MR. JOSEPH HOSSEIN ESMAEILI D.O.
NPI 1124569330
Internal Medicine in Gallipolis, OH

Active since March 20, 2017PECOS EnrolledAccepts Medicare Assignment
100 JACKSON PIKE, GALLIPOLIS, OH 45631(855) 446-5937(740) 446-5486 Get Directions Write a Review

NPPES record last updated: January 21, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 21, 2021, Aug 27, 2020, Mar 20, 2017 (3 updates tracked since 2017).

About Mr. Joseph Hossein Esmaeili D.o. NPPES

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

MR. JOSEPH HOSSEIN ESMAEILI D.O. (NPI 1124569330) is an individual internal medicine provider in Gallipolis, Ohio, licensed in Ohio (34.014722) and active in the NPI registry since March 2017. He is enrolled in Medicare PECOS, is affiliated with Holzer Medical Center, and is a graduate of West Virginia School Of Osteopathic Medicine (2017).

NPPES Registry Identity

NPI1124569330
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameMR. JOSEPH HOSSEIN ESMAEILICredential: D.O.
Location Address100 JACKSON PIKEGallipolis, OH 45631-1560
Mailing Address90 Jackson PikeGallipolis, OH 45631-1562 · (740) 446-5387 · Fax (740) 446-5982
Fax(740) 446-5486
Sole ProprietorYes
Medical School CMSWest Virginia School Of Osteopathic MedicineGraduated 2017
Enumeration DateMarch 20, 2017
Last NPPES UpdateJanuary 21, 20213 updates tracked since enumeration
NPPES CertifiedJanuary 21, 2021
NPI 1124569330 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in OH · 34.014722
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
100 JACKSON PIKE, Gallipolis, OH 45631

Other Identifiers 1

Medicaid0417611OH

Accepted 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

Mr. Joseph Hossein Esmaeili D.o. 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 ID5597184556
PECOS Enrollment IDI20200924003422
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 8

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.
785 services370 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
590 services452 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
80 services80 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
60 services57 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
49 services49 patients
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit G0438
An annual wellness visit is a yearly appointment with your doctor to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's an opportunity to discuss your health status and goals and get a plan tailored for you.
44 services44 patients

Hospital Affiliations CMS Care Compare 3

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

St Mary's Medical Center

Acute Care Hospitals · Huntington, WV
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number510007
Location2900 1st AvenueHuntington, WV 25702 · Cabell 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
$126.12 typical visit price
range $54.34 – $166.65
Typical copayment $31.53 (range $13.58 – $41.66)
Most-billed visit code 99204
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.

Referred Medical Equipment & Supplies CMS DME claims 6

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
8 suppliers32 claims70 services$6.44 avg. paid by Medicare
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260
DME-Hospital Beds · category DB000N
2 suppliers13 claims13 services$69.61 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier12 claims12 services$21.19 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier12 claims12 services$111.89 avg. paid by Medicare
Standard wheelchair K0001
DME-Wheelchairs · category DD000N
2 suppliers14 claims14 services$21.20 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
3 suppliers11 claims11 services$215.80 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 20

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

Nurse Anesthetist, Certified Registered
100 JACKSON PIKE
GALLIPOLIS, OH 45631
Emergency Medicine
100 JACKSON PIKE
GALLIPOLIS, OH 45631
Orthopaedic Surgery
100 JACKSON PIKE
GALLIPOLIS, OH 45631
Nurse Practitioner
100 JACKSON PIKE
GALLIPOLIS, OH 45631
Audiologist
100 JACKSON PIKE
GALLIPOLIS, OH 45631
Nurse Practitioner (Family)
100 JACKSON PIKE
GALLIPOLIS, OH 45631
Internal Medicine
100 JACKSON PIKE
GALLIPOLIS, OH 45631
Pediatrics
100 JACKSON PIKE
GALLIPOLIS, OH 45631

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 Joseph Esmaeili's NPI number?

The NPI number for Joseph Esmaeili is 1124569330. It was assigned to this individual provider in the NPPES registry on March 20, 2017.

Where is Joseph Esmaeili located?

Joseph Esmaeili practices at 100 Jackson Pike, Gallipolis, OH 45631. The listed phone number is (855) 446-5937.

What is Joseph Esmaeili's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Joseph Esmaeili enrolled in Medicare?

Yes. Joseph Esmaeili 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.

What insurance does Joseph Esmaeili accept?

Health plans from CareSource and MedMutual list Joseph Esmaeili as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Joseph Esmaeili affiliated with any hospitals?

According to CMS data, Joseph Esmaeili is affiliated with Holzer Medical Center, Holzer Medical Center Jackson and St Mary's Medical Center.

When was this NPI record last updated?

The NPPES record for Joseph Esmaeili was last updated on January 21, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.