KATHRYN SIMONE HOES M.D.
NPI 1639468234
Neurological Surgery in Wexford, PA

Active since April 04, 2011PECOS EnrolledAccepts Medicare Assignment
77.5/100
CMS Quality Rating
12680 PERRY HWY STE 170, WEXFORD, PA 15090(412) 802-3350(412) 748-4215 Get Directions Write a Review

NPPES record last updated: October 3, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 3, 2022, Sep 9, 2022, Mar 12, 2019 and 1 more (4 updates tracked since 2018).

About Kathryn Simone Hoes M.d. NPPES

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

KATHRYN SIMONE HOES M.D. (NPI 1639468234) is an individual neurological surgery provider in Wexford, Pennsylvania, licensed in Pennsylvania (MD479104) and active in the NPI registry since April 2011. She is enrolled in Medicare PECOS, is affiliated with Upmc Jameson, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1639468234
Entity TypeIndividualFemale
Primary Taxonomy207T00000X
Provider Legal NameKATHRYN SIMONE HOESCredential: M.D.
Location Address12680 PERRY HWY STE 170Wexford, PA 15090-8887
Mailing Address12680 Perry Hwy Ste 170Wexford, PA 15090-8887 · (412) 802-3350 · Fax (412) 748-4215
Fax(412) 748-4215
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateApril 4, 2011
Last NPPES UpdateOctober 3, 20224 updates tracked since enumeration
NPPES CertifiedOctober 3, 2022
NPI 1639468234 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNeurological SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207T00000X
Licenses Licensed in PA · MD479104 Licensed in IN · 01080144A Licensed in TX · S1414
Definition
A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution.
12680 PERRY HWY STE 170, Wexford, PA 15090

Secondary Practice Locations 2

Location 1355 W 16th St Ste 5100Indianapolis, IN 46202 · Phone (317) 396-1300 · Fax (317) 396-1267
Location 25323 Harry Hines BoulevardDallas, TX 75390-9257 · Phone (214) 645-2300

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

Kathryn Simone Hoes M.d. 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 ID4486902855
PECOS Enrollment IDI20221018001366
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 7

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.
70 services57 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.
64 services64 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
30 services24 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.
29 services29 patients
Partial removal of spine bone with release of spinal cord and/or nerves, each additional segment 63048
This procedure involves the partial removal of a bone in your spine to alleviate pressure on your spinal cord or nerves. It may be performed on multiple spine segments depending on your condition. The aim is to improve mobility and reduce pain or discomfort.
24 services12 patients
Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes 99221
Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.
14 services14 patients

Hospital Affiliations CMS Care Compare 4

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

Upmc Jameson

Acute Care Hospitals · New Castle, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number390016
Location1211 Wilmington AvenueNew Castle, PA 16105 · Lawrence County
Emergency services

Upmc Northwest

Acute Care Hospitals · Seneca, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number390091
Location100 Fairfield DriveSeneca, PA 16346 · Venango County
Emergency services Birthing friendly

Upmc Passavant

Acute Care Hospitals · Pittsburgh, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390107
Location9100 Babcock BoulevardPittsburgh, PA 15237 · Allegheny County
Emergency services

Upmc Presbyterian Shadyside

Acute Care Hospitals · Pittsburgh, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390164
Location200 Lothrop StreetPittsburgh, PA 15213 · Allegheny County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 15090 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
$126.34 typical visit price
range $54.64 – $166.87
Typical copayment $31.58 (range $13.66 – $41.71)
Most-billed visit code 99204
Established Patient
$68.36 typical visit price
range $17.33 – $135.84
Typical copayment $17.09 (range $4.33 – $33.96)
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.

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.

77.5/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality68.61
Promoting Interoperability100
Improvement Activities40
Cost56.4

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.

Physician Assistant
12680 PERRY HWY STE 170
WEXFORD, PA 15090
Nurse Practitioner (Family)
12680 PERRY HWY STE 170
WEXFORD, PA 15090
Physician Assistant
12680 PERRY HWY STE 170
WEXFORD, PA 15090
Neurological Surgery
12680 PERRY HWY STE 170, SUITE 201
WEXFORD, PA 15090
Physician Assistant
12680 PERRY HWY STE 170
WEXFORD, PA 15090

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 Kathryn Hoes's NPI number?

The NPI number for Kathryn Hoes is 1639468234. It was assigned to this individual provider in the NPPES registry on April 4, 2011.

Where is Kathryn Hoes located?

Kathryn Hoes practices at 12680 Perry Hwy Ste 170, Wexford, PA 15090. The listed phone number is (412) 802-3350.

What is Kathryn Hoes's specialty?

The primary specialty registered for this NPI is Neurological Surgery with taxonomy code 207T00000X.

Is Kathryn Hoes enrolled in Medicare?

Yes. Kathryn Hoes 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 Kathryn Hoes accept?

Health plans from Blue Cross and Blue Shield of Texas list Kathryn Hoes 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 Kathryn Hoes affiliated with any hospitals?

According to CMS data, Kathryn Hoes is affiliated with Upmc Jameson, Upmc Northwest, Upmc Passavant and Upmc Presbyterian Shadyside.

When was this NPI record last updated?

The NPPES record for Kathryn Hoes was last updated on October 3, 2022. 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.