Individual provider Active NPI

Jay Richard Lugibihl, D.O.

  • Family Medicine Physician
  • Hanoverton, OH
National Provider Identifier
1295764280
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
34003675L Issued in OH
Practice address
29627 St. RT. 30
Hanoverton, OH 44423
Phone
(330) 223-1547
Fax
(330) 223-1911
NPI assigned
Jul 2, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 34003675L OH Primary

Addresses

Primary practice location

29627 St. RT. 30
Hanoverton, OH 44423

Mailing address

29627 St. RT. 30
P.O. Box 195
Hanoverton, OH 44423
Phone (330) 223-1547

Other identifiers 1

IdentifierTypeStateIssuer
0609023MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20070321000390 OH Practitioner - Family Practice 7214030766 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
At Still University of Health Sciences, College of Osteo Med, Kirksville, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
SCH Professional CorporationGroup PAC ID 0941291868, 59 clinicians

Practice addresses (Care Compare)

29627 State Route 30
Hanoverton, OH 44423
Phone (330) 223-1547

29627 State Route 30
P.O. Box 195
Hanoverton, OH 44423-0195

750 E Park Ave
Columbiana, OH 44408-1448
Phone (330) 892-0442

PO Box
Suite 195
Hanoverton, OH 44423

PO Box
Suite 195
Hanoverton, OH 44423-0195

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
37.06 of 100Reported as individual
Quality
25
Improvement activities
0
Cost
90.19

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
34003675LOHMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
SCH Professional Corporation Family Medicine CurrentSince Mar 2, 2026 Accepting new patients
Jay Lugibihl, D.O., Inc. Family Medicine CurrentSince Apr 10, 2008 Accepting new patients

Locations

750 E Park Ave
Columbiana, OH 44408
Phone (330) 337-3332

Organizations & group practices 2

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

Hospital & facility affiliations 4

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": "1151798400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1295764280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29627 ST. RT. 30",
            "address_2": "P.O. BOX 195",
            "city": "HANOVERTON",
            "state": "OH",
            "postal_code": "44423",
            "telephone_number": "330-223-1547",
            "fax_number": "330-223-1911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29627 ST. RT. 30",
            "city": "HANOVERTON",
            "state": "OH",
            "postal_code": "44423",
            "telephone_number": "330-223-1547",
            "fax_number": "330-223-1911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUGIBIHL",
        "first_name": "JAY",
        "middle_name": "RICHARD",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "34003675L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0609023",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hanoverton, OH

Sources for this page

Verify at the official NPI Registry.