Madison Hess, PA-C

  • Clairton, PA
  • Internist
NPI1073298188PAC ID3173970357
Medicare services, 2024
103
Medicare patients, 2024
119
Part D claims, 2024
217
MIPS score, 2024
94
Hospital affiliations
2
Practice address
565 Coal Valley Road, Jefferson Hills, PA 15025
Practice phone
Call (412) 469-5000
Professional email
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Personal email
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Mobile number
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Social profiles

Primary practice

Jefferson Hospital

Hospital · Jefferson Hills, Pennsylvania

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Madison Hess is an internist in Clairton, Pennsylvania

Madison Hess practices at Jefferson Hospital in Jefferson Hills, Pennsylvania, part of Highmark Health.

Madison Hess' NPI, 1073298188, was assigned on June 16, 2023. Madison Hess holds Pennsylvania license MA064577.

NPI and contact details
Medicare PAC ID
3173970357
NPI enumeration date
June 16, 2023
NPI status
Active
Accepts Medicare assignment
Yes
Practice phone
(412) 469-5000
Professional email
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Personal email
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Mobile number
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Sex
Female
Estimated age
29
Medical school graduation
2023

Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; Dmand AI Affiliation Data; and Doctors and Clinicians National Downloadable File (CMS)

Madison Hess practices at Jefferson Hospital in Jefferson Hills, Pennsylvania

Madison Hess' primary practice is Jefferson Hospital, at 565 Coal Valley Road, Jefferson Hills, PA 15025 in Allegheny County. The practice phone is (412) 469-5000.

  • Jefferson Hospital
    565 Coal Valley Road, Jefferson Hills, PA 15025 · Allegheny CountyPhone(412) 469-5000

Source: Dmand AI Affiliation Data

Madison Hess is affiliated with 3 sites of care and 1 medical group

Madison Hess' primary practice is Jefferson Hospital in Jefferson Hills, Pennsylvania, part of Highmark Health. Madison Hess is also affiliated with Allegheny General Hospital. The medical group on file is AHN Primary Care - Family Med Associates at H+W Pavilion Bethel Park. Dmand AI also links Madison Hess to 1 more hospital outpatient department, named with a free account.

See all 4 affiliations for Madison Hess

Sources: Dmand AI Affiliation Data; and Dmand AI Org Hierarchy Data

Dmand AI tracks the EHR system at Madison Hess' practice

Dmand AI tracks the electronic health record (EHR) system at each site where Madison Hess practices, 3 sites in all. Vendor and product names are available with a free account.

EHR by site
SiteEHR vendor and product
Jefferson HospitalAvailable with a free account
+2 more affiliated sitesAvailable with a free account

Source: Dmand AI Technology Install Data

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Madison Hess is one of 5,665 internists in Pennsylvania

Internal medicine is Madison Hess' primary specialty in the NPI Registry, under taxonomy code 207R00000X. Madison Hess is licensed in Pennsylvania.

Specialties and state licenses

  • Internal medicine, PennsylvaniaPrimaryLicense MA064577 · taxonomy 207R00000X

Internists near Madison Hess

Counts of internists with a Dmand AI profile, by place and practice. Each opens the list.

Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; and Dmand AI Peer Benchmarks

Madison Hess billed Medicare for 103 services in 2024

CMS data shows 103 Medicare services from Madison Hess across 3 procedure codes in 2024, for 119 Medicare patients. Medicare paid $7,854 for them. Every service was in a facility, such as a hospital, rather than an office.

Medicare services, 2024103
Medicare patients119
Paid by Medicare$7,854
Procedure codes3

Madison Hess compared with the Pennsylvania median for internists, 2024

  • Madison Hess
  • Pennsylvania median
Medicare services
103vs 41775% below
Medicare patients
119vs 18536% below
Part D claims
31vs 22486% below

Medians across 5,518 internists in Pennsylvania with Dmand AI profiles that report each measure.

Madison Hess' most billed Medicare procedure codes, 2024

CMS publishes codes billed for 11 or more Medicare patients. Each label is the code family; CPT descriptions are licensed by the AMA.

