DR. JAMES BURTON HOOVER M.D.
NPI 1346243391
Physical Medicine & Rehabilitation in Troy, OH
About Dr. James Burton Hoover M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. JAMES BURTON HOOVER M.D. (NPI 1346243391) is an individual physical medicine & rehabilitation provider in Troy, Ohio, licensed in Ohio (35048004) and active in the NPI registry since May 2005. He is enrolled in Medicare PECOS, is affiliated with Wilson Memorial Hospital, and is a graduate of University Of Cincinnati College Of Medicine (1980).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 3
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. James Burton Hoover 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.
Medicare Billing Reassignment
Medicare enrollment records show James Hoover reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Troy, OH 45373
- Reassigned Medicare billing, Ohio enrollment
- 2 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 9
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.
Hospital Affiliations CMS Care Compare 4
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Wilson Memorial Hospital
Acute Care Hospitals · Sidney, OHMiami Valley Hospital
Acute Care Hospitals · Dayton, OHKettering Health Main Campus
Acute Care Hospitals · Kettering, OHUpper Valley Medical Center
Acute Care Hospitals · Troy, OHMedicare 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
Referred Medical Equipment & Supplies CMS DME claims
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
Other Providers at the Same Location NPPES 15
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
TROY, OH 45373
TROY, OH 45373
TROY, OH 45373
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 James Hoover's NPI number?
The NPI number for James Hoover is 1346243391. It was assigned to this individual provider in the NPPES registry on May 23, 2005.
Where is James Hoover located?
James Hoover practices at 998 S Dorset Rd Ste 104, Troy, OH 45373. The listed phone number is (937) 332-8843.
What is James Hoover's specialty?
The primary specialty registered for this NPI is Physical Medicine & Rehabilitation with taxonomy code 208100000X.
Is James Hoover enrolled in Medicare?
Yes. James Hoover 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.
Which organization bills Medicare for James Hoover's services?
According to the CMS Revalidation Reassignment List (October 2026 release), James Hoover reassigns Medicare benefits to Rehabmed H And H LLC (Troy, OH). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for James Hoover's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does James Hoover accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 1 other insurer list James Hoover 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 James Hoover affiliated with any hospitals?
According to CMS data, James Hoover is affiliated with Wilson Memorial Hospital, Miami Valley Hospital, Kettering Health Main Campus and Upper Valley Medical Center.
When was this NPI record last updated?
The NPPES record for James Hoover was last updated on February 23, 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.