DR. KETKI P MOUGEY MD
NPI 1871671024
Family Medicine in Hillard, OH

Active since November 02, 2006PECOS EnrolledAccepts Medicare Assignment
3617 HERITAGE CLUB DR, HILLARD, OH 43026(614) 777-5530(614) 777-6133 Get Directions Write a Review

NPPES record last updated: July 18, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Ketki P Mougey Md NPPES

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

DR. KETKI P MOUGEY MD (NPI 1871671024) is an individual family medicine provider in Hillard, Ohio, licensed in Ohio (35075134) and active in the NPI registry since November 2006. She is enrolled in Medicare PECOS, is affiliated with Mount Carmel St Ann's, and is a graduate of Ohio State University College Of Medicine (1993).

NPPES Registry Identity

NPI1871671024
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. KETKI P MOUGEYCredential: MD
Location Address3617 HERITAGE CLUB DRHillard, OH 43026
Mailing Address3617 Heritage Club DrHillard, OH 43026 · (614) 777-5530 · Fax (614) 777-6133
Fax(614) 777-6133
Sole ProprietorYes
Medical School CMSOhio State University College Of MedicineGraduated 1993
Enumeration DateNovember 2, 2006
Last NPPES UpdateJuly 18, 2010
NPI 1871671024 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in OH · 35075134
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
3617 HERITAGE CLUB DR, Hillard, OH 43026

Other Identifiers 3

Medicare ID-Type UnspecifiedHT4024231OH
Medicare UPINH19651
Medicaid2198349OH

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. Ketki P Mougey 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 ID3375738461
PECOS Enrollment IDI20101115001086
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 7

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.
85 services59 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.
77 services57 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
64 services64 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
27 services26 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
23 services23 patients
Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use 90677
The Pneumococcal Conjugate Vaccine (PCV20) is a shot given to protect against 20 types of bacteria that can cause serious infections like pneumonia and meningitis. It's administered through a muscle, usually in the arm. It's important for overall health.
13 services13 patients

Hospital Affiliations CMS Care Compare 3

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

Mount Carmel St Ann's

Acute Care Hospitals · Westerville, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360012
Location500 South Cleveland AvenueWesterville, OH 43081 · Franklin County
Emergency services Birthing friendly

Mount Carmel East & West

Acute Care Hospitals · Columbus, OH
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360035
Location6001 East Broad StreetColumbus, OH 43213 · Franklin County
Emergency services Birthing friendly

Doctors Hospital

Acute Care Hospitals · Columbus, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number360152
Location5100 West Broad StreetColumbus, OH 43228 · Franklin County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43026 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
Most-billed visit code 99214
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.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
10 suppliers25 claims59 services$5.21 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
5 suppliers12 claims23 services$1.02 avg. paid by Medicare
Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each A4357
DME-Orthotic Devices · category DF000N
2 suppliers11 claims14 services$8.02 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 6

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

Nurse Practitioner (Acute Care)
3617 HERITAGE CLUB DR
HILLIARD, OH 43026
Family Medicine
3617 HERITAGE CLUB DR
HILLIARD, OH 43026
Nurse Practitioner
3617 HERITAGE CLUB DR
HILLIARD, OH 43026
Family Medicine
3617 HERITAGE CLUB DR
HILLIARD, OH 43026
Clinic/Center
3617 HERITAGE CLUB DR
HILLIARD, OH 43026
Family Medicine
3617 HERITAGE CLUB DR
HILLIARD, OH 43026

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 Ketki Mougey's NPI number?

The NPI number for Ketki Mougey is 1871671024. It was assigned to this individual provider in the NPPES registry on November 2, 2006.

Where is Ketki Mougey located?

Ketki Mougey practices at 3617 Heritage Club Dr, Hillard, OH 43026. The listed phone number is (614) 777-5530.

What is Ketki Mougey's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Ketki Mougey enrolled in Medicare?

Yes. Ketki Mougey 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 Ketki Mougey accept?

Health plans from Antidote Health Plan of Ohio, Inc., CareSource, Oscar Health Insurance and UnitedHealthcare list Ketki Mougey 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 Ketki Mougey affiliated with any hospitals?

According to CMS data, Ketki Mougey is affiliated with Mount Carmel St Ann's, Mount Carmel East & West and Doctors Hospital.

When was this NPI record last updated?

The NPPES record for Ketki Mougey was last updated on July 18, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.