DR. JONATHAN A HESS MD
NPI 1063770014
Family Medicine in Gallipolis, OH

Q: What is Jonathan Hess's NPI number?

The NPI number for Jonathan Hess is 1063770014. It was assigned to this individual provider in the NPPES registry on April 27, 2012.

Q: What is Jonathan Hess's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Jonathan Hess was last updated on February 14, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since April 27, 2012PECOS EnrolledAccepts Medicare Assignment

81.42/100

CMS Quality Rating

420 SILVER BRIDGE PLZ, GALLIPOLIS, OH 45631(740) 446-4600(304) 429-3109 Get Directions Write a Review

NPPES record last updated: February 14, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Dr. Jonathan A Hess Md NPPES

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

DR. JONATHAN A HESS MD (NPI 1063770014) is an individual family medicine provider in Gallipolis, Ohio, licensed in Ohio (35.122649) and active in the NPI registry since April 2012. He is enrolled in Medicare PECOS, is affiliated with Holzer Medical Center, and maintains a secondary practice location in Spencer.

NPPES Registry Identity

NPI1063770014

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameDR. JONATHAN A HESSCredential: MD

Location Address420 SILVER BRIDGE PLZGallipolis, OH 45631-1861

Mailing AddressPo Box 390Huntington, WV 25708-0390 · (304) 429-1088 · Fax (304) 429-3109

Phone(740) 446-4600

Fax(304) 429-3109

Sole ProprietorNo

Medical School CMSJc Edwards School Of Medicine, Marshall UniversityGraduated 2012

Enumeration DateApril 27, 2012

Last NPPES UpdateFebruary 14, 2024

NPPES CertifiedJanuary 9, 2024

✔ NPI 1063770014 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Licenses✔ Licensed in OH · 35.122649✔ Licensed in KY · 47451✔ Licensed in WV · 26137

Definition

Family 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.

Also ListedPreventive Medicine · Addiction MedicineTaxonomy 2083A0300X · License 26137 (WV)

Also ListedHospitalistTaxonomy 208M00000X · License 26137 (WV)

420 SILVER BRIDGE PLZ, Gallipolis, OH 45631

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Secondary Practice Location 1

Location 1200 Hospital DrSpencer, WV 25276-1050 · Phone (304) 927-4444 · Fax (304) 927-6837

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, Highmark Blue Cross Blue Shield West Virginia, MedMutual and more.Insurance ›

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

Dr. Jonathan A Hess Md 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 ID7012156227

PECOS Enrollment IDI20141216002424, I20150326001410, I20150414002641

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 6

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.

Office-based treatment for opioid use disorder, including care coordination, individual therapy and group therapy and counseling; at least 60 minutes in a subsequent calendar month G2087

This treatment for opioid use disorder involves regular office visits for coordinated care, individual and group therapy. It aims to manage withdrawal symptoms, prevent relapse, and promote recovery. It's a 60-minute procedure, repeated monthly.

517 services125 patients

Office-based treatment for opioid use disorder, including care coordination, individual therapy and group therapy and counseling; each additional 30 minutes beyond the first 120 minutes (list separately in addition to code for primary procedure) G2088

This service involves office-based treatment for opioid addiction, including coordinating care, individual and group therapy. It extends beyond the initial 2 hours, with every additional half hour listed separately. The focus is on comprehensive care to manage opioid dependency.

154 services33 patients

Emergency department visit with moderate level of medical decision making 99284

An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.

108 services101 patients

Emergency department visit with high level of medical decision making 99285

An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.

105 services101 patients

Emergency department visit with low level of medical decision making 99283

An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.

78 services76 patients

Office-based treatment for opioid use disorder, including development of the treatment plan, care coordination, individual therapy and group therapy and counseling; at least 70 minutes in the first calendar month G2086

This service offers a comprehensive treatment plan for opioid use disorder. It includes creating a personalized treatment strategy, coordinating care, and providing individual and group therapy sessions. The initial month involves at least 70 minutes of therapy to establish a solid foundation for recovery.

13 services13 patients

Hospital Affiliations CMS Care Compare 2

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

Holzer Medical Center

Acute Care Hospitals · Gallipolis, OH

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number360054

Location100 Jackson PikeGallipolis, OH 45631 · Gallia County

Emergency services Birthing friendly

Holzer Medical Center Jackson

Critical Access Hospitals · Jackson, OH

OwnershipVoluntary non-profit - Private

CMS Certification Number361320

Location500 Burlington RoadJackson, OH 45640 · Jackson County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45631 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

$84.72 typical visit price

range $54.34 – $166.65

Typical copayment $21.18 (range $13.58 – $41.66)

Most-billed visit code 99203

Established Patient

$96.44 typical visit price

range $17.10 – $135.40

Typical copayment $24.11 (range $4.27 – $33.85)

Most-billed visit code 99214

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.

81.42/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

69.28

Promoting Interoperability

100

Improvement Activities

Cost

57.96

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Other Providers at the Same Location NPPES 6

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

BETH ANN LANIER MA

Counselor (Professional)