JOHN LUDLOW MD
NPI 1710927728
Urology in Holland, MI

Active since June 07, 2006PECOS EnrolledAccepts Medicare Assignment
95.39/100
CMS Quality Rating
577 MICHIGAN AVE, SUITE 201, HOLLAND, MI 49423(616) 392-1816(616) 392-1292 Get Directions Write a Review

NPPES record last updated: November 21, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About John Ludlow Md NPPES

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

JOHN LUDLOW MD (NPI 1710927728) is an individual urology provider in Holland, Michigan, licensed in Michigan (4301072083) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Holland Community Hospital, and is a graduate of Other (1990).

NPPES Registry Identity

NPI1710927728
Entity TypeIndividualMale
Primary Taxonomy208800000X
Provider Legal NameJOHN LUDLOWCredential: MD
Location Address577 MICHIGAN AVE, SUITE 201Holland, MI 49423-4911
Mailing AddressPo Box 77000, Dept # 771412Detroit, MI 48277-1412 · (616) 392-1816 · Fax (616) 392-1292
Fax(616) 392-1292
Sole ProprietorNo
Medical School CMSOtherGraduated 1990
Enumeration DateJune 7, 2006
Last NPPES UpdateNovember 21, 2023
NPPES CertifiedNovember 21, 2023
NPI 1710927728 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
Licenses Licensed in MI · 4301072083 Licensed in MN · 75601
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.
577 MICHIGAN AVE, Holland, MI 49423

Other Identifiers 1

Other1952507444Group Npi

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

John Ludlow 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 ID4880608330
PECOS Enrollment IDI20060203000406, I20240823000270
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 4

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.

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
39 services39 patients
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.
38 services34 patients
Diagnostic exam of bladder and urethra using an endoscope 52000
This procedure involves using a thin, flexible tube with a light, called an endoscope, to examine the bladder and urethra. It helps in identifying any abnormalities or issues that may be causing discomfort or other symptoms.
25 services24 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.
22 services21 patients

Hospital Affiliations CMS Care Compare 4

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

Holland Community Hospital

Acute Care Hospitals · Holland, MI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230072
Location602 Michigan AveHolland, MI 49423 · Ottawa County
Emergency services Birthing friendly

Sidney Health Center

Critical Access Hospitals · Sidney, MT
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number271344
Location216 14th Ave SWSidney, MT 59270 · Richland County
Emergency services Birthing friendly

Trinity Hospitals

Acute Care Hospitals · Minot, ND
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number350006
Location407 3rd St SEMinot, ND 58701 · Ward County
Emergency services Birthing friendly

Mckenzie County Healthcare Systems Inc

Critical Access Hospitals · Watford City, ND
OwnershipVoluntary non-profit - Private
CMS Certification Number351302
Location709 4th Ave NEWatford City, ND 58854 · Mckenzie County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49423 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
$126.15 typical visit price
range $54.34 – $166.68
Typical copayment $31.53 (range $13.58 – $41.67)
Most-billed visit code 99204
Established Patient
$68.07 typical visit price
range $17.09 – $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.

95.39/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality82.76
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 2

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

Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each A4351
DME-Orthotic Devices · category DF008N
5 suppliers63 claims7,042 services$1.66 avg. paid by Medicare
Lubricant, per ounce A4402
DME-Orthotic Devices · category DF010N
5 suppliers55 claims275 services$1.41 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 20

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

Surgery
577 MICHIGAN AVE, SUITE 202
HOLLAND, MI 49423
Physician Assistant
577 MICHIGAN AVE
HOLLAND, MI 49423
Audiologist
577 MICHIGAN AVE, SUITE 101
HOLLAND, MI 49423
Dentist (Endodontics)
577 MICHIGAN AVE, SUITE 102
HOLLAND, MI 49423
Otolaryngology
577 MICHIGAN AVE, SUITE 101
HOLLAND, MI 49423
Psychiatry & Neurology (Neurology)
577 MICHIGAN AVE, SUITE 101
HOLLAND, MI 49423
Urology
577 MICHIGAN AVE, SUITE 201
HOLLAND, MI 49423
Surgery
577 MICHIGAN AVE, SUITE 202
HOLLAND, MI 49423

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 Ludlow's NPI number?

The NPI number for John Ludlow is 1710927728. It was assigned to this individual provider in the NPPES registry on June 7, 2006.

Where is John Ludlow located?

John Ludlow practices at 577 Michigan Ave Suite 201, Holland, MI 49423. The listed phone number is (616) 392-1816.

What is John Ludlow's specialty?

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

Is John Ludlow enrolled in Medicare?

Yes. John Ludlow 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 Ludlow accept?

Health plans from Blue Cross Blue Shield of North Dakota, HealthPartners, Medica, Priority Health and Sanford Health Plan and 1 other insurer list John Ludlow 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 Ludlow affiliated with any hospitals?

According to CMS data, John Ludlow is affiliated with Holland Community Hospital, Sidney Health Center, Trinity Hospitals and Mckenzie County Healthcare Systems Inc.

When was this NPI record last updated?

The NPPES record for John Ludlow was last updated on November 21, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.