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Dr. Edmond A Hooker , MD

Emergency Medicine โ€ข Cincinnati, OH

Active NPI 1790789220 Individual Practitioner Male Practitioner
Practice location in NPPES

4440 Red Bank Rd, Suite 110
Cincinnati, OH 452272176

Call 5135641366 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

4440 Red Bank Rd
Suite 110

Cincinnati, OH 452272176

Telephone 5135641366
Fax 5135641367
Organization at the Same NPPES Address or Phone
Tri-State Centers For Sight, Inc. Facility NPI 1881979359

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Medicare patients

44 people with Original Medicare in 2024

Different Original Medicare patients in 2024; counts below 11 are hidden; this does not show availability or quality.

Source: CMS, Medicare Physician & Other Practitioners โ€“ by Provider, 2024.

Medicare-allowed amount

About $4,844 in 2024

The total amount Medicare approved for these services in 2024. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.

What this does not show: Medicare-allowed amount

This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.

Source: CMS, Medicare Physician & Other Practitioners โ€“ by Provider and Service, 2024.

Paid by Medicare

About $3,586 in 2024

The part of the Medicare-allowed amount that Medicare itself paid in 2024, after patients' deductibles and coinsurance.

What this does not show: Paid by Medicare

This is not the clinician's income and not a measure of quality.

Source: CMS, Medicare Physician & Other Practitioners โ€“ by Provider and Service, 2024.

30-day fills

11 standardized 30-day fills in 2024

CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.

What this does not show: 30-day fills

It is not a count of patients and not a measure of quality.

Part D drug cost

$72 in 2024

The total cost of these prescriptions in 2024, paid by Medicare drug plans, patients and other payers together.

What this does not show: Part D drug cost

A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.

Source: CMS, Medicare Part D Prescribers โ€“ by Provider and Drug, 2024.

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2019โ€“2025.

Guide: How to read an Open Payments record

NPI first issued

2005

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, โ€œDoes your provider accept Medicare as full payment?โ€

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Dr. Hooker has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Dr. Hooker as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Cincinnati and Ohio

Billing and prescribing volume is not a quality rating.

Medicare Part B services

Fewer Medicare Part B services than 95% of clinicians listed under Emergency Medicine in Cincinnati, OH (2024, 152 clinicians with data). Median for this group: 307. Middle half: 152 to 438.

Fewer Medicare Part B services than 95% of clinicians listed under Emergency Medicine in Ohio (2024, 2,055 clinicians with data). Median for this group: 317. Middle half: 182 to 477.

Medicare-allowed amount

A lower Medicare-allowed amount than 95% of clinicians listed under Emergency Medicine in Cincinnati, OH (2024, 152 clinicians with data). Median for this group: $39,855. Middle half: $19,209 to $59,047.

A lower Medicare-allowed amount than 95% of clinicians listed under Emergency Medicine in Ohio (2024, 2,055 clinicians with data). Median for this group: $39,994. Middle half: $23,011 to $58,136.

Paid by Medicare

A lower Medicare payment amount than 95% of clinicians listed under Emergency Medicine in Cincinnati, OH (2024, 152 clinicians with data). Median for this group: $31,349. Middle half: $14,688 to $44,993.

A lower Medicare payment amount than 95% of clinicians listed under Emergency Medicine in Ohio (2024, 2,055 clinicians with data). Median for this group: $30,587. Middle half: $17,377 to $44,685.

Medicare Part D prescriptions

Fewer Part D prescriptions than 90% of clinicians listed under Emergency Medicine in Cincinnati, OH (2024, 106 clinicians with data). Median for this group: 110. Middle half: 23 to 205.

Fewer Part D prescriptions than 95% of clinicians listed under Emergency Medicine in Ohio (2024, 1,764 clinicians with data). Median for this group: 96. Middle half: 42 to 175.

Part D drug cost

A lower Part D drug cost than 85% of clinicians listed under Emergency Medicine in Cincinnati, OH (2024, 106 clinicians with data). Median for this group: $708. Middle half: $156 to $1,194.

A lower Part D drug cost than 90% of clinicians listed under Emergency Medicine in Ohio (2024, 1,764 clinicians with data). Median for this group: $536. Middle half: $229 to $1,099.

