JACOB HESSEY
NPI 1588082176
Surgery in Columbia, SC


Quality Rating: 93.99 out of 100 score

NPI Status: Active since April 01, 2014

Contact Information

2 MEDICAL PARK RD STE 300
COLUMBIA, SC
ZIP 29203
Phone: (803) 434-8800
Fax: (803) 434-8802

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  • Individual
  • Male
  • Years of Experience 12
  • Surgery
  • Accepts Insurance
  • Accepts Medicare Approved Payment
  • PECOS Enrolled

About JACOB HESSEY

This page provides the complete NPI Profile along with additional information for Jacob Hessey, a provider established in Columbia, South Carolina with a medical specialization in Surgery and more than 12 years of experience. The healthcare provider is registered in the NPI registry with number 1588082176 assigned on April 2014. The practitioner's primary taxonomy code is 208600000X with license number 82854 (SC). The provider is registered as an individual and his NPI record was last updated 5 years ago.

NPI
1588082176
Provider Name
JACOB HESSEY
Gender
Male
Entity Type
Individual
Location Address
2 MEDICAL PARK RD STE 300 COLUMBIA, SC 29203
Location Phone
(803) 434-8800
Location Fax
(803) 434-8802
Mailing Address
PO BOX 743904 ATLANTA, GA 30374
Mailing Phone
(803) 296-7320
Mailing Fax
(803) 434-8802
Medical School Name
OTHER
Graduation Year
2014
Is Sole Proprietor?
No
Enumeration Date
04-01-2014
Last Update Date
08-03-2020
Code Navigator

A surgeon like Jacob Hessey treats injuries, diseases, and deformities through surgical operations. A surgeon could correct physical deformities, repair bone and tissue, or perform preventive or elective surgeries. Surgeons also examine patients, perform and interpret diagnostic tests, and provide counsel on preventive healthcare.

Location Map

Secondary Locations

  • 9 Richland Medical Park Dr Ste 450
    Columbia, SC 29203
    (803) 434-8800

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Surgery

Taxonomy Code
208600000X
Type
Allopathic & Osteopathic Physicians
License No.
82854
License State
SC
Taxonomy Description
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1390200000XStudent, Health Care

Student in an Organized Health Care Education/Training Program

 

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Clear Silver - HMO
  • Elite Bronze - HMO
  • Elite Bronze + Vision + Adult Dental - HMO
  • Elite Gold - HMO
  • Elite Gold + Vision + Adult Dental - HMO
  • Everyday Bronze - HMO
  • Everyday Bronze + Vision + Adult Dental - HMO
  • Everyday Gold - HMO
  • Everyday Gold + Vision + Adult Dental - HMO
  • Focused Silver - HMO
  • Clear Silver with $0 Insulin Options - HMO
  • Complete Gold - HMO
  • Complete Gold + Vision + Adult Dental - HMO
  • Complete Gold with Atrium Health - HMO
  • Complete Gold with Atrium Health + Vision + Adult Dental - HMO
  • Complete Silver with Atrium Health - HMO
  • Complete Silver with Atrium Health + Vision + Adult Dental - HMO
  • Elite Bronze - HMO
  • Elite Bronze + Vision + Adult Dental - HMO
  • Elite Bronze with Atrium Health - HMO
  • Blue Direction Silver 1 - POS
  • Blue Direction Silver 1 + Adult Vision - POS
  • Blue Direction Silver 2 - POS
  • Blue Direction Standard Gold - POS
  • Blue Direction Standard Silver - POS
  • Blue VirtuConnect Bronze 1 - EPO
  • Blue VirtuConnect Gold 1 - EPO
  • Blue VirtuConnect Silver 1 - EPO
  • BlueEssentials Bronze 4 - EPO
  • BlueEssentials Bronze 6 - EPO
  • First Choice Next Bronze Essential - HMO
  • First Choice Next Bronze Premier - HMO
  • First Choice Next Bronze Signature - HMO
  • First Choice Next Gold Deluxe - HMO
  • First Choice Next Gold Signature - HMO
  • First Choice Next Silver Deluxe - HMO
  • First Choice Next Silver Premier - HMO
  • First Choice Next Silver Signature - HMO
  • Gold 1 - HMO
  • Gold 1 with Adult Vision Services - HMO
  • Gold 8 - HMO
  • Silver 1 - HMO
  • Silver 1 with Adult Vision Services - HMO
  • Silver 12 - HMO
  • Silver 8 - HMO
  • UHC Bronze Copay Focus $0 Indiv Med Ded - HMO
  • UHC Bronze Standard - HMO
  • UHC Bronze Value - HMO
  • UHC Gold Advantage - HMO
  • UHC Gold Advantage+ (Dental + Vision) - HMO
  • UHC Gold Copay Focus $0 Indiv Med Ded - HMO
  • UHC Gold Standard - HMO
  • UHC Silver Advantage - HMO
  • UHC Silver Copay Focus $0 Indiv Med Ded - HMO
  • UHC Silver Standard - HMO
  • Standard Expanded Bronze WellCare - PPO
  • Standard Gold WellCare - PPO
  • Standard Silver WellCare - PPO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Medicare Participation & PECOS Enrollment Status

