JANELLE HESSE M.D.
NPI 1659503019
Emergency Medicine in Allentown, PA

Active since August 19, 2009PECOS Enrolled
95.64/100
CMS Quality Rating
1736 HAMILTON ST, ALLENTOWN, PA 18104(484) 526-4500(484) 526-6674 Get Directions Write a Review

NPPES record last updated: June 26, 2014. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Janelle Hesse M.d. NPPES

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

JANELLE HESSE M.D. (NPI 1659503019) is an individual emergency medicine provider in Allentown, Pennsylvania, licensed in Pennsylvania (MD442186) and active in the NPI registry since August 2009. She is enrolled in Medicare PECOS, is affiliated with St Luke's Hospital - Monroe Campus, and is a graduate of Temple University School Of Medicine (2008).

NPPES Registry Identity

NPI1659503019
Entity TypeIndividualFemale
Primary Taxonomy207P00000X
Provider Legal NameJANELLE HESSECredential: M.D.
Location Address1736 HAMILTON STAllentown, PA 18104-5656
Mailing Address1736 Hamilton StAllentown, PA 18104-5656 · (484) 526-4500 · Fax (484) 526-6674
Fax(484) 526-6674
Sole ProprietorYes
Medical School CMSTemple University School Of MedicineGraduated 2008
Enumeration DateAugust 19, 2009
Last NPPES UpdateJune 26, 2014
✔ NPI 1659503019 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in PA · MD442186
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
1736 HAMILTON ST, Allentown, PA 18104

Other Identifiers 2

Medicare PIN221270
Medicaid102604819PA

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Janelle Hesse M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4688842339
PECOS Enrollment IDI20260219004832, I20260520002789
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

2

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

Geriatric Medicine
1901 W HAMILTON ST, SUITE 300
Allentown, PA 18104
  • Reassigned Medicare billing, Pennsylvania enrollment
  • Medicare enrollment name: St Lukes Physician Group Inc
  • 2,851 clinicians in this Medicare group
Adult Mental Health
465 BIELBY RD
Lawrenceburg, IN 47025
  • Reassigned Medicare billing, Indiana and Florida enrollments
  • Also billed through NPI 1346736758 (Florida)
  • 86 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 2

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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
136 services132 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
51 services50 patients

Hospital Affiliations CMS Care Compare

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

St Luke's Hospital - Monroe Campus

Acute Care Hospitals · Stroudsburg, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390330
Location100 St Luke's LaneStroudsburg, PA 18360 · Monroe County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 18104 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
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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.

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.

95.64/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality80.57
Promoting Interoperability100
Improvement Activities40

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.

Emergency Medicine
1736 HAMILTON ST
ALLENTOWN, PA 18104
Emergency Medicine
1736 HAMILTON ST
ALLENTOWN, PA 18104
General Practice
1736 HAMILTON ST
ALLENTOWN, PA 18104
Podiatrist (Foot & Ankle Surgery)
1736 HAMILTON ST
ALLENTOWN, PA 18104
Dentist
1736 HAMILTON ST
ALLENTOWN, PA 18104
Podiatrist
1736 HAMILTON ST
ALLENTOWN, PA 18104
Physician Assistant
1736 HAMILTON ST
ALLENTOWN, PA 18104
Pharmacy (Community/Retail Pharmacy)
1736 HAMILTON ST, 1ST FLOOR - SOUTH TOWER
ALLENTOWN, PA 18104

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 Janelle Hesse's NPI number?

The NPI number for Janelle Hesse is 1659503019. It was assigned to this individual provider in the NPPES registry on August 19, 2009.

Where is Janelle Hesse located?

Janelle Hesse practices at 1736 Hamilton St, Allentown, PA 18104. The listed phone number is (484) 526-4500.

What is Janelle Hesse's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Janelle Hesse enrolled in Medicare?

Yes. Janelle Hesse is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Janelle Hesse's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Janelle Hesse reassigns Medicare benefits to 2 organizations: St. Luke's Physician Group, Inc. (Allentown, PA) and Recover Together, LLC (Lawrenceburg, IN). 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 Janelle Hesse's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Janelle Hesse accept?

Health plans from CareSource list Janelle Hesse 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 Janelle Hesse affiliated with any hospitals?

According to CMS data, Janelle Hesse is affiliated with St Luke's Hospital - Monroe Campus.

When was this NPI record last updated?

The NPPES record for Janelle Hesse was last updated on June 26, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.