Jay Richard Lugibihl, D.O.

Individual provider Active NPI Family Medicine Physician · Hanoverton, OH

NPI 1295764280 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1295764280
Entity type
Individual (NPI type 1)
Primary specialty
Family Medicine Physician 207Q00000X
License
34003675L (OH)
Practice address
29627 St. RT. 30
Hanoverton, OH 44423
Phone
(330) 223-1547
Fax
(330) 223-1911
NPI assigned
Jul 2, 2006
Sex
Male
Sole proprietor
No

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 and National Provider Directory roles.

Hospital & facility affiliations 4

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

Medicare Care Compare profile

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 Corporation (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

  • Patriot Homecare, Inc Home health agency · Girard, OH · CCN 368406
  • Akeso Home Health Care Inc Home health agency · Canfield, OH · CCN 368475
  • Salem Regional Medical Center Hospital · Salem, OH · CCN 360185

Merit-based Incentive Payment System (MIPS)

Final score
37.06 of 100 (individual)
Quality
25
Improvement activities
0
Cost
90.19

Medicare participation

Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20070321000390 OH Practitioner - Family Practice 7214030766 Reassigns benefits to 2 organizations

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
34003675LOHMDFamily Medicine Physician

Practice roles

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

Locations

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

Specialties & licenses

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

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

IdentifierTypeStateIssuer
0609023MedicaidOH

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jul 8, 2007.

{
    "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

All providers in Hanoverton, OH · Family Medicine Physician in Ohio

Sources for this page

Verify at the official NPI Registry.