DR. WAYNE C. HOOVER M.D.
NPI 1790716116
Internal Medicine - Gastroenterology in Chambersburg, PA

Q: What is Wayne Hoover's NPI number?

The NPI number for Wayne Hoover is 1790716116. It was assigned to this individual provider in the NPPES registry on July 5, 2006.

Q: What is Wayne Hoover's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Q: When was this NPI record last updated?

The NPPES record for Wayne Hoover was last updated on October 21, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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 July 05, 2006PECOS EnrolledAccepts Medicare Assignment

835 5TH AVE, CHAMBERSBURG, PA 17201(717) 263-0629(717) 263-7105 Get Directions Write a Review

NPPES record last updated: October 21, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Dr. Wayne C. Hoover M.d. NPPES

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

DR. WAYNE C. HOOVER M.D. (NPI 1790716116) is an individual gastroenterology provider in Chambersburg, Pennsylvania, licensed in Pennsylvania (MD045471E) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Wellspan Chambersburg Hospital, and is a graduate of Pennsylvania State University College Of Medicine (1987).

NPPES Registry Identity

NPI1790716116

Entity TypeIndividualMale

Primary Taxonomy207RG0100X

Provider Legal NameDR. WAYNE C. HOOVERCredential: M.D.

Location Address835 5TH AVEChambersburg, PA 17201-4224

Mailing Address3421 Concord RdYork, PA 17402-9001 · (717) 263-0629 · Fax (717) 263-7105

Phone(717) 263-0629

Fax(717) 263-7105

Sole ProprietorNo

Medical School CMSPennsylvania State University College Of MedicineGraduated 1987

Enumeration DateJuly 5, 2006

Last NPPES UpdateOctober 21, 2021

NPPES CertifiedOctober 21, 2021

✔ NPI 1790716116 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians

Taxonomy Code207RG0100X

License✔ Licensed in PA · MD045471E

Definition

An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.

835 5TH AVE, Chambersburg, PA 17201

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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

Dr. Wayne C. Hoover 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 ID3072545490

PECOS Enrollment IDI20110107000034

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 14

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 polyps or growths of large bowel using an endoscope with mechanical snare 45385

This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.

287 services287 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

72 services72 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.

68 services66 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.

59 services57 patients

Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239

This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.

57 services56 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

51 services38 patients

Colorectal cancer screening; colonoscopy on individual at high risk G0105

Colorectal cancer screening, specifically a colonoscopy, is a preventive measure for those at high risk. A thin, flexible tube with a camera inspects the colon to spot any abnormal growths. This test helps detect potential issues early, enhancing the effectiveness of treatment.

46 services46 patients

Insertion of guide wire with dilation of esophagus using a flexible endoscope 43248

This is a procedure where a thin tube, called an endoscope, is gently passed through your mouth into your esophagus. A guide wire is then inserted to help widen any narrow areas. This helps improve swallowing and reduce discomfort.

39 services39 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.

35 services35 patients

Biopsy of large bowel using a flexible endoscope 45380

A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.

25 services25 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

20 services20 patients

Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231

Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.

19 services19 patients

Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43235

This procedure, known as an upper endoscopy, involves inserting a thin, flexible tube with a camera down the throat to examine the esophagus, stomach, and upper small bowel. It helps diagnose conditions like ulcers or inflammation.

16 services16 patients

Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk G0121

Colorectal cancer screening, such as a colonoscopy, is a preventive measure to detect early signs of cancer in the large intestine. For individuals not at high risk, it's typically recommended at age 50. A small, flexible tube with a camera is used to examine your colon. It's a safe, effective way to catch issues early.

14 services14 patients

Hospital Affiliations CMS Care Compare

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

Wellspan Chambersburg Hospital

Acute Care Hospitals · Chambersburg, PA

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390151

Location112 North Seventh StreetChambersburg, PA 17201 · Franklin County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 17201 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

$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.

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Other Providers at the Same Location NPPES 19

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

RYAN R GAFFNEY DO

Internal Medicine (Gastroenterology)

835 5TH AVE
CHAMBERSBURG, PA 17201

Franklin County (717) 263-0629

CHAMBERSBURG GASTROENTEROLOGY ASSO., LTD

Internal Medicine (Gastroenterology)

835 5TH AVE
CHAMBERSBURG, PA 17201

Franklin County (717) 263-0629

JADE ALEXANDRA ETTER PA-C

Physician Assistant (Medical)

835 5TH AVE
CHAMBERSBURG, PA 17201

Franklin County (717) 263-0629

FIFTH AVENUE MEDICAL GROUP LLC

Nurse Anesthetist, Certified Registered

835 5TH AVE
CHAMBERSBURG, PA 17201

Franklin County (717) 217-4312

WELLSPAN CHAMBERSBURG ENDOSCOPY CENTER LLC

Clinic/Center (Endoscopy)

835 5TH AVE
CHAMBERSBURG, PA 17201

Franklin County (717) 217-4312

CARRIE A HAGGERTY CRNA

Nurse Anesthetist, Certified Registered

835 5TH AVE, WELLSPAN ANESTHESIOLOGY
CHAMBERSBURG, PA 17201

Franklin County (717) 217-4312

NATHAN YEASTED M.D.

Internal Medicine (Gastroenterology)

835 5TH AVE
CHAMBERSBURG, PA 17201

Franklin County (717) 263-0629

MS. ASHLEY M KNAPP CRNA

Nurse Anesthetist, Certified Registered

835 5TH AVE
CHAMBERSBURG, PA 17201

Franklin County (717) 217-4312

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 Wayne Hoover's NPI number?

The NPI number for Wayne Hoover is 1790716116. It was assigned to this individual provider in the NPPES registry on July 5, 2006.

Where is Wayne Hoover located?

Wayne Hoover practices at 835 5th Ave, Chambersburg, PA 17201. The listed phone number is (717) 263-0629.

What is Wayne Hoover's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Wayne Hoover enrolled in Medicare?

Yes. Wayne Hoover 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.

Is Wayne Hoover affiliated with any hospitals?

According to CMS data, Wayne Hoover is affiliated with Wellspan Chambersburg Hospital.

When was this NPI record last updated?

The NPPES record for Wayne Hoover was last updated on October 21, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.