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Deactivated NPI 1124051081 Deactivated / Inactive NPI Male Practitioner

Dr. Edwin A Hissa , MD

Orthopaedic Surgery • Jackson, OH

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Edwin Hissa has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date July 07, 2006
NPI Deactivation Date June 05, 2024
Total Practice Duration ~18 Years of Practice (2006 – 2024)

Professional Overview & Biography Verified Profile Summary

Dr. Edwin Hissa, MD was a registered Orthopaedic Surgery practicing in Jackson, OH. Throughout an active medical career spanning 18 years, Dr. Hissa provided care at the practice location at 500 BURLINGTON RD until profile deactivation on 2024-06-05.

Historical Medicare Part B clinical services included established patient outpatient office visit, new patient outpatient office visit, aspiration and/or injection of fluid from large joint. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

500 Burlington Rd

Jackson, OH 456409360

Telephone 7403958805
Fax 7403958855
Associated Practice Facility / Clinic
🏢 Holzer Medical Center Jackson Facility NPI 1669410940

Specialty Benchmarks & Practice Insights

Comparative analytics for Orthopaedic Surgery in Jackson, OH

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 6.0 Yrs
State Avg: 25.4 Yrs
Regional Practice Density
3 Specialists

Practicing in Jackson, OH (984 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
42.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2023)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes
72 53 $84.00 $64.79
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
20 20 $172.00 $81.53

Medical Specialties & State Licenses

Orthopaedic Surgery Primary Specialty

NUCC Taxonomy Code: 207X00000X

State License OH 3504832OH

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

Practice Associates & Co-Workers

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

24 Associated Practitioners
Dr. Donald Fisco , DO

Family Medicine

NPI 1013963875

Doctor of Osteopathic Medicine (D.O.)

Neesha Smith , CNP

Nurse Practitioner

NPI 1063432771

Certified Nurse Practitioner

Karen Leigh , SLP

Speech-Language Pathologist

NPI 1083788731

Speech-Language Pathologist

Amanda Davis , CNP

Nurse Practitioner - Family

NPI 1164724787

Certified Nurse Practitioner

Christine Pearl , FNP-C

Nurse Practitioner - Family

NPI 1194128561

Family Nurse Practitioner (Certified)

NPI 1235184458

Doctor of Osteopathic Medicine (D.O.)

Career & Practice History Timeline

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

9 Historical Events
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NPI Profile Deactivated June 05, 2024

Record deactivated on June 05, 2024

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Medical Taxonomy / Specialty Registered (Primary Specialty) April 20, 2024

Orthopaedic Surgery (License #3504832OH in OH)

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Updated Business Mailing Address January 21, 2021

Registered at 90 JACKSON PIKE, GALLIPOLIS, OH 456311560 (Tel: 7404465000)

NPI Profile Active August 07, 2014

NPI status registered as active in NPPES database

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Updated Practice Location August 07, 2014

Registered at 500 BURLINGTON RD, JACKSON, OH 456409360 (Tel: 7403958805)

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Updated Business Mailing Address August 07, 2014

Registered at 500 BURLINGTON RD, JACKSON, OH 456409360 (Tel: 7403958805)

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Provider Name / Credentials Updated August 07, 2014

Recorded as EDWIN HISSA, MD

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Medical Taxonomy / Specialty Registered (Primary Specialty) August 07, 2014

Orthopaedic Surgery (License #3504832OH in OH)

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Initial NPI Registration & Enumeration July 07, 2006

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: 1124051081
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 07, 2006
Last Update: August 07, 2014
Deactivation Date: June 05, 2024

Mailing Address

500 Burlington Rd

Jackson, OH 456409360

Phone: 7403958805

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.