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DR. JOHN DUFFY DEWALT D.O.
NPI 1508869702
Thoracic Surgery (Cardiothoracic Vascular Surgery) in Logan, OH

Active since May 23, 2005PECOS Enrolled
144 EAST MAIN STREET, LOGAN, OH 43138(740) 385-1881(740) 385-1875 Get Directions Write a Review

NPPES record last updated: January 13, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. John Duffy Dewalt D.o. NPPES

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

DR. JOHN DUFFY DEWALT D.O. (NPI 1508869702) is an individual thoracic surgery (cardiothoracic vascular surgery) provider in Logan, Ohio, licensed in Ohio (34002686D) and active in the NPI registry since May 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1508869702
Entity TypeIndividualMale
Primary Taxonomy208G00000X
Provider Legal NameDR. JOHN DUFFY DEWALTCredential: D.O.
Location Address144 EAST MAIN STREETLogan, OH 43138
Mailing Address144 E Main StLogan, OH 43138 · (740) 385-1881 · Fax (740) 385-1875
Phone(740) 385-1881
Fax(740) 385-1875
Sole ProprietorYes
Enumeration DateMay 23, 2005
Last NPPES UpdateJanuary 13, 2016
✔ NPI 1508869702 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyThoracic Surgery (Cardiothoracic Vascular Surgery)Allopathic & Osteopathic Physicians
Taxonomy Code208G00000X
License✔ Licensed in OH · 34002686D
Definition
A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty.
144 EAST MAIN STREET, Logan, OH 43138
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Other Identifiers 6

Medicaid0365073OH
Medicare UPINB77505OH
Other1269034OH · Bwc Provider Number
Medicare OSCAR/certificationP00163916OH
OtherCD3781OH · Medicare Railroad
Medicare PIN0451527OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, 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)

Dr. John Duffy Dewalt 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43138 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
$166.65 typical visit price
range $54.34 – $166.65
Typical copayment $41.66 (range $13.58 – $41.66)
Most-billed visit code 99205
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

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…
10%96 patients1/55-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: 19% · 67 patients
13%67 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…
39%108 patients2/55-star benchmark: 100%
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.
3%108 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

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

SOUTHEASTERN SURGERY
Clinic/Center
144 EAST MAIN STREET
LOGAN, OH 43138
Hocking County (740) 385-1881

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 Dewalt's NPI number?

The NPI number for John Dewalt is 1508869702. It was assigned to this individual provider in the NPPES registry on May 23, 2005.

Where is John Dewalt located?

John Dewalt practices at 144 East Main Street, Logan, OH 43138. The listed phone number is (740) 385-1881.

What is John Dewalt's specialty?

The primary specialty registered for this NPI is Thoracic Surgery (Cardiothoracic Vascular Surgery) with taxonomy code 208G00000X.

Is John Dewalt enrolled in Medicare?

Yes. John Dewalt is registered in the Medicare PECOS enrollment system.

What insurance does John Dewalt accept?

Health plans from Blue Cross and Blue Shield of Texas, CareSource and MedMutual list John Dewalt 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 John Dewalt was last updated on January 13, 2016. 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.