PHILIP C HESSE PA
NPI 1811975386
Physician Assistant in Idaho Falls, ID

Active since January 05, 2006PECOS EnrolledAccepts Medicare Assignment
2377 CORONADO ST, IDAHO FALLS, ID 83404(208) 557-2570 Get Directions Write a Review

NPPES record last updated: January 10, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Philip C Hesse Pa NPPES

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

PHILIP C HESSE PA (NPI 1811975386) is an individual physician assistant in Idaho Falls, Idaho, licensed in Idaho (PA87) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS, is affiliated with Eastern Idaho Regional Medical Center, and maintains a secondary practice location in Idaho Falls.

NPPES Registry Identity

NPI1811975386
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NamePHILIP C HESSECredential: PA
Location Address2377 CORONADO STIdaho Falls, ID 83404-7440
Mailing AddressPo Box 1647Idaho Falls, ID 83403-1647 · (208) 535-4130 · Fax (208) 535-4125
Sole ProprietorYes
Medical School CMSOtherGraduated 1989
Enumeration DateJanuary 5, 2006
Last NPPES UpdateJanuary 10, 2019
NPI 1811975386 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in ID · PA87
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
2377 CORONADO ST, Idaho Falls, ID 83404

Secondary Practice Location 1

Location 13100 Channing WayIdaho Falls, ID 83404-7533 · Phone (208) 535-4120

Other Identifiers 2

OtherPASPAID · Blue Choice
Medicaid806633300ID

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

Philip C Hesse Pa 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 ID8527089473
PECOS Enrollment IDI20051207000923
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 11

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.

Management of oxygen chamber therapy 99183
Oxygen chamber therapy involves breathing pure oxygen in a pressurized room or tube. It's used to treat various conditions like wounds that won't heal due to diabetes or radiation injury. In this therapy, your body's tissues get more oxygen to promote healing and fight infection.
618 services27 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.
129 services59 patients
Removal of tissue from wound, 20.0 sq cm or less 97597
This procedure involves the careful removal of damaged or infected tissue from a wound that's 20.0 square cm or less. It's done to promote healing and prevent further infection. The process is carried out under local anesthesia, ensuring minimal discomfort.
123 services55 patients
Strapping, unna boot 29580
An Unna Boot is a special bandage, soaked in a gel, wrapped around your lower leg and foot. It helps heal leg sores, improve circulation, and reduce swelling. The boot hardens and provides compression, promoting healing and comfort.
87 services25 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.
77 services47 patients
Therapy procedure using a special bandage and vacuum pump, surface area 50.0 sq cm or less 97605
This procedure, known as Negative Pressure Wound Therapy, involves a special bandage and vacuum pump. The bandage covers your wound and the pump creates a vacuum, enhancing healing by removing excess fluid and promoting tissue growth. The surface area treated is 50.0 sq cm or less.
53 services19 patients

Hospital Affiliations CMS Care Compare 2

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

Eastern Idaho Regional Medical Center

Acute Care Hospitals · Idaho Falls, ID
3/5 CMS rating
OwnershipProprietary
CMS Certification Number130018
Location3100 Channing WayIdaho Falls, ID 83404 · Bonneville County
Emergency services Birthing friendly

Mountain View Hospital

Acute Care Hospitals · Idaho Falls, ID
1/5 CMS rating
OwnershipPhysician
CMS Certification Number130065
Location2325 Coronado StreetIdaho Falls, ID 83404 · Bonneville County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 83404 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
$81.13 typical visit price
range $52.44 – $160.17
Typical copayment $20.28 (range $13.11 – $40.04)
Most-billed visit code 99203
Established Patient
$65.77 typical visit price
range $16.68 – $130.93
Typical copayment $16.44 (range $4.17 – $32.73)
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.

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
93%233 patients4/55-star benchmark: 100%
Elder Maltreatment Screen and Follow-Up Plan
Percentage of patients aged 65 years and older with a documented elder maltreatment screen using an Elder Maltreatment Screening Tool on the date of encounter AND a documented follow-up plan on the date of the positive screen
81%231 patients4/55-star benchmark: 100%
Pain Assessment and Follow-Up
Percentage of visits for patients aged 18 years and older with documentation of a pain assessment using a standardized tool(s) on each visit AND documentation of a follow-up plan when pain is present
57%2,543 patients3/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
1%454 patients1/55-star benchmark: 97%
Preventive Care and Screening: Influenza Immunization
Percentage of patients aged 6 months and older seen for a visit between October 1 and March 31 who received an influenza immunization OR who reported previous receipt of an influenza immunization
1%341 patients1/55-star benchmark: 88%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 4

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

Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing A6212
DME-Medical/Surgical Supplies · category DA023N
2 suppliers14 claims282 services$9.41 avg. paid by Medicare
Wound care set, for negative pressure wound therapy electrical pump, includes all supplies and accessories A6550
DME-Other DME · category DE000N
2 suppliers25 claims165 services$21.17 avg. paid by Medicare
Canister, disposable, used with suction pump, each A7000
DME-Other DME · category DE000N
2 suppliers24 claims155 services$7.42 avg. paid by Medicare
Negative pressure wound therapy electrical pump, stationary or portable E2402
DME-Other DME · category DE000N
2 suppliers29 claims29 services$709.28 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 8

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

Speech-Language Pathologist
2377 CORONADO ST
IDAHO FALLS, ID 83404
Speech-Language Pathologist
2377 CORONADO ST
IDAHO FALLS, ID 83404
Speech-Language Pathologist
2377 CORONADO ST
IDAHO FALLS, ID 83404
Speech-Language Pathologist
2377 CORONADO ST
IDAHO FALLS, ID 83404
Speech-Language Pathologist
2377 CORONADO ST
IDAHO FALLS, ID 83404
Speech-Language Pathologist
2377 CORONADO ST
IDAHO FALLS, ID 83404
Physician Assistant
2377 CORONADO ST, SUITE C
IDAHO FALLS, ID 83404
Speech-Language Pathologist
2377 CORONADO ST
IDAHO FALLS, ID 83404

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 Philip Hesse's NPI number?

The NPI number for Philip Hesse is 1811975386. It was assigned to this individual provider in the NPPES registry on January 5, 2006.

Where is Philip Hesse located?

Philip Hesse practices at 2377 Coronado St, Idaho Falls, ID 83404. The listed phone number is (208) 557-2570.

What is Philip Hesse's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Philip Hesse enrolled in Medicare?

Yes. Philip Hesse 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 Philip Hesse accept?

Health plans from PacificSource Health Plans, Providence Health Plan and University of Utah Health Plans list Philip 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 Philip Hesse affiliated with any hospitals?

According to CMS data, Philip Hesse is affiliated with Eastern Idaho Regional Medical Center and Mountain View Hospital.

When was this NPI record last updated?

The NPPES record for Philip Hesse was last updated on January 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.