Active NPI
Jeremy P Hogan, MD
- Orthopaedic Surgery Physician
- Wolfeboro, NH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- 14840
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000886300 | Medicaid | FL | |
| 9070299 | Other | FL | AENTA |
| 30366 | Other | FL | BCBS |
| 4131100 | Other | FL | CIGNA |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
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
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
- Granite Vna, Inc
- Cornerstone Vna
- Huggins Hospital
- Concord Hospital- Laconia
Merit-based Incentive Payment System (MIPS)
- Final score
- 65.17 of 100
- Quality
- 47.69
- Improvement activities
- 40
- Cost
- 79.8
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Hip replacement | 1-10 |
| Knee replacement | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME103929 | FL | MD | Orthopaedic Surgery Physician |
| 4301083570 | MI | MD | Pediatric Orthopaedic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Huggins Hospital | Current | Accepting new patients | |
| Catholic Medical Center | Current | Accepting new patients | |
| Huggins Hospital | Current | 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
- jeremyhogan@huggins.medalliesdirect.net
- 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.
-
- Critical Access Hospital
- Wolfeboro, NH
- NPI 1366476079
-
- Cardiovascular Disease Physician
- Manchester, NH
- NPI 1386672319
-
- Hematology & Oncology Physician
- Wolfeboro, NH
- NPI 1942018353
Hospital & facility affiliations 8
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Laconia, NH
- NPI 1053495234
-
- Home Health Agency
- Rochester, NH
- NPI 1508829045
-
- Home Health Agency
- Concord, NH
- NPI 1164425583
-
- Critical Access Hospital
- Wolfeboro, NH
- NPI 1366476079
-
- Home Health Agency
- Meredith, NH
- NPI 1912906959
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.