Jacob Hessey is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

Jacob Hessey is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 547693699

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20200911001364

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Provider Referred Orders for Durable Medical Equipment, Devices & Supplies

The following list reflects the services, supplies or durable medical equipment ordered by this provider to a DME supplier on behalf of patients. The information below is derived from Medicare claims data and reflects the BETOS category, HCPCS code information and the number times each service was submitted under the Medicare fee-for-service program.

Durable Medical Equipment

  • DME-Wheelchairs (DD000N)

    Standard wheelchair (HCPCS:K0001)

    1 DME suppliers used 12 Medicare Claims 12 Services Paid

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Follow-up hospital inpatient care per day, typically 15 minutes

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.

This service was performed 37 times for 23 patients

Follow-up hospital inpatient care per day, typically 25 minutes

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.

This service was performed 73 times for 42 patients

Hernia repair - groin (open)

Hernia repair in the groin area (open) is a surgical procedure to fix a bulge or protrusion, caused by internal tissues pushing through a weak spot in your abdominal wall. In this operation, a small incision is made in the groin area. The protruding tissue is then placed back into the abdomen, and the weakened area is reinforced with stitches or a mesh.

This service was performed for 1-10 patients

Initial hospital inpatient care per day, typically 30 minutes

Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.

This service was performed 28 times for 28 patients

Mastectomy

A mastectomy is a surgical procedure that involves the removal of all or part of the breast tissue. This is often done to treat or prevent conditions related to abnormal cell growth. There are different types, ranging from removing only the breast tissue to also removing nearby structures. The approach depends on individual health circumstances.

This service was performed for 1-10 patients

Upper gastrointestinal (GI) endoscopy for acid reflux

An upper GI endoscopy is a procedure to examine your esophagus and stomach using a thin, flexible tube called an endoscope. It helps diagnose conditions like acid reflux by identifying any inflammation or damage. It's generally safe, performed under sedation, and takes about 15-30 minutes.

This service was performed for 15 patients

Physician Visit Costs



The typical physician office visit costs for Medicare beneficiaries in this area are: $20.79 for a new patient copayment and $16.78 for an established patient copayment.

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 29203 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99203

  • Average New Patient Price $83.18
  • Minimum New Patient Price $53.57
  • Maximum New Patient Price $163.84
  • Average New Patient Copayment $20.79
  • Minimum New Patient Copayment $13.39
  • Maximum New Patient Copayment $40.96

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99213

  • Average Established Patient Price $67.12
  • Minimum Established Patient Price $16.96
  • Maximum Established Patient Price $133.52
  • Average Established Patient Copayment $16.78
  • Minimum Established Patient Copayment $4.24
  • Maximum Established Patient Copayment $33.38

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Overall MIPS Quality Performance

The provider participated in CMS Quality Payment Program under the Merit-based Incentive Payment System (MIPS) and has an overall final score of 93.99, based on four performance areas: quality, improvement activities, promoting interoperability, and cost. The purpose of this information is to help people with Medicare make informed decisions and incentivize doctors and clinicians to maximize performance.

