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DR. JOHN KELLY HUGHES M.D.
NPI 1467495309
Internal Medicine in Norwalk, OH

Active since June 14, 2006PECOS EnrolledAccepts Medicare Assignment
280 BENEDICT AVE STE A, NORWALK, OH 44857(419) 668-8110(419) 660-6996 Get Directions Write a Review

NPPES record last updated: March 17, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 17, 2018, Oct 19, 2017 (2 updates tracked since 2017).

About Dr. John Kelly Hughes M.d. NPPES

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

DR. JOHN KELLY HUGHES M.D. (NPI 1467495309) is an individual internal medicine provider in Norwalk, Ohio, licensed in Ohio (35069158) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Fisher-titus Hospital, and maintains a secondary practice location in Norwalk.

NPPES Registry Identity

NPI1467495309
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. JOHN KELLY HUGHESCredential: M.D.
Location Address280 BENEDICT AVE STE ANorwalk, OH 44857-2374
Mailing Address280 Benedict Ave Ste ANorwalk, OH 44857-2374 · (419) 668-8110 · Fax (419) 660-6996
Phone(419) 668-8110
Fax(419) 660-6996
Sole ProprietorNo
Medical School CMSUniversity Of Toledo College Of MedicineGraduated 1994
Enumeration DateJune 14, 2006
Last NPPES UpdateMarch 17, 20182 updates tracked since enumeration
✔ NPI 1467495309 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in OH · 35069158
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
280 BENEDICT AVE STE A, Norwalk, OH 44857
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Secondary Practice Location 1

Location 124 Executive DrNorwalk, OH 44857-2421 · Phone (419) 663-8808 · Fax (419) 668-5334

Other Identifiers 2

Other0866154OH · Medicare Ptan
Medicaid2076408OH

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 Kelly Hughes 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 ID7719997469
PECOS Enrollment IDI20070206000427
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 9

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.

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.
1,041 services416 patients
Annual depression screening, 5 to 15 minutes G0444
An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.
260 services260 patients
Annual alcohol misuse screening, 5 to 15 minutes G0442
An annual alcohol misuse screening is a 15-minute check-up to assess your drinking habits. It helps identify if you're consuming alcohol in a way that could harm your health. This is not a judgment, but a tool to promote your wellbeing.
234 services234 patients
Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490
Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.
151 services36 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.
106 services84 patients
Transitional care management services for problem of at least moderate complexity 99495
Transitional care management services focus on coordinating and managing your care after you leave the hospital. For moderate complexity problems, this involves managing your medications, arranging further treatments, and ensuring you have the necessary follow-ups.
34 services29 patients

Hospital Affiliations CMS Care Compare 5

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

Fisher-Titus Hospital

Acute Care Hospitals · Norwalk, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360065
Location272 Benedict AvenueNorwalk, OH 44857 · Huron County
Emergency services Birthing friendly

Ohiohealth Mansfield Hospital

Acute Care Hospitals · Mansfield, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360118
Location335 Glessner AvenueMansfield, OH 44903 · Richland County
Emergency services Birthing friendly

Cleveland Clinic

Acute Care Hospitals · Cleveland, OH
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360180
Location9500 Euclid AvenueCleveland, OH 44195 · Cuyahoga County
Emergency services Birthing friendly

Avita Ontario

Acute Care Hospitals · Ontario, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360365
Location715 Richland MallOntario, OH 44906 · Richland County
Emergency services Birthing friendly

Mercy Health - Willard Hospital

Critical Access Hospitals · Willard, OH
OwnershipVoluntary non-profit - Private
CMS Certification Number361310
Location1100 Neal Zick RoadWillard, OH 44890 · Huron County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 44857 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
$126.12 typical visit price
range $54.34 – $166.65
Typical copayment $31.53 (range $13.58 – $41.66)
Most-billed visit code 99204
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.

Referred Medical Equipment & Supplies CMS DME claims 17

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
16 suppliers108 claims242 services$6.23 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
11 suppliers47 claims61 services$1.14 avg. paid by Medicare
Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
2 suppliers13 claims13 services$33.81 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
3 suppliers13 claims13 services$105.38 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
3 suppliers11 claims22 services$41.20 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
3 suppliers12 claims58 services$17.16 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.

BETH M LOGAN LPCC
Counselor (Mental Health)
280 BENEDICT AVE STE A
NORWALK, OH 44857
Huron County (419) 668-0311
LAURA L BUTLER LISW
Social Worker (Clinical)
280 BENEDICT AVE STE A
NORWALK, OH 44857
Huron County (419) 668-0311
SCOTT KAPLE D.O.
Family Medicine
280 BENEDICT AVE STE A
NORWALK, OH 44857
Huron County (419) 668-8110
JACLYNN G MISSLER MSN, APRN, FNP-C
Nurse Practitioner (Family)
280 BENEDICT AVE STE A
NORWALK, OH 44857
Huron County (419) 668-8110
DR. ROBERT J CROMLEY II D.O.
Family Medicine
280 BENEDICT AVE STE A
NORWALK, OH 44857
Huron County (419) 668-8110

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 Hughes's NPI number?

The NPI number for John Hughes is 1467495309. It was assigned to this individual provider in the NPPES registry on June 14, 2006.

Where is John Hughes located?

John Hughes practices at 280 Benedict Ave Ste A, Norwalk, OH 44857. The listed phone number is (419) 668-8110.

What is John Hughes's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is John Hughes enrolled in Medicare?

Yes. John Hughes 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 Hughes accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, CareSource and MedMutual and 2 other insurers list John Hughes 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 Hughes affiliated with any hospitals?

According to CMS data, John Hughes is affiliated with Fisher-Titus Hospital, Ohiohealth Mansfield Hospital, Cleveland Clinic, Avita Ontario and Mercy Health - Willard Hospital.

When was this NPI record last updated?

The NPPES record for John Hughes was last updated on March 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.