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TRICIA ROSE HOERSTEN MD
NPI 1629658125
Family Medicine in Lima, OH

Active since April 09, 2021PECOS EnrolledAccepts Medicare Assignment
582 N CABLE RD, LIMA, OH 45805(419) 996-2500(419) 996-2509 Get Directions Write a Review

NPPES record last updated: May 29, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 15, 2024, Apr 9, 2021 (2 updates tracked since 2021).

About Tricia Rose Hoersten Md NPPES

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

TRICIA ROSE HOERSTEN MD (NPI 1629658125) is an individual family medicine provider in Lima, Ohio, licensed in Ohio (35.146647) and active in the NPI registry since April 2021. She is enrolled in Medicare PECOS, is affiliated with Lima Memorial Health System, and is a graduate of Wright State University Boonshoft School Of Medicine (2021).

NPPES Registry Identity

NPI1629658125
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameTRICIA ROSE HOERSTENCredential: MD
Location Address582 N CABLE RDLima, OH 45805-2133
Mailing Address730 W Market StLima, OH 45801-4602
Phone(419) 996-2500
Fax(419) 996-2509
Sole ProprietorNo
Medical School CMSWright State University Boonshoft School Of MedicineGraduated 2021
Enumeration DateApril 9, 2021
Last NPPES UpdateMay 29, 20242 updates tracked since enumeration
NPPES CertifiedMay 29, 2024
✔ NPI 1629658125 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in OH · 35.146647
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
582 N CABLE RD, Lima, OH 45805
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health 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

Tricia Rose Hoersten 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 ID7113328386
PECOS Enrollment IDI20240528000294
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 6

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.
47 services34 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.
33 services32 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
14 services14 patients
Influenza vaccine, inactivated 90653
The Influenza vaccine, inactivated, is a shot given to protect against the flu. It contains killed virus particles that help your body build immunity to the flu. It's recommended annually to keep your protection up-to-date. It's safe for ages 6 months and up.
13 services13 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
11 services11 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 3

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

Lima Memorial Health System

Acute Care Hospitals · Lima, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number360009
Location1001 Bellefontaine AvenueLima, OH 45804 · Allen County
Emergency services Birthing friendly

Mercy Health-St Rita's Medical Center

Acute Care Hospitals · Lima, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360066
Location730 West Market StreetLima, OH 45801 · Allen County
Emergency services Birthing friendly

Paulding County Hospital

Critical Access Hospitals · Paulding, OH
OwnershipGovernment - Local
CMS Certification Number361300
Location1035 West Wayne St.Paulding, OH 45879 · Paulding County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45805 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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 5

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

CHRISTINE RENEE GAYNIER MD
Family Medicine
582 N CABLE RD
LIMA, OH 45805
Allen County (419) 996-2500
BRENDA S KELLER CNP
Nurse Practitioner (Family)
582 N CABLE RD
LIMA, OH 45805
Allen County (419) 996-2500
MRS. LAURA ANN BECKETT-AVERY LISW-S
Social Worker (Clinical)
582 N CABLE RD
LIMA, OH 45805
Allen County (419) 996-2500
TRICIA STOKER
Nurse Practitioner (Family)
582 N CABLE RD
LIMA, OH 45805
Allen County (419) 996-2500
ERIC TODD STALLKAMP MD
Family Medicine
582 N CABLE RD
LIMA, OH 45805
Allen County (419) 996-2500

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 Tricia Hoersten's NPI number?

The NPI number for Tricia Hoersten is 1629658125. It was assigned to this individual provider in the NPPES registry on April 9, 2021.

Where is Tricia Hoersten located?

Tricia Hoersten practices at 582 N Cable Rd, Lima, OH 45805. The listed phone number is (419) 996-2500.

What is Tricia Hoersten's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Tricia Hoersten enrolled in Medicare?

Yes. Tricia Hoersten 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 Tricia Hoersten accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and Antidote Health Plan of Ohio, Inc. and 4 other insurers list Tricia Hoersten 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 Tricia Hoersten affiliated with any hospitals?

According to CMS data, Tricia Hoersten is affiliated with Lima Memorial Health System, Mercy Health-St Rita's Medical Center and Paulding County Hospital.

When was this NPI record last updated?

The NPPES record for Tricia Hoersten was last updated on May 29, 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.