MADISON MARIE HESS PA-C
NPI 1972976355
Physician Assistant - Surgical in Austin, TX
NPI Status: Active since November 05, 2015
Contact Information
1301 BARBARA JORDAN BLVD STE 300
AUSTIN, TX
ZIP 78723
Phone: (512) 478-8116
Fax: (512) 478-9368
- Individual
- Female
- Physician Assistant
- Surgical
- Accepts Insurance
- PECOS Enrolled
- Medicare Quality Reporting
About MADISON HESS
This page provides the complete NPI Profile along with additional information for Madison Hess, a provider established in Austin, Texas with a medical specialization in Physician Assistant, focusing in surgical . The healthcare provider is registered in the NPI registry with number 1972976355 assigned on November 2015. The practitioner's primary taxonomy code is 363AS0400X with license number PA10044 (TX). The provider is registered as an individual and her NPI record was last updated 4 years ago.
- NPI
- 1972976355
- Provider Name
- MADISON MARIE HESS PA-C
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 1301 BARBARA JORDAN BLVD STE 300 AUSTIN, TX 78723
- Location Phone
- (512) 478-8116
- Location Fax
- (512) 478-9368
- Mailing Address
- 1301 BARBARA JORDAN BLVD STE 300 AUSTIN, TX 78723
- Mailing Phone
- (512) 478-8116
- Mailing Fax
- (512) 478-9368
- Is Sole Proprietor?
- No
- Enumeration Date
- 11-05-2015
- Last Update Date
- 06-17-2021
- Code Navigator
Location Map
Secondary Locations
- 7401 Main St
Houston, TX 77030
(713) 799-2300
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
Physician Assistant Surgical
- Taxonomy Code
- 363AS0400X
- Type
- Physician Assistants & Advanced Practice Nursing Providers
- License No.
- PA10044
- License State
- TX
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Choice Bronze HSA - HMO
- Choice Bronze HSA + Vision + Adult Dental - HMO
- Clear Silver - HMO
- Complete Gold - HMO
- Complete Gold + Vision + Adult Dental - HMO
- Complete Silver - HMO
- Complete Silver + Vision + Adult Dental - HMO
- Elite Gold - HMO
- Elite Gold + Vision + Adult Dental - HMO
- Everyday Bronze - HMO
- Choice Bronze HSA (QualChoice) - POS
- Complete Gold - PPO
- Complete Gold + Vision + Adult Dental - PPO
- Complete Silver (QualChoice) - POS
- Connected Silver - PPO
- Connected Silver (QualChoice) - POS
- Connected Silver (QualChoiceLife) - PPO
- Connected Silver + Vision + Adult Dental - PPO
- Elite Bronze - PPO
- Elite Bronze + Vision + Adult Dental - PPO
- Complete Gold - EPO
- Complete Gold + Vision + Adult Dental - EPO
- Elite Bronze - EPO
- Elite Bronze + Vision + Adult Dental - EPO
- Elite Gold - EPO
- Elite Gold + Vision + Adult Dental - EPO
- Elite Silver - EPO
- Elite Silver + Vision + Adult Dental - EPO
- Everyday Bronze - EPO
- Everyday Bronze + Vision + Adult Dental - EPO
- Complete Gold - EPO
- Complete Gold + Vision + Adult Dental - EPO
- Complete Silver - EPO
- Complete Silver + Vision + Adult Dental - EPO
- Everyday Gold - EPO
- Everyday Gold + Vision + Adult Dental - EPO
- Focused Silver - EPO
- Focused Silver + Vision + Adult Dental - EPO
- Standard Gold - EPO
- Standard Gold + Vision + Adult Dental - EPO
- Elite Bronze - PPO
- Elite Bronze + Vision + Adult Dental - PPO
- Elite Gold - PPO
- Elite Gold + Vision + Adult Dental - PPO
- Everyday Bronze - PPO
- Everyday Bronze + Vision + Adult Dental - PPO
- Everyday Gold - PPO
- Everyday Gold + Vision + Adult Dental - PPO
- Focused Silver - PPO
- Focused Silver + Vision + Adult Dental - PPO
- Blue Advantage Bronze HMO? 204 - HMO
- Blue Advantage Bronze HMO? 301 - HMO
- Blue Advantage Bronze HMO? Standard - HMO
- Blue Advantage Gold HMO? 206 - HMO
- Blue Advantage Gold HMO? 603 - HMO
- Blue Advantage Gold HMO? Standard - HMO
- Blue Advantage Plus Bronze? 303 - POS
- Blue Advantage Plus Bronze? 305 - POS
- Blue Advantage Plus Bronze? Standard - POS
- Blue Advantage Plus Gold? 203 - POS
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medicare Participation & PECOS Enrollment Status
Madison Hess 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: Durable Medical Equipment (DME) 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
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: No
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): No
Eligible to Order or Refer Power Mobility Devices: Yes
Quality Reporting
The provider participated in CMS Quality Payment Program. The Quality Payment Program aims to improve population health, reduce costs and improve the care received by Medicare beneficiaries. The following quality measures meet Medicare's statistical reporting standards. Not all providers report the same information, because not all providers give the same services to patients. The quality information is just a snapshot of some the care providers give to their patients. Reporting more or less information is not a reflection of quality.
