Active NPI 1841518057 Individual Practitioner Male Practitioner

Cory J Hess , ACNP

Nurse Practitioner - Acute Care • Effingham, IL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Cory Hess, ACNP is a certified Nurse Practitioner - Acute Care practicing in Effingham, IL. With approximately 16 years of clinical experience since completing medical education in 2010, Cory Hess delivers high-quality medical care to the local community at 1303 W EVERGREEN AVE STE 201.

Cory Hess is affiliated with Sarah Bush Lincoln Health Center and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's, routine electrocardiogram (ecg) using at least 12 leads with tracing. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1303 W Evergreen Ave Ste 201

Effingham, IL 624011638

Telephone 2173471422

Fax 2173423402

Associated Practice Facility / Clinic

🏢 Sarah Bush Lincoln Health Center Facility NPI 1912988734

Medicare Profile & Education

Medical School

Other

Graduation Year

2010

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner - Acute Care in Effingham, IL

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

16 Yrs Matches City Avg

City Avg: 16.0 Yrs

State Avg: 10.0 Yrs

Regional Practice Density

1 Specialists

Practicing in Effingham, IL (644 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

89.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Hess (16 Years) 16 Yrs

Effingham Specialty Average (16.0 Years) 16.0 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	647	400	$282.49	$91.82
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's	532	385	$40.00	$14.07
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	92	85	$395.76	$129.45
93005 Routine electrocardiogram (ecg) using at least 12 leads with tracing	55	51	$115.18	$6.00
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	22	22	$447.00	$128.98
93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	12	12	$3194.00	$120.27

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	490	336	$269.24	$105.64
93005 Routine electrocardiogram (ecg) using at least 12 leads with tracing	139	117	$108.84	$6.00
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	46	46	$435.59	$139.13
99213 Established patient office or other outpatient visit, typically 15 minutes	24	24	$173.50	$74.93

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	727	468	$255.00	$106.59
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	65	51	$260.00	$86.18
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	60	57	$340.00	$113.71
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	46	40	$255.00	$83.01
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	27	27	$395.00	$140.42
99496 Transitional care management services for problem of high complexity	11	11	$676.00	$232.68

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	708	449	$255.00	$108.56
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	96	71	$260.00	$87.50
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	39	35	$255.00	$85.08
99496 Transitional care management services for problem of high complexity	24	24	$676.00	$232.98
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	20	20	$395.00	$142.08
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	15	15	$340.00	$115.37
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	14	12	$180.00	$60.92

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	609	405	$255.00	$91.38
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	56	37	$180.00	$61.99
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	33	33	$395.00	$138.94
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	16	13	$260.00	$90.07
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	15	14	$345.00	$123.63
99496 Transitional care management services for problem of high complexity	13	13	$676.00	$205.38

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	446	330	$255.00	$89.25
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	101	74	$180.00	$61.06
99183 Management and supervision of oxygen chamber therapy per session	90	14	$336.18	$93.90
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	51	51	$395.00	$136.07

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	189	168	$255.00	$88.66
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	85	60	$180.00	$61.26
99183 Management and supervision of oxygen chamber therapy per session	40	16	$328.15	$94.27
99231 Follow-up hospital inpatient care per day, typically 15 minutes	22	22	$100.00	$33.09
99213 Established patient office or other outpatient visit, typically 15 minutes	18	18	$170.00	$60.02
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	16	12	$260.00	$87.73

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	38	17	$188.72	$42.69
11042 Removal of skin and tissue, 20.0 sq cm or less	38	17	$291.18	$51.49

Medical Specialties & State Licenses

CMS Verified: 2023-12-28

Nurse Practitioner - Acute Care Primary Specialty

NUCC Taxonomy Code: 363LA2100X

State License IL 277-001116

Definition to come...

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

101740050 (MO)

Medicaid State Provider ID

190421758 (AR)

Hospital & Practice Group Affiliations

Sarah Bush Lincoln Health Center

5 E Cumberland Rd, Altamont, IL 624111271

Phone: 6184836151

Sarah Bush Lincoln Health Center

1000 Health Ctr Dr, Mattoon, IL 619384644

Sarah Bush Lincoln Health Center

101 Professional Plz, Mattoon, IL 619389252

Phone: 2172383730

Sarah Bush Lincoln Health Center

1303 W Evergreen Ave, Effingham, IL 624011638

Secondary Practice Locations

1000 Health Center Dr

Mattoon, IL 619384644

Phone: 2172384960

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners

Katelyn Klosterman

Family Medicine

NPI 1003312422

Dr. Louis Schwing Iv , MD

Internal Medicine

NPI 1467565069

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

19 Historical Events

📍

Updated Practice Location December 28, 2023

Registered at 1303 W EVERGREEN AVE STE 201, EFFINGHAM, IL 624011638 (Tel: 2173471422)

📍

Updated Business Mailing Address December 28, 2023

Registered at PO BOX 372, MATTOON, IL 619380372

📍

Updated Practice Location January 20, 2023

Registered at 1303 W EVERGREEN AVE STE 202, EFFINGHAM, IL 624011638 (Tel: 2173471422)

📍

Updated Business Mailing Address January 20, 2023

Registered at 1005 HEALTH CENTER DR, MATTOON, IL 619384629

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) January 20, 2023

Nurse Practitioner (License #277-001116 in IL)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) December 21, 2021

Nurse Practitioner (License #2010014366 in MO)

📍

Updated Business Mailing Address May 17, 2019

Registered at 503 N MAPLE ST, EFFINGHAM, IL 624012006 (Tel: 2173423700)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) May 17, 2019

Internal Medicine (License #209.009771 in IL)

✅

NPI Profile Active October 10, 2017

NPI status registered as active in NPPES database

📍

Updated Practice Location October 10, 2017

Registered at 503 N MAPLE ST, EFFINGHAM, IL 624012006 (Tel: 2173423700)

📍

Updated Business Mailing Address October 10, 2017

Registered at 619 E MASON ST STE 4P57, SPRINGFIELD, IL 627011034 (Tel: 2177880706)

👤

Provider Name / Credentials Updated October 10, 2017

Recorded as CORY HESS, ACNP

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) October 10, 2017

Nurse Practitioner (License #209009771 in IL)

✅

NPI Profile Active October 30, 2015

NPI status registered as active in NPPES database

📍

Updated Practice Location October 30, 2015

Registered at 1 BARNES JEWISH HOSPITAL PLZ, SAINT LOUIS, MO 631101003 (Tel: 3143628200)

📍

Updated Business Mailing Address October 30, 2015

Registered at 660 S EUCLID AVE, C B 8242, SAINT LOUIS, MO 631101010 (Tel: 3143628200)

👤

Provider Name / Credentials Updated October 30, 2015

Recorded as CORY HESS, ACNP

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) October 30, 2015

Nurse Practitioner (License #2010014366 in MO)

🟢

Initial NPI Registration & Enumeration May 12, 2010

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1841518057

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: May 12, 2010

Last Update: December 28, 2023

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 372

Mattoon, IL 619380372

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.