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Sources: Medicare Physician & Other Practitioners - by Provider and Service (CMS), 2024 data; and Dmand AI Peer Benchmarks

Madison Hess treated 119 Medicare patients in 2024, average age 72

CMS counts 119 Medicare patients who saw Madison Hess in 2024. The largest group is 65 to 74, with 51 patients. 75% of them have high blood pressure, and 75% have high cholesterol. 24% are also on Medicaid. Their average risk score is 2.59, where 1.00 is the Medicare average, so they are sicker than most Medicare patients.

Across all payers, Dmand AI patient panel data puts Madison Hess' median patient age at 72, with 36% women.

Medicare patients, 2024119
Average age72
Average risk score2.59
Also on Medicaid24%

Madison Hess' Medicare patients by age, 2024

Madison Hess' Medicare patients by sex, 2024

  • Women6050%
  • Men5950%

Chronic conditions among Madison Hess' Medicare patients, 2024

  1. High blood pressure75%
  2. High cholesterol75%
  3. Arthritis61%
  4. Ischemic heart disease52%
  5. Anxiety50%
  6. Chronic kidney disease45%
  7. Heart failure45%
  8. Mood disorders44%

Share of Medicare patients with each condition. A patient can have several.

Madison Hess' patients across all payers

Dmand AI patient panel data covers Medicare, Medicaid and commercial patients.

Patient panel by age, all payers

Median age 72

Patient panel by sex, all payers

  • Women36%
  • Men61%

Sources: Dmand AI Patient Panel Data; and Medicare Physician & Other Practitioners - by Provider (CMS), 2024 data

Madison Hess wrote 217 Medicare Part D claims in 2024

In 2024, Madison Hess wrote 217 Medicare Part D claims for 112 patients. 95% of them were for generic drugs. CMS names the drug for 31 of them, across 2 drugs with 11 or more claims each, at $56 in total drug cost.

Part D claims, 2024217
Drugs named by CMS2
Total drug cost$56
Part D patients112

Madison Hess' Part D claims by kind of drug, 2024

  • Generic206 claims95%
  • Brand-name11 claims5%

Madison Hess' most prescribed drugs by claims, 2024

CMS names a drug when it has 11 or more claims. Share is of the claims for drugs CMS names.

Drug classes CMS tracks in Madison Hess' Part D claims, 2024

  • Opioids9%20 of 217 claims
  • Antibiotics14%31 of 217 claims

Share of all Part D claims for each drug class CMS reports on. Classes with no claims are left out.

See all prescribing by Madison Hess

Sources: Medicare Part D Prescribers - by Provider and Drug (CMS), 2024 data, released May 6, 2026; and Medicare Part D Prescribers - by Provider (CMS), 2024 data

Madison Hess scored 94 out of 100 in Medicare's MIPS program for 2024

CMS publishes a Merit-based Incentive Payment System (MIPS) score of 94 out of 100 for Madison Hess for performance year 2024, reported through an alternative payment model (APM). Madison Hess accepts Medicare assignment, so Medicare's approved amount is taken as full payment.

Accepts Medicare assignment
Yes

Madison Hess' MIPS scores, performance year 2024

  • 94of 100Final score
  • 85of 100Quality
  • 100of 100Promoting Interoperability
  • 40of 100Improvement Activities

Each score is out of 100. The final score weighs the categories CMS scored for this clinician.

Sources: Doctors and Clinicians National Downloadable File (CMS); and Clinician Public Reporting: Overall MIPS Performance (CMS), 2024 data, released September 10, 2026

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Madison Hess received $596 in industry payments from 2023 to 2025

CMS Open Payments shows 23 general payments to Madison Hess from 7 drug and device companies from 2023 to 2025. Food and beverage make up the largest share, 100% of the total. Janssen Pharmaceuticals, Inc paid the most, $164.

General payments to Madison Hess by program year, 2023 to 2025

Companies that paid Madison Hess the most, 2023 to 2025

Share is of all general payments to this clinician.

