DANIEL HOY MD
NPI 1407416563
Family Medicine in Grand Forks, ND

Active since June 19, 2019PECOS EnrolledAccepts Medicare Assignment
725 HAMLINE ST, GRAND FORKS, ND 58203(701) 780-6824(701) 780-4391 Get Directions Write a Review

NPPES record last updated: June 19, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Daniel Hoy Md NPPES

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

DANIEL HOY MD (NPI 1407416563) is an individual family medicine provider in Grand Forks, North Dakota, licensed in North Dakota (RL15815) and active in the NPI registry since June 2019. He is enrolled in Medicare PECOS, is affiliated with Essentia Health, and is a graduate of University Of North Dakota School Of Medicine (2019).

NPPES Registry Identity

NPI1407416563
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDANIEL HOYCredential: MD
Location Address725 HAMLINE STGrand Forks, ND 58203-2819
Mailing Address725 Hamline StGrand Forks, ND 58203-2819 · (701) 780-6824 · Fax (701) 780-4391
Fax(701) 780-4391
Sole ProprietorNo
Medical School CMSUniversity Of North Dakota School Of MedicineGraduated 2019
Enumeration DateJune 19, 2019
NPI 1407416563 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in ND · RL15815
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

725 HAMLINE ST, Grand Forks, ND 58203

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

Daniel Hoy 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 ID3971838988
PECOS Enrollment IDI20220902002203
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 3

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.

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.
174 services120 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.
48 services42 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
18 services18 patients

Hospital Affiliations CMS Care Compare

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

Essentia Health

Acute Care Hospitals · Fargo, ND
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number350070
Location3000 32nd Ave SouthFargo, ND 58104 · Cass County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 58203 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
$85.71 typical visit price
range $55.75 – $168.12
Typical copayment $21.42 (range $13.93 – $42.03)
Most-billed visit code 99203
Established Patient
$98.29 typical visit price
range $18.11 – $137.65
Typical copayment $24.57 (range $4.52 – $34.41)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier21 claims21 services$17.90 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier21 claims21 services$91.54 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.

Family Medicine
725 HAMLINE ST
GRAND FORKS, ND 58203
Family Medicine
725 HAMLINE ST
GRAND FORKS, ND 58203
Family Medicine
725 HAMLINE ST
GRAND FORKS, ND 58203
Family Medicine
725 HAMLINE ST
GRAND FORKS, ND 58203
Student in an Organized Health Care Education/Training Program
725 HAMLINE ST
GRAND FORKS, ND 58203
Pharmacist (Pharmacotherapy)
725 HAMLINE ST
GRAND FORKS, ND 58203
Family Medicine
725 HAMLINE ST
GRAND FORKS, ND 58203
Family Medicine
725 HAMLINE ST
GRAND FORKS, ND 58203

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 Daniel Hoy's NPI number?

The NPI number for Daniel Hoy is 1407416563. It was assigned to this individual provider in the NPPES registry on June 19, 2019.

Where is Daniel Hoy located?

Daniel Hoy practices at 725 Hamline St, Grand Forks, ND 58203. The listed phone number is (701) 780-6824.

What is Daniel Hoy's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Daniel Hoy enrolled in Medicare?

Yes. Daniel Hoy 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 Daniel Hoy accept?

Health plans from Blue Cross Blue Shield of North Dakota, Medica and Sanford Health Plan list Daniel Hoy 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 Daniel Hoy affiliated with any hospitals?

According to CMS data, Daniel Hoy is affiliated with Essentia Health.

When was this NPI record last updated?

The NPPES record for Daniel Hoy was last updated on June 19, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.