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

Q: 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.

Q: What is Tricia Hoersten's specialty?

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

Q: 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.

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: October 25, 2026.

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

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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, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignments

Medicare enrollment records show Tricia Hoersten reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Mercy Health Physicians Lima Specialty Care LLC

2.9 mi

Surgery

830 W HIGH ST STE 206
Lima, OH 45801

Reassigned Medicare billing, Ohio enrollment
439 clinicians in this Medicare group

NPI 1518589803 (888) 696-3541

Mercy Health Physicians Lima, LLC

2.9 mi

Family Medicine

830 W HIGH ST STE 206
Lima, OH 45801

Reassigned Medicare billing, Ohio enrollment
75 clinicians in this Medicare group

NPI 1225292865 (419) 227-7399

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 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.

Which organizations bill Medicare for Tricia Hoersten's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tricia Hoersten reassigns Medicare benefits to 2 organizations: Mercy Health Physicians Lima Specialty Care LLC (Lima, OH) and Mercy Health Physicians Lima, LLC (Lima, OH). 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 Tricia Hoersten's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

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 5 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.