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JOHN M HAWKINS MD
NPI 1669480687
Psychiatry & Neurology - Psychiatry in Cincinnati, OH

Active since August 04, 2006PECOS EnrolledAccepts Medicare Assignment
85.49/100
CMS Quality Rating
237 WILLIAM HOWARD TAFT RD FL 2, CINCINNATI, OH 45219(513) 263-9157(513) 263-8638 Get Directions Write a Review

NPPES record last updated: October 19, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Oct 19, 2020, Jan 20, 2016, Dec 21, 2015 (3 updates tracked since 2015).

About John M Hawkins Md NPPES

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

JOHN M HAWKINS MD (NPI 1669480687) is an individual psychiatry provider in Cincinnati, Ohio, licensed in Ohio (35065250) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS and is a graduate of Medical College Of Wisconsin (1991).

NPPES Registry Identity

NPI1669480687
Entity TypeIndividualMale
Primary Taxonomy2084P0800X
Provider Legal NameJOHN M HAWKINSCredential: MD
Location Address237 WILLIAM HOWARD TAFT RD FL 2Cincinnati, OH 45219-2610
Mailing Address237 William Howard Taft Rd Fl 2Cincinnati, OH 45219-2610 · (513) 263-9157 · Fax (513) 263-8638
Phone(513) 263-9157
Fax(513) 263-8638
Sole ProprietorNo
Medical School CMSMedical College Of WisconsinGraduated 1991
Enumeration DateAugust 4, 2006
Last NPPES UpdateOctober 19, 20203 updates tracked since enumeration
NPPES CertifiedOctober 19, 2020
✔ NPI 1669480687 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License✔ Licensed in OH · 35065250
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
237 WILLIAM HOWARD TAFT RD FL 2, Cincinnati, OH 45219
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Other Identifiers 3

Other000000036059OH · Anthem
Medicaid0137515OH
Other271258000Magellan

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, MedMutual, Oscar Health Insurance 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

John M Hawkins 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 ID6305912346
PECOS Enrollment IDI20080827000584
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 2

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.
72 services30 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
17 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45219 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.

85.49/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality91.06
Promoting Interoperability100
Improvement Activities40
Cost60.59

Other Providers at the Same Location NPPES

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

DR. HARLEY A GRIM MD
Obstetrics & Gynecology
237 WILLIAM HOWARD TAFT RD FL 2
CINCINNATI, OH 45219
Hamilton County (513) 931-3400

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 Hawkins's NPI number?

The NPI number for John Hawkins is 1669480687. It was assigned to this individual provider in the NPPES registry on August 4, 2006.

Where is John Hawkins located?

John Hawkins practices at 237 William Howard Taft Rd Fl 2, Cincinnati, OH 45219. The listed phone number is (513) 263-9157.

What is John Hawkins's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is John Hawkins enrolled in Medicare?

Yes. John Hawkins 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 Hawkins accept?

Health plans from CareSource, MedMutual, Oscar Health Insurance, Oscar Insurance Corporation of Ohio and UnitedHealthcare list John Hawkins 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 Hawkins was last updated on October 19, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.