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DR. JESSE JOE HANISCH M.D., PH.D.
NPI 1497192785
Surgery in Festus, MO

Active since May 28, 2013PECOS EnrolledAccepts Medicare Assignment
94.61/100
CMS Quality Rating
1400 US HIGHWAY 61 STE 310, FESTUS, MO 63028(636) 543-2140(636) 933-1085 Get Directions Write a Review

NPPES record last updated: November 7, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 7, 2024, Dec 30, 2021, Oct 27, 2020 and 1 more (4 updates tracked since 2020).

About Dr. Jesse Joe Hanisch M.d., Ph.d. NPPES

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

DR. JESSE JOE HANISCH M.D., PH.D. (NPI 1497192785) is an individual surgery provider in Festus, Missouri, licensed in Missouri (2024041767) and active in the NPI registry since May 2013. He is enrolled in Medicare PECOS, is affiliated with Mercy Hospital Jefferson, and is a graduate of Creighton University School Of Medicine (2013).

NPPES Registry Identity

NPI1497192785
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameDR. JESSE JOE HANISCHCredential: M.D., PH.D.
Location Address1400 US HIGHWAY 61 STE 310Festus, MO 63028-4141
Mailing Address1400 Us Highway 61 Ste 310Festus, MO 63028-4141 · (636) 543-2140 · Fax (636) 933-1085
Phone(636) 543-2140
Fax(636) 933-1085
Sole ProprietorNo
Medical School CMSCreighton University School Of MedicineGraduated 2013
Enumeration DateMay 28, 2013
Last NPPES UpdateNovember 7, 20244 updates tracked since enumeration
NPPES CertifiedNovember 7, 2024
✔ NPI 1497192785 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
Licenses✔ Licensed in MO · 2024041767✔ Licensed in IL · 036154307
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
1400 US HIGHWAY 61 STE 310, Festus, MO 63028
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan 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

Dr. Jesse Joe Hanisch M.d., Ph.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 ID4587985478
PECOS Enrollment IDI20241114003360
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 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.
21 services15 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.
20 services18 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.
11 services11 patients

Hospital Affiliations CMS Care Compare 2

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

Mercy Hospital Jefferson

Acute Care Hospitals · Festus, MO
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260023
Location1400 Us Highway 61Festus, MO 63028 · Jefferson County
Emergency services

Mercy Hospital South

Acute Care Hospitals · Saint Louis, MO
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260077
Location10010 Kennerly RoadSaint Louis, MO 63128 · St. Louis County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63028 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
$86.32 typical visit price
range $55.65 – $169.38
Typical copayment $21.58 (range $13.91 – $42.34)
Most-billed visit code 99203
Established Patient
$69.50 typical visit price
range $17.76 – $137.92
Typical copayment $17.37 (range $4.44 – $34.48)
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.

94.61/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality85.17
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.

JOSEPH ROBERT BEHRENS MD
Surgery
1400 US HIGHWAY 61 STE 310
FESTUS, MO 63028
Jefferson County (636) 543-2140

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 Jesse Hanisch's NPI number?

The NPI number for Jesse Hanisch is 1497192785. It was assigned to this individual provider in the NPPES registry on May 28, 2013.

Where is Jesse Hanisch located?

Jesse Hanisch practices at 1400 Us Highway 61 Ste 310, Festus, MO 63028. The listed phone number is (636) 543-2140.

What is Jesse Hanisch's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Jesse Hanisch enrolled in Medicare?

Yes. Jesse Hanisch 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 Jesse Hanisch accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health and Ambetter from Sunflower Health Plan and 4 other insurers list Jesse Hanisch 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 Jesse Hanisch affiliated with any hospitals?

According to CMS data, Jesse Hanisch is affiliated with Mercy Hospital Jefferson and Mercy Hospital South.

When was this NPI record last updated?

The NPPES record for Jesse Hanisch was last updated on November 7, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months 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.