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JOHN ENGLISH M.D.
NPI 1437169224
Family Medicine in Hughson, CA

Active since August 08, 2006PECOS EnrolledAccepts Medicare Assignment
2412 3RD ST, HUGHSON, CA 95326(209) 850-3500(209) 541-2996 Get Directions Write a Review

NPPES record last updated: July 17, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About John English M.d. NPPES

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

JOHN ENGLISH M.D. (NPI 1437169224) is an individual family medicine provider in Hughson, California, licensed in California (A63984) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS and is a graduate of University Of California, Davis School Of Medicine (1996).

NPPES Registry Identity

NPI1437169224
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameJOHN ENGLISHCredential: M.D.
Location Address2412 3RD STHughson, CA 95326-9310
Mailing AddressPo Box 577197Modesto, CA 95357-7197
Phone(209) 850-3500
Fax(209) 541-2996
Sole ProprietorYes
Medical School CMSUniversity Of California, Davis School Of MedicineGraduated 1996
Enumeration DateAugust 8, 2006
Last NPPES UpdateJuly 17, 2023
NPPES CertifiedJuly 17, 2023
✔ NPI 1437169224 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in CA · A63984
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.

2412 3RD ST, Hughson, CA 95326
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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

John English 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 ID8325129158
PECOS Enrollment IDI20080117000309
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 7

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.

Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
132 services94 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
69 services28 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
28 services23 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
27 services21 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
27 services27 patients
Blood count, hemoglobin 85018
A blood count, specifically hemoglobin, is a standard test that measures the amount of hemoglobin in your blood. Hemoglobin is a protein in red blood cells that carries oxygen throughout your body. This test helps assess your overall health and detect a variety of disorders such as anemia or polycythemia.
17 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95326 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
$90.32 typical visit price
range $58.87 – $176.60
Typical copayment $22.58 (range $14.71 – $44.15)
Most-billed visit code 99203
Established Patient
$103.36 typical visit price
range $19.28 – $144.60
Typical copayment $25.84 (range $4.82 – $36.15)
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.

Referred Medical Equipment & Supplies CMS DME claims 6

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
15 suppliers82 claims196 services$4.56 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
10 suppliers48 claims50 services$0.83 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
4 suppliers15 claims81 services$1.88 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
3 suppliers56 claims56 services$15.90 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
2 suppliers13 claims13 services$5.61 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
3 suppliers56 claims56 services$80.18 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 5

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

LIVINGSTON COMMUNITY HEALTH
Clinic/Center (Federally Qualified Health Center (FQHC))
2412 3RD ST
HUGHSON, CA 95326
Stanislaus County (209) 850-3500
MISS KOU YANG M.D.
Family Medicine
2412 3RD ST
HUGHSON, CA 95326
Stanislaus County (209) 558-7250
FLOR DE MARIA LOPEZ FLORES
Family Medicine
2412 3RD ST
HUGHSON, CA 95326
Stanislaus County (833) 850-3500
DR. SUSAN FALZONE KRAUS MD
Family Medicine
2412 3RD ST
HUGHSON, CA 95326
Stanislaus County (209) 558-7250
BENJAMIN HSIEH MD
Family Medicine
2412 3RD ST
HUGHSON, CA 95326
Stanislaus County (209) 850-3500

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 English's NPI number?

The NPI number for John English is 1437169224. It was assigned to this individual provider in the NPPES registry on August 8, 2006.

Where is John English located?

John English practices at 2412 3rd St, Hughson, CA 95326. The listed phone number is (209) 850-3500.

What is John English's specialty?

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

Is John English enrolled in Medicare?

Yes. John English 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.

When was this NPI record last updated?

The NPPES record for John English was last updated on July 17, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.