DR. JOHN VERNON HOUGHTALING MD
NPI 1063661262
Orthopaedic Surgery - Hand Surgery in Toledo, OH

Q: What is John Houghtaling's NPI number?

The NPI number for John Houghtaling is 1063661262. It was assigned to this individual provider in the NPPES registry on September 11, 2008.

Q: What is John Houghtaling's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Hand Surgery, with taxonomy code 207XS0106X.

Q: When was this NPI record last updated?

The NPPES record for John Houghtaling was last updated on November 3, 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.

Active since September 11, 2008PECOS EnrolledAccepts Medicare Assignment

2865 N REYNOLDS RD, BUILDING A, TOLEDO, OH 43615(419) 578-7200 Get Directions Write a Review

NPPES record last updated: November 3, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Dr. John Vernon Houghtaling Md NPPES

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

DR. JOHN VERNON HOUGHTALING MD (NPI 1063661262) is an individual hand surgery provider in Toledo, Ohio, licensed in Ohio (35120904) and active in the NPI registry since September 2008. He is enrolled in Medicare PECOS, is affiliated with Promedica Monroe Regional Hospital, and is a graduate of Michigan State University College Of Human Medicine (2007).

NPPES Registry Identity

NPI1063661262

Entity TypeIndividualMale

Primary Taxonomy207XS0106X

Provider Legal NameDR. JOHN VERNON HOUGHTALINGCredential: MD

Location Address2865 N REYNOLDS RD, BUILDING AToledo, OH 43615-2068

Mailing Address2865 N Reynolds Rd, Building AToledo, OH 43615-2068 · (419) 578-7200

Phone(419) 578-7200

Sole ProprietorNo

Medical School CMSMichigan State University College Of Human MedicineGraduated 2007

Enumeration DateSeptember 11, 2008

Last NPPES UpdateNovember 3, 2023

✔ NPI 1063661262 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic Surgery · Hand SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code207XS0106X

License✔ Licensed in OH · 35120904

Definition

An orthopaedic surgeon trained in the investigation, preservation and restoration by medical, surgical and rehabilitative means of all structures of the upper extremity directly affecting the form and function of the hand and wrist.

2865 N REYNOLDS RD, Toledo, OH 43615

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Other Identifiers 1

OtherH224350OH · Ptan

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health 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

Dr. John Vernon Houghtaling Md 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 ID1355588922

PECOS Enrollment IDI20130919000201

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 20

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.

Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg J0702

This injection contains two medications, betamethasone acetate and betamethasone sodium phosphate. It is used to reduce inflammation and pain. It's given by a healthcare professional, often directly into the area causing discomfort.

1,173 services213 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.

373 services235 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This 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.

184 services184 patients

Aspiration and/or injection of fluid from small joint 20600

This procedure involves inserting a thin needle into a small joint to remove (aspirate) or inject fluid. It can help diagnose conditions, relieve discomfort, or administer medication directly into the joint. It's generally safe with minimal discomfort.

181 services90 patients

X-ray of hand, minimum of 3 views 73130

An X-ray of the hand, minimum of 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the bones in your hand from different angles. This helps in diagnosing fractures, infections, arthritis, or other abnormalities. It's quick and painless.

180 services168 patients

Injection into tendon or ligament 20550

An injection into a tendon or ligament involves placing medication directly into these areas to help reduce inflammation and pain. It's often used for conditions like arthritis or tendonitis. The procedure is quick and usually involves a local anesthetic.

124 services78 patients

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.

112 services94 patients

X-ray of wrist, minimum of 3 views 73110

An X-ray of the wrist, minimum of 3 views, is a diagnostic procedure that uses radiation to create images of your wrist from different angles. This helps detect fractures, infections, or other abnormalities for accurate diagnosis and treatment planning.

97 services65 patients

X-ray of finger, minimum of 2 views 73140

An X-ray of the finger involves capturing images of your finger from at least two different angles. This non-invasive procedure helps in visualizing the bones and joints, aiding in the diagnosis of fractures, infections, or other abnormalities. Minimal discomfort may be experienced.

73 services61 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.

70 services70 patients

Injection of carpal tunnel 20526

An injection for carpal tunnel is a treatment to reduce inflammation and swelling in your wrist, which can alleviate pain and numbness. The doctor injects a steroid medication into your wrist area to provide relief.

64 services37 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

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.

54 services50 patients

Incision of tendon covering of finger 26055

This procedure involves making a small cut into the protective sheath around a finger tendon. It's typically done to relieve pressure or inflammation, improve finger movement, or treat conditions like trigger finger. It's a safe, often outpatient procedure.

52 services36 patients

Release and/or relocation of hand nerve 64721

This procedure involves adjusting or moving a nerve in your hand to alleviate discomfort or improve function. The nerve may be compressed, causing pain or numbness. By releasing or relocating the nerve, these symptoms can be reduced, enhancing hand usage.

41 services37 patients

Aspiration and/or injection of fluid from large joint 20610

This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.

38 services20 patients

Aspiration and/or injection of fluid from medium joint 20605

This procedure involves a needle being inserted into a medium-sized joint, such as a knee or shoulder, to remove (aspirate) excess fluid. Sometimes, medication may also be injected into the joint to reduce inflammation and pain.

37 services23 patients

X-ray of shoulder, minimum of 2 views 73030

An X-ray of the shoulder, with a minimum of 2 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of your shoulder bones. This helps in diagnosing conditions like fractures, arthritis, or other abnormalities. The procedure is quick and painless.

