DR. KEVIN JOHN HESS DO
NPI 1609434919
Internal Medicine in Newark, DE

Active since June 01, 2019PECOS EnrolledAccepts Medicare Assignment
4755 OGLETOWN STANTON RD STE 5A43, NEWARK, DE 19718(302) 623-0188(302) 733-5640 Get Directions Write a Review

NPPES record last updated: March 24, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Mar 24, 2023, Jun 9, 2022, Jun 1, 2019 (3 updates tracked since 2019).

About Dr. Kevin John Hess Do NPPES

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

DR. KEVIN JOHN HESS DO (NPI 1609434919) is an individual internal medicine provider in Newark, Delaware, licensed in Delaware (C2-0024074) and active in the NPI registry since June 2019. He is enrolled in Medicare PECOS, maintains a secondary practice location in Allentown, and is a graduate of Rowan University School Of Osteopathic Medicine (2019).

NPPES Registry Identity

NPI1609434919
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. KEVIN JOHN HESSCredential: DO
Location Address4755 OGLETOWN STANTON RD STE 5A43Newark, DE 19718-3648
Mailing Address1627 Chew St # 101Allentown, PA 18102-3648 · (610) 969-4370
Fax(302) 733-5640
Sole ProprietorYes
Medical School CMSRowan University School Of Osteopathic MedicineGraduated 2019
Enumeration DateJune 1, 2019
Last NPPES UpdateMarch 24, 20233 updates tracked since enumeration
NPPES CertifiedMarch 24, 2023
✔ NPI 1609434919 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses✔ Licensed in DE · C2-0024074✔ Licensed in CT · 73733
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.
4755 OGLETOWN STANTON RD STE 5A43, Newark, DE 19718

Secondary Practice Location 1

Location 11627 Chew St # 101Allentown, PA 18102-3648 · Phone (610) 969-4370

Accepted 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 John Hess Do 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 ID4880928936
PECOS Enrollment IDI20231201001839
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

3

Medicare enrollment records show Kevin Hess reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Hospitalist
200 HYGEIA DR, SUITE 2100
Newark, DE 19713
  • Reassigned Medicare billing, Delaware enrollment
  • 460 clinicians in this Medicare group
Health Service
120 CONNECTICUT AVENUE
Norwalk, CT 06854
  • Reassigned Medicare billing, Connecticut enrollment
  • 60 clinicians in this Medicare group
Internal Medicine
24 HOSPITAL AVE
Danbury, CT 06810
  • Reassigned Medicare billing, Connecticut enrollment
  • 818 clinicians in this Medicare group

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

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
23 services17 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19718 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
$131.15 typical visit price
range $57.12 – $173.08
Typical copayment $32.78 (range $14.28 – $43.27)
Most-billed visit code 99204
Established Patient
$100.68 typical visit price
range $18.36 – $141.05
Typical copayment $25.17 (range $4.59 – $35.26)
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.

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.

Internal Medicine (Infectious Disease)
4755 OGLETOWN STANTON RD STE 5A43
NEWARK, DE 19718
Internal Medicine
4755 OGLETOWN STANTON RD STE 5A43
NEWARK, DE 19718
Nurse Practitioner
4755 OGLETOWN STANTON RD STE 5A43
NEWARK, DE 19718
Physician Assistant
4755 OGLETOWN STANTON RD STE 5A43
NEWARK, DE 19718
Internal Medicine
4755 OGLETOWN STANTON RD STE 5A43
NEWARK, DE 19718
Internal Medicine
4755 OGLETOWN STANTON RD STE 5A43
NEWARK, DE 19718
Internal Medicine
4755 OGLETOWN STANTON RD STE 5A43
NEWARK, DE 19718
Internal Medicine
4755 OGLETOWN STANTON RD STE 5A43
NEWARK, DE 19718

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 1609434919. It was assigned to this individual provider in the NPPES registry on June 1, 2019.

Where is Kevin Hess located?

Kevin Hess practices at 4755 Ogletown Stanton Rd Ste 5a43, Newark, DE 19718. The listed phone number is (302) 623-0188.

What is Kevin Hess's specialty?

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

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 3 organizations: Christiana Care Health Services Inc (Newark, DE), Norwalk Community Health Center Inc (Norwalk, CT) and Nuvance Health Medical Practice Ct, Inc. (Danbury, CT). 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 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 March 24, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.