See all payments to Madison Hess

Source: Open Payments (CMS), 2025 data, released July 7, 2026

Sources for Madison Hess's profile data

Sources for the data on this page
Data on this pageSource
NPI, name, sex, specialty and licensesNPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Professional Profile Data
Practice locations and phoneDmand AI Affiliation Data
Primary practice, affiliations and health systemDmand AI Affiliation DataDmand AI Org Hierarchy Data
Medicare services and procedure codesMedicare Physician & Other Practitioners - by Provider and Service (CMS) (opens in a new tab)
State medians for the same specialtyDmand AI Peer Benchmarks
Medicare patients and the all-payer patient panelDmand AI Patient Panel DataMedicare Physician & Other Practitioners - by Provider (CMS) (opens in a new tab)
Part D prescribingMedicare Part D Prescribers - by Provider and Drug (CMS) (opens in a new tab)Medicare Part D Prescribers - by Provider (CMS) (opens in a new tab)
MIPS scores, telehealth, assignment and procedure percentilesDoctors and Clinicians National Downloadable File (CMS) (opens in a new tab)Clinician Public Reporting: Overall MIPS Performance (CMS) (opens in a new tab)
Industry paymentsOpen Payments (CMS) (opens in a new tab)
EHR at each practice siteDmand AI Technology Install Data
Similar physiciansDmand AI Affiliation Data

Data last refreshed October 2026Report an inaccuracyRemove my information

FAQ

Frequently asked questions about Madison Hess

Spotted something out of date? Email hello@dmand.ai and we will check the record. Contact details live in the free trial.

What is Madison Hess' NPI number?

Madison Hess' NPI number is 1073298188. It was assigned on June 16, 2023, and it is active in the NPI Registry.

What does Madison Hess specialize in?

Madison Hess is an internist in Clairton, Pennsylvania. The primary specialty in the NPI Registry is Internal Medicine Physician (taxonomy code 207R00000X).

Where does Madison Hess practice?

Madison Hess practices at 565 Coal Valley Road, Jefferson Hills, PA 15025. Madison Hess' primary practice is Jefferson Hospital in Jefferson Hills, Pennsylvania, part of Highmark Health. Dmand AI also links Madison Hess to 1 hospital outpatient department.

What is Madison Hess' office phone number?

The practice phone on file for Madison Hess is (412) 469-5000.

What is Madison Hess' medical license number?

Madison Hess holds Pennsylvania license MA064577.

Which hospitals is Madison Hess affiliated with?

Madison Hess practices at Jefferson Hospital in Jefferson Hills, Pennsylvania. Madison Hess is also affiliated with Allegheny General Hospital.

What medical group is Madison Hess part of?

Madison Hess is linked to AHN Primary Care - Family Med Associates at H+W Pavilion Bethel Park.

Does Madison Hess accept Medicare?

Yes. CMS data shows Madison Hess billed Medicare for 103 services in 2024, and Madison Hess accepts Medicare assignment.

What is Madison Hess' MIPS score?

Madison Hess' MIPS final score for performance year 2024 is 94 out of 100, reported through an alternative payment model (APM).

How many Medicare patients does Madison Hess see?

CMS counts 119 Medicare patients who saw Madison Hess in 2024, with an average age of 72.

Show 4 more questionsShow fewer questions

What services does Madison Hess bill to Medicare?

In 2024, Madison Hess' most billed Medicare services were hospital inpatient care (99232), hospital inpatient care (99223) and hospital inpatient care (99239).

What drugs does Madison Hess prescribe most?

In 2024 Medicare Part D data, Madison Hess' most prescribed drugs by claims were Oxycodone HCl and Prednisone.

Has Madison Hess received payments from drug or device companies?

CMS Open Payments shows $596 in general payments to Madison Hess from 7 companies from 2023 to 2025. The largest total came from Janssen Pharmaceuticals, Inc.

How long has Madison Hess been practicing?

Madison Hess graduated from medical school in 2023, 3 years ago.

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