MAX A HESSE (MD) – Family Medicine Physician, NPI 1679142772

MAX A HESSE (MD) is a healthcare provider. based in Kirkwood, Missouri. specializing in FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. 2021020902 (MO). The NPI Number for MAX A HESSE (MD) is 1679142772

Main info

Male
5 Years Of Experience
Accepts Medicare Assignment
Name
MAX A HESSE (MD)
NPI
1679142772
Phone
(316) 617-8254
Address
1103 STURGIS DR
Enumeration Date
22 June 2021
Last Update Date
22 June 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3148648596
Graduation Year
2021 (5 years ago)
PAC ID
3375948334
Group Practice PAC ID
3971833443
Professional Enrollment ID
I20240816003161
Address ID
MO630102164AR874XXDRXX400
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness75
Years active:4State licenses:1Digital endpointsOther names

2,332 FAMILY PRACTICE in MO

Provider Addresses for MAX A HESSE (MD)

  • 1103 STURGIS DR

    KIRKWOOD, MO 631221534

    Phone: (316) 617-8254

    Type: Mailing

  • 2345 DOUGHERTY FERRY RD

    SAINT LOUIS, MO 631223313

    Phone: (316) 617-8254

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 25 Open Payments records for all available years, with a total value of $1,399.

Total Amount is formed as General ($1,399) + Research ($0) + Ownership ($0) = $1,399.

Last reported payment date: 2024-12-19 • Largest payer in this snapshot: ABBVIE INC. ($434).

Total Amount

$1,399

General + Research + Ownership

Payments

25

Total payment records

General Amount

$1,399

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-19

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2024-08-16

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
I20240816003161IFamily PracticeMOTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 63122)

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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: 3971833443View full group profile
NameSpecialtyState
Nurse PractitionerMO
Family PracticeMO
Nurse PractitionerMO
Family PracticeMO
Nurse PractitionerMO
-TN
Nurse PractitionerMO

Reviews

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Frequently asked questions

How is MAX A HESSE (MD) identified in CMS data?
CMS-hosted NPPES data lists MAX A HESSE (MD) with NPI 1679142772.
Is MAX A HESSE (MD) still practicing?
MAX A HESSE (MD) is currently listed as active in the public NPI registry.
What healthcare role does MAX A HESSE (MD) hold?
Scheduling teams often label MAX A HESSE (MD) under Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Where should I expect MAX A HESSE (MD) on a map?
Expect Kirkwood, Missouri as a primary anchor for MAX A HESSE (MD) unless the record lists multiple sites.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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