33 services24 patients

X-ray of elbow, minimum of 3 views 73080

An elbow X-ray with a minimum of 3 views is a non-invasive imaging test. It helps visualize the bones of the elbow from different angles. This aids in diagnosing conditions like fractures or arthritis. The procedure is quick, painless, and usually takes around 15 minutes.

22 services16 patients

Removal of bone joints between wrist and fingers 25447

This procedure involves the surgical removal of bone joints between your wrist and fingers. It's typically done to relieve pain or restore function due to conditions like arthritis. After removal, the space may be filled with a graft or artificial joint.

18 services16 patients

Relocation of tendon of forearm and/or wrist 25310

Relocation of a tendon in the forearm or wrist is a surgical procedure aimed to improve joint function. It involves moving a tendon from its original position to a new one to enhance mobility or correct a deformity. It's typically done under general anesthesia.

12 services11 patients

Hospital Affiliations CMS Care Compare 3

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

Promedica Monroe Regional Hospital

Acute Care Hospitals · Monroe, MI

3/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number230099

Location718 N Macomb StMonroe, MI 48162 · Monroe County

Emergency services Birthing friendly

Promedica Toledo Hospital

Acute Care Hospitals · Toledo, OH

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number360068

Location2142 North Cove BoulevardToledo, OH 43606 · Lucas County

Emergency services Birthing friendly

Bay Park Community Hospital

Acute Care Hospitals · Oregon, OH

3/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number360259

Location2801 Bay Park DriveOregon, OH 43616 · Lucas County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43615 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

$84.72 typical visit price

range $54.34 – $166.65

Typical copayment $21.18 (range $13.58 – $41.66)

Most-billed visit code 99203

Established Patient

$68.07 typical visit price

range $17.10 – $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.

Reported Quality Measures

Documentation of Current Medications in the Medical Record

Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.

55%2,920 patients1/55-star benchmark: 100%

e-Prescribing

At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.

94%117 patients4/55-star benchmark: 100%

Falls: Screening for Future Fall Risk

Percentage of patients 65 years of age and older who were screened for future fall risk during the measurement period

11%730 patients1/55-star benchmark: 99%

Medication Reconciliation

The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.

80%375 patients3/55-star benchmark: 100%

Patient-Specific Education

The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.

29%707 patients2/55-star benchmark: 99%

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan

Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…

25%2,061 patients2/55-star benchmark: 97%

Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention

Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user

Patients screenedForUse: 65% · 1,066 patients

Patients tobacco: 57% · 1,066 patients

6%88 patients1/55-star benchmark: 98%

Provide Patient Access

At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…

54%707 patients3/55-star benchmark: 100%

Use of High-Risk Medications in the Elderly

Percentage of patients 65 years of age and older who were ordered high-risk medications. Two rates are submitted. 1) Percentage of patients who were ordered at least one high-risk medication.

Lower rates are better for this measure.

Patients 2+: 0% · 730 patients

2%730 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.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Dynamic adjustable wrist extension / flexion device, includes soft interface material E1805

DME-Other DME · category DE000N

1 supplier12 claims12 services$81.21 avg. paid by Medicare

Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf L3908

DME-Orthotic Devices · category DF000N

2 suppliers19 claims19 services$55.43 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

PROMEDICA CENTRAL PHYSICIANS, LLC

Orthopaedic Surgery

2865 N REYNOLDS RD, SUITE 160
TOLEDO, OH 43615

Lucas County (419) 578-4260

ANTHONY FROGAMENI III M.D.

Orthopaedic Surgery (Sports Medicine)

2865 N REYNOLDS RD, SUITE 160
TOLEDO, OH 43615

Lucas County (419) 578-7200

CHARLES KING DABBS MD

Ophthalmology (Retina Specialist)

2865 N REYNOLDS RD, SUITE 230
TOLEDO, OH 43615

Lucas County (419) 578-4367

RECONSTRUCTIVE AND AESTHETIC SURGERY CENTER LTD

Clinic/Center (Ambulatory Surgical)

2865 N REYNOLDS RD, STE 250
TOLEDO, OH 43615

Lucas County (419) 534-6551

MRS. NICOLE MARIE TOMLINSON ATC

Specialist/Technologist (Athletic Trainer)

2865 N REYNOLDS RD, SUITE 110
TOLEDO, OH 43615

Lucas County (419) 578-7530

JOHN R SCHUNEMAN M.A.,CCC-A

Audiologist

2865 N REYNOLDS RD, 120
TOLEDO, OH 43615

Lucas County (419) 578-7557

MARY E DERCK ATC

Specialist/Technologist (Athletic Trainer)

2865 N REYNOLDS RD, STE. 110
TOLEDO, OH 43615

Lucas County (419) 578-7530

TYLER J VOVOS

Orthopaedic Surgery

2865 N REYNOLDS RD
TOLEDO, OH 43615

Lucas County (419) 578-7200

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 Houghtaling's NPI number?

The NPI number for John Houghtaling is 1063661262. It was assigned to this individual provider in the NPPES registry on September 11, 2008.

Where is John Houghtaling located?

John Houghtaling practices at 2865 N Reynolds Rd Building A, Toledo, OH 43615. The listed phone number is (419) 578-7200.

What is John Houghtaling's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Hand Surgery, with taxonomy code 207XS0106X.

Is John Houghtaling enrolled in Medicare?

Yes. John Houghtaling 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 Houghtaling accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and Blue Care Network of Michigan and 2 other insurers list John Houghtaling 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 Houghtaling affiliated with any hospitals?

According to CMS data, John Houghtaling is affiliated with Promedica Monroe Regional Hospital, Promedica Toledo Hospital and Bay Park Community Hospital.

When was this NPI record last updated?

The NPPES record for John Houghtaling was last updated on November 3, 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.