MATTHEW DAVID HESS MD
NPI 1407056518
Orthopaedic Surgery in Dayton, OH

Q: What is Matthew Hess's NPI number?

The NPI number for Matthew Hess is 1407056518. It was assigned to this individual provider in the NPPES registry on July 18, 2007.

Q: What is Matthew Hess's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Q: When was this NPI record last updated?

The NPPES record for Matthew Hess was last updated on January 21, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since July 18, 2007PECOS EnrolledAccepts Medicare Assignment

84.5/100

CMS Quality Rating

6438 WILMINGTON PIKE, SUITE 220, DAYTON, OH 45459(937) 433-5309(937) 424-3650 Get Directions Write a Review

NPPES record last updated: January 21, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Matthew David Hess Md NPPES

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

MATTHEW DAVID HESS MD (NPI 1407056518) is an individual orthopaedic surgery provider in Dayton, Ohio, licensed in Ohio (35.120493) and active in the NPI registry since July 2007. He is enrolled in Medicare PECOS, is affiliated with Kettering Health Greene Memorial, and is a graduate of Wright State University Boonshoft School Of Medicine (2007).

NPPES Registry Identity

NPI1407056518

Entity TypeIndividualMale

Primary Taxonomy207X00000X

Provider Legal NameMATTHEW DAVID HESSCredential: MD

Location Address6438 WILMINGTON PIKE, SUITE 220Dayton, OH 45459-7022

Mailing Address3535 Pentagon Blvd Ste 320Beavercreek, OH 45431-1705 · (937) 433-5309 · Fax (937) 298-0287

Phone(937) 433-5309

Fax(937) 424-3650

Sole ProprietorNo

Medical School CMSWright State University Boonshoft School Of MedicineGraduated 2007

Enumeration DateJuly 18, 2007

Last NPPES UpdateJanuary 21, 2021

NPPES CertifiedJanuary 21, 2021

✔ NPI 1407056518 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code207X00000X

License✔ Licensed in OH · 35.120493

Definition

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

6438 WILMINGTON PIKE, Dayton, OH 45459

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Other Identifiers 1

Medicaid0077319OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.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

Matthew David Hess Md 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 ID345406336

PECOS Enrollment IDI20130424000622

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 13

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, triamcinolone acetonide, not otherwise specified, 10 mg J3301

Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.

1,324 services154 patients

Aspiration and/or injection of fluid from large joint 20610

This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.

263 services156 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

163 services139 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.

132 services122 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

70 services70 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

55 services52 patients

Replacement of knee joint, both sides of knee 27447

A bilateral knee joint replacement is a procedure where the damaged parts of both your knee joints are replaced with artificial parts. It aims to relieve pain and improve mobility. The process involves a surgical operation under anesthesia.

52 services52 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

44 services44 patients

X-ray of knee, 3 views 73562

An X-ray of the knee, 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the knee from three different angles. This helps medical professionals to diagnose and monitor conditions like arthritis, fractures, or infections. The process is quick and painless.

38 services28 patients

Prosthetic repair of shoulder joint, total shoulder 23472

Total shoulder prosthetic repair is a surgical procedure to replace a damaged shoulder joint with artificial components. It aims to relieve pain and restore mobility. The procedure involves replacing the ball (humeral head) and socket (glenoid) of the shoulder joint.

20 services19 patients

X-ray of shoulder, minimum of 2 views 73030

An X-ray of the shoulder, with a minimum of 2 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of your shoulder bones. This helps in diagnosing conditions like fractures, arthritis, or other abnormalities. The procedure is quick and painless.

20 services16 patients

Replacement of thigh bone and hip joint with prosthesis 27130

This procedure, known as hip arthroplasty, involves replacing your damaged thigh bone and hip joint with artificial parts, called a prosthesis. It helps relieve pain, improve mobility, and enhance your quality of life.

19 services19 patients

X-ray of hip, 1 view 73501

An X-ray of the hip, 1 view, is a quick, painless test where a small amount of radiation is used to produce images of the hip joint. This helps in diagnosing conditions like arthritis or fractures. You'll be positioned so that the X-ray machine can capture the best image of your hip.

