JOHN W BABYAK JR. M.D.
NPI 1891880597
Otolaryngology in Youngstown, OH
About John W Babyak Jr. M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JOHN W BABYAK JR. M.D. (NPI 1891880597) is an individual otolaryngology provider in Youngstown, Ohio, licensed in Ohio (35.056872) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS, is affiliated with St Elizabeth Youngstown Hospital, and is a graduate of University Of Michigan Medical School (1982).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 15
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
John W Babyak Jr. 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.
Medicare Billing Reassignment
Medicare enrollment records show John Babyak reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Youngstown, OH 44512
- Reassigned Medicare billing, Ohio enrollment
- 317 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 11
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.
Hospital Affiliations CMS Care Compare 4
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
St Elizabeth Youngstown Hospital
Acute Care Hospitals · Youngstown, OHSalem Regional Medical Center
Acute Care Hospitals · Salem, OHHmhp St Elizabeth Boardman Health Center
Acute Care Hospitals · Boardman, OHSurgical Hospital At Southwoods
Acute Care Hospitals · Youngstown, OHPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 44512 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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.
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 Babyak's NPI number?
The NPI number for John Babyak is 1891880597. It was assigned to this individual provider in the NPPES registry on October 4, 2006.
Where is John Babyak located?
John Babyak practices at 7227 Glenwood Ave, Youngstown, OH 44512. The listed phone number is (330) 629-2144.
What is John Babyak's specialty?
The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.
Is John Babyak enrolled in Medicare?
Yes. John Babyak 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.
Which organization bills Medicare for John Babyak's services?
According to the CMS Revalidation Reassignment List (October 2026 release), John Babyak reassigns Medicare benefits to Triad Health Services, LLC (Youngstown, OH). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for John Babyak's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does John Babyak accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 2 other insurers list John Babyak 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 Babyak affiliated with any hospitals?
According to CMS data, John Babyak is affiliated with St Elizabeth Youngstown Hospital, Salem Regional Medical Center, Hmhp St Elizabeth Boardman Health Center and Surgical Hospital At Southwoods.
When was this NPI record last updated?
The NPPES record for John Babyak was last updated on August 21, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.
# John W Babyak Jr., M.D. · NPI 1891880597
Otolaryngology physician in Youngstown, Ohio. Individual provider, active in the CMS NPPES registry since October 4, 2006.
## Identity
- **NPI:** 1891880597 (Entity type: Individual)
- **Enumerated:** October 4, 2006
- **Primary specialty:** Otolaryngology · taxonomy 207Y00000X
- **State license:** 35.056872 (Ohio)
- **Sole proprietor:** No
## Practice location
- **Address:** 7227 GLENWOOD AVE, Youngstown, OH 44512-4853
- **Phone:** (330) 629-2144 · **Fax:** (330) 629-2140
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Triad Health Services, LLC (NPI 1588925457, Youngstown, OH), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Michigan Medical School, class of 1982
## Record status
- **NPPES last updated:** August 21, 2007
- **Other identifiers:** Other 000000127503; Other 0820624 (OH); Other 000000127503 (OH); and 12 more
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Source: [NPI Profile](https://npiprofile.com/npi/1891880597) · Data from the CMS NPPES public registry.