Individual provider Active NPI

Alyssa Susann Hoehn, M.D.

  • Ophthalmology Physician
  • Moscow, ID
National Provider Identifier
1962728725
Registry record updated Sep 9, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
M-12033 Issued in ID
Practice address
1205 E 6TH St
Moscow, ID 83843-3705
Phone
(208) 549-5521
Fax
(208) 549-7277
NPI assigned
Apr 19, 2010
Last updated
Sep 9, 2014By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 9, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU
Ophthalmology Physician 207W00000X M-12033 ID Primary

Addresses

Primary practice location

1205 E 6TH St
Moscow, ID 83843-3705

Mailing address

1215 E 6TH St
Moscow, ID 83843-3705
Phone (208) 549-5521

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID, WA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20131230000871 ID Practitioner - Ophthalmology 3375770019 Reassigns benefits to 1 organization
I20190625001372 WA Practitioner - Ophthalmology 3375770019 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Loma Linda University School of Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Moscow Family Eye Care IncGroup PAC ID 8921235664, 4 clinicians

Practice addresses (Care Compare)

1205 E 6TH St
Moscow, ID 83843-3705
Phone (208) 882-3434

835 SE Bishop Blvd
Pullman, WA 99163-5512
Phone (208) 882-3434

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
92.76 of 100Reported as group
Quality
100
Improvement activities
40
Cost
75.86

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery258

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
M-12033IDMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Moscow Family Eye Care Inc. Ophthalmology CurrentSince Sep 1, 2013 Accepting new patients
Daniel D David Past Accepting new patients
Paris Investments LLC PastSince Sep 1, 2013 Accepting new patients

Locations

1205 E 6th St
Moscow, ID 83843
Phone (208) 549-5521

1215 E 6th St
Moscow, ID 83843
Phone (208) 549-5521

560 SE Bishop Blvd
Pullman, WA 99163
Phone (208) 882-3434

835 SE Bishop Blvd
Pullman, WA 99163
Phone (509) 332-2541

Interoperability endpoints

  • Direct secure messaging: ahoehn2629942@wm.providencedirect.org

Organizations & group practices 3

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

Hospital & facility affiliations 2

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

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1271635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1410220800000",
    "number": "1962728725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1215 E 6TH ST",
            "city": "MOSCOW",
            "state": "ID",
            "postal_code": "838433705",
            "telephone_number": "208-549-5521",
            "fax_number": "208-549-7277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1205 E 6TH ST",
            "city": "MOSCOW",
            "state": "ID",
            "postal_code": "838433705",
            "telephone_number": "208-549-5521",
            "fax_number": "208-549-7277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOEHN",
        "first_name": "ALYSSA",
        "middle_name": "SUSANN",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-04-19",
        "last_updated": "2014-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "ID",
            "license": "M-12033",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Moscow, ID

Sources for this page

Verify at the official NPI Registry.