18 services16 patients

Hospital Affiliations CMS Care Compare 5

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

Kettering Health Greene Memorial

Acute Care Hospitals · Xenia, OH

OwnershipVoluntary non-profit - Private

CMS Certification Number360026

Location1141 North Monroe DriveXenia, OH 45385 · Greene County

Emergency services

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

Kettering Health Dayton

Acute Care Hospitals · Dayton, OH

3/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number360133

Location405 Grand AvenueDayton, OH 45405 · Montgomery County

Birthing friendly

Kettering Health Miamisburg

Acute Care Hospitals · Miamisburg, OH

3/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number360239

Location4000 Miamisburg-Centerville RoadMiamisburg, OH 45342 · Montgomery County

Emergency services

Soin Medical Center

Acute Care Hospitals · Beaver Creek, OH

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number360360

Location3535 Pentagon Park BlvdBeaver Creek, OH 45431 · Greene County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45459 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

$84.72 typical visit price

range $54.34 – $166.65

Typical copayment $21.18 (range $13.58 – $41.66)

Most-billed visit code 99203

Established Patient

$68.07 typical visit price

range $17.10 – $135.40

Typical copayment $17.01 (range $4.27 – $33.85)

Most-billed visit code 99213

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.

84.5/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

81.16

Promoting Interoperability

100

Improvement Activities

Cost

67.18

Referred Medical Equipment & Supplies CMS DME claims 2

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

Walker, folding, wheeled, adjustable or fixed height E0143

DME-Other DME · category DE000N

1 supplier16 claims16 services$45.40 avg. paid by Medicare

Shoulder orthosis, acromio/clavicular (canvas and webbing type), prefabricated, off-the-shelf L3670

DME-Orthotic Devices · category DF000N

1 supplier27 claims27 services$86.94 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.

OAK CREEK OB GYN INC

Obstetrics & Gynecology

6438 WILMINGTON PIKE, SUITE 300
CENTERVILLE, OH 45459

Montgomery County (937) 848-4850

DR. ROBERT A. LITTLE M.D.

Obstetrics & Gynecology

6438 WILMINGTON PIKE, SUITE 300
CENTERVILLE, OH 45459

Montgomery County (937) 848-4850

KETTERING INDEPENDENT MEDICAL GROUP INC

Durable Medical Equipment & Medical Supplies

6438 WILMINGTON PIKE, SUITE 220
DAYTON, OH 45459

Montgomery County (937) 433-5309

MRS. CAROL A COOKE CRNP

Nurse Practitioner (Family)

6438 WILMINGTON PIKE, SUITE 300
CENTERVILLE, OH 45459

Montgomery County (937) 848-4850

JOHN E. MURPHY, III

Family Medicine

6438 WILMINGTON PIKE, SUITE110
CENTERVILLE, OH 45459

Montgomery County (937) 848-4121

BARRY A FISHER MD

Family Medicine

6438 WILMINGTON PIKE, SUITE 100
DAYTON, OH 45459

Montgomery County (937) 885-7362

SABA QURESHI

Family Medicine

6438 WILMINGTON PIKE, SUITE 100
DAYTON, OH 45459

Montgomery County (937) 558-3840

VALERIE ELAINE COOPER D.D.S.

Dentist (Prosthodontics)

6438 WILMINGTON PIKE, SUITE 205
DAYTON, OH 45459

Montgomery County (937) 254-5760

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 Matthew Hess's NPI number?

The NPI number for Matthew Hess is 1407056518. It was assigned to this individual provider in the NPPES registry on July 18, 2007.

Where is Matthew Hess located?

Matthew Hess practices at 6438 Wilmington Pike Suite 220, Dayton, OH 45459. The listed phone number is (937) 433-5309.

What is Matthew Hess's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Matthew Hess enrolled in Medicare?

Yes. Matthew Hess 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 Matthew Hess accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 4 other insurers list Matthew Hess 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 Matthew Hess affiliated with any hospitals?

According to CMS data, Matthew Hess is affiliated with Kettering Health Greene Memorial, Kettering Health Main Campus, Kettering Health Dayton, Kettering Health Miamisburg and Soin Medical Center.

When was this NPI record last updated?

The NPPES record for Matthew Hess was last updated on January 21, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.