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Dr. Ralph Arden Hugunin , MD

Anesthesiology • Marion, OH

Active NPI 1023019437 Individual Practitioner Male Practitioner Accepts Medicare assignment
Practice location in NPPES

1050 Delaware Ave
Marion, OH 433026416

Call 7403837778 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

1050 Delaware Ave

Marion, OH 433026416

Telephone 7403837778
Organization at the Same NPPES Address or Phone
Marion Ancillary Services, Llc Facility NPI 1093718231

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

CMS Doctors and Clinicians lists 2 distinct group names: Anesthesia Dynamics Llc; North Tampa Anesthesia Consultants. See the list

Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File

Medical School

Medical College Of Wisconsin

Graduation Year

1981

Medicare patients

111 people with Original Medicare in 2024

Different Original Medicare patients in 2024; counts below 11 are hidden; this does not show availability or quality.

Source: CMS, Medicare Physician & Other Practitioners – by Provider, 2024.

Medicare-allowed amount

About $2,081 in 2024

The total amount Medicare approved for these services in 2024. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.

What this does not show: Medicare-allowed amount

This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.

Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024.

Paid by Medicare

About $1,658 in 2024

The part of the Medicare-allowed amount that Medicare itself paid in 2024, after patients' deductibles and coinsurance.

What this does not show: Paid by Medicare

This is not the clinician's income and not a measure of quality.

Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024.

Open Payments general payments, program year 2025

All general payments: $58.31 across 3 records.

By nature of payment

  • Food and Beverage: $58.31 across 3 records.

Reporting-company totals

  • VERTEX PHARMACEUTICALS INCORPORATED: $21.29 across 1 record.
  • Boston Scientific Corporation: $18.71 across 1 record.
  • Cook Medical LLC: $18.31 across 1 record.

A reported payment does not necessarily mean the financial relationship is improper and is not a measure of care quality. Clinicians can review and dispute these records.

See the full table

Source: Calculated by T-MedInfo from CMS Open Payments general-payment records for program year 2025 (published June 30, 2026).

Guide: How to read an Open Payments record

Years since graduation

45 years (graduated 1981)

CMS Doctors and Clinicians data list 1981 as the year this clinician finished professional school.

What this does not show: Years since graduation

It is not the number of years in practice, and more years does not mean better care.

Source: CMS Doctors and Clinicians National Downloadable File.

NPI first issued

2005

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Accepts Medicare assignment

CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, “Does your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Dr. Hugunin has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Dr. Hugunin as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Marion and Ohio

Billing and prescribing volume is not a quality rating.

Medicare Part B services

Fewer Medicare Part B services than 80% of clinicians listed under Anesthesiology in Ohio (2024, 1,127 clinicians with data). Median for this group: 96. Middle half: 43 to 190.

Too few clinicians listed under Anesthesiology in Marion have Medicare Part B data for 2024 to compare.

Medicare-allowed amount

A lower Medicare-allowed amount than 85% of clinicians listed under Anesthesiology in Ohio (2024, 1,127 clinicians with data). Median for this group: $10,016. Middle half: $3,956 to $19,472.

Too few clinicians listed under Anesthesiology in Marion have Medicare Part B data for 2024 to compare.

Paid by Medicare

A lower Medicare payment amount than 85% of clinicians listed under Anesthesiology in Ohio (2024, 1,127 clinicians with data). Median for this group: $7,857. Middle half: $3,082 to $15,445.

Too few clinicians listed under Anesthesiology in Marion have Medicare Part B data for 2024 to compare.

13 active clinicians are listed under Anesthesiology with a practice address in Marion, OH (2,070 in Ohio).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Marion

0% of these 13 clinicians have the CMS telehealth indicator.

46.2% of these 13 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Open Payments (2025), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo · Report an error.

Pharma & Medical Device Financial Disclosures

Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments

Open Payments · Program Year 2025
Disclosure Year:

Program year 2025 (payments made January 1 – December 31, 2025): fewer than 11 records totaling $58.31.