247 active clinicians are listed under Emergency Medicine with a practice address in Cincinnati, OH (3,004 in Ohio).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Cincinnati

0.8% of these 247 clinicians have the CMS telehealth indicator.

46.2% of these 247 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Medicare Part D Prescribers (2024), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo ยท Report an error.

Performed Procedures & Service Volume

Services billed to Original Medicare Part B in 2024.

CMS Part B ยท Data Year 2024
Reporting Year:

CPTยฎ is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2016โ€“2023 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners โ€“ by Provider and Service data, 2017โ€“2024; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.

HCPCS Code Services Patients Submitted Charge Medicare Allowed
99284 Emergency department visit with moderate level of medical decision making
17 17 $1118.21 $120.62
99285 Emergency department visit with high level of medical decision making
16 16 $1650.37 $174.59

Source: CMS Part B by Provider and Service, 2024; services under 11 beneficiaries omitted by CMS. Privacy limits

Submitted charges are billed amounts, not a price quote for your visit.

Medicare Part D Prescribing Profile & Medications

Medicare Part D prescriptions filled, including refills, in 2024.

CMS Part D ยท Data Year 2024
Prescription Year:
Brand Name Generic Name Prescriptions Day Supply Total Cost Patients
Cephalexin Cephalexin 11 80 $71.56 11

Source: CMS Part D by Provider and Drug, 2024; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits

Specialties & License Numbers Reported to NPPES

Emergency Medicine Primary Specialty

NUCC Taxonomy Code: 207P00000X

License # reported to NPPES OH 35.074240

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: State Medical Board of Ohio.
Look Up on State Board Site

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid ID
0065060 (OH)

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - EMERGENCY MEDICINE

Medicare Enrollment ID

I20120329000629

Enrollment State Jurisdiction

OH

PECOS Control ID

2961662804

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

12 listed
Dr. Bradley Beckham , MD

Internal Medicine

NPI 1730474891

Doctor of Medicine (M.D.)

Dr. Don Duke , MD

Emergency Medicine

NPI 1619971181

Doctor of Medicine (M.D.)

Suzanne Flottemesch , ARNP

Nurse Practitioner - Family

NPI 1750494241

Advanced Registered Nurse Practitioner

Kristin Gaskins , CNP

Nurse Practitioner - Family

NPI 1164830147

Certified Nurse Practitioner

Megan Hall

Nurse Practitioner - Gerontology

NPI 1134595820
Dr. Robert Hollis , MD

Family Medicine

NPI 1285675447

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

11 Historical Events
โœ…
NPI Profile Active June 12, 2017

NPI status registered as active in NPPES database

๐Ÿ“
Updated Business Mailing Address June 12, 2017

Registered at PO BOX 636256, CENTRAL CREDENTIALING, CINCINNATI, OH 452636256 (Tel: 5135855505)

๐Ÿ“
Updated Practice Location June 12, 2017

Registered at 4440 RED BANK RD, SUITE 110, CINCINNATI, OH 452272176 (Tel: 5135641366)

๐Ÿ‘ค
Provider Name / Credentials Updated June 12, 2017

Recorded as EDMOND HOOKER, MD

๐ŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) June 12, 2017

Emergency Medicine (license number reported to NPPES: OH 35.074240)

โœ…
NPI Profile Active September 11, 2012

NPI status registered as active in NPPES database

๐Ÿ“
Practice Location (Initial Record) September 11, 2012

Registered at 4440 RED BANK RD, SUITE 110, CINCINNATI, OH 452272176 (Tel: 5135641366)

๐Ÿ“
Business Mailing Address (Initial Record) September 11, 2012

Registered at 4440 RED BANK RD, SUITE 110, CINCINNATI, OH 452272176 (Tel: 5135641366)

๐Ÿ‘ค
Provider Name / Credentials (Initial Record) September 11, 2012

Recorded as EDMOND HOOKER, MD

๐ŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) September 11, 2012

Emergency Medicine (license number reported to NPPES: OH 35.074240)

๐ŸŸข
Initial NPI Registration & Enumeration June 13, 2005

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1790789220
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 13, 2005
Last Update: June 12, 2017
Sole Proprietor: No

Other Emergency Medicine Providers in Cincinnati

All Emergency Medicine Providers in Cincinnati

Mailing Address

Po Box 636256, Central Credentialing

Cincinnati, OH 452636256

Phone: 5135855505

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.