BENJAMIN A HESS M.D.
NPI 1992905475
Family Medicine in Wadena, MN

Active since July 23, 2007PECOS EnrolledAccepts Medicare Assignment
4 DEERWOOD AVE NW, WADENA, MN 56482(218) 631-1360(218) 631-7571 Get Directions Write a Review

NPPES record last updated: September 24, 2009. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Benjamin A Hess M.d. NPPES

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

BENJAMIN A HESS M.D. (NPI 1992905475) is an individual family medicine provider in Wadena, Minnesota, licensed in Minnesota (50262) and active in the NPI registry since July 2007. He is enrolled in Medicare PECOS, is affiliated with St Cloud Hospital, and is a graduate of University Of Minnesota Medical School (2006).

NPPES Registry Identity

NPI1992905475
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameBENJAMIN A HESSCredential: M.D.
Location Address4 DEERWOOD AVE NWWadena, MN 56482-1296
Mailing Address4 Deerwood Ave NwWadena, MN 56482-1296 · (218) 631-1360 · Fax (218) 631-7571
Fax(218) 631-7571
Sole ProprietorNo
Medical School CMSUniversity Of Minnesota Medical SchoolGraduated 2006
Enumeration DateJuly 23, 2007
Last NPPES UpdateSeptember 24, 2009
✔ NPI 1992905475 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in MN · 50262
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
4 DEERWOOD AVE NW, Wadena, MN 56482

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Benjamin A Hess 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 ID5698852721
PECOS Enrollment IDI20080414000294
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 Reassignment

Medicare enrollment records show Benjamin Hess reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Critical Access
421 11TH ST NW
Wadena, MN 56482
  • Reassigned Medicare billing, Minnesota enrollment
  • Also billed through NPI 1134305162 (Minnesota)
  • 202 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 3

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.

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.
38 services15 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.
16 services16 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
11 services11 patients

Hospital Affiliations CMS Care Compare 2

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

St Cloud Hospital

Acute Care Hospitals · Saint Cloud, MN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240036
Location1406 6th Ave NorthSaint Cloud, MN 56303 · Stearns County
Emergency services Birthing friendly

Astera Health

Critical Access Hospitals · Wadena, MN
OwnershipVoluntary non-profit - Other
CMS Certification Number241354
Location421 11th Street NWWadena, MN 56482 · Wadena County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 56482 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
$85.82 typical visit price
range $56.00 – $168.28
Typical copayment $21.45 (range $14.00 – $42.07)
Most-billed visit code 99203
Established Patient
$98.61 typical visit price
range $18.32 – $138.04
Typical copayment $24.65 (range $4.58 – $34.51)
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.

Referred Medical Equipment & Supplies CMS DME claims 12

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
5 suppliers51 claims106 services$6.22 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
3 suppliers13 claims18 services$1.13 avg. paid by Medicare
Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape B4035
Other-Enteral and Parenteral · category OB006N
2 suppliers13 claims372 services$7.60 avg. paid by Medicare
Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit B4150
Other-Enteral and Parenteral · category OB006N
2 suppliers13 claims4,241 services$0.44 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers15 claims15 services$19.84 avg. paid by Medicare
Continuous positive airway pressure (cpap) device E0601
DME-Other DME · category DE001N
1 supplier11 claims11 services$28.91 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.

Obstetrics & Gynecology
4 DEERWOOD AVE NW
WADENA, MN 56482
Nurse Practitioner (Family)
4 DEERWOOD AVE NW
WADENA, MN 56482
Family Medicine
4 DEERWOOD AVE NW
WADENA, MN 56482
Physician Assistant (Medical)
4 DEERWOOD AVE NW
WADENA, MN 56482
Nurse Practitioner
4 DEERWOOD AVE NW, WADENA MEDICAL CENTER
WADENA, MN 56482
Obstetrics & Gynecology
4 DEERWOOD AVE NW
WADENA, MN 56482
Dietitian, Registered
4 DEERWOOD AVE NW
WADENA, MN 56482
Physician Assistant
4 DEERWOOD AVE NW
WADENA, MN 56482

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 Benjamin Hess's NPI number?

The NPI number for Benjamin Hess is 1992905475. It was assigned to this individual provider in the NPPES registry on July 23, 2007.

Where is Benjamin Hess located?

Benjamin Hess practices at 4 Deerwood Ave NW, Wadena, MN 56482. The listed phone number is (218) 631-1360.

What is Benjamin Hess's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Benjamin Hess enrolled in Medicare?

Yes. Benjamin Hess 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.

Which organization bills Medicare for Benjamin Hess's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Benjamin Hess reassigns Medicare benefits to Astera Health (Wadena, MN). The 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 Benjamin Hess's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Benjamin Hess accept?

Health plans from Sanford Health Plan list Benjamin Hess 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 Benjamin Hess affiliated with any hospitals?

According to CMS data, Benjamin Hess is affiliated with St Cloud Hospital and Astera Health.

When was this NPI record last updated?

The NPPES record for Benjamin Hess was last updated on September 24, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.