CHAD J. HESS PA
NPI 1538719349
Physician Assistant in Sun Prairie, WI

Active since September 13, 2019PECOS EnrolledAccepts Medicare Assignment
10 TOWER DR, SUN PRAIRIE, WI 53590(608) 825-3500(608) 825-3676 Get Directions Write a Review

NPPES record last updated: April 14, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 14, 2022, Apr 15, 2021, Jan 12, 2021 and 1 more (4 updates tracked since 2019).

About Chad J. Hess Pa NPPES

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

CHAD J. HESS PA (NPI 1538719349) is an individual physician assistant in Sun Prairie, Wisconsin, licensed in Wisconsin (4867-23) and active in the NPI registry since September 2019. He is enrolled in Medicare PECOS, is affiliated with Ssm Health St Mary's Hospital - Madison, and maintains a secondary practice location in Madison.

NPPES Registry Identity

NPI1538719349
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameCHAD J. HESSCredential: PA
Location Address10 TOWER DRSun Prairie, WI 53590-1239
Mailing Address10 Tower DrSun Prairie, WI 53590-1239 · (608) 825-3500 · Fax (608) 825-3676
Fax(608) 825-3676
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateSeptember 13, 2019
Last NPPES UpdateApril 14, 20224 updates tracked since enumeration
NPPES CertifiedApril 14, 2022
NPI 1538719349 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in WI · 4867-23
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
Also ListedPhysician Assistant · MedicalTaxonomy 363AM0700X · License 4867-23 (WI)
10 TOWER DR, Sun Prairie, WI 53590

Secondary Practice Location 1

Location 1521 Grand Oak Trl Apt 217Madison, WI 53714-9109 · Phone (608) 341-4163

Other Identifiers 1

Medicaid1538719349WI

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

Chad J. Hess Pa 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 ID3375875420
PECOS Enrollment IDI20191023001156
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 14

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.
279 services185 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
250 services125 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.
102 services79 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.
99 services99 patients
Complete blood cell count (red cells, white blood cell, platelets), automated test 85027
A complete blood cell count (CBC) is an automated test that measures different components of the blood, including red cells, white cells, and platelets. It helps assess overall health, detect disorders like anemia or infection, and monitor medical treatments.
52 services29 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
33 services32 patients

Hospital Affiliations CMS Care Compare 2

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

Ssm Health St Mary's Hospital - Madison

Acute Care Hospitals · Madison, WI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520083
Location700 South Park StMadison, WI 53715 · Dane County
Emergency services Birthing friendly

Columbus Community Hospital

Critical Access Hospitals · Columbus, WI
OwnershipVoluntary non-profit - Private
CMS Certification Number521338
Location1515 Park AveColumbus, WI 53925 · Columbia County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53590 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
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
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.

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.

Audiologist
10 TOWER DR
SUN PRAIRIE, WI 53590
Physical Therapist
10 TOWER DR
SUN PRAIRIE, WI 53590
Optometrist
10 TOWER DR
SUN PRAIRIE, WI 53590
Optometrist
10 TOWER DR
SUN PRAIRIE, WI 53590
Pediatrics
10 TOWER DR
SUN PRAIRIE, WI 53590
Internal Medicine
10 TOWER DR
SUN PRAIRIE, WI 53590
Family Medicine
10 TOWER DR
SUN PRAIRIE, WI 53590
Physician Assistant
10 TOWER DR
SUN PRAIRIE, WI 53590

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 Chad Hess's NPI number?

The NPI number for Chad Hess is 1538719349. It was assigned to this individual provider in the NPPES registry on September 13, 2019.

Where is Chad Hess located?

Chad Hess practices at 10 Tower Dr, Sun Prairie, WI 53590. The listed phone number is (608) 825-3500.

What is Chad Hess's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Chad Hess enrolled in Medicare?

Yes. Chad 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 Chad Hess accept?

Health plans from Anthem Blue Cross and Blue Shield list Chad 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 Chad Hess affiliated with any hospitals?

According to CMS data, Chad Hess is affiliated with Ssm Health St Mary's Hospital - Madison and Columbus Community Hospital.

When was this NPI record last updated?

The NPPES record for Chad Hess was last updated on April 14, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.