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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. KEVIN RAY HESS MD
NPI 1427004126
Psychiatry & Neurology - Psychiatry in Eau Claire, WI

Active since May 25, 2006PECOS EnrolledAccepts Medicare Assignment
89.68/100
CMS Quality Rating
130 S BARSTOW ST STE 1B, EAU CLAIRE, WI 54701(715) 579-4424 Get Directions Write a Review

NPPES record last updated: September 18, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 18, 2026, Mar 21, 2025, Jul 6, 2022 and 4 more (7 updates tracked since 2016).

About Dr. Kevin Ray Hess Md NPPES

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

DR. KEVIN RAY HESS MD (NPI 1427004126) is an individual psychiatry provider in Eau Claire, Wisconsin, licensed in Wisconsin (54862-20) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, maintains a secondary practice location in Ashland, and is a graduate of Other (1993).

NPPES Registry Identity

NPI1427004126
Entity TypeIndividualMale
Primary Taxonomy2084P0800X
Provider Legal NameDR. KEVIN RAY HESSCredential: MD
Location Address130 S BARSTOW ST STE 1BEau Claire, WI 54701-3661
Mailing Address2403 Folsom StEau Claire, WI 54703-2435 · (715) 552-9784 · Fax (715) 835-6370
Phone(715) 579-4424
Sole ProprietorNo
Medical School CMSOtherGraduated 1993
Enumeration DateMay 25, 2006
Last NPPES UpdateSeptember 18, 20267 updates tracked since enumeration
NPPES CertifiedSeptember 18, 2026
✔ NPI 1427004126 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
Licenses✔ Licensed in WI · 54862-20✔ Licensed in MI · 4301073166
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
130 S BARSTOW ST STE 1B, Eau Claire, WI 54701
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Secondary Practice Location 1

Location 11615 Maple LaneAshland, WI 54806-3610 · Phone (715) 685-5500 · Fax (715) 682-4022

Other Identifiers 1

Medicaid4842657MI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Aspirus Health Plan, Dean Health Plan and more.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. Kevin Ray 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 ID3870582596
PECOS Enrollment IDI20101023000184, I20161003001936
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.

Medicare Billing Reassignments

4

Medicare enrollment records show Kevin Hess reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

The Lakes Community Health Center, Inc
1.3 mi
Federally Qualified Health Center (FQHC)
2119 HEIGHTS DR
Eau Claire, WI 54701
  • Reassigned Medicare billing, Wisconsin enrollment
  • 118 clinicians in this Medicare group
NPI 1891452314 (715) 861-7901
Oakleaf Clinics Sc
1.3 mi
Obstetrics & Gynecology
1110 OAK RIDGE DR
Eau Claire, WI 54701
  • Reassigned Medicare billing, Wisconsin enrollment
  • Medicare enrollment name: Oakleaf Clinics Inc
  • 97 clinicians in this Medicare group
NPI 1891187696 (715) 836-9242
Amery Regional Medical Center, Inc.
51 mi
Rural Health
550 MARTIN AVE W
Turtle Lake, WI 54889
  • Reassigned Medicare billing, Wisconsin enrollment
  • 348 clinicians in this Medicare group
NPI 1538384466 (715) 986-4101
Memorial Medical Center Inc
125 mi
Critical Access
1615 MAPLE LN
Ashland, WI 54806
  • Reassigned Medicare billing, Wisconsin enrollment
  • 175 clinicians in this Medicare group
NPI 1437179231 (715) 685-5500

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 4

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.
41 services21 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
34 services12 patients
Psychotherapy with evaluation and management visit, 30 minutes 90833
Psychotherapy with evaluation and management is a 30-minute session where a mental health professional talks with you about your concerns and feelings. They assess your mental health, provide support, and manage your treatment plan to help improve your well-being.
23 services18 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
12 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54701 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
$163.24 typical visit price
range $53.90 – $163.24
Typical copayment $40.81 (range $13.47 – $40.81)
Most-billed visit code 99205
Established Patient
$67.37 typical visit price
range $17.40 – $133.76
Typical copayment $16.84 (range $4.35 – $33.44)
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.

89.68/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality81.23
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES

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

MS. ANDREA MARIE HESS MS, LPC, SAC-IT
Counselor
130 S BARSTOW ST STE 1B
EAU CLAIRE, WI 54701
Eau Claire County (715) 579-4424

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 Kevin Hess's NPI number?

The NPI number for Kevin Hess is 1427004126. It was assigned to this individual provider in the NPPES registry on May 25, 2006.

Where is Kevin Hess located?

Kevin Hess practices at 130 S Barstow St Ste 1B, Eau Claire, WI 54701. The listed phone number is (715) 579-4424.

What is Kevin Hess's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Kevin Hess enrolled in Medicare?

Yes. Kevin 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.

Which organizations bill Medicare for Kevin Hess's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kevin Hess reassigns Medicare benefits to 4 organizations: The Lakes Community Health Center, Inc (Eau Claire, WI), Oakleaf Clinics Sc (Eau Claire, WI), Amery Regional Medical Center, Inc. (Turtle Lake, WI) and Memorial Medical Center Inc (Ashland, WI). Each 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 Kevin Hess's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kevin Hess accept?

Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, Dean Health Plan, HealthPartners and Quartz and 1 other insurer list Kevin 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.

When was this NPI record last updated?

The NPPES record for Kevin Hess was last updated on September 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 46 days 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.