DR. JEFFREY JOHN HOULTON MD
NPI 1831351360
Otolaryngology in Charleston, SC

Active since June 26, 2008PECOS EnrolledAccepts Medicare Assignment
9228 MEDICAL PLAZA DR, CHARLESTON, SC 29406(843) 574-5693(843) 764-4512 Get Directions Write a Review

NPPES record last updated: February 21, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Jeffrey John Houlton Md NPPES

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

DR. JEFFREY JOHN HOULTON MD (NPI 1831351360) is an individual otolaryngology provider in Charleston, South Carolina, licensed in South Carolina (35613) and active in the NPI registry since June 2008. He is enrolled in Medicare PECOS, is affiliated with Hca Florida Memorial Hospital, and is a graduate of University Of Texas Medical Branch At Galveston (2008).

NPPES Registry Identity

NPI1831351360
Entity TypeIndividualMale
Primary Taxonomy207Y00000X
Provider Legal NameDR. JEFFREY JOHN HOULTONCredential: MD
Location Address9228 MEDICAL PLAZA DRCharleston, SC 29406-9125
Mailing Address9228 Medical Plaza DrCharleston, SC 29406-9125 · (843) 574-5693 · Fax (843) 764-4512
Fax(843) 764-4512
Sole ProprietorNo
Medical School CMSUniversity Of Texas Medical Branch At GalvestonGraduated 2008
Enumeration DateJune 26, 2008
Last NPPES UpdateFebruary 21, 2024
NPPES CertifiedFebruary 21, 2024
NPI 1831351360 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
License Licensed in SC · 35613
Definition
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
Also ListedOtolaryngology · Plastic Surgery within the Head & NeckTaxonomy 207YX0007X · License 35613 (SC)
9228 MEDICAL PLAZA DR, Charleston, SC 29406

Other Identifiers 1

Medicaid1831351360WA

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

Dr. Jeffrey John Houlton 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 ID648418178
PECOS Enrollment IDI20130806000057, I20250815000971
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 5

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.

Repair of wound by transferring skin, each additional 30.0 sq cm 14302
This procedure involves the transfer of skin from a healthy area to a wounded area, helping in its healing. Each session covers 30.0 sq cm. It's a common method for treating large wounds, burns, or areas with significant tissue damage.
83 services16 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.
25 services17 patients
Repair of wound by transferring skin, 30.1-60.0 sq cm 14301
This procedure involves repairing a wound by moving healthy skin from one area of the body to the wound site. The transferred skin, measuring between 30.1-60.0 square cm, aids in healing and reduces scarring.
17 services16 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.
14 services13 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.
11 services11 patients

Hospital Affiliations CMS Care Compare 2

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

Hca Florida Memorial Hospital

Acute Care Hospitals · Jacksonville, FL
2/5 CMS rating
OwnershipProprietary
CMS Certification Number100179
Location3625 University Blvd SJacksonville, FL 32216 · Duval County
Emergency services Birthing friendly

Trident Medical Center

Acute Care Hospitals · Charleston, SC
3/5 CMS rating
OwnershipProprietary
CMS Certification Number420079
Location9330 Medical Plaza DrCharleston, SC 29406 · Charleston County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29406 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
$124.04 typical visit price
range $53.57 – $163.84
Typical copayment $31.01 (range $13.39 – $40.96)
Most-billed visit code 99204
Established Patient
$67.12 typical visit price
range $16.96 – $133.52
Typical copayment $16.78 (range $4.24 – $33.38)
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.

Referred Medical Equipment & Supplies CMS DME claims 3

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

Tracheostomy tube collar/holder, each A7526
DME-Orthotic Devices · category DF000N
2 suppliers11 claims394 services$3.26 avg. paid by Medicare
Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape B4034
Other-Enteral and Parenteral · category OB006N
1 supplier11 claims305 services$4.14 avg. paid by Medicare
Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit B4152
Other-Enteral and Parenteral · category OB006N
1 supplier24 claims14,854 services$0.37 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.

Radiology (Diagnostic Radiology)
9228 MEDICAL PLAZA DR
CHARLESTON, SC 29406
Dentist (Oral and Maxillofacial Surgery)
9228 MEDICAL PLAZA DR
CHARLESTON, SC 29406
Nurse Practitioner
9228 MEDICAL PLAZA DR
CHARLESTON, SC 29406
Family Medicine
9228 MEDICAL PLAZA DR
CHARLESTON, SC 29406
Speech-Language Pathologist
9228 MEDICAL PLAZA DR
CHARLESTON, SC 29406
Otolaryngology
9228 MEDICAL PLAZA DR
CHARLESTON, SC 29406
Family Medicine
9228 MEDICAL PLAZA DR
CHARLESTON, SC 29406
Oral & Maxillofacial Surgery
9228 MEDICAL PLAZA DR
CHARLESTON, SC 29406

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 Jeffrey Houlton's NPI number?

The NPI number for Jeffrey Houlton is 1831351360. It was assigned to this individual provider in the NPPES registry on June 26, 2008.

Where is Jeffrey Houlton located?

Jeffrey Houlton practices at 9228 Medical Plaza Dr, Charleston, SC 29406. The listed phone number is (843) 574-5693.

What is Jeffrey Houlton's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Is Jeffrey Houlton enrolled in Medicare?

Yes. Jeffrey Houlton 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 Jeffrey Houlton accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee and 5 other insurers list Jeffrey Houlton 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 Jeffrey Houlton affiliated with any hospitals?

According to CMS data, Jeffrey Houlton is affiliated with Hca Florida Memorial Hospital and Trident Medical Center.

When was this NPI record last updated?

The NPPES record for Jeffrey Houlton was last updated on February 21, 2024. 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.