Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

HANY M OGHIA MD
NPI 1528067733
Urology in Hazard, KY

Active since July 19, 2005PECOS Enrolled
97.4/100
CMS Quality Rating
200 MEDICAL CENTER DR, HAZARD, KY 41701(606) 487-7510(606) 439-6793 Get Directions Write a Review

NPPES record last updated: July 31, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Hany M Oghia Md NPPES

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

HANY M OGHIA MD (NPI 1528067733) is an individual urology provider in Hazard, Kentucky, licensed in Kentucky (25492) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS, is affiliated with Hazard Arh Regional Medical Center, and is a graduate of New York Medical College (1984).

NPPES Registry Identity

NPI1528067733
Entity TypeIndividualMale
Primary Taxonomy208800000X
Provider Legal NameHANY M OGHIACredential: MD
Location Address200 MEDICAL CENTER DRHazard, KY 41701-9466
Mailing Address200 Medical Center DrHazard, KY 41701-9466 · (606) 487-7510 · Fax (606) 439-6793
Fax(606) 439-6793
Sole ProprietorNo
Medical School CMSNew York Medical CollegeGraduated 1984
Enumeration DateJuly 19, 2005
Last NPPES UpdateJuly 31, 2026
NPPES CertifiedJuly 31, 2026
NPI 1528067733 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
License Licensed in KY · 25492
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
200 MEDICAL CENTER DR, Hazard, KY 41701

Accepted 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

Hany M Oghia Md 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 ID1153360409
PECOS Enrollment IDI20050427000322
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 3

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.

Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes 99221
Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.
26 services25 patients
Insertion of stent in ureter using an endoscope 52332
This procedure involves placing a small, flexible tube (stent) in your body's drainage system to help urine flow from the kidneys to the bladder. An endoscope, a thin tube with a light and camera, is used for precise placement.
19 services15 patients
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.
17 services14 patients

Hospital Affiliations CMS Care Compare 2

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

Hazard Arh Regional Medical Center

Acute Care Hospitals · Hazard, KY
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180029
Location100 Medical Center DriveHazard, KY 41701 · Perry County
Emergency services Birthing friendly

Mary Breckinridge Arh Hospital

Critical Access Hospitals · Hyden, KY
OwnershipVoluntary non-profit - Private
CMS Certification Number181316
Location130 Kate Ireland DriveHyden, KY 41749 · Leslie County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 41701 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
$122.77 typical visit price
range $52.76 – $162.27
Typical copayment $30.69 (range $13.19 – $40.56)
Most-billed visit code 99204
Established Patient
$66.24 typical visit price
range $16.53 – $131.99
Typical copayment $16.56 (range $4.13 – $32.99)
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.

97.4/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality76.55
Promoting Interoperability100
Improvement Activities40

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.

Psychiatry & Neurology (Neurology)
200 MEDICAL CENTER DR, SUITE 3P
HAZARD, KY 41701
Nurse Practitioner
200 MEDICAL CENTER DR
HAZARD, KY 41701
Internal Medicine (Hematology & Oncology)
200 MEDICAL CENTER DR
HAZARD, KY 41701
Dentist (Oral and Maxillofacial Surgery)
200 MEDICAL CENTER DR, SUITE 2-O
HAZARD, KY 41701
Radiology (Diagnostic Radiology)
200 MEDICAL CENTER DR, SUITE 1-N
HAZARD, KY 41701
Radiology (Vascular & Interventional Radiology)
200 MEDICAL CENTER DR
HAZARD, KY 41701
Internal Medicine (Cardiovascular Disease)
200 MEDICAL CENTER DR
HAZARD, KY 41701
Otolaryngology (Otolaryngology/Facial Plastic Surgery)
200 MEDICAL CENTER DR, SUITE 2N
HAZARD, KY 41701

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 Hany Oghia's NPI number?

The NPI number for Hany Oghia is 1528067733. It was assigned to this individual provider in the NPPES registry on July 19, 2005.

Where is Hany Oghia located?

Hany Oghia practices at 200 Medical Center Dr, Hazard, KY 41701. The listed phone number is (606) 487-7510.

What is Hany Oghia's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Is Hany Oghia enrolled in Medicare?

Yes. Hany Oghia 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 Hany Oghia accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter of Tennessee and CareSource list Hany Oghia 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 Hany Oghia affiliated with any hospitals?

According to CMS data, Hany Oghia is affiliated with Hazard Arh Regional Medical Center and Mary Breckinridge Arh Hospital.

When was this NPI record last updated?

The NPPES record for Hany Oghia was last updated on July 31, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 days 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.