1. Home
  2. Directory
  3. Kentucky
  4. Lexington
  5. Colon Rectal Surgery
  6. NPI Profile

DR. JON STUART HOURIGAN M.D.
NPI 1811010531
Colon & Rectal Surgery in Lexington, KY

Active since April 09, 2007PECOS EnrolledAccepts Medicare Assignment
79.84/100
CMS Quality Rating
800 ROSE STREET, DEPARTMENT OF SURGERY, ROOM C225, LEXINGTON, KY 40536(859) 323-6346(859) 323-6840 Get Directions Write a Review

NPPES record last updated: March 7, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Jon Stuart Hourigan M.d. NPPES

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

DR. JON STUART HOURIGAN M.D. (NPI 1811010531) is an individual colon & rectal surgery provider in Lexington, Kentucky, licensed in Kentucky (41488) and active in the NPI registry since April 2007. He is enrolled in Medicare PECOS, is affiliated with St Claire Regional Medical Center, and is a graduate of East Tennessee State University Quillen College Of Medicine (2000).

NPPES Registry Identity

NPI1811010531
Entity TypeIndividualMale
Primary Taxonomy208C00000X
Provider Legal NameDR. JON STUART HOURIGANCredential: M.D.
Location Address800 ROSE STREET, DEPARTMENT OF SURGERY, ROOM C225Lexington, KY 40536-0293
Mailing Address800 Rose Street, Department Of Surgery, Room C225Lexington, KY 40536-0293 · (859) 323-6346 · Fax (859) 323-6840
Phone(859) 323-6346
Fax(859) 323-6840
Sole ProprietorNo
Medical School CMSEast Tennessee State University Quillen College Of MedicineGraduated 2000
Enumeration DateApril 9, 2007
Last NPPES UpdateMarch 7, 2018
✔ NPI 1811010531 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyColon & Rectal SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208C00000X
License✔ Licensed in KY · 41488
Definition
A colon and rectal surgeon is trained to diagnose and treat various diseases of the intestinal tract, colon, rectum, anal canal and perianal area by medical and surgical means. This specialist also deals with other organs and tissues (such as the liver, urinary and female reproductive system) involved with primary intestinal disease.
Also ListedSurgeryTaxonomy 208600000X · License 41488 (KY)
800 ROSE STREET, DEPARTMENT OF SURGERY, Lexington, KY 40536
Open in Google Maps ↗

Other Identifiers 1

Medicaid7100012110KY

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. Jon Stuart Hourigan 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 ID1052405289
PECOS Enrollment IDI20070919000599
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 10

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
42 services22 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.
39 services27 patients
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.
36 services36 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
17 services15 patients
Biopsy of large bowel using a flexible endoscope 45380
A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.
15 services15 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
15 services15 patients

Hospital Affiliations CMS Care Compare 3

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

St Claire Regional Medical Center

Acute Care Hospitals · Morehead, KY
3/5 CMS rating
OwnershipGovernment - Federal
CMS Certification Number180018
Location222 Medical CircleMorehead, KY 40351 · Rowan County
Emergency services Birthing friendly

University Of Kentucky Hospital

Acute Care Hospitals · Lexington, KY
3/5 CMS rating
OwnershipGovernment - State
CMS Certification Number180067
Location800 Rose StreetLexington, KY 40536 · Fayette County
Emergency services Birthing friendly

Clark Regional Medical Center

Acute Care Hospitals · Winchester, KY
3/5 CMS rating
OwnershipProprietary
CMS Certification Number180092
Location175 Hospital DriveWinchester, KY 40391 · Clark County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40536 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
$82.24 typical visit price
range $52.76 – $162.27
Typical copayment $20.56 (range $13.19 – $40.56)
Most-billed visit code 99203
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.

79.84/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality58.43
Promoting Interoperability84
Improvement Activities40
Cost71.06

Referred Medical Equipment & Supplies CMS DME claims 8

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

Skin barrier; solid, 4 x 4 or equivalent; each A4362
DME-Orthotic Devices · category DF010N
5 suppliers19 claims500 services$2.97 avg. paid by Medicare
Ostomy skin barrier, powder, per oz A4371
DME-Orthotic Devices · category DF010N
1 supplier16 claims20 services$3.53 avg. paid by Medicare
Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each A4385
DME-Orthotic Devices · category DF010N
7 suppliers47 claims1,280 services$4.92 avg. paid by Medicare
Ostomy deodorant, with or without lubricant, for use in ostomy pouch, per fluid ounce A4394
DME-Orthotic Devices · category DF010N
5 suppliers37 claims720 services$2.47 avg. paid by Medicare
Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, 4 x 4 inches or smaller, each A4409
DME-Orthotic Devices · category DF010N
7 suppliers55 claims1,555 services$5.81 avg. paid by Medicare
Ostomy pouch, drainable; for use on barrier with non-locking flange, with filter (2 piece system), each A4425
DME-Orthotic Devices · category DF010N
8 suppliers65 claims1,820 services$3.37 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Jon Hourigan's NPI number?

The NPI number for Jon Hourigan is 1811010531. It was assigned to this individual provider in the NPPES registry on April 9, 2007.

Where is Jon Hourigan located?

Jon Hourigan practices at 800 Rose Street, Department Of Surgery Room C225, Lexington, KY 40536. The listed phone number is (859) 323-6346.

What is Jon Hourigan's specialty?

The primary specialty registered for this NPI is Colon & Rectal Surgery with taxonomy code 208C00000X.

Is Jon Hourigan enrolled in Medicare?

Yes. Jon Hourigan 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.

Is Jon Hourigan affiliated with any hospitals?

According to CMS data, Jon Hourigan is affiliated with St Claire Regional Medical Center, University Of Kentucky Hospital and Clark Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Jon Hourigan was last updated on March 7, 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.