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JOHN W BABYAK JR. M.D.
NPI 1891880597
Otolaryngology in Youngstown, OH

Active since October 04, 2006PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
7227 GLENWOOD AVE, YOUNGSTOWN, OH 44512(330) 629-2144(330) 629-2140 Get Directions Write a Review

NPPES record last updated: August 21, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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

NPI1891880597
Entity TypeIndividualMale
Primary Taxonomy207Y00000X
Provider Legal NameJOHN W BABYAK JR.Credential: M.D.
Location Address7227 GLENWOOD AVEYoungstown, OH 44512-4853
Mailing Address7227 Glenwood AveYoungstown, OH 44512-4853 · (330) 629-2144 · Fax (330) 629-2140
Phone(330) 629-2144
Fax(330) 629-2140
Sole ProprietorNo
Medical School CMSUniversity Of Michigan Medical SchoolGraduated 1982
Enumeration DateOctober 4, 2006
Last NPPES UpdateAugust 21, 2007
✔ NPI 1891880597 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
License✔ Licensed in OH · 35.056872
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.
7227 GLENWOOD AVE, Youngstown, OH 44512
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Other Identifiers 15

Other000000127503Unicare
Other0820624OH · Bcmh
Other000000127503OH · Anthem
Medicare PINBA0613923
Other1530383Gateway
Other1826671008OH · Cigna
Medicare PINBA0613922OH
OtherZ56872Summacare
Other529878Keystone Health Plan
Other341112079026Caresource
Other10-00008OH · Uhc Pin
Other171421Unison
Medicare UPINA17370OH
OtherQ004869Hometown
Medicaid0820624OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource, MedMutual and more.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 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.

PECOS PAC ID9436052131
PECOS Enrollment IDI20040922000596
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 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.

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.
554 services327 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.
229 services140 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
182 services182 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
71 services71 patients
Comprehensive hearing and speech recognition test 92557
A comprehensive hearing and speech recognition test assesses your ability to hear and understand spoken words. It includes hearing tests to check for issues with sound perception and speech tests to evaluate your word recognition. It's a crucial step in identifying any hearing or speech problems.
34 services34 patients
Diagnostic exam of voice box using a flexible endoscope 31575
This procedure involves a doctor examining your voice box using a flexible endoscope, a thin tube with a light and camera. It's inserted through your nose or mouth to visualize your throat area. It helps detect any abnormalities in your voice box, ensuring optimal vocal health.
31 services30 patients

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, OH
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number360064
Location1044 Belmont AvenueYoungstown, OH 44501 · Mahoning County
Emergency services

Salem Regional Medical Center

Acute Care Hospitals · Salem, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360185
Location1995 East State StreetSalem, OH 44460 · Columbiana County
Emergency services

Hmhp St Elizabeth Boardman Health Center

Acute Care Hospitals · Boardman, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number360276
Location8401 Market StreetBoardman, OH 44512 · Mahoning County
Emergency services Birthing friendly

Surgical Hospital At Southwoods

Acute Care Hospitals · Youngstown, OH
5/5 CMS rating
OwnershipProprietary
CMS Certification Number360352
Location7630 Southern BlvdYoungstown, OH 44512 · Mahoning County

Physician 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.

New Patient
$126.12 typical visit price
range $54.34 – $166.65
Typical copayment $31.53 (range $13.58 – $41.66)
Most-billed visit code 99204
Established Patient
$68.07 typical visit price
range $17.10 – $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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability100
Improvement Activities40

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.

LEAH C FREDERICK-TOTH AU.D.
Audiologist
7227 GLENWOOD AVE
YOUNGSTOWN, OH 44512
Mahoning County (330) 629-2144
EUGENE L POTESTA JR. M.D.
Otolaryngology
7227 GLENWOOD AVE
YOUNGSTOWN, OH 44512
Mahoning County (330) 629-2144
ANA MASSIELLO AUD
Audiologist
7227 GLENWOOD AVE
YOUNGSTOWN, OH 44512
Mahoning County (330) 629-2144
FIFTH AVENUE OTOLARYNGOLOGISTS, INC.
Otolaryngology
7227 GLENWOOD AVE
YOUNGSTOWN, OH 44512
Mahoning County (330) 629-2144
REGINA A WENDEL AU.D.
Audiologist
7227 GLENWOOD AVE
YOUNGSTOWN, OH 44512
Mahoning County (330) 629-2144
MRS. DEBORAH KAY YAICH AUD
Audiologist
7227 GLENWOOD AVE
YOUNGSTOWN, OH 44512
Mahoning County (330) 629-2144

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.

What insurance does John Babyak accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource, MedMutual, Molina Healthcare and UnitedHealthcare 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.