DR. JAMES BURTON HOOVER M.D.
NPI 1346243391
Physical Medicine & Rehabilitation in Troy, OH

Active since May 23, 2005PECOS EnrolledAccepts Medicare Assignment
78/100
CMS Quality Rating
998 S DORSET RD, STE 104, TROY, OH 45373(937) 332-8843(937) 332-8982 Get Directions Write a Review

NPPES record last updated: February 23, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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

NPI1346243391
Entity TypeIndividualMale
Primary Taxonomy208100000X
Provider Legal NameDR. JAMES BURTON HOOVERCredential: M.D.
Location Address998 S DORSET RD, STE 104Troy, OH 45373-4748
Mailing Address998 S Dorset Rd, Ste 104Troy, OH 45373-4748 · (937) 332-8843 · Fax (937) 332-8982
Fax(937) 332-8982
Sole ProprietorNo
Medical School CMSUniversity Of Cincinnati College Of MedicineGraduated 1980
Enumeration DateMay 23, 2005
Last NPPES UpdateFebruary 23, 2016
NPI 1346243391 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysical Medicine & RehabilitationAllopathic & Osteopathic Physicians
Taxonomy Code208100000X
License Licensed in OH · 35048004
Definition

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.

998 S DORSET RD, Troy, OH 45373

Other Identifiers 3

Medicaid0523811OH
Medicare ID-Type UnspecifiedHO0535315OH · Medicare Personal Id Numb
Medicare UPINA15476OH

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.

PECOS PAC ID4587790159
PECOS Enrollment IDI20100408000016
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 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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
476 services102 patients
Needle measurement of electrical activity in arm or leg muscles, complete study 95886
This procedure, known as an electromyography (EMG), involves inserting a small needle into your arm or leg muscles to measure their electrical activity. This complete study helps diagnose issues with nerves or muscles, providing valuable data for your treatment plan.
269 services159 patients
Nerve conduction, 5-6 studies 95909
Nerve conduction studies involve testing the speed and strength of signals traveling through your nerves. This helps identify any nerve damage or dysfunction. For 5-6 studies, this means multiple nerves will be tested. Small electrodes are placed on your skin to send and receive signals, causing minimal discomfort.
81 services80 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
80 services79 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
68 services67 patients
Nerve conduction, 9-10 studies 95911
Nerve conduction studies involve sending small electrical shocks through the skin to measure how quickly nerves transmit signals. This helps detect nerve damage. 9-10 studies mean this process will be repeated on different nerves to gather comprehensive data.
60 services60 patients

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, OH
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360013
Location915 West Michigan StreetSidney, OH 45365 · Shelby County
Emergency services Birthing friendly

Miami Valley Hospital

Acute Care Hospitals · Dayton, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360051
LocationOne Wyoming StreetDayton, OH 45409 · Montgomery County
Emergency services Birthing friendly

Kettering Health Main Campus

Acute Care Hospitals · Kettering, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number360079
Location3535 Southern BoulevardKettering, OH 45429 · Montgomery County
Emergency services Birthing friendly

Upper Valley Medical Center

Acute Care Hospitals · Troy, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360174
Location3130 North County Road 25ATroy, OH 45373 · Miami County
Emergency services Birthing friendly

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.

78/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality72.24
Promoting Interoperability96
Improvement Activities20

Reported Quality Measures

Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
41%64 patients2/55-star benchmark: 100%
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
59%101 patients3/55-star benchmark: 100%
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…
35%109 patients2/55-star benchmark: 100%
Screening for Osteoporosis for Women Aged 65-85 Years of Age
Percentage of female patients aged 65-85 years of age who ever had a central dual-energy X-ray absorptiometry (DXA) to check for osteoporosis
64%39 patients3/55-star benchmark: 98%
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

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

Manual wheelchair accessory, anti-tipping device, each E0971
DME-Wheelchairs · category DD021N
1 supplier13 claims25 services$2.88 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 15

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

Family Medicine
998 S DORSET RD, 204
TROY, OH 45373
Preventive Medicine (Occupational Medicine)
998 S DORSET RD
TROY, OH 45373
Nurse Practitioner (Family)
998 S DORSET RD
TROY, OH 45373
Family Medicine
998 S DORSET RD
TROY, OH 45373
Nurse Practitioner (Family)
998 S DORSET RD
TROY, OH 45373
Internal Medicine (Cardiovascular Disease)
998 S DORSET RD, SUITE 204
TROY, OH 45373
Internal Medicine (Cardiovascular Disease)
998 S DORSET RD, SUITE 206
TROY, OH 45373
Physician Assistant
998 S DORSET RD, SUITE 301
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.