DR. PAUL G. HESS MD
NPI 1275510729
Internal Medicine - Cardiovascular Disease in Memphis, TN

NPI Status: Active since December 27, 2005

Contact Information

6025 WALNUT GROVE RD
STE 1121
MEMPHIS, TN
ZIP 38120
Phone: (901) 271-1000
Fax: (901) 271-4187

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  • Individual
  • Male
  • Internal Medicine
  • Cardiovascular Disease
  • PECOS Enrolled

About PAUL HESS

This page provides the complete NPI Profile along with additional information for Paul Hess, an internist established in Memphis, Tennessee with a medical specialization in Internal Medicine, focusing in cardiovascular disease . The healthcare provider is registered in the NPI registry with number 1275510729 assigned on December 2005. The practitioner's primary taxonomy code is 207RC0000X with license number 10633 (TN). The provider is registered as an individual and his NPI record was last updated 13 years ago.

NPI
1275510729
Provider Name
DR. PAUL G. HESS MD
Gender
Male
Entity Type
Individual
Location Address
6025 WALNUT GROVE RD STE 1121 MEMPHIS, TN 38120
Location Phone
(901) 271-1000
Location Fax
(901) 271-4187
Mailing Address
8060 WOLF RIVER BLVD GERMANTOWN, TN 38138
Mailing Phone
(901) 271-1000
Mailing Fax
(901) 271-4187
Is Sole Proprietor?
No
Enumeration Date
12-27-2005
Last Update Date
02-27-2013
Code Navigator

An internist like Paul Hess is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Internal Medicine Cardiovascular Disease

Taxonomy Code
207RC0000X
Type
Allopathic & Osteopathic Physicians
License No.
10633
License State
TN
Taxonomy Description
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
3168714MEDICAID (05)TN 
103I066571MEDICARE PIN (08)TN 
02090008401OTHER (01)QUALCHOICE
00125691MEDICAID (05)MS 
060000892MEDICARE PIN (08)MS 
4146208OTHER (01)TNBCBS
80087OTHER (01)ARBCBS
4024964OTHER (01)TNAETNA
P00387954OTHER (01)RAIL ROAD MEDICARE
000000016501OTHER (01)TNTLC
B03292MEDICARE UPIN (02) 

Medicare Participation & PECOS Enrollment Status

Paul Hess is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Provider Referred Orders for Durable Medical Equipment, Devices & Supplies

The following list reflects the services, supplies or durable medical equipment ordered by this provider to a DME supplier on behalf of patients. The information below is derived from Medicare claims data and reflects the BETOS category, HCPCS code information and the number times each service was submitted under the Medicare fee-for-service program.

Durable Medical Equipment

  • DME-Other DME (DE017N)

    Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs separately) (HCPCS:A4221)

    1 DME suppliers used 23 Medicare Claims 46 Services Paid

  • DME-Medical/Surgical Supplies (DA000N)

    Infusion supplies for external drug infusion pump, per cassette or bag (list drugs separately) (HCPCS:A4222)

    1 DME suppliers used 23 Medicare Claims 46 Services Paid

Unknown

  • Treatment-Injections and Infusions (nononcologic) (RI026N)

    Injection, milrinone lactate, 5 mg (HCPCS:J2260)

    1 DME suppliers used 24 Medicare Claims 3495 Services Paid

Physician Visit Costs

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 38120 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99204

  • Average New Patient Price $121.8
  • Minimum New Patient Price $52.64
  • Maximum New Patient Price $160.89
  • Average New Patient Copayment $30.45
  • Minimum New Patient Copayment $13.16
  • Maximum New Patient Copayment $40.22

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99213

  • Average Established Patient Price $66.01
  • Minimum Established Patient Price $16.72
  • Maximum Established Patient Price $131.41
  • Average Established Patient Copayment $16.5
  • Minimum Established Patient Copayment $4.18
  • Maximum Established Patient Copayment $32.85

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1275510729, we treat the final digit (9) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 51. The final step is to find the difference between that total and the next multiple of ten (60 - 51 = 9).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
2
Unchanged
Pos 3
7
Doubled → 14 → 1 + 4
Pos 4
5
Unchanged
Pos 5
5
Doubled → 10 → 1 + 0
Pos 6
1
Unchanged
Pos 7
0
Doubled → 0
Pos 8
7
Unchanged
Pos 9
2
Doubled → 4
Check
9
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 7 → 14 → 5 5 → 10 → 1 0 → 0 2 → 4

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 2 + 1 + 4 + 5 + 1 + 0 + 1 + 0 + 7 + 4 + 24 = 51

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 51 is 60. The difference is the calculated check digit.

60 - 51 = 9
This NPI is valid
The calculated check digit is 9, which matches the last digit of 1275510729.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Internal Medicine (Pulmonary Disease)
6025 WALNUT GROVE RD, STE 508
MEMPHIS, TN 38120
Internal Medicine (Pulmonary Disease)
6025 WALNUT GROVE RD, STE 508
MEMPHIS, TN 38120
Nurse Anesthetist, Certified Registered
6025 WALNUT GROVE RD
MEMPHIS, TN 38120
Internal Medicine (Cardiovascular Disease)
6025 WALNUT GROVE RD, SUITE 111
MEMPHIS, TN 38120
Nurse Anesthetist, Certified Registered
6025 WALNUT GROVE RD, SUITE 314
MEMPHIS, TN 38120
Internal Medicine
6025 WALNUT GROVE RD, SUITE 417
MEMPHIS, TN 38120
Nurse Practitioner (Family)
6025 WALNUT GROVE RD, SUITE 111
MEMPHIS, TN 38120
Surgery
6025 WALNUT GROVE RD, SUITE 201
MEMPHIS, TN 38120
Internal Medicine (Pulmonary Disease)
6025 WALNUT GROVE RD, SUITE 508
MEMPHIS, TN 38120
Internal Medicine (Pulmonary Disease)
6025 WALNUT GROVE RD, SUITE 508
MEMPHIS, TN 38120
Internal Medicine
6025 WALNUT GROVE RD, 417
MEMPHIS, TN 38120
Nurse Anesthetist, Certified Registered
6025 WALNUT GROVE RD, SUITE 314
MEMPHIS, TN 38120
Nurse Anesthetist, Certified Registered
6025 WALNUT GROVE RD, SUITE 314
MEMPHIS, TN 38120
Nurse Practitioner (Acute Care)
6025 WALNUT GROVE RD, SUITE 508
MEMPHIS, TN 38120
Audiologist
6025 WALNUT GROVE RD, SUITE 110
MEMPHIS, TN 38120
Specialist
6025 WALNUT GROVE RD, STE. 111
MEMPHIS, TN 38120
Internal Medicine
6025 WALNUT GROVE RD, SUITE 627
MEMPHIS, TN 38120
Internal Medicine
6025 WALNUT GROVE RD, SUITE 301
MEMPHIS, TN 38120
Nurse Practitioner (Acute Care)
6025 WALNUT GROVE RD, SUITE 207
MEMPHIS, TN 38120
Specialist
6025 WALNUT GROVE RD, SUITE 304
MEMPHIS, TN 38120

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1275510729, enumerated as an "individual" on December 27, 2005.

The provider is located at 6025 WALNUT GROVE RD STE 1121 MEMPHIS, TN 38120 and the phone number is (901) 271-1000.

Internal Medicine with taxonomy code 207RC0000X and a focus in Cardiovascular Disease.

The provider might be accepting Accepts: Medicare, Medicaid, Blue Cross Blue Shield and. Please consult your insurance carrier or call the provider to verify.