DR. JOHN JOSEPH HENNESSEY M.D.
NPI 1215916564
Internal Medicine in Gales Ferry, CT

Active since January 14, 2006PECOS EnrolledAccepts Medicare Assignment
1527 ROUTE 12, SUITE 1, GALES FERRY, CT 06335(860) 464-7253(860) 464-7404 Get Directions Write a Review

NPPES record last updated: November 30, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. John Joseph Hennessey M.d. NPPES

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

DR. JOHN JOSEPH HENNESSEY M.D. (NPI 1215916564) is an individual internal medicine provider in Gales Ferry, Connecticut, licensed in Connecticut (037592) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS, is affiliated with Westerly Hospital, and is a graduate of Tufts University School Of Medicine (1996).

NPPES Registry Identity

NPI1215916564
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. JOHN JOSEPH HENNESSEYCredential: M.D.
Location Address1527 ROUTE 12, SUITE 1Gales Ferry, CT 06335-1800
Mailing AddressPo Box 355Gales Ferry, CT 06335-0355 · (860) 464-7253 · Fax (860) 464-7404
Fax(860) 464-7404
Sole ProprietorNo
Medical School CMSTufts University School Of MedicineGraduated 1996
Enumeration DateJanuary 14, 2006
Last NPPES UpdateNovember 30, 2012
NPI 1215916564 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in CT · 037592
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.
1527 ROUTE 12, Gales Ferry, CT 06335

Other Identifiers 3

Medicare UPING94116
Medicare ID-Type Unspecified110007608CT
Medicaid001375923CT

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. John Joseph Hennessey 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 ID143362525
PECOS Enrollment IDI20100902000771
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 26

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.

Injection, denosumab, 1 mg J0897
Denosumab is a medication given via injection to strengthen your bones. It works by slowing down the cells that break down bone, improving bone density and reducing the risk of fractures. It's often used for osteoporosis treatment.
3,661 services35 patients
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.
1,485 services590 patients
Urinalysis, manual test 81002
A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.
451 services397 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
443 services416 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
442 services77 patients
Blood glucose (sugar) test performed by hand-held instrument 82962
A blood glucose test uses a handheld device to measure the amount of sugar in your blood. A small prick on your finger allows a drop of blood to be placed on a test strip, which is then read by the device. This helps monitor and manage diabetes effectively.
437 services187 patients

Hospital Affiliations CMS Care Compare

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

Westerly Hospital

Acute Care Hospitals · Westerly, RI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number410013
Location25 Wells StreetWesterly, RI 02891 · Washington County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06335 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
$138.84 typical visit price
range $60.82 – $183.10
Typical copayment $34.71 (range $15.20 – $45.77)
Most-billed visit code 99204
Established Patient
$106.68 typical visit price
range $19.76 – $149.26
Typical copayment $26.67 (range $4.94 – $37.31)
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.

Reported Quality Measures

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
100%437 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 11

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 suppliers24 claims58 services$6.15 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
7 suppliers15 claims20 services$1.13 avg. paid by Medicare
Urinary catheter anchoring device, adhesive skin attachment, each A4333
DME-Orthotic Devices · category DF000N
1 supplier11 claims132 services$2.13 avg. paid by Medicare
Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each A4357
DME-Orthotic Devices · category DF000N
3 suppliers13 claims16 services$8.97 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
3 suppliers15 claims17 services$56.12 avg. paid by Medicare
Headgear used with positive airway pressure device A7035
DME-Other DME · category DE001N
4 suppliers13 claims13 services$18.03 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.

Dentist (Pediatric Dentistry)
1527 ROUTE 12
GALES FERRY, CT 06335
Dentist (General Practice)
1527 ROUTE 12
GALES FERRY, CT 06335
Pediatrics
1527 ROUTE 12, BOX 608
GALES FERRY, CT 06335
Pediatrics
1527 ROUTE 12
GALES FERRY, CT 06335
Internal Medicine
1527 ROUTE 12
GALES FERRY, CT 06335
Pediatrics
1527 ROUTE 12
GALES FERRY, CT 06335
Clinic/Center (Medical Specialty)
1527 ROUTE 12
GALES FERRY, CT 06335
Lactation Consultant, Non-RN
1527 ROUTE 12
GALES FERRY, CT 06335

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 John Hennessey's NPI number?

The NPI number for John Hennessey is 1215916564. It was assigned to this individual provider in the NPPES registry on January 14, 2006.

Where is John Hennessey located?

John Hennessey practices at 1527 Route 12 Suite 1, Gales Ferry, CT 06335. The listed phone number is (860) 464-7253.

What is John Hennessey's specialty?

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

Is John Hennessey enrolled in Medicare?

Yes. John Hennessey 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 John Hennessey affiliated with any hospitals?

According to CMS data, John Hennessey is affiliated with Westerly Hospital.

When was this NPI record last updated?

The NPPES record for John Hennessey was last updated on November 30, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.