Active NPI 1467495309 Individual Practitioner Male Practitioner

Dr. John Kelly Hughes , MD

Internal Medicine • Norwalk, OH

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Dr. John Hughes, MD is a certified Internal Medicine practicing in Norwalk, OH. With approximately 32 years of clinical experience since graduating from University Of Toledo College Of Medicine in 1994, Dr. Hughes delivers high-quality medical care to the local community at 280 BENEDICT AVE STE A.

Dr. Hughes is affiliated with Fisher-Titus Medical Care Llc and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include established patient outpatient office visit, visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's, annual depression screening, 5 to. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

280 Benedict Ave Ste A

Norwalk, OH 448572374

Telephone 4196688110

Fax 4196606996

Medicare Profile & Education

Medical School

University Of Toledo College Of Medicine

Graduation Year

1994

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Norwalk, OH

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

32 Yrs +13.5 yrs vs City Avg

City Avg: 18.5 Yrs

State Avg: 26.9 Yrs

Regional Practice Density

2 Specialists

Practicing in Norwalk, OH (5516 Statewide)

Telehealth Adoption Rate

50.0% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

45.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Hughes (32 Years) 32 Yrs

Norwalk Specialty Average (18.5 Years) 18.5 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	1,041	416	$92.36	$92.43
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's	551	320	$38.00	$16.05
G0444 Annual depression screening, 5 to 15 minutes	260	260	$8.14	$8.07
G0442 Annual alcohol misuse screening, 5 to 15 minutes	234	234	$8.00	$8.10
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	151	36	$30.00	$30.31
99213 Established patient office or other outpatient visit, typically 15 minutes	106	84	$69.90	$62.67
G0136 Administration of a standardized, evidence-based social determinants of health risk assessment tool, 5-15 minutes	87	87	$10.00	$8.85
99495 Transitional care management services for problem of at least moderate complexity	34	29	$328.41	$135.76
99497 Advance care planning, first 30 minutes	31	31	$75.03	$70.83
99496 Transitional care management services for problem of high complexity	21	20	$461.24	$184.75
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	21	18	$105.00	$51.16

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	1,087	429	$92.73	$92.03
G0442 Annual alcohol misuse screening, 5 to 15 minutes	223	223	$8.00	$8.03
G0444 Annual depression screening, 5 to 15 minutes	209	209	$8.00	$8.03
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	208	37	$30.00	$30.07
99213 Established patient office or other outpatient visit, typically 15 minutes	104	85	$70.94	$62.22
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	33	31	$105.00	$50.22
99495 Transitional care management services for problem of at least moderate complexity	26	25	$325.00	$137.17
99496 Transitional care management services for problem of high complexity	19	18	$461.47	$186.99
99497 Advance care planning, first 30 minutes	18	18	$72.00	$72.16
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	12	12	$9.00	$8.00

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	1,173	452	$92.88	$92.27
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	188	37	$30.00	$30.11
99213 Established patient office or other outpatient visit, typically 15 minutes	152	118	$66.28	$62.40
G0442 Annual alcohol misuse screening, 5 to 15 minutes	150	150	$8.00	$8.04
G0444 Annual depression screening, 5 to 15 minutes	117	117	$8.00	$8.03
99495 Transitional care management services for problem of at least moderate complexity	46	41	$327.52	$142.14
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	32	32	$105.00	$51.56
99496 Transitional care management services for problem of high complexity	26	22	$459.00	$192.34
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	16	16	$9.00	$8.18
99487 Complex chronic care management services for two or more chronic conditions, first 60 minutes of clinical staff time directed by health care professional, per calendar month	15	15	$48.00	$48.04
99406 Smoking and tobacco use intermediate counseling, greater than 3 minutes up to 10 minutes	11	11	$11.00	$11.10

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	676	421	$90.75	$90.99
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	455	361	$212.10	$124.84
99213 Established patient office or other outpatient visit, typically 15 minutes	144	117	$64.68	$61.91
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	88	25	$29.00	$29.35
99213 Established patient office or other outpatient visit, typically 15 minutes	78	70	$145.13	$89.63
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	62	26	$80.16	$39.92
G0442 Annual alcohol misuse screening, 5 to 15 minutes	60	60	$8.00	$8.12
G0444 Annual depression screening, 5 to 15 minutes	56	56	$8.00	$8.12
G0442 Annual alcohol misuse screening, 5 to 15 minutes	47	47	$44.00	$18.08
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	46	46	$226.00	$124.99
G0444 Annual depression screening, 5 to 15 minutes	41	41	$44.00	$18.08
99442 Telephone medical discussion with physician, 11-20 minutes	27	26	$114.00	$86.80
99495 Transitional care management services for problem of at least moderate complexity	24	22	$321.33	$194.46
99495 Transitional care management services for problem of at least moderate complexity	17	17	$319.00	$143.77
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	17	11	$80.00	$39.93
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	13	13	$103.00	$51.71
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	13	12	$103.00	$51.71
99496 Transitional care management services for problem of high complexity	12	11	$450.00	$195.62
99497 Advance care planning, first 30 minutes	11	11	$168.00	$84.70