The Merit-based Incentive Payment System (MIPS) is a way providers could use to participate in CMS Quality Payment Program (QPP). The MIPS program affects clinician reimbursement for Part B covered professional services and also rewards them for improving the quality of patient care and outcomes.

  • Final Score: 93.99 out of 100

    The MIPS program evaluates providers across multiple categories with a specific weight for each category resulting a in a MIPS final score that ranges from 0 to 100 points. The MIPS Final Score determines whether providers receive a negative, neutral or positive MIPS payment adjustment.

  • Quality Score: 88.64

    The Quality category assesses providers performance on clinical practices and patient outcomes under the traditional MIPS program. The quality measures help identify the quality of healthcare processes, outcomes, and patient experiences. The Quality measure category compromises 40% providers final MPIS scores.

    There are six collection types for MIPS quality measures: Electronic Clinical Quality Measures (eCQMs), MIPS Clinical Quality Measures (CQMs), Qualified Clinical Data Registry (QCDR) Measures, Medicare Part B claims measures, CMS Web Interface measures and The Consumer Assessment of Healthcare Providers and Systems (CAHPS) for MIPS Survey.

  • Promoting Interoperability Score: 98.91

    The Interoperability category measures the providers ability to use technology to exchange and make use of healthcare information in a way that is less burdensome and improves outcomes. The Interoperability measure category compromises 25% providers final MPIS scores.

    The MIPS Interoperability measure focuses on the use of certified electronic health record technology (CEHRT) to improve patient access health information, the exchange of information between clinicians and pharmacies and the systematic collection, analysis, and interpretation of healthcare data.

  • Improvement Activities Score: 40

    The Improvement Activities performance category evaluates the providers participation in clinical activities that support the improvement of clinical practice, care delivery, and outcomes. Providers have the option to choose 2 to 4 activities from an inventory of over 100 improvement activities. Providers typically choose the activities that best fit their needs. The improvement activities measure category compromises 15% providers final MPIS scores.

    The Improvement measures aim to better patient engagement, patient safety and other areas of patient care. The Improvement Activities category compromises 15% of providers final MPIS scores.

  • Cost Score: N/A

    The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.

    Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores.

  • Cost Score: N/A

    The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.

    Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores.

Find Provider Hospital Affiliations - Privileges

Doctors and physicians must apply for hospital privileges to treat patients at hospitals. Find out if your doctor has privileges to practice at your preferred hospital by using the hospital affiliation information below based on recent medical claims.

Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Jacob Hessey is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type Overall Rating
PRISMA HEALTH RICHLAND HOSPITAL5 MEDICAL PARK
COLUMBIA, SC 29203
(803) 296-2548Acute Care Hospitals

Reviews for JACOB HESSEY

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1588082176
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
25168084114
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 5 + 1 + 6 + 8 + 0 + 8 + 4 + 1 + 1 + 4 + 24 = 64
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 64 = 66

