JOSEPH B HESS MD NPI 1023301371

Family Medicine in Huntington, WV

NPI 1023301371 Individual Male Years of Experience 10 Family Medicine PECOS Enrolled Accepts Medicare Approved Payment Medicare Quality Reporting

About JOSEPH HESS

Joseph Hess is a primary care provider established in Huntington, West Virginia and his medical specialization is family medicine with more than 10 years of experience. The NPI number of Joseph Hess is 1023301371 and was assigned on May 2011. The practitioner's primary taxonomy code is 207Q00000X with license number 25800 (WV). The provider is registered as an individual and his NPI record was last updated 2 years ago.

A primary care provider (PCP) like Joseph B Hess Md sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc

Joseph Hess is enrolled in PECOS and is eligible to order or refer healthcare services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices

Joseph Hess is registered with Medicare and accepts claims assignment, this means the provider accepts Medicare's approved amount for the cost of rendered services as full payment. Participating providers may not charge Medicare beneficiaries more than Medicare's approved amount for their services. Medicare beneficiaries still have to pay a coinsurance or copayment amount for a visit or service. According to Medicare claims data he has hospital affiliations with Thomas Memorial Hospital and Charleston Area Medical Center.

The provider participated in Medicare's Quality Payment Program and the following quality measures were reported: care plan. The Quality Payment Program aims to improve population health, reduce costs and improve the care received by Medicare beneficiaries.

NPI

1023301371

Provider Name JOSEPH B HESS MD
Provider Location Address1600 MEDICAL CENTER DR 1500 HUNTINGTON, WV 25701
Provider Mailing Address1600 MEDICAL CENTER DR 1500 HUNTINGTON, WV 25701
GenderMale
NPI Entity TypeIndividual
Medical School NameOTHER
Graduation Year2011
Is Sole Proprietor?No
Is Organization Subpart?N/A
Enumeration Date05-19-2011
Last Update Date08-21-2019


Primary Taxonomy

Taxonomy Code207Q00000X
ClassificationFamily Medicine
TypeAllopathic & Osteopathic Physicians
License No.25800
License StateWV
Taxonomy DescriptionFamily Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Business Address

JOSEPH B HESS MD
1600 MEDICAL CENTER DR
1500
HUNTINGTON, WV
ZIP 25701
Phone: (304) 691-1100
Fax: (304) 691-1153

Get Directions


Mailing Address

JOSEPH B HESS MD
1600 MEDICAL CENTER DR
1500
HUNTINGTON, WV
ZIP 25701
Phone: (304) 691-1100
Fax: (304) 691-1153



Medicare Participation

Registered in PECOS? Yes What is PECOS?
PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.
PECOS PAC ID2062651268
PECOS Enrollment IDI20140911001009
Accepts Medicare Assignment? Yes "What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.
Eligible order / refer Part B Clinical Laboratory and ImagingYes
Eligible order / refer Durable Medical EquipmentYes
Eligible order / refer Home Health Agency (HHA)Yes
Eligible order / refer Power Mobility DevicesYes

Quality Reporting

The following quality measures meets Medicare's statistical reporting standards for the year 2018. Not all providers report the same information, because not all providers give the same services to patients. The quality information is just a snapshot of some the care providers give to their patients. Reporting more or less information is not a reflection of quality.

Quality Measure Performance Rate Number of Patients
Care Plan 100% 256
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker or provide an advance care plan

Hospital Affiliations

Medicare hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the Medicare claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Joseph Hess is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type CMS Certification Number (CCN) Overall Rating
THOMAS MEMORIAL HOSPITAL4605 MACCORKLE AVENUE SW
SOUTH CHARLESTON, WV 25309
(304) 766-3600Acute Care Hospitals510029
CHARLESTON AREA MEDICAL CENTER501 MORRIS STREET
CHARLESTON, WV 25301
(304) 388-5432Acute Care Hospitals510022