| Quality Measure | Performance | Number of Patients |
|---|---|---|
| Engagement of patients through implementation of improvements in patient portal | Yes | N/A |
| Access to an enhanced patient portal that provides up to date information related to relevant chronic disease health or blood pressure control, and includes interactive features allowing patients to enter health information and/or enables bidirectional communication about medication changes and adherence. | ||
| Improved Practices that Engage Patients Pre-Visit | Yes | N/A |
| Implementation of workflow changes that engage patients prior to the visit, such as a pre-visit development of a shared visit agenda with the patient, or targeted pre-visit laboratory testing that will be resulted and available to the MIPS eligible clinician to review and discuss during the patient’s appointment.. | ||
| Medication Reconciliation | 71% | 194 |
| The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician. | ||
| Provide 24/7 Access to MIPS Eligible Clinicians or Groups Who Have Real-Time Access to Patient's Medical Record | Yes | N/A |
| • Provide 24/7 access to MIPS eligible clinicians, groups, or care teams for advice about urgent and emergent care (e.g., MIPS eligible clinician and care team access to medical record, cross-coverage with access to medical record, or protocol-driven nurse line with access to medical record) that could include one or more of the following: • Expanded hours in evenings and weekends with access to the patient medical record (e.g., coordinate with small practices to provide alternate hour office visits and urgent care); • Use of alternatives to increase access to care team by MIPS eligible clinicians and groups, such as e-visits, phone visits, group visits, home visits and alternate locations (e.g., senior centers and assisted living centers); and/or Provision of same-day or next-day access to a consistent MIPS eligible clinician, group or care team when needed for urgent care or transition management. | ||
| Provide Patient Access | 30% | 207 |
| At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold certain information. | ||
| Secure Messaging | 23% | 207 |
| For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure message sent by the patient (or the patient-authorized representative) during the performance period. | ||
| Security Risk Analysis | Yes | N/A |
| Conduct or review a security risk analysis in accordance with the requirements in 45 CFR 164.308(a)(1), including addressing the security (to include encryption) of ePHI data created or maintained by certified EHR technology in accordance with requirements in 45 CFR164.312(a)(2)(iv) and 45 CFR 164.306(d)(3), and implement security updates as necessary and correct identified security deficiencies as part of the MIPS eligible clinician's risk management process. | ||
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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. | |||||||||
| 1 | 9 | 7 | 2 | 9 | 7 | 6 | 3 | 5 | 5 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 9 | 14 | 2 | 18 | 7 | 12 | 3 | 10 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 9 + 1 + 4 + 2 + 1 + 8 + 7 + 1 + 2 + 3 + 1 + 0 + 24 = 65 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 65 = 5 | 5 | ||||||||
The NPI number 1972976355 is valid because the calculated check digit 5 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 |
|---|---|---|---|
| 1346268703 | MRS. AMY M. JENSEN P.A. Individual | Physician Assistant | 1301 BARBARA JORDAN BLVD STE 300 AUSTIN, TX 78723 (512) 478-8116 |
