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TIMOTHY J. HOGAN D.O.
NPI 1235109828
Family Medicine in Athens, OH

Active since January 25, 2006PECOS Enrolled
265 W UNION ST, SUITE A, ATHENS, OH 45701(740) 594-2456(740) 594-9630 Get Directions Write a Review

NPPES record last updated: January 25, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 25, 2022, Dec 17, 2019, Jun 22, 2018 (3 updates tracked since 2018).

About Timothy J. Hogan D.o. NPPES

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

TIMOTHY J. HOGAN D.O. (NPI 1235109828) is an individual family medicine provider in Athens, Ohio, licensed in Ohio (34005731) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1235109828
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameTIMOTHY J. HOGANCredential: D.O.
Location Address265 W UNION ST, SUITE AAthens, OH 45701-2313
Mailing Address5450 Frantz Rd Ste 360Dublin, OH 43016-4141 · (614) 544-6155 · Fax (614) 544-6370
Phone(740) 594-2456
Fax(740) 594-9630
Sole ProprietorNo
Enumeration DateJanuary 25, 2006
Last NPPES UpdateJanuary 25, 20223 updates tracked since enumeration
NPPES CertifiedDecember 17, 2019
✔ NPI 1235109828 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in OH · 34005731
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedGeneral PracticeTaxonomy 208D00000X · License 34005731 (OH)
265 W UNION ST, Athens, OH 45701
Open in Google Maps ↗

Other Identifiers 2

Medicaid0934341OH
Other5619197341A11OH · Bluecross Blueshield

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, MedMutual.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Timothy J. Hogan D.o. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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

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.

Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
103 services31 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45701 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
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

Reported Quality Measures

Adult Sinusitis: Computerized Tomography (CT) for Acute Sinusitis (Overuse)
Percentage of patients aged 18 years and older with a diagnosis of acute sinusitis who had a computerized tomography (CT) scan of the paranasal sinuses ordered at the time of diagnosis or received within 28 days after date of diagnosis
Lower rates are better for this measure.
0%191 patients
Breast Cancer Screening
Percentage of women 50-74 years of age who had a mammogram to screen for breast cancer
46%102 patients3/55-star benchmark: 92%
Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
53%81 patients3/55-star benchmark: 100%
Cervical Cancer Screening
Percentage of women 21-64 years of age who were screened for cervical cancer using either of the following criteria: - Women age 21-64 who had cervical cytology performed every 3 years - Women age 30-64 who had cervical cytology/human papillomavirus (HPV)…
35%213 patients
Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
51%173 patients3/55-star benchmark: 85%
Diabetes: Eye Exam
Percentage of patients 18-75 years of age with diabetes who had a retinal or dilated eye exam by an eye care professional during the measurement period or a negative retinal exam (no evidence of retinopathy) in the 12 months prior to the measurement period
27%22 patients2/55-star benchmark: 100%
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.
100%729 patients5/55-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.
99%1,358 patients5/55-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.
95%149 patients4/55-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.
48%1,077 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: 95% · 41 patients
78%41 patients4/55-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…
100%1,077 patients5/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
15%1,077 patients1/55-star benchmark: 89%
View, Download, or Transmit (VDT)
At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.
23%1,077 patients
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 5

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

MARTHA A SIMPSON DO
General Practice
265 W UNION ST, SUITE B
ATHENS, OH 45701
Athens County (740) 594-2456
CHRISTOPHER SIMPSON DO
General Practice
265 W UNION ST, SUITE B
ATHENS, OH 45701
Athens County (740) 594-2456
BELA H BHATT-KOSHAL D.O.
Family Medicine
265 W UNION ST, EXPRESSCARE
ATHENS, OH 45701
Athens County (740) 594-2456
DR. JANICE R. CARRICK D.O.
Psychiatry & Neurology (Psychiatry)
265 W UNION ST
ATHENS, OH 45701
Athens County (740) 594-9181
DR. KELLY ANN COON D.O.
Psychiatry & Neurology (Psychiatry)
265 W UNION ST
ATHENS, OH 45701
Athens County (740) 594-8191

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 Timothy Hogan's NPI number?

The NPI number for Timothy Hogan is 1235109828. It was assigned to this individual provider in the NPPES registry on January 25, 2006.

Where is Timothy Hogan located?

Timothy Hogan practices at 265 W Union St Suite A, Athens, OH 45701. The listed phone number is (740) 594-2456.

What is Timothy Hogan's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Timothy Hogan enrolled in Medicare?

Yes. Timothy Hogan is registered in the Medicare PECOS enrollment system.

What insurance does Timothy Hogan accept?

Health plans from CareSource and MedMutual list Timothy Hogan 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.

When was this NPI record last updated?

The NPPES record for Timothy Hogan was last updated on January 25, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.