MR. GARY ROBERT HUSTON (DO) – Family Medicine Physician, NPI 1104836881

MR. GARY ROBERT HUSTON (DO) is a healthcare provider. based in Conneaut, Ohio. specializing in GENERAL PRACTICE. They hold the professional credentials DO. They hold a License No. 34004562 (OH). The NPI Number for MR. GARY ROBERT HUSTON (DO) is 1104836881

Main info

Male
40 Years Of Experience
Accepts Medicare Assignment
Name
MR. GARY ROBERT HUSTON (DO)
NPI
1104836881
Phone
(440) 593-6551
Address
177 WEST ST
Enumeration Date
8 August 2006
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
OHIO UNIVERSITY, COLLEGE OF OSTEOPATHIC MEDICINE
Secondary Phone
4405936551
Graduation Year
1986 (40 years ago)
PAC ID
5294863726
Professional Enrollment ID
I20100504000635
Address ID
OH440302153CO177XXSTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

150 GENERAL PRACTICE in OH

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Provider Addresses for MR. GARY ROBERT HUSTON (DO)

  • 177, West Street, Conneaut, Ashtabula County, Ohio, 44030, United States

    CONNEAUT, OH 44030

    Phone: (440) 593-6551

    Fax: (440) 593-6522

    Mailing address matches the actual address.

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: 2010-05-04

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
I20100504000635IGeneral PracticeOHTBD

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
99308Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes1,116196$0
99305Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes251231$0
99213Established patient office or other outpatient visit, 20-29 minutes203135$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit121121$0
99347Residence visit for established patient with straightforward medical decision making, per day, if using time, at least 15 minutes8018$0
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Insurance plans in this area (ZIP 44030)

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Reviews

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Frequently asked questions

Can I verify MR. GARY ROBERT HUSTON (DO) with an NPI only?
You can start verification with NPI 1104836881 for MR. GARY ROBERT HUSTON (DO), then check state licensing separately.
Does CMS list MR. GARY ROBERT HUSTON (DO) as active?
Yes — MR. GARY ROBERT HUSTON (DO) is active in the NPI listing used on this page.
What is MR. GARY ROBERT HUSTON (DO)'s specialty?
The listing groups MR. GARY ROBERT HUSTON (DO) with Family Medicine Physician. Clinical services aligned with this taxonomy classification.
What area does MR. GARY ROBERT HUSTON (DO) serve?
MR. GARY ROBERT HUSTON (DO)'s listing highlights Conneaut, Ohio; more addresses can appear in NPPES.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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