| 1538589510 | CENTRAL TEXAS Organization | Clinic/Center (Medical Specialty) | 1301 BARBARA JORDAN BLVD STE 300 AUSTIN, TX 78723 (512) 478-8116 |
| 1104954015 | TRACY ELLEN KUPER RN, CPNP Individual | Nurse Practitioner | 1301 BARBARA JORDAN BLVD STE 300 AUSTIN, TX 78723 (512) 478-8116 |
| 1093048191 | MS. JAMIE ANDERSON MOORE CPNP Individual | Nurse Practitioner | 1301 BARBARA JORDAN BLVD STE 300 AUSTIN, TX 78723 (512) 478-8116 |
| 1720532070 | SARAH BECKLEY CPNP Individual | Nurse Practitioner | 1301 BARBARA JORDAN BLVD STE 300 AUSTIN, TX 78723 (512) 478-8116 |
| 1083102594 | GLORIA CHO PA Individual | Physician Assistant | 1301 BARBARA JORDAN BLVD STE 300 AUSTIN, TX 78723 (512) 478-8116 |
| 1336664952 | MISS CHAND DILIP SHAH PA Individual | Physician Assistant | 1301 BARBARA JORDAN BLVD STE 300 AUSTIN, TX 78723 (512) 478-8116 |
| 1942637004 | MR. JAMES LEWIS SIMMONDS PT Individual | Physical Therapist | 1301 BARBARA JORDAN BLVD STE 300 AUSTIN, TX 78723 (512) 478-8116 |
| 1770060162 | MS. CAITLIN A. LEE DPT Individual | Physical Therapist | 1301 BARBARA JORDAN BLVD STE 300 AUSTIN, TX 78723 (512) 478-8116 |
| 1831823699 | MS. KARA LYNN SPOTO PA-C Individual | Physician Assistant | 1301 BARBARA JORDAN BLVD STE 300 AUSTIN, TX 78723 (512) 478-8116 |
| 1881841500 | MS. APRIL L PERLAZA PA Individual | Physician Assistant | 1301 BARBARA JORDAN BLVD STE 300 AUSTIN, TX 78723 (512) 478-8116 |
| 1093055618 | DR. SARAH JAYNE LUIN BEAULIEU DPT Individual | Physical Therapist | 1301 BARBARA JORDAN BLVD STE 300 AUSTIN, TX 78723 (512) 478-8116 |
| 1831816123 | MS. MACKENZIE CARSEN ROOT PA-C Individual | Physician Assistant | 1301 BARBARA JORDAN BLVD STE 300 AUSTIN, TX 78723 (512) 478-8116 |
| 1053028050 | MS. SOPHIA GRACE-MEILIN CRAFT PA-C Individual | Physician Assistant | 1301 BARBARA JORDAN BLVD STE 300 AUSTIN, TX 78723 (512) 478-8116 |
| 1811685068 | OLGA BRAVOVA PA-C Individual | Physician Assistant | 1301 BARBARA JORDAN BLVD STE 300 AUSTIN, TX 78723 (512) 478-8116 |
| 1700577830 | MR. LIAM ROBERT DOUWE MCCOMB PA-C Individual | Physician Assistant | 1301 BARBARA JORDAN BLVD STE 300 AUSTIN, TX 78723 (512) 478-8116 |
| 1023308921 | DR. KATHLEEN DOLORES RICKERT-MADDEN M.D. Individual | Orthopaedic Surgery | 1301 BARBARA JORDAN BLVD STE 300 AUSTIN, TX 78723 (512) 478-8116 |
| 1538513403 | DR. KIRSTEN ELIZABETH ROSS MD Individual | Orthopaedic Surgery | 1301 BARBARA JORDAN BLVD STE 300 AUSTIN, TX 78723 (512) 478-8116 |
| 1689456741 | CHRISTINE WILLIAMS SCOTT PT Individual | Physical Therapist | 1301 BARBARA JORDAN BLVD STE 300 AUSTIN, TX 78723 (512) 478-8116 |
| 1710444542 | MS. SHREYA PATEL PA-C Individual | Physician Assistant | 1301 BARBARA JORDAN BLVD STE 300 AUSTIN, TX 78723 (512) 478-8116 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1972976355, enumerated in the NPI registry as an "individual" on November 05, 2015
The provider is located at 1301 Barbara Jordan Blvd Ste 300 Austin, Tx 78723 and the phone number is (512) 478-8116
The provider's speciality is Physician Assistant with taxonomy code 363AS0400X with a focus in Surgical
The provider might be accepting Accepts: Ambetter from Arizona Complete Health, Ambetter. 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: Durable Medical Equipment (DME) and Power Mobility Devices.
This NPI record was last updated on November 05, 2015. 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].
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