DR. BRANDON J HISSONG DMD
NPI 1952325417
Dentist in Monticello, IL

Active since July 27, 2006PECOS Enrolled
806 W BRIDGE ST, MONTICELLO, IL 61856(217) 762-7175(217) 762-7845 Get Directions Write a Review

NPPES record last updated: September 24, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Brandon J Hissong Dmd NPPES

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

DR. BRANDON J HISSONG DMD (NPI 1952325417) is an individual dentist in Monticello, Illinois and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1952325417
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameDR. BRANDON J HISSONGCredential: DMD
Location Address806 W BRIDGE STMonticello, IL 61856-1038
Mailing Address806 W Bridge StMonticello, IL 61856-1038 · (217) 762-7175 · Fax (217) 762-7845
Fax(217) 762-7845
Sole ProprietorNo
Enumeration DateJuly 27, 2006
Last NPPES UpdateSeptember 24, 2007
NPI 1952325417 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

806 W BRIDGE ST, Monticello, IL 61856

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Brandon J Hissong Dmd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 14D2175214

Brandon J Hissong, D M D · Monticello, IL
Expired · Nov 17, 2025
CLIA Number14D2175214
Laboratory TypePractitioner Other
Certificate Effective DateNovember 18, 2023
Certificate Expiration DateNovember 17, 2025
Laboratory DirectorBrandon J. Hissong
Laboratory Phone(217) 762-7175
Laboratory LocationBrandon J Hissong, D M D806 W Bridge St, Monticello, IL 61856
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61856 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
$85.71 typical visit price
range $54.80 – $168.44
Typical copayment $21.42 (range $13.70 – $42.11)
Most-billed visit code 99203
Established Patient
$68.64 typical visit price
range $17.16 – $136.56
Typical copayment $17.16 (range $4.29 – $34.14)
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.

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 Brandon Hissong's NPI number?

The NPI number for Brandon Hissong is 1952325417. It was assigned to this individual provider in the NPPES registry on July 27, 2006.

Where is Brandon Hissong located?

Brandon Hissong practices at 806 W Bridge St, Monticello, IL 61856. The listed phone number is (217) 762-7175.

What is Brandon Hissong's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Brandon Hissong enrolled in Medicare?

Yes. Brandon Hissong is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Brandon Hissong was last updated on September 24, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.