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JIMMIE D HISSEM DDS
NPI 1083725287
Dentist in Salem, WV

Active since August 31, 2006Opted out of Medicare · through Jan 28, 2028
2373 W MAIN ST, SALEM, WV 26426(324) 782-3393 Get Directions Write a Review

NPPES record last updated: February 26, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jimmie D Hissem Dds NPPES

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

JIMMIE D HISSEM DDS (NPI 1083725287) is an individual dentist in Salem, West Virginia, licensed in West Virginia (2134) and active in the NPI registry since August 2006. He has opted out of Medicare through January 28, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1083725287
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameJIMMIE D HISSEMCredential: DDS
Location Address2373 W MAIN STSalem, WV 26426-7515
Mailing AddressPo Box 71Salem, WV 26426 · (324) 752-3393
Phone(324) 782-3393
Sole ProprietorNo
Enumeration DateAugust 31, 2006
Last NPPES UpdateFebruary 26, 2016
✔ NPI 1083725287 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in WV · 2134
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
2373 W MAIN ST, Salem, WV 26426
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Jimmie D Hissem Dds has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 28, 2016 through January 28, 2028.

Opt-Out Effective DateJanuary 28, 2016
Opt-Out In Effect ThroughJanuary 28, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 26426 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
$83.49 typical visit price
range $53.20 – $164.59
Typical copayment $20.87 (range $13.30 – $41.14)
Most-billed visit code 99203
Established Patient
$66.84 typical visit price
range $16.47 – $133.29
Typical copayment $16.71 (range $4.11 – $33.32)
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.

Other Providers at the Same Location NPPES 2

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

ADAM M PENFOLD PA-C
Physician Assistant (Medical)
2373 W MAIN ST, STE 102
SALEM, WV 26426
Harrison County (304) 782-2000
MRS. NANCY ALLEN FNP-BC
Nurse Practitioner (Family)
2373 W MAIN ST, STE 102
SALEM, WV 26426
Harrison County (304) 782-2000

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 Jimmie Hissem's NPI number?

The NPI number for Jimmie Hissem is 1083725287. It was assigned to this individual provider in the NPPES registry on August 31, 2006.

Where is Jimmie Hissem located?

Jimmie Hissem practices at 2373 W Main St, Salem, WV 26426. The listed phone number is (324) 782-3393.

What is Jimmie Hissem's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Jimmie Hissem enrolled in Medicare?

No. Jimmie Hissem has opted out of Medicare through January 28, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Jimmie Hissem was last updated on February 26, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.