Individual provider Active NPI

Jeremy P Hogan, MD

  • Orthopaedic Surgery Physician
  • Wolfeboro, NH
National Provider Identifier
1205046992
Registry record updated Apr 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
14840 Issued in NH
Practice address
240 S Main St Ste H
Wolfeboro, NH 03894-4411
Phone
(603) 569-7690
Fax
(603) 569-7664
NPI assigned
May 23, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 14840 NH Primary
Pediatric Orthopaedic Surgery Physician 207XP3100X 4301083570 MI
Orthopaedic Surgery Physician 207X00000X ME103929 FL

Addresses

Primary practice location

240 S Main St Ste H
Wolfeboro, NH 03894-4411

Mailing address

240 S Main St Ste H
Wolfeboro, NH 03894-4411
Phone (603) 569-7690

Other identifiers 4

IdentifierTypeStateIssuer
000886300MedicaidFL
9070299OtherFLAENTA
30366OtherFLBCBS
4131100OtherFLCIGNA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address wolfeboroorthopedicsug@gohnh.allscriptsdirect.net Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH
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
I20101005001288 NH Practitioner - Orthopedic Surgery 2062564164 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Huggins HospitalGroup PAC ID 4880504927, 27 clinicians

Practice addresses (Care Compare)

240 S Main St
Wolfeboro, NH 03894-4411

240 So Main St
Wolfeboro, NH 03894
Phone (603) 515-2093

Hospital & facility affiliations

  • Lakes Region Visiting Nurse Association Home health agency, Meredith, NH, CCN 307013
  • Granite Vna, Inc Home health agency, Concord, NH, CCN 307000
  • Cornerstone Vna Home health agency, Rochester, NH, CCN 307022
  • Huggins Hospital Hospital, Wolfeboro, NH, CCN 301312
  • Concord Hospital- Laconia Hospital, Laconia, NH, CCN 300005

Merit-based Incentive Payment System (MIPS)

Final score
65.17 of 100Reported as group
Quality
47.69
Improvement activities
40
Cost
79.8

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement1-10
Knee replacement1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME103929FLMDOrthopaedic Surgery Physician
4301083570MIMDPediatric Orthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Huggins Hospital CurrentSince Apr 1, 2021 Accepting new patients
Catholic Medical Center Current Accepting new patients
Huggins Hospital CurrentSince Apr 1, 2021 Accepting new patients

Locations

27 New Durham Rd
Alton, NH 03809
Phone (603) 875-6151

984 Whittier Hwy
Moultonborough, NH 03254
Phone (603) 476-2216

3 Water Village Rd
Ossipee, NH 03864
Phone (603) 539-6996

577 White Mountain Hwy
Tamworth, NH 03886
Phone (603) 323-3311

240 S Main St
Wolfeboro, NH 03894
Phone (603) 515-2093

240 S Main St
Ste H
Wolfeboro, NH 03894
Phone (603) 569-2251

Interoperability endpoints

  • Direct secure messaging: jeremyhogan@huggins.medalliesdirect.net
  • Direct secure messaging: jeremyhogan@gohnh.allscriptsdirect.net

Organizations & group practices 3

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.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1179878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618963200000",
    "number": "1205046992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "240 S MAIN ST STE H",
            "city": "WOLFEBORO",
            "state": "NH",
            "postal_code": "038944411",
            "telephone_number": "603-569-7690",
            "fax_number": "603-569-7664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240 S MAIN ST STE H",
            "city": "WOLFEBORO",
            "state": "NH",
            "postal_code": "038944411",
            "telephone_number": "603-569-7690",
            "fax_number": "603-569-7664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOGAN",
        "first_name": "JEREMY",
        "middle_name": "P",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-23",
        "last_updated": "2021-04-21",
        "certification_date": "2021-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NH",
            "license": "14840",
            "primary": true
        },
        {
            "code": "207XP3100X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Pediatric Orthopaedic Surgery",
            "state": "MI",
            "license": "4301083570",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "FL",
            "license": "ME103929",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000886300",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AENTA",
            "identifier": "9070299",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "30366",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "4131100",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "wolfeboroorthopedicsug@gohnh.allscriptsdirect.net",
            "affiliation": "N",
            "endpointDescription": "Direct Messaging",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Direct Messaging",
            "address_1": "240 S Main St Ste H",
            "city": "Wolfeboro",
            "state": "NH",
            "country_code": "US",
            "postal_code": "038944411",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Wolfeboro, NH

Sources for this page

Verify at the official NPI Registry.