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	1,072	453	$212.15	$106.25
99213 Established patient office or other outpatient visit, typically 15 minutes	276	182	$144.99	$73.66
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	256	38	$81.00	$41.09
G0008 Administration of influenza virus vaccine	140	137	$41.00	$16.06
90662 Influenza vaccine split virus, preservative free	131	131	$120.92	$60.98
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	112	112	$227.79	$110.78
99495 Transitional care management services for problem of at least moderate complexity	80	69	$326.00	$175.30
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	47	42	$103.00	$52.26
G0442 Annual alcohol misuse screening, 5 to 15 minutes	46	46	$44.00	$17.51
81003 Automated urinalysis test	42	34	$7.00	$2.23
99442 Telephone medical discussion with physician, 11-20 minutes	41	40	$107.56	$73.39
99496 Transitional care management services for problem of high complexity	38	35	$454.84	$239.28
99306 Initial nursing facility visit, typically 45 minutes per day	27	24	$330.00	$167.27
93000 Routine ekg using at least 12 leads including interpretation and report	23	22	$41.00	$16.61
G0009 Administration of pneumococcal vaccine	21	21	$41.00	$15.98
99441 Telephone medical discussion with physician, 5-10 minutes	18	18	$59.83	$41.18
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	16	15	$285.00	$135.82
99487 Complex chronic care management services for two or more chronic conditions, first 60 minutes of clinical staff time directed by health care professional, per calendar month	16	16	$177.00	$88.50
G0444 Annual depression screening, 5 to 15 minutes	15	15	$44.00	$17.68
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	15	13	$88.33	$44.28
90670 Pneumococcal vaccine for injection into muscle	13	13	$324.00	$225.57
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	12	12	$211.00	$105.19

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	1,095	450	$212.00	$104.84
99213 Established patient office or other outpatient visit, typically 15 minutes	441	260	$144.00	$71.46
G0442 Annual alcohol misuse screening, 5 to 15 minutes	173	173	$41.73	$17.33
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	160	160	$240.25	$111.28
G0008 Administration of influenza virus vaccine	135	132	$41.04	$15.75
G0444 Annual depression screening, 5 to 15 minutes	130	130	$41.37	$17.33
99495 Transitional care management services for problem of at least moderate complexity	118	92	$319.00	$158.75
90662 Influenza vaccine split virus, preservative free	112	112	$133.00	$54.89
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	84	22	$81.00	$40.45
G0009 Administration of pneumococcal vaccine	39	39	$41.46	$15.75
81003 Automated urinalysis test	34	23	$7.00	$2.44
93000 Routine ekg using at least 12 leads including interpretation and report	31	30	$41.00	$16.37
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	26	24	$114.00	$51.52
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	26	26	$180.00	$109.74
99487 Complex chronic care management services for two or more chronic conditions, first 60 minutes of clinical staff time directed by health care professional, per calendar month	25	25	$177.00	$88.06
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	20	20	$60.75	$18.65
99496 Transitional care management services for problem of high complexity	18	17	$450.00	$224.27
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	14	13	$87.00	$43.35
99406 Smoking and tobacco use intermediate counseling, greater than 3 minutes up to 10 minutes	13	13	$29.00	$14.58
90670 Pneumococcal vaccine for injection into muscle	13	13	$324.00	$207.94

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	1,127	459	$183.00	$102.52
99213 Established patient office or other outpatient visit, typically 15 minutes	523	289	$124.00	$69.93
G0442 Annual alcohol misuse screening, 5 to 15 minutes	205	205	$30.00	$17.39
G0008 Administration of influenza virus vaccine	143	143	$42.00	$19.03
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	111	111	$192.00	$111.79
90662 Influenza vaccine split virus, preservative free	110	110	$64.00	$51.35
G0444 Annual depression screening, 5 to 15 minutes	103	103	$30.00	$17.06
G0009 Administration of pneumococcal vaccine	92	90	$42.00	$19.30
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	88	88	$288.00	$162.74
99495 Transitional care management services for problem of at least moderate complexity	84	70	$277.00	$157.54
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	54	54	$156.00	$105.59
81003 Automated urinalysis test	51	37	$7.00	$2.71
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	43	39	$90.00	$51.51
90670 Pneumococcal vaccine for injection into muscle	38	38	$308.00	$197.79
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	30	30	$39.00	$18.65
93000 Routine ekg using at least 12 leads including interpretation and report	21	21	$29.00	$15.63
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	20	18	$229.00	$127.24
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	19	18	$74.00	$41.93
99406 Smoking and tobacco use intermediate counseling, greater than 3 minutes up to 10 minutes	16	16	$24.00	$14.03