Other Providers at the same location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1831163633MS. MONA STECKER CRNP
Individual
Nurse Practitioner (Family)1600 MEDICAL CENTER DR
HUNTINGTON, WV 25701
(304) 526-6387
1932168853 THEODORE P HADDOX JR. MD
Individual
Obstetrics & Gynecology1600 MEDICAL CENTER DR SUITE 4500
HUNTINGTON, WV 25701
(304) 691-1400
1255390175 ROBERT C NERHOOD MD
Individual
Obstetrics & Gynecology1600 MEDICAL CENTER DR SUITE 4500
HUNTINGTON, WV 25701
(304) 691-1400
1861451783 GARY G GILBERT SR. MD
Individual
Obstetrics & Gynecology1600 MEDICAL CENTER DR SUITE 4500
HUNTINGTON, WV 25701
(304) 691-1400
1255390563 SIROUS ARYA M.D.
Individual
Surgery1600 MEDICAL CENTER DR SUITE 2500
HUNTINGTON, WV 25701
(304) 691-1200
1972563195 BINNI M BIELER LCSW
Individual
Social Worker (Clinical)1600 MEDICAL CENTER DR SUITE B500
HUNTINGTON, WV 25701
(304) 691-1500
1043270754 JOHN T WALKER MD
Individual
Surgery1600 MEDICAL CENTER DR SUITE 2500
HUNTINGTON, WV 25701
(304) 691-1200
1003876699 DANIELL COWELL MD
Individual
Psychiatry & Neurology (Psychiatry)1600 MEDICAL CENTER DR SUITE B500
HUNTINGTON, WV 25701
(304) 691-1500
1164482774 SAMUEL A JANUSZKIEWICZ MD
Individual
Psychiatry & Neurology (Psychiatry)1600 MEDICAL CENTER DR SUITE B500
HUNTINGTON, WV 25701
(304) 691-1500
1336109941 THOMAS LINZ PHD
Individual
Psychologist1600 MEDICAL CENTER DR SUITE B500
HUNTINGTON, WV 25701
(304) 691-1500
1962462572 JULIANNE M MCGINNIS MA
Individual
Psychologist (Clinical)1600 MEDICAL CENTER DR SUITE B500
HUNTINGTON, WV 25701
(304) 691-1500
1184684748 STEVEN G CODY PHD
Individual
Psychologist1600 MEDICAL CENTER DR SUITE B500
HUNTINGTON, WV 25701
(304) 691-1500
1508826181 KAREN A ARMSTEAD MA
Individual
Psychologist1600 MEDICAL CENTER DR SUITE B500
HUNTINGTON, WV 25701
(304) 691-1500
1598726788 WILLIAM P DOWNS MSW
Individual
Social Worker (Clinical)1600 MEDICAL CENTER DR SUITE B500
HUNTINGTON, WV 25701
(304) 691-1500
1043271232 ELIZABETH G EVANS PHD
Individual
Psychologist1600 MEDICAL CENTER DR SUITE B500
HUNTINGTON, WV 25701
(304) 691-1500
1487616868 GREGORY S HENDRICKS MD
Individual
Family Medicine (Sports Medicine)1600 MEDICAL CENTER DR SUITE G500
HUNTINGTON, WV 25701
(304) 691-1100
1184688129 GILBERT A RATCLIFF JR. MD
Individual
Pediatrics (Neonatal-Perinatal Medicine)1600 MEDICAL CENTER DR SUITE 3500
HUNTINGTON, WV 25701
(304) 691-1300
1568427102 SUSAN HAGER CFNP
Individual
Nurse Practitioner (Family)1600 MEDICAL CENTER DR SUITE G500
HUNTINGTON, WV 25701
(304) 691-1000
1790740330 SARAH A MCCARTY MD
Individual
Internal Medicine1600 MEDICAL CENTER DR SUITE G500
HUNTINGTON, WV 25701
(304) 691-1000
1043275662 BRUCE S CHERTOW MD
Individual
Internal Medicine1600 MEDICAL CENTER DR SUITE G500
HUNTINGTON, WV 25701
(304) 691-1000

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.