnershipProprietary
CMS Certification Number110177
Location3651 Wheeler RoadAugusta, GA 30909 · Richmond County
Emergency services Birthing friendly

Aiken Regional Medical Center

Acute Care Hospitals · Aiken, SC
2/5 CMS rating
OwnershipProprietary
CMS Certification Number420082
Location302 University ParkwayAiken, SC 29801 · Aiken County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30901 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
$124.10 typical visit price
range $53.31 – $164.04
Typical copayment $31.02 (range $13.32 – $41.01)
Most-billed visit code 99204
Established Patient
$94.84 typical visit price
range $16.68 – $133.24
Typical copayment $23.71 (range $4.17 – $33.31)
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.

84.97/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality63.19
Promoting Interoperability100
Improvement Activities40
Cost86.71

Reported Quality Measures

Advance Care Plan
93%618 patients4/55-star benchmark: 100%
Closing the Referral Loop: Receipt of Specialist Report
44%120 patients3/55-star benchmark: 87%
Colorectal Cancer Screening
73%750 patients4/55-star benchmark: 88%
Documentation of Current Medications in the Medical Record
100%1,637 patients5/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
23%1,208 patients1/55-star benchmark: 98%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
19%1,631 patients2/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 92% · 369 patients
Patients screened: 100% · 369 patients
34%47 patients2/55-star benchmark: 100%
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
87%31 patients4/55-star benchmark: 91%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 1% · 634 patients
Patients totalRate: 4% · 634 patients
4%634 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Anesthesiology
820 SAINT SEBASTIAN WAY, SUITE 8A
AUGUSTA, GA 30901
Thoracic Surgery (Cardiothoracic Vascular Surgery)
820 SAINT SEBASTIAN WAY, STE. 6- B POB1
AUGUSTA, GA 30901
Internal Medicine (Pulmonary Disease)
820 SAINT SEBASTIAN WAY, STE 6F
AUGUSTA, GA 30901
Clinic/Center (Medical Specialty)
820 SAINT SEBASTIAN WAY, POB 1 5A
AUGUSTA, GA 30901
Internal Medicine
820 SAINT SEBASTIAN WAY, 4C
AUGUSTA, GA 30901
Internal Medicine (Gastroenterology)
820 SAINT SEBASTIAN WAY, SUITE 5B
AUGUSTA, GA 30901
Registered Nurse
820 SAINT SEBASTIAN WAY, STE. # 4C
AUGUSTA, GA 30901
Internal Medicine (Gastroenterology)
820 SAINT SEBASTIAN WAY, SUITE 5B
AUGUSTA, GA 30901

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 John Hodges's NPI number?

The NPI number for John Hodges is 1013945930. It was assigned to this individual provider in the NPPES registry on June 29, 2006.

Where is John Hodges located?

John Hodges practices at 820 Saint Sebastian Way Suite5b, Augusta, GA 30901. The listed phone number is (706) 722-2400.

What is John Hodges's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is John Hodges enrolled in Medicare?

Yes. John Hodges 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 John Hodges accept?

Health plans from Alliant Health Plans, Inc. and BlueCross BlueShield of South Carolina list John Hodges 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 John Hodges affiliated with any hospitals?

According to CMS data, John Hodges is affiliated with Piedmont Augusta Hospital, Doctors Hospital and Aiken Regional Medical Center.

When was this NPI record last updated?

The NPPES record for John Hodges was last updated on September 6, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.