THERESA ANNE HEGGE M.D.
NPI 1124280649
Surgery - Plastic and Reconstructive Surgery in Bismarck, ND

Active since June 26, 2008PECOS EnrolledAccepts Medicare Assignment
83.98/100
CMS Quality Rating
222 N 7TH ST, 300 N 7TH ST, BISMARCK, ND 58501(701) 323-5301(701) 323-5886 Get Directions Write a Review

NPPES record last updated: February 15, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Feb 15, 2022, Nov 4, 2019, Sep 8, 2019 and 1 more (4 updates tracked since 2019).

About Theresa Anne Hegge M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

THERESA ANNE HEGGE M.D. (NPI 1124280649) is an individual plastic and reconstructive surgery provider in Bismarck, North Dakota, licensed in North Dakota (12751) and active in the NPI registry since June 2008. She is enrolled in Medicare PECOS, is affiliated with Sanford Medical Center Bismarck, and maintains a secondary practice location in Bismarck.

NPPES Registry Identity

NPI1124280649
Entity TypeIndividualFemale
Primary Taxonomy2086S0122X
Provider Legal NameTHERESA ANNE HEGGECredential: M.D.
Location Address222 N 7TH ST, 300 N 7TH STBismarck, ND 58501
Mailing Address222 N 7th St, 300 N 7th StBismarck, ND 58501 · (701) 323-5301 · Fax (701) 323-5886
Fax(701) 323-5886
Sole ProprietorNo
Medical School CMSUniversity Of North Dakota School Of MedicineGraduated 2008
Enumeration DateJune 26, 2008
Last NPPES UpdateFebruary 15, 20224 updates tracked since enumeration
NPPES CertifiedFebruary 15, 2022
NPI 1124280649 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtySurgery · Plastic and Reconstructive SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0122X
License Licensed in ND · 12751
Definition

A surgeon who specializes in plastic and reconstructive surgery.

Also ListedPlastic SurgeryTaxonomy 208200000X · License 12751 (ND)
222 N 7TH ST, Bismarck, ND 58501

Other Names 1

Former Name (1)Theresa Anne Rosendahl Md, Mph

Secondary Practice Location 1

Location 1300 N 7th StBismarck, ND 58501 · Phone (701) 323-6000

Other Identifiers 1

Medicaid1461056ND

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Theresa Anne Hegge M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3577702570
PECOS Enrollment IDI20140721002013
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
15 services15 patients
Removal of excessive skin and fat of upper eyelid 15823
This procedure, also known as upper eyelid surgery, is performed to remove excess skin and fat from the upper eyelid. It can help improve vision if heavy eyelids hinder it, and can also enhance the appearance of the eyes. It's a common, safe procedure.
12 services12 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Sanford Medical Center Bismarck

Acute Care Hospitals · Bismarck, ND
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number350015
Location300 N 7th StBismarck, ND 58506 · Burleigh County
Emergency services Birthing friendly

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

83.98/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality79.28
Promoting Interoperability99
Improvement Activities40
Cost68.15

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Gerontology)
222 N 7TH ST
BISMARCK, ND 58501
Nurse Practitioner (Family)
222 N 7TH ST
BISMARCK, ND 58501
Family Medicine
222 N 7TH ST
BISMARCK, ND 58501
Hospitalist
222 N 7TH ST
BISMARCK, ND 58501
Anesthesiology
222 N 7TH ST
BISMARCK, ND 58501
Thoracic Surgery (Cardiothoracic Vascular Surgery)
222 N 7TH ST
BISMARCK, ND 58501
Physician Assistant
222 N 7TH ST
BISMARCK, ND 58501
Nurse Practitioner
222 N 7TH ST
BISMARCK, ND 58501

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Theresa Hegge's NPI number?

The NPI number for Theresa Hegge is 1124280649. It was assigned to this individual provider in the NPPES registry on June 26, 2008. The provider is also known as Theresa Anne Rosendahl MD, Mph.

Where is Theresa Hegge located?

Theresa Hegge practices at 222 N 7th St 300 N 7th St, Bismarck, ND 58501. The listed phone number is (701) 323-5301.

What is Theresa Hegge's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Plastic and Reconstructive Surgery, with taxonomy code 2086S0122X.

Is Theresa Hegge enrolled in Medicare?

Yes. Theresa Hegge is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Theresa Hegge accept?

Health plans from Blue Cross Blue Shield of North Dakota, Medica, Sanford Health Plan and Security Health Plan list Theresa Hegge as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Theresa Hegge affiliated with any hospitals?

According to CMS data, Theresa Hegge is affiliated with Sanford Medical Center Bismarck.

When was this NPI record last updated?

The NPPES record for Theresa Hegge was last updated on February 15, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.