NATHAN PAUL HESEMANN M.D.
NPI 1700082542
Ophthalmology in Columbia, MO

Q: What is Nathan Hesemann's NPI number?

The NPI number for Nathan Hesemann is 1700082542. It was assigned to this individual provider in the NPPES registry on June 26, 2007.

Q: What is Nathan Hesemann's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Q: When was this NPI record last updated?

The NPPES record for Nathan Hesemann was last updated on May 10, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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 June 26, 2007PECOS EnrolledAccepts Medicare Assignment

90.95/100

CMS Quality Rating

1 HOSPITAL DRIVE, COLUMBIA, MO 65212(573) 884-1506(573) 884-5575 Get Directions Write a Review

NPPES record last updated: May 10, 2019. Verified against the NPPES registry weekly; last sync: August 30, 2026.

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About Nathan Paul Hesemann M.d. NPPES

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

NATHAN PAUL HESEMANN M.D. (NPI 1700082542) is an individual ophthalmology provider in Columbia, Missouri, licensed in Missouri (2011013359) and active in the NPI registry since June 2007. He is enrolled in Medicare PECOS, is affiliated with Boone Hospital Center, and maintains a secondary practice location in Hazelwood.

NPPES Registry Identity

NPI1700082542

Entity TypeIndividualMale

Primary Taxonomy207W00000X

Provider Legal NameNATHAN PAUL HESEMANNCredential: M.D.

Location Address1 HOSPITAL DRIVEColumbia, MO 65212

Mailing AddressPo Box 843966Kansas City, MO 64184-3966 · (573) 884-3300 · Fax (573) 884-0943

Phone(573) 884-1506

Fax(573) 884-5575

Sole ProprietorNo

Medical School CMSUniversity Of Missouri, Columbia School Of MedicineGraduated 2007

Enumeration DateJune 26, 2007

Last NPPES UpdateMay 10, 2019

✔ NPI 1700082542 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians

Taxonomy Code207W00000X

License✔ Licensed in MO · 2011013359

Definition

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

1 HOSPITAL DRIVE, Columbia, MO 65212

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Secondary Practice Location 1

Location 17934 N Lindbergh Blvd, Suite AHazelwood, MO 63042-3521 · Phone (314) 921-2020 · Fax (314) 921-7954

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica.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

Nathan Paul Hesemann 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 ID4981873585

PECOS Enrollment IDI20110817000187

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 9

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.

Removal of cataract with insertion of prosthetic lens 66984

This is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.

481 services287 patients

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.

322 services314 patients

Measurement of corneal curvature and depth of eye 92136

This procedure measures the shape and depth of your eye, specifically the cornea, the clear front surface. It helps in diagnosing conditions, planning for surgeries, or fitting contact lenses. It's non-invasive and painless.

271 services268 patients

Removal of recurring cataract in lens capsule using a laser 66821

This procedure, known as YAG laser capsulotomy, treats cloudiness in the lens capsule following cataract surgery. A laser is used to create a small hole in the cloudy capsule, allowing light to pass through and restore clear vision. It's a quick, painless procedure.

183 services136 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.

36 services24 patients

Complex removal of cataract with insertion of prosthetic lens 66982

This procedure involves removing a cloudy lens (cataract) from your eye and replacing it with a clear, artificial lens. It helps restore vision that has been affected by the cataract. The operation is usually done under local anesthesia.

30 services22 patients

Hospital Affiliations CMS Care Compare 2

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

Boone Hospital Center

Acute Care Hospitals · Columbia, MO

5/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number260068

Location1600 E BroadwayColumbia, MO 65201 · Boone County

Emergency services Birthing friendly

Macon County Samaritan Memorial Hospital

Critical Access Hospitals · Macon, MO

OwnershipGovernment - Local

CMS Certification Number261313

Location1205 North Missouri StMacon, MO 63552 · Macon County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 65212 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

$121.96 typical visit price

range $52.28 – $161.24

Typical copayment $30.49 (range $13.07 – $40.31)

Most-billed visit code 99204

Established Patient

$65.71 typical visit price

range $16.30 – $131.05

Typical copayment $16.42 (range $4.07 – $32.76)

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.

90.95/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

94.04

Improvement Activities

Cost

77.79

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Frames, purchases V2020

Other-Vision, Hearing, and Speech Services · category OC000N

1 supplier50 claims50 services$42.89 avg. paid by Medicare

Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens V2203

Other-Vision, Hearing, and Speech Services · category OC000N

1 supplier44 claims85 services$37.75 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

MEGAN GILLESPIE MD

Otolaryngology

1 HOSPITAL DRIVE, MA314 / DC027.00
COLUMBIA, MO 65212

Boone County (573) 882-7935

DR. PATRICE DELAFONTAINE M.D.

Internal Medicine (Cardiovascular Disease)

1 HOSPITAL DRIVE
COLUMBIA, MO 65212

Boone County (573) 884-3278

EVAN JAMES WETHINGTON MD

Anesthesiology

1 HOSPITAL DRIVE, HSL152
COLUMBIA, MO 65212

Boone County (573) 884-3466

SUMA GONDI

Student in an Organized Health Care Education/Training Program

1 HOSPITAL DRIVE
COLUMBIA, MO 65212

Boone County (573) 884-7886

BONNI NICOLE HEITHOLD M.D.

Pediatrics

1 HOSPITAL DRIVE
COLUMBIA, MO 65212

Boone County (573) 882-4438

ROSS STRATTON SMITH MD

Psychiatry & Neurology (Neurology)

1 HOSPITAL DRIVE, CE515, CS&E BUILDING
COLUMBIA, MO 65212

Boone County (573) 882-1515

DEREK HEIL

Emergency Medicine

1 HOSPITAL DRIVE
COLUMBIA, MO 65212

Boone County (573) 884-4141

MARY L CUNNINGHAM APRN

Clinical Nurse Specialist (Oncology)

1 HOSPITAL DRIVE
COLUMBIA, MO 65212

Boone County (573) 884-0771

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 Nathan Hesemann's NPI number?

The NPI number for Nathan Hesemann is 1700082542. It was assigned to this individual provider in the NPPES registry on June 26, 2007.

Where is Nathan Hesemann located?

Nathan Hesemann practices at 1 Hospital Drive, Columbia, MO 65212. The listed phone number is (573) 884-1506.

What is Nathan Hesemann's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Nathan Hesemann enrolled in Medicare?

Yes. Nathan Hesemann 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 Nathan Hesemann accept?

Health plans from Medica list Nathan Hesemann 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 Nathan Hesemann affiliated with any hospitals?

According to CMS data, Nathan Hesemann is affiliated with Boone Hospital Center and Macon County Samaritan Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Nathan Hesemann was last updated on May 10, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.