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	1,233	506	$183.00	$102.13
99213 Established patient office or other outpatient visit, typically 15 minutes	504	279	$124.00	$69.88
G0008 Administration of influenza virus vaccine	161	160	$42.00	$23.76
G0442 Annual alcohol misuse screening, 5 to 15 minutes	124	124	$30.00	$17.01
81003 Automated urinalysis test	109	92	$7.00	$2.97
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	88	88	$288.00	$161.66
99495 Transitional care management services for problem of at least moderate complexity	87	72	$277.00	$155.98
G0009 Administration of pneumococcal vaccine	84	83	$42.00	$23.76
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	69	69	$39.00	$18.11
90670 Pneumococcal vaccine for injection into muscle	69	69	$308.00	$184.68
85610 Blood test, clotting time	65	12	$11.00	$5.28
90662 Influenza vaccine split virus, preservative free	64	64	$64.00	$48.05
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	47	39	$90.00	$51.35
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	44	44	$192.00	$108.18
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	38	15	$156.00	$88.41
G0444 Annual depression screening, 5 to 15 minutes	37	37	$30.00	$17.01
93000 Routine ekg using at least 12 leads including interpretation and report	37	35	$29.00	$16.17
99496 Transitional care management services for problem of high complexity	34	32	$392.00	$220.74
Q2038 Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluzone)	33	33	$25.00	$11.80
82044 Urine microalbumin (protein) analysis	32	32	$13.00	$5.46
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	31	11	$42.00	$23.90
87804 Detection test by immunoassay with direct visual observation for influenza virus	23	12	$33.00	$16.11
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	18	16	$229.00	$126.53
99306 Initial nursing facility visit, typically 45 minutes per day	15	13	$290.00	$162.09
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	14	14	$156.00	$96.87
99315 Nursing facility discharge day management, 30 minutes or less	11	11	$126.00	$71.04

Medical Specialties & State Licenses

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License OH 35069158

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

2076408 (OH)

Commercial Insurance / Payer ID Medicare Ptan

0866154 (OH)

Hospital & Practice Group Affiliations

Fisher-Titus Medical Care Llc

280 Benedict Ave, Norwalk, OH 448572374

Phone: 4196688110

Secondary Practice Locations

24 Executive Dr

Norwalk, OH 448572421

Phone: 4196638808

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

5 Associated Practitioners

Dr. Scott Kaple , DO

Family Medicine

NPI 1144318551

Doctor of Osteopathic Medicine (D.O.)

Sahar Bakhsh

Family Medicine

NPI 1205586690

Jacob Sosinski , FNP-C

Nurse Practitioner - Family

NPI 1326875733

Family Nurse Practitioner (Certified)

Jaclynn Missler , MSN, APRN, FNP-C

Nurse Practitioner - Family

NPI 1407526338

Master of Science in Nursing, Advanced Practice Registered Nurse, Family Nurse Practitioner (Certified)

Dr. Robert Cromley , DO

Family Medicine

NPI 1447526983

Doctor of Osteopathic Medicine (D.O.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

11 Historical Events

✅

NPI Profile Active October 19, 2017

NPI status registered as active in NPPES database

📍

Updated Practice Location October 19, 2017

Registered at 280 BENEDICT AVE STE A, NORWALK, OH 448572374 (Tel: 4196688110)

📍

Updated Business Mailing Address October 19, 2017

Registered at 280 BENEDICT AVE STE A, NORWALK, OH 448572374 (Tel: 4196688110)

👤

Provider Name / Credentials Updated October 19, 2017

Recorded as JOHN HUGHES, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) October 19, 2017

Internal Medicine (License #35069158 in OH)

✅

NPI Profile Active August 12, 2014

NPI status registered as active in NPPES database

📍

Updated Practice Location August 12, 2014

Registered at 24 EXECUTIVE DR, NORWALK, OH 448572421 (Tel: 4196638808)

📍

Updated Business Mailing Address August 12, 2014

Registered at 24 EXECUTIVE DR, NORWALK, OH 448572421 (Tel: 4196638808)

👤

Provider Name / Credentials Updated August 12, 2014

Recorded as JOHN HUGHES, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) August 12, 2014

Internal Medicine (License #35069158 in OH)

🟢

Initial NPI Registration & Enumeration June 14, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1467495309

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: June 14, 2006

Last Update: March 17, 2018

Sole Proprietor: No

Update or Correct Profile

Mailing Address

280 Benedict Ave Ste A

Norwalk, OH 448572374

Phone: 4196688110

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.