JESSE P HOUGHTON (M.D.) – Gastroenterology Physician, NPI 1457529125
Gastroenterology Physician
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Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
864 GASTROENTEROLOGY in OH
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Provider Addresses for JESSE P HOUGHTON (M.D.)
27th Street, Portsmouth, Scioto County, Ohio, 45662, United States
PORTSMOUTH, OH 456622681
Phone: (740) 356-8681
Fax: (740) 353-7900
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)
CMS reports 4 Open Payments records for all available years, with a total value of $385.
Total Amount is formed as General ($385) + Research ($0) + Ownership ($0) = $385.
Last reported payment date: 2024-11-11 • Largest payer in this snapshot: Ardelyx, Inc. ($115).
Total Amount
$385
General + Research + Ownership
Payments
4
Total payment records
General Amount
$385
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-11
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Ardelyx, Inc. | $115 |
| ABBVIE INC. | $91 |
| GENZYME CORPORATION | $91 |
| Madrigal Pharmaceuticals | $88 |
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: 2012-10-11
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2023-10-31 (955 days ago).
Enrollment records
1
Earliest due date
2023-10-31
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20121011000792 | I | Gastroenterology | OH | 2023-10-31 |
What to do next
- Verify current status on the CMS Revalidation Lookup Tool immediately.
- Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
- Overdue revalidation can lead to deactivation of Medicare billing privileges.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 43239 | Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 250 | 239 | $0 |
| 43450 | Dilation of esophagus | 106 | 100 | $0 |
| 45380 | Biopsy of large bowel using a flexible endoscope | 101 | 101 | $0 |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 74 | 71 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 65 | 52 | $0 |
Insurance plans in this area (ZIP 45662)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| GASTROENTEROLOGY | OH | 45378 | Diagnostic examination of large bowel using an endoscope | 45 | 43 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Psychiatry, Neurology | OH | |
| Physician Assistant | OH | |
| - | OH | |
| N E U R O L O G Y | GA | |
| Nurse Practitioner | OH | |
| Nurse Practitioner | OH | |
| Diagnostic Radiology | NC | |
| P A T H O L O G Y | CA | |
| - | OH | |
| - | OH |
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