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ALEX JOHN HOGARTH
NPI 1053909655
Physician Assistant in Traverse City, MI

Active since January 08, 2021PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
1221 6TH ST STE 300, TRAVERSE CITY, MI 49684(231) 935-2400 Get Directions Write a Review

NPPES record last updated: August 21, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 21, 2024, Jan 21, 2021, Jan 8, 2021 (3 updates tracked since 2021).

About Alex John Hogarth NPPES

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

ALEX JOHN HOGARTH (NPI 1053909655) is an individual physician assistant in Traverse City, Michigan, licensed in Michigan (5601010345) and active in the NPI registry since January 2021. He is enrolled in Medicare PECOS, is affiliated with Munson Medical Center, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1053909655
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameALEX JOHN HOGARTH
Location Address1221 6TH ST STE 300Traverse City, MI 49684-2360
Mailing Address1221 6th St Ste 300Traverse City, MI 49684-2360
Phone(231) 935-2400
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateJanuary 8, 2021
Last NPPES UpdateAugust 21, 20243 updates tracked since enumeration
NPPES CertifiedAugust 21, 2024
✔ NPI 1053909655 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in MI · 5601010345
Definition
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.
1221 6TH ST STE 300, Traverse City, MI 49684
Open in Google Maps ↗

Secondary Practice Locations 2

Location 15087 N Royal Dr Ste BTraverse City, MI 49684-6987 · Phone (231) 935-0445
Location 21105 Sixth StTraverse City, MI 49684-2345 · Phone (231) 935-7514

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, McLaren Health Plan Community and more.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

Alex John Hogarth 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 ID1052725629
PECOS Enrollment IDI20210122002171
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 2

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.

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
25 services25 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
18 services18 patients

Hospital Affiliations CMS Care Compare

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

Munson Medical Center

Acute Care Hospitals · Traverse City, MI
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number230097
Location1105 Sixth StreetTraverse City, MI 49684 · Grand Traverse County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49684 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
$84.74 typical visit price
range $54.34 – $166.68
Typical copayment $21.18 (range $13.58 – $41.67)
Most-billed visit code 99203
Established Patient
$68.07 typical visit price
range $17.09 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
Most-billed visit code 99213
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.

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

Other Providers at the Same Location NPPES

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

DR. EDWARD ROBERT HAGEN MD
Surgery
1221 6TH ST STE 300
TRAVERSE CITY, MI 49684
Grand Traverse County (231) 935-2400

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 Alex Hogarth's NPI number?

The NPI number for Alex Hogarth is 1053909655. It was assigned to this individual provider in the NPPES registry on January 8, 2021.

Where is Alex Hogarth located?

Alex Hogarth practices at 1221 6th St Ste 300, Traverse City, MI 49684. The listed phone number is (231) 935-2400.

What is Alex Hogarth's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Alex Hogarth enrolled in Medicare?

Yes. Alex Hogarth 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 Alex Hogarth accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, McLaren Health Plan Community and Priority Health list Alex Hogarth 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 Alex Hogarth affiliated with any hospitals?

According to CMS data, Alex Hogarth is affiliated with Munson Medical Center.

When was this NPI record last updated?

The NPPES record for Alex Hogarth was last updated on August 21, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months 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.