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
Physical medicine and rehabilitation, also referred to as rehabilitation medicine, is the medical specialty concerned with diagnosing, evaluating, and treating patients with physical disabilities. These disabilities may arise from conditions affecting the musculoskeletal system such as neck and back pain, sports injuries, or other painful conditions affecting the limbs, such as carpal tunnel syndrome. Alternatively, the disabilities may result from neurological trauma or disease such as spinal cord injury, head injury or stroke. A physician certified in physical medicine and rehabilitation is often called a physiatrist. The primary goal of the physiatrist is to achieve maximal restoration of physical, psychological, social and vocational function through comprehensive rehabilitation. Pain management is often an important part of the role of the physiatrist. For diagnosis and evaluation, a physiatrist may include the techniques of electromyography to supplement the standard history, physical, x-ray and laboratory examinations. The physiatrist has expertise in the appropriate use of therapeutic exercise, prosthetics (artificial limbs), orthotics and mechanical and electrical devices.
Other Identifiers 3
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
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.
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.
What insurance does James Hoover accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, CareSource and Molina Healthcare 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 with the weekly NPPES data releases published by CMS.