Individual provider Active NPI

John G. Hancox, M.D.

  • MOHS-Micrographic Surgery Physician
  • Morgantown, WV
National Provider Identifier
1104804632
Registry record updated Jan 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
MOHS-Micrographic Surgery PhysicianTaxonomy code 207ND0101X
License
22486 Issued in WV
Practice address
165 Scott Ave
Suite 100
Morgantown, WV 26508-8847
Phone
(304) 554-0400
Fax
(304) 554-0404
NPI assigned
Jan 5, 2006
Sex
Male
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Care Compare profile

Medicare Care Compare
Specialty
Micrographic Dermatologic Surgery (MDS)Also: Dermatology
Education
West Virginia University School of Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mountain State Medical Specialties PLLC 38 clinicians

Practice addresses (Care Compare)

165 Scott Ave
Suite 100And102
Morgantown, WV 26508-8839
Phone (304) 554-0400

Merit-based Incentive Payment System (MIPS)

Final score
90.43 of 100Reported as group
Quality
88.74
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision173
Removal of tissue32
Removal of skin lesions296
Removal of skin cancer1440
Removal of nail tissue1-10
Removal or shaving of skin growth29
Skin biopsy305

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20061006000444 WV Practitioner - Micrographic Dermatologic Surgery (MDS)Practitioner - Dermatology 9436178530 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD430086PAMDMOHS-Micrographic Surgery Physician
22486WVMDMOHS-Micrographic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mountain State Medical Specialties, PLLC Dermatology CurrentSince Jul 1, 2006 Accepting new patients

Locations

120 Medical Park Dr
Ste 200
Bridgeport, WV 26330
Phone (304) 624-7200

125 N 6th St
Clarksburg, WV 26301
Phone (304) 623-6533

165 Scott Ave
Ste 100
Morgantown, WV 26508
Phone (304) 554-0400

76 16th St
Ste 100A
Wheeling, WV 26003
Phone (304) 233-3400

Interoperability endpoints

  • Direct secure messaging: jhancox@msms.emadirect.md

Specialties & licenses 7

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X A90075 CA
MOHS-Micrographic Surgery Physician 207ND0101X MD430086 PA
Dermatology Physician 207N00000X 22486 WV
MOHS-Micrographic Surgery Physician 207ND0101X 22486 WV Primary
Procedural Dermatology Physician 207NS0135X 22486 WV
Dermatology Physician 207N00000X MD430086 PA
Procedural Dermatology Physician 207NS0135X MD430086 PA

Addresses

NPPES NPI Registry

Primary practice location

165 Scott Ave
Suite 100
Morgantown, WV 26508-8847

Mailing address

125 N 6TH St
Clarksburg, WV 26301-2665
Phone (304) 624-7200

Other identifiers 2

NPPES NPI Registry
IdentifierTypeStateIssuer
3810006177MedicaidWV
102138838MedicaidPA

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 23, 2015.

{
    "created_epoch": "1136419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1421971200000",
    "number": "1104804632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 N 6TH ST",
            "city": "CLARKSBURG",
            "state": "WV",
            "postal_code": "263012665",
            "telephone_number": "304-624-7200",
            "fax_number": "304-554-0404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "165 SCOTT AVE",
            "address_2": "SUITE 100",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265088847",
            "telephone_number": "304-554-0400",
            "fax_number": "304-554-0404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANCOX",
        "first_name": "JOHN",
        "middle_name": "G.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-05",
        "last_updated": "2015-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CA",
            "license": "A90075",
            "primary": false
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "PA",
            "license": "MD430086",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "WV",
            "license": "22486",
            "primary": false
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "WV",
            "license": "22486",
            "primary": true
        },
        {
            "code": "207NS0135X",
            "taxonomy_group": "",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "WV",
            "license": "22486",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "PA",
            "license": "MD430086",
            "primary": false
        },
        {
            "code": "207NS0135X",
            "taxonomy_group": "",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "PA",
            "license": "MD430086",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810006177",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102138838",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Morgantown, WV

Sources for this page

Verify at the official NPI Registry.