Manufacturer Payment Nature Product Type Amount ($)
VERTEX PHARMACEUTICALS INCORPORATED
Food and Beverage
In-kind items and services
JOURNAVX General $21.29
Boston Scientific Corporation
Food and Beverage
In-kind items and services
Axonics General $18.71
Cook Medical LLC
Food and Beverage
Cash or cash equivalent
LITHO 150 General $18.31

Source: CMS Open Payments, program year 2025, released June 30, 2026.

Performed Procedures & Service Volume

Services billed to Original Medicare Part B in 2024.

CMS Part B · Data Year 2024
Reporting Year:

CPT® is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2016–2023 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners – by Provider and Service data, 2017–2024; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.

HCPCS Code Services Patients Submitted Charge Medicare Allowed
64415 Injection of anesthetic agent and/or steroid into arm nerve bundle (brachial plexus)
16 16 $267.81 $70.16
64447 Injection of anesthetic agent and/or steroid into thigh nerve (femoral nerve)
15 15 $498.20 $63.87

Source: CMS Part B by Provider and Service, 2024; services under 11 beneficiaries omitted by CMS. Privacy limits

Submitted charges are billed amounts, not a price quote for your visit.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2025-06-05
Anesthesiology Primary Specialty

NUCC Taxonomy Code: 207L00000X

License # reported to NPPES OH 35078316

An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery.

Anesthesiology

NUCC Taxonomy Code: 207L00000X

License # reported to NPPES FL ME133045

An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: State Medical Board of Ohio.
Look Up on State Board Site

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid ID
2191088 (OH)

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - ANESTHESIOLOGY

Medicare Enrollment ID

I20170925003536

Enrollment State Jurisdiction

FL

PECOS Control ID

6406815612

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Medicare Group Practice Enrollments

Source: CMS Doctors and Clinicians National Downloadable File

North Tampa Anesthesia Consultants

13695 Us Hwy 1, Sebastian, FL 329583230

Phone: 7725893185

Anesthesia Dynamics Llc

110 N Lecanto Hwy, Lecanto, FL 344619190

Phone: 3525271825

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

22 listed
Brian Albany , CRNA

Nurse Anesthetist, Certified Registered

NPI 1710424866

Certified Registered Nurse Anesthetist

Bradley Arnold , CRNA

Nurse Anesthetist, Certified Registered

NPI 1629227509

Certified Registered Nurse Anesthetist

Matthew Baker , CRNA

Nurse Anesthetist, Certified Registered

NPI 1275381303

Certified Registered Nurse Anesthetist

James Beebout , CRNA

Nurse Anesthetist, Certified Registered

NPI 1649201047

Certified Registered Nurse Anesthetist

Robert Bradley , CRNA

Nurse Anesthetist, Certified Registered

NPI 1437183597

Certified Registered Nurse Anesthetist

Lawrence Carlson , CRNA

Nurse Anesthetist, Certified Registered

NPI 1609827401

Certified Registered Nurse Anesthetist

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

7 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 05, 2025

Anesthesiology (license number reported to NPPES: FL ME133045)

✅
NPI Profile Active July 24, 2012

NPI status registered as active in NPPES database

📍
Practice Location (Initial Record) July 24, 2012

Registered at 1050 DELAWARE AVE, MARION, OH 433026416 (Tel: 7403837778)

📍
Business Mailing Address (Initial Record) July 24, 2012

Registered at 1050 DELAWARE AVE, MARION, OH 433026416 (Tel: 7403837778)

👤
Provider Name / Credentials (Initial Record) July 24, 2012

Recorded as RALPH HUGUNIN, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 24, 2012

Anesthesiology (license number reported to NPPES: OH 35078316)

🟢
Initial NPI Registration & Enumeration August 09, 2005

First registered as active Individual Practitioner in NPPES Database.

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