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JOSEPH T HOGAN DPM
NPI 1265426597
Podiatrist in Binghamton, NY

Active since September 01, 2005PECOS EnrolledAccepts Medicare Assignment
81.31/100
CMS Quality Rating
161 RIVERSIDE DR, SUITE M08, BINGHAMTON, NY 13905(607) 723-7454(607) 723-1567 Get Directions Write a Review

NPPES record last updated: August 17, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Joseph T Hogan Dpm NPPES

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

JOSEPH T HOGAN DPM (NPI 1265426597) is an individual podiatrist in Binghamton, New York, licensed in New York (N0026381) and active in the NPI registry since September 2005. He is enrolled in Medicare PECOS, is affiliated with Our Lady Of Lourdes Memorial Hospital, Inc, and is a graduate of California School Of Podiatric Medicine (1975).

NPPES Registry Identity

NPI1265426597
Entity TypeIndividualMale
Primary Taxonomy213E00000X
Provider Legal NameJOSEPH T HOGANCredential: DPM
Location Address161 RIVERSIDE DR, SUITE M08Binghamton, NY 13905-4176
Mailing Address161 Riverside Dr, Suite M08Binghamton, NY 13905-4176 · (607) 723-7454 · Fax (607) 723-1567
Phone(607) 723-7454
Fax(607) 723-1567
Sole ProprietorNo
Medical School CMSCalifornia School Of Podiatric MedicineGraduated 1975
Enumeration DateSeptember 1, 2005
Last NPPES UpdateAugust 17, 2015
✔ NPI 1265426597 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatristPodiatric Medicine & Surgery Service Providers
Taxonomy Code213E00000X
License✔ Licensed in NY · N0026381
Definition
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
161 RIVERSIDE DR, Binghamton, NY 13905
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Other Identifiers 3

Medicare ID-Type UnspecifiedJH30650BNY
Medicare UPINT26276
Medicaid00415632NY

Accepted Insurance

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

Joseph T Hogan Dpm 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 ID1254421357
PECOS Enrollment IDI20071213000057
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 10

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.

Removal of fingernails or toenails, 6 or more nails 11721
This procedure involves the removal of six or more fingernails or toenails. It's typically done to treat severe nail infections, persistent pain, or abnormal nail growth. Local anesthesia is used to minimize discomfort. Healing usually takes a few weeks.
400 services164 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.
179 services102 patients
Removal of noncancer thickened skin growth, 1 growth 11055
This procedure involves the removal of a thickened skin growth that is not cancerous. A healthcare professional will safely extract the growth, usually under local anesthesia. This process helps maintain skin health and prevent potential complications.
78 services56 patients
Removal of noncancer thickened skin growth, 2-4 growths 11056
This procedure involves the safe removal of 2-4 noncancerous thickened skin growths. It's typically done under local anesthesia. The process helps to alleviate discomfort and prevent potential complications. It's a standard, low-risk procedure.
62 services45 patients
Removal of fingernails or toenails, 6 or more nails 11721
This procedure involves the removal of six or more fingernails or toenails. It's typically done to treat severe nail infections, persistent pain, or abnormal nail growth. Local anesthesia is used to minimize discomfort. Healing usually takes a few weeks.
49 services28 patients
Removal of skin and tissue, 20.0 sq cm or less 11042
This procedure involves the surgical removal of skin and tissue, up to 20.0 square cm in size. It's often performed to treat conditions like skin cancer or to remove moles, warts, and other skin lesions. The area is numbed and the unwanted tissue is carefully cut out.
26 services13 patients

Hospital Affiliations CMS Care Compare

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

Our Lady Of Lourdes Memorial Hospital, Inc

Acute Care Hospitals · Binghamton, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330011
Location169 Riverside DriveBinghamton, NY 13905 · Broome County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 13905 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
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$68.57 typical visit price
range $17.54 – $136.14
Typical copayment $17.14 (range $4.38 – $34.03)
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.

81.31/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality73.57
Promoting Interoperability95
Improvement Activities40
Cost64.87

Reported Quality Measures

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…
14%334 patients1/55-star benchmark: 100%
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…
89%360 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.

DR. THOMAS PARSLEY MD
Internal Medicine
161 RIVERSIDE DR, SUITE 306
BINGHAMTON, NY 13905
Broome County (607) 798-6700
BINGHAMTON PLASTIC SURGERY, PLLC
Specialist
161 RIVERSIDE DR, SUITE 106
BINGHAMTON, NY 13905
Broome County (607) 729-0101
SANDY NASR MD
Internal Medicine (Rheumatology)
161 RIVERSIDE DR
BINGHAMTON, NY 13905
Broome County (607) 798-1842
MARK A DREHER DDS MD PC
Dentist
161 RIVERSIDE DR, SUITE 201
BINGHAMTON, NY 13905
Broome County (607) 748-7169
DR. DAVID C DREYFUSS M.D.
Surgery
161 RIVERSIDE DR, SUITE 105
BINGHAMTON, NY 13905
Broome County (607) 770-9471
CELESTE R KEEFE C.N.M.
Advanced Practice Midwife
161 RIVERSIDE DR, SUITE 109
BINGHAMTON, NY 13905
Broome County (607) 770-7074
JEROME C COHEN, MD, PC
Internal Medicine (Gastroenterology)
161 RIVERSIDE DR, SUITE 210
BINGHAMTON, NY 13905
Broome County (607) 770-1155
LINDA S DICKEY R.N.C.N.P.
Nurse Practitioner (Obstetrics & Gynecology)
161 RIVERSIDE DR, SUITE 109
BINGHAMTON, NY 13905
Broome County (607) 770-7074

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 Joseph Hogan's NPI number?

The NPI number for Joseph Hogan is 1265426597. It was assigned to this individual provider in the NPPES registry on September 1, 2005.

Where is Joseph Hogan located?

Joseph Hogan practices at 161 Riverside Dr Suite M08, Binghamton, NY 13905. The listed phone number is (607) 723-7454.

What is Joseph Hogan's specialty?

The primary specialty registered for this NPI is Podiatrist with taxonomy code 213E00000X.

Is Joseph Hogan enrolled in Medicare?

Yes. Joseph Hogan 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 Joseph Hogan accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Joseph 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.

Is Joseph Hogan affiliated with any hospitals?

According to CMS data, Joseph Hogan is affiliated with Our Lady Of Lourdes Memorial Hospital, Inc.

When was this NPI record last updated?

The NPPES record for Joseph Hogan was last updated on August 17, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.