STEPHEN HOOVER M.D.
NPI 1043431935
Orthopaedic Surgery - Hand Surgery in Charlottesville, VA

Active since May 01, 2007PECOS EnrolledAccepts Medicare Assignment
95.11/100
CMS Quality Rating
595 MARTHA JEFFERSON DR STE 180, CHARLOTTESVILLE, VA 22911(434) 654-5575(434) 654-5574 Get Directions Write a Review

NPPES record last updated: October 31, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Stephen Hoover M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

STEPHEN HOOVER M.D. (NPI 1043431935) is an individual hand surgery provider in Charlottesville, Virginia, licensed in Virginia (0101255918) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS, is affiliated with Sentara Rmh Medical Center, and is a graduate of University Of North Carolina At Chapel Hill School Of Medicine (2006).

NPPES Registry Identity

NPI1043431935
Entity TypeIndividualMale
Primary Taxonomy207XS0106X
Provider Legal NameSTEPHEN HOOVERCredential: M.D.
Location Address595 MARTHA JEFFERSON DR STE 180Charlottesville, VA 22911-4669
Mailing AddressPo Box 79777Baltimore, MD 21279-0777 · (434) 654-7794 · Fax (434) 654-5574
Fax(434) 654-5574
Sole ProprietorNo
Medical School CMSUniversity Of North Carolina At Chapel Hill School Of MedicineGraduated 2006
Enumeration DateMay 1, 2007
Last NPPES UpdateOctober 31, 2019
NPI 1043431935 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOrthopaedic Surgery · Hand SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207XS0106X
License Licensed in VA · 0101255918
Definition

An orthopaedic surgeon trained in the investigation, preservation and restoration by medical, surgical and rehabilitative means of all structures of the upper extremity directly affecting the form and function of the hand and wrist.

595 MARTHA JEFFERSON DR STE 180, Charlottesville, VA 22911

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Stephen Hoover M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7012189103
PECOS Enrollment IDI20140824000038
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 24

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
366 services314 patients
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg J0702
This injection contains two medications, betamethasone acetate and betamethasone sodium phosphate. It is used to reduce inflammation and pain. It's given by a healthcare professional, often directly into the area causing discomfort.
310 services162 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
182 services182 patients
X-ray of finger, minimum of 2 views 73140
An X-ray of the finger involves capturing images of your finger from at least two different angles. This non-invasive procedure helps in visualizing the bones and joints, aiding in the diagnosis of fractures, infections, or other abnormalities. Minimal discomfort may be experienced.
148 services99 patients
Injection into tendon or ligament 20550
An injection into a tendon or ligament involves placing medication directly into these areas to help reduce inflammation and pain. It's often used for conditions like arthritis or tendonitis. The procedure is quick and usually involves a local anesthetic.
113 services83 patients
X-ray of hand, minimum of 3 views 73130
An X-ray of the hand, minimum of 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the bones in your hand from different angles. This helps in diagnosing fractures, infections, arthritis, or other abnormalities. It's quick and painless.
105 services78 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Sentara Rmh Medical Center

Acute Care Hospitals · Harrisonburg, VA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490004
Location2010 Health Campus DriveHarrisonburg, VA 22801 · Harrisonburg City County
Emergency services Birthing friendly

Sentara Martha Jefferson Hospital

Acute Care Hospitals · Charlottesville, VA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490077
Location500 Martha Jefferson DriveCharlottesville, VA 22911 · Albemarle County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 22911 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$86.88 typical visit price
range $56.19 – $170.30
Typical copayment $21.72 (range $14.04 – $42.57)
Most-billed visit code 99203
Established Patient
$70.08 typical visit price
range $18.07 – $138.91
Typical copayment $17.52 (range $4.51 – $34.72)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

95.11/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality86.31
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 4

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Wrist hand finger orthosis, rigid without joints, may include soft interface material; straps, custom fabricated, includes fitting and adjustment L3808
DME-Orthotic Devices · category DF000N
2 suppliers11 claims11 services$256.93 avg. paid by Medicare
Wrist hand orthosis, without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment L3906
DME-Orthotic Devices · category DF000N
3 suppliers12 claims12 services$326.81 avg. paid by Medicare
Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf L3908
DME-Orthotic Devices · category DF000N
1 supplier35 claims35 services$50.00 avg. paid by Medicare
Hand finger orthosis, without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment L3913
DME-Orthotic Devices · category DF000N
2 suppliers13 claims13 services$198.39 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physician Assistant (Surgical)
595 MARTHA JEFFERSON DR STE 180
CHARLOTTESVILLE, VA 22911
Orthopaedic Surgery
595 MARTHA JEFFERSON DR STE 180
CHARLOTTESVILLE, VA 22911
Orthopaedic Surgery
595 MARTHA JEFFERSON DR STE 180
CHARLOTTESVILLE, VA 22911
Specialist/Technologist (Athletic Trainer)
595 MARTHA JEFFERSON DR STE 180
CHARLOTTESVILLE, VA 22911
Physician Assistant (Surgical)
595 MARTHA JEFFERSON DR STE 180
CHARLOTTESVILLE, VA 22911
Physician Assistant (Surgical)
595 MARTHA JEFFERSON DR STE 180
CHARLOTTESVILLE, VA 22911
Orthopaedic Surgery
595 MARTHA JEFFERSON DR STE 180
CHARLOTTESVILLE, VA 22911
Physician Assistant (Surgical)
595 MARTHA JEFFERSON DR STE 180
CHARLOTTESVILLE, VA 22911

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Stephen Hoover's NPI number?

The NPI number for Stephen Hoover is 1043431935. It was assigned to this individual provider in the NPPES registry on May 1, 2007.

Where is Stephen Hoover located?

Stephen Hoover practices at 595 Martha Jefferson Dr Ste 180, Charlottesville, VA 22911. The listed phone number is (434) 654-5575.

What is Stephen Hoover's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Hand Surgery, with taxonomy code 207XS0106X.

Is Stephen Hoover enrolled in Medicare?

Yes. Stephen Hoover is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Stephen Hoover affiliated with any hospitals?

According to CMS data, Stephen Hoover is affiliated with Sentara Rmh Medical Center and Sentara Martha Jefferson Hospital.

When was this NPI record last updated?

The NPPES record for Stephen Hoover was last updated on October 31, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.