DR. JESSE JOE HANISCH (M.D., PH.D.) – Surgery Physician, NPI 1497192785

DR. JESSE JOE HANISCH (M.D., PH.D.) is a healthcare provider. based in Festus, Missouri. specializing in GENERAL SURGERY. They hold the professional credentials M.D., PH.D.. They hold a License No. 036154307 (IL). The NPI Number for DR. JESSE JOE HANISCH (M.D., PH.D.) is 1497192785

Main info

Male
13 Years Of Experience
Accepts Medicare Assignment
Name
DR. JESSE JOE HANISCH (M.D., PH.D.)
NPI
1497192785
Phone
(636) 543-2140
Address
1400 US HIGHWAY 61 STE 310
Enumeration Date
28 May 2013
Last Update Date
7 November 2024

Doctor Profile

Medical School Name
CREIGHTON UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
6365432140
Graduation Year
2013 (13 years ago)
PAC ID
4587985478
Group Practice PAC ID
1153455076
Professional Enrollment ID
I20241114003360
Address ID
MO630284141FE1400X61XX408

Contacts

Secure Messaging
jhanisch296930@ewd.direct.hshs.org
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness85
Years active:13State licenses:2Other namesUpdated within 12 months

785 GENERAL SURGERY in MO

Provider Addresses for DR. JESSE JOE HANISCH (M.D., PH.D.)

  • 1400 US HIGHWAY 61 STE 310

    FESTUS, MO 630284141

    Phone: (636) 543-2140

    Fax: (636) 933-1085

    Type: Mailing

  • 101 HEALTH CARE DR

    GREENVILLE, IL 622461159

    Phone: (618) 664-9831

    Fax: (618) 651-2842

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-11-14

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20241114003360IGeneral SurgeryMOTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99215Established patient office or other outpatient visit, 40-54 minutes2519$0
99213Established patient office or other outpatient visit, 20-29 minutes2321$0
99204New patient office or other outpatient visit, 45-59 minutes1414$0
99214Established patient office or other outpatient visit, 30-39 minutes1212$0
View full utilization report →

Insurance plans in this area (ZIP 63028)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1153455076View full group profile

Reviews

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Frequently asked questions

How do I look up DR. JESSE JOE HANISCH (M.D., PH.D.) by NPI?
Use NPI 1497192785 when you need to reference DR. JESSE JOE HANISCH (M.D., PH.D.) in forms, claims, or directories.
Is DR. JESSE JOE HANISCH (M.D., PH.D.) currently active in the NPI registry?
CMS-published data lists DR. JESSE JOE HANISCH (M.D., PH.D.) as an active registrant.
What does DR. JESSE JOE HANISCH (M.D., PH.D.) treat or focus on?
Patients typically see DR. JESSE JOE HANISCH (M.D., PH.D.) under the specialty Surgery Physician. Clinical services aligned with this taxonomy classification.
Does DR. JESSE JOE HANISCH (M.D., PH.D.) practice in Missouri?
You will see Festus, Missouri on file for DR. JESSE JOE HANISCH (M.D., PH.D.) alongside any extra practice locations.
How can I contact DR. JESSE JOE HANISCH (M.D., PH.D.)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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