ALEX JOHN HOGARTH – Physician Assistant, NPI 1053909655

ALEX JOHN HOGARTH is a healthcare provider. based in Traverse city, Michigan. specializing in PHYSICIAN ASSISTANT. They hold a License No. 5601010345 (MI). The NPI Number for ALEX JOHN HOGARTH is 1053909655

Main info

Male
6 Years Of Experience
Accepts Medicare Assignment
Name
ALEX JOHN HOGARTH
NPI
1053909655
Phone
Not provided
Address
1221 6TH ST STE 300
Enumeration Date
8 January 2021
Last Update Date
21 August 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2319358000
Graduation Year
2020 (6 years ago)
PAC ID
1052725629
Group Practice PAC ID
3072426287
Professional Enrollment ID
I20210122002171
Address ID
MI496847823TR1400XDRXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness75
Years active:5State licenses:1Digital endpointsOther names

6,069 PHYSICIAN ASSISTANT in MI

Provider Addresses for ALEX JOHN HOGARTH

  • 1221 6TH ST STE 300

    TRAVERSE CITY, MI 496842360

    Phone:

    Type: Mailing

  • 5087 N Royal Dr Ste B

    Traverse City, MI 496846987

    Phone: (231) 935-0445

    Type: Location

  • 1105 Sixth St

    Traverse City, MI 496842345

    Phone: (231) 935-7514

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2021-01-22

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20210122002171IPhysician AssistantMITBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes1616$0
99221Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes1212$0
View full utilization report →

Insurance plans in this area (ZIP 49684)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3072426287View full group profile

Reviews

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Frequently asked questions

Where can patients find ALEX JOHN HOGARTH's NPI?
You can confirm ALEX JOHN HOGARTH with NPI 1053909655; it appears in the national provider directory.
Does this profile mean ALEX JOHN HOGARTH is currently active?
Yes — ALEX JOHN HOGARTH appears active in the national provider directory.
What field does ALEX JOHN HOGARTH work in?
You can think of ALEX JOHN HOGARTH as practicing within Physician Assistant. Clinical services aligned with this taxonomy classification.
Where is ALEX JOHN HOGARTH's primary listing?
We display Traverse City, Michigan because that is what the record indicates for ALEX JOHN HOGARTH.
Is ALEX JOHN HOGARTH a real provider?
This page reflects official NPPES data for NPI 1053909655. Always confirm identity and privileges with the practice and licensing boards.

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