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MATTHEW HESS MD
NPI 1518285964
Internal Medicine in Syracuse, NY

Active since May 10, 2010PECOS EnrolledAccepts Medicare Assignment
81.63/100
CMS Quality Rating
725 E. ADAMS ST., 3RD FL, SYRACUSE, NY 13210(315) 464-6527(315) 464-1729 Get Directions Write a Review

NPPES record last updated: September 13, 2024. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Matthew Hess Md NPPES

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

MATTHEW HESS MD (NPI 1518285964) is an individual internal medicine provider in Syracuse, New York, licensed in New York (269454) and active in the NPI registry since May 2010. He is enrolled in Medicare PECOS, is affiliated with Crouse Hospital, and is a graduate of Other (2010).

NPPES Registry Identity

NPI1518285964
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameMATTHEW HESSCredential: MD
Location Address725 E. ADAMS ST., 3RD FLSyracuse, NY 13210
Mailing Address725 E. Adams St., 3rd FlSyracuse, NY 13210 · (315) 464-6527 · Fax (315) 464-1729
Phone(315) 464-6527
Fax(315) 464-1729
Sole ProprietorNo
Medical School CMSOtherGraduated 2010
Enumeration DateMay 10, 2010
Last NPPES UpdateSeptember 13, 2024
✔ NPI 1518285964 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in NY · 269454
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
725 E. ADAMS ST., Syracuse, NY 13210
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Other Identifiers 1

Medicaid03715340NY

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 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 ID8022243633
PECOS Enrollment IDI20131106000750
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.
124 services83 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.
62 services62 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.
60 services53 patients

Hospital Affiliations CMS Care Compare 2

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

Crouse Hospital

Acute Care Hospitals · Syracuse, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330203
Location736 Irving AvenueSyracuse, NY 13210 · Onondaga County
Emergency services Birthing friendly

University Hospital S U N Y Health Science Center

Acute Care Hospitals · Syracuse, NY
3/5 CMS rating
OwnershipGovernment - State
CMS Certification Number330241
Location750 East Adams StreetSyracuse, NY 13210 · Onondaga County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 13210 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
$126.40 typical visit price
range $54.87 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$97.08 typical visit price
range $17.54 – $136.14
Typical copayment $24.27 (range $4.38 – $34.03)
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.

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.

81.63/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality73.86
Promoting Interoperability100
Improvement Activities40
Cost52.79

Other Providers at the Same Location NPPES 6

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

MISHAL SHAUKAT MD
Internal Medicine (Endocrinology, Diabetes & Metabolism)
725 E. ADAMS ST., 5TH FLOOR
SYRACUSE, NY 13210
Onondaga County (315) 464-5726
DR. DONA VARGHESE MD
Internal Medicine (Geriatric Medicine)
725 E. ADAMS ST., 2ND FL
SYRACUSE, NY 13210
Onondaga County (315) 464-6100
MRS. CATHERINE ELIZABETH BEER FNP-C
Nurse Practitioner (Family)
725 E. ADAMS ST., 4TH FLOOR
SYRACUSE, NY 13210
Onondaga County (315) 464-4686
ANDREA E. JONES NP
Nurse Practitioner (Adult Health)
725 E. ADAMS ST., 2ND FL
SYRACUSE, NY 13210
Onondaga County (315) 464-6100
BRADFIELD DOUGLAS CORRIGAN NP
Nurse Practitioner (Family)
725 E. ADAMS ST., 4TH FLOOR
SYRACUSE, NY 13210
Onondaga County (315) 464-4686
REHAN AZEEM MD
Internal Medicine (Geriatric Medicine)
725 E. ADAMS ST., 2ND FL
SYRACUSE, NY 13210
Onondaga County (315) 464-6100

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 1518285964. It was assigned to this individual provider in the NPPES registry on May 10, 2010.

Where is Matthew Hess located?

Matthew Hess practices at 725 E. Adams St. 3rd Fl, Syracuse, NY 13210. The listed phone number is (315) 464-6527.

What is Matthew Hess's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

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.

Is Matthew Hess affiliated with any hospitals?

According to CMS data, Matthew Hess is affiliated with Crouse Hospital and University Hospital S U N Y Health Science Center.

When was this NPI record last updated?

The NPPES record for Matthew Hess was last updated on September 13, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.