Bruce G Hymon – Cardiovascular Disease Physician

Key facts

NPI: 1366424806
Entity type: Individual (NPI type 1)
Primary specialty: Cardiovascular Disease Physician 207RC0000X
License: 35036771 (OH)
Practice address: 4000 Miamisburg Centerville Rd
Suite 100
Miamisburg, OH 45342-7615
Phone: (937) 866-0637
Fax: (937) 866-6713
NPI assigned: Nov 18, 2005
Sex: Male
Sole proprietor: No

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Kettering Independent Medical Group Inc Orthopaedic Surgery Physician · Miamisburg, OH · NPI 1629387865

Medicare reassignment Care Compare group NPD CARDIOVASCULAR DISEASE · OH
Professional Readers Group, Inc Specialist · Cincinnati, OH · NPI 1861445702

NPD (past)

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Beavercreek Medical Center General Acute Care Hospital · Beavercreek, OH · NPI 1760764849

Care Compare affiliation Hospital
Dayton Osteopathic Hospital General Acute Care Hospital · Dayton, OH · NPI 1053339507

Care Compare affiliation Hospital
Greene Memorial Hospital Inc General Acute Care Hospital · Xenia, OH · NPI 1255317848

Care Compare affiliation Hospital
Kettering Medical Center General Acute Care Hospital · Kettering, OH · NPI 1043233984

Care Compare affiliation Hospital
Kettering Medical Center General Acute Care Hospital · Miamisburg, OH · NPI 1316966518

Care Compare affiliation Hospital

Medicare Care Compare profile

Specialty: Cardiovascular Disease (Cardiology)
Education: University of Cincinnati College of Medicine, 1972
Medicare assignment: Accepts the Medicare-approved amount as payment in full
Group practices: Kettering Independent Medical Group Inc (699 clinicians)

Practice addresses (Care Compare)

1141 N Monroe Dr
Xenia, OH 45385-1619
Phone (937) 490-2270

1380 E Stroop Rd
Kettering, OH 45429-4926
Phone (937) 293-3486

3533 Southern Blvd
Suite 2200
Kettering, OH 45429-1264
Phone (937) 228-4126

3535 Pentagon Blvd
Beavercreek, OH 45431-1705

3535 Pentagon Park Blvd
Suite 400
Dayton, OH 45431-1705
Phone (937) 490-2264

3535 Southern Blvd
Kettering, OH 45429-1221
Phone (937) 395-8646

4000 Miamisburg Centerville Rd
Miamisburg, OH 45342-7615

4403 Far Hills Ave
Kettering, OH 45429-2405
Phone (937) 433-5309

4441 Far Hills Ave
Kettering, OH 45429-2405
Phone (937) 298-7751

600 W Main St
Troy, OH 45373-3384

Hospital & facility affiliations

Kettering Health Greene Memorial Hospital · Xenia, OH · CCN 360026
Soin Medical Center Hospital · Beaver Creek, OH · CCN 360360
Kettering Health Dayton Hospital · Dayton, OH · CCN 360133
Kettering Health Main Campus Hospital · Kettering, OH · CCN 360079
Kettering Health Miamisburg Hospital · Miamisburg, OH · CCN 360239

Merit-based Incentive Payment System (MIPS)

Final score: 81.34 of 100 (group)
Quality: 63.67
Promoting interoperability: 100
Improvement activities: 40
Cost: 74.14

Medicare participation

Medicare fee-for-service enrollment: Enrolled in OH
Eligible to order & refer: Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

Enrollment ID	State	Provider type	PAC ID	Details
I20040510000687	OH	Practitioner - Cardiovascular Disease (Cardiology)	2567362759	Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD): Yes
Credentials: Doctor of Medicine

State licenses

License	State	Type	Specialty
35036771	OH	MD	Cardiovascular Disease Physician

Practice roles

Organization	Specialty	Status	New patients
Kettering Independent Medical Group Inc	Cardiovascular Disease	Current since Dec 29, 2022	Accepting new patients
Professional Readers Group, Inc		Past	Accepting new patients

Locations

3535 Southern Blvd
#1
Kettering, OH 45429

3533 Southern Blvd
Ste 3450
Kettering, OH 45429
Phone (937) 293-0008

4403 Far Hills Ave
Kettering, OH 45429
Phone (937) 395-3910

4000 Miamisburg Centerville Rd
Ste 100
Miamisburg, OH 45342
Phone (937) 643-9939

1 Prestige Pl
Ste 550
Miamisburg, OH 45342
Phone (937) 752-2306

4000 Miamisburg Centerville Rd
Miamisburg, OH 45342
Phone (937) 384-8791

1141 N Monroe Dr
Xenia, OH 45385
Phone (937) 352-2000

1141 N Monroe Dr
Fl 3
Xenia, OH 45385
Phone (937) 372-3638

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Cardiovascular Disease Physician	207RC0000X	35036771	OH	Yes

Addresses

Primary practice location

4000 Miamisburg Centerville Rd
Suite 100
Miamisburg, OH 45342-7615

Mailing address

4000 Miamisburg Centerville Rd
Suite 100
Miamisburg, OH 45342-7615
Phone (937) 866-0637

Other identifiers

Identifier	Type	State	Issuer
0422671	Medicaid	OH
000000004404	Other	OH	ANTHEM BC/BS

Electronic endpoints

Type	Endpoint	Use	Affiliation
Direct Messaging Address	bhymon200384@direct.ketteringhealth.org
FHIR URL	https://khnarr.ketthealth.com/FHIR-PROD/api/FHIR/DSTU2/

Other providers in Miamisburg, OH

All providers in Miamisburg, OH · Cardiovascular Disease Physician in Ohio

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 21, 2021. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
Order and Referring (CMS).
Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.