The NPI number 1588082176 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1023000858 DAVID DEATON
Individual
Surgery (Vascular Surgery)2 MEDICAL PARK RD STE 300
COLUMBIA, SC 29203
(803) 545-5800
1396702254DR. JAMES MAURICE NOTTINGHAM MD
Individual
Surgery2 MEDICAL PARK RD STE 300
COLUMBIA, SC 29203
(803) 545-5800
1164479325DR. FERNANDO A. NAVARRO M.D.
Individual
Surgery2 MEDICAL PARK RD STE 300
COLUMBIA, SC 29203
(803) 545-5800
1639639172DR. CHASE LEE HOFFMAN MD
Individual
Student in an Organized Health Care Education/Training Program2 MEDICAL PARK RD STE 300
COLUMBIA, SC 29203
(803) 545-5800
1023246295 JESSE CLANTON M.D.
Individual
Surgery2 MEDICAL PARK RD STE 300
COLUMBIA, SC 29203
(803) 545-5800
1154917383 NICOLE ANN OCHS PA-C
Individual
Physician Assistant2 MEDICAL PARK RD STE 300
COLUMBIA, SC 29203
(803) 434-8800
1679144695 JOHN LURIE PATE
Individual
Physician Assistant (Surgical)2 MEDICAL PARK RD STE 300
COLUMBIA, SC 29203
(803) 434-8800
1295092302DR. KEVIN C CHOONG M.D.
Individual
Surgery (Surgical Oncology)2 MEDICAL PARK RD STE 300
COLUMBIA, SC 29203
(803) 434-8800
1932848173 CARLY SIEMIANOWSKI
Individual
Physician Assistant2 MEDICAL PARK RD STE 300
COLUMBIA, SC 29203
(803) 434-8800
1184812968DR. MIRSAD MUJADZIC M.D.
Individual
Plastic Surgery (Surgery of the Hand)2 MEDICAL PARK RD STE 300
COLUMBIA, SC 29203
(803) 434-8800
1245475961DR. LINDSEY CAMERON DUNKELBERGER M.D.
Individual
Surgery (Surgical Critical Care)2 MEDICAL PARK RD STE 300
COLUMBIA, SC 29203
(803) 434-8800
1346268497 JULIAN A KIM MD
Individual
Surgery (Surgical Oncology)2 MEDICAL PARK RD STE 300
COLUMBIA, SC 29203
(803) 545-5800
1144810938 KRISTIE TILLMAN TUSCANY NP
Individual
Nurse Practitioner (Acute Care)2 MEDICAL PARK RD STE 300
COLUMBIA, SC 29203
(803) 434-8800
1497476980 HANNAH GRACE STEPHENSON PA-C
Individual
Physician Assistant2 MEDICAL PARK RD STE 300
COLUMBIA, SC 29203
(803) 434-8800
1841515996DR. MARIANGELA RIVERA MD
Individual
Surgery2 MEDICAL PARK RD STE 300
COLUMBIA, SC 29203
(803) 434-8800
1881715399DR. AMY NICOLE HILDRETH M.D.
Individual
Surgery (Surgical Critical Care)2 MEDICAL PARK RD STE 300
COLUMBIA, SC 29203
(803) 434-8800
1346625332 MEGAN LYNN STETSON PA-C
Individual
Physician Assistant2 MEDICAL PARK RD STE 300
COLUMBIA, SC 29203
(803) 434-8800
1033807052 SHANNON MARIE KENNY
Individual
Physician Assistant2 MEDICAL PARK RD STE 300
COLUMBIA, SC 29203
(803) 434-8800
1225586399 LACEY TAYLOR HINSON PA
Individual
Physician Assistant2 MEDICAL PARK RD STE 300
COLUMBIA, SC 29203
(803) 434-8800
1265116859 ALAINA SUMNER
Individual
Nurse Practitioner (Acute Care)2 MEDICAL PARK RD STE 300
COLUMBIA, SC 29203
(803) 434-8800

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1588082176, enumerated in the NPI registry as an "individual" on April 01, 2014

The provider is located at 2 Medical Park Rd Ste 300 Columbia, Sc 29203 and the phone number is (803) 434-8800

The provider's speciality is Surgery with taxonomy code 208600000X

The provider has more than 12 years of experience.

The provider might be accepting Accepts: Ambetter from Absolute Total Care, Ambetter of. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

The provider has an overall high rating in the following quality measures: quality clinical practices and patient outcomes and experiences , uses technology to exchange and make use of healthcare information.

Medicare beneficiaries should expect a typical cost of $83.18 with an average copayment of $20.79 for new patient appointments. Established patients should expect a typical charge of $67.12 and an average copayment of 16.78. Please review your insurance plan or contact the provider directly to determine your specific costs.

The most common procedures or services performed by this practitioner are: Follow-up hospital inpatient care per day, typically 15 minutes, Follow-up hospital inpatient care per day, typically 25 minutes, Hernia repair - groin (open), Initial hospital inpatient care per day, typically 30 minutes, Mastectomy and Upper gastrointestinal (GI) endoscopy for acid reflux.

The practitioner is affiliated to the following hospital(s): PRISMA HEALTH RICHLAND HOSPITAL. Hospital affiliations are identified through self-reporting data and service claims based on the place of service.

This NPI record was last updated on April 01, 2014. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.