MONTGOMERY JOHN HEGEWALD M.D.
NPI 1205902095
Internal Medicine - Gastroenterology in Traverse City, MI

Active since November 26, 2006PECOS EnrolledAccepts Medicare Assignment
4100 PARK FOREST DR, SUITE 208, TRAVERSE CITY, MI 49684(231) 935-5710(231) 935-9045 Get Directions Write a Review

NPPES record last updated: August 29, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Montgomery John Hegewald M.d. NPPES

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

MONTGOMERY JOHN HEGEWALD M.D. (NPI 1205902095) is an individual gastroenterology provider in Traverse City, Michigan, licensed in Michigan (MH075535) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS, is affiliated with Munson Healthcare Cadillac Hospital, and is a graduate of University Of Washington School Of Medicine (1994).

NPPES Registry Identity

NPI1205902095
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NameMONTGOMERY JOHN HEGEWALDCredential: M.D.
Location Address4100 PARK FOREST DR, SUITE 208Traverse City, MI 49684-7331
Mailing Address4100 Park Forest Dr, Suite 208Traverse City, MI 49684-7331 · (231) 935-5710 · Fax (231) 935-9045
Fax(231) 935-9045
Sole ProprietorNo
Medical School CMSUniversity Of Washington School Of MedicineGraduated 1994
Enumeration DateNovember 26, 2006
Last NPPES UpdateAugust 29, 2008
NPI 1205902095 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License Licensed in MI · MH075535
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
4100 PARK FOREST DR, Traverse City, MI 49684

Other Identifiers 4

OtherOB81010MI · Bcbsm
Medicaid4239855MI
Medicare ID-Type Unspecified0M83990007MI
Medicare UPINH22441MI

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

Montgomery John Hegewald 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 ID9335130830
PECOS Enrollment IDI20040522000261
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 12

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.

Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385
This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.
148 services148 patients
Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monito G0500
Moderate sedation is a method where a physician uses medication to help you relax during a gastrointestinal endoscopy. An independent trained observer will be present to monitor your vital signs and ensure your safety throughout the procedure. It's a common and safe practice.
130 services130 patients
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
82 services82 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
63 services62 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
54 services37 patients
Biopsy of large bowel using a flexible endoscope 45380
A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.
50 services50 patients

Hospital Affiliations CMS Care Compare 3

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

Munson Healthcare Cadillac Hospital

Acute Care Hospitals · Cadillac, MI
5/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number230081
Location400 Hobart StCadillac, MI 49601 · Wexford County
Emergency services Birthing friendly

Munson Medical Center

Acute Care Hospitals · Traverse City, MI
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number230097
Location1105 Sixth StreetTraverse City, MI 49684 · Grand Traverse County
Emergency services Birthing friendly

Munson Healthcare Otsego Memorial Hospital

Acute Care Hospitals · Gaylord, MI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230133
Location825 N Center AveGaylord, MI 49735 · Otsego County
Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49684 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$126.15 typical visit price
range $54.34 – $166.68
Typical copayment $31.53 (range $13.58 – $41.67)
Most-billed visit code 99204
Established Patient
$96.44 typical visit price
range $17.09 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Anesthetist, Certified Registered
4100 PARK FOREST DR, SUITE 210
TRAVERSE CITY, MI 49684
Internal Medicine (Gastroenterology)
4100 PARK FOREST DR, SUITE 208
TRAVERSE CITY, MI 49684
Nurse Anesthetist, Certified Registered
4100 PARK FOREST DR, SUITE 210
TRAVERSE CITY, MI 49684
Nurse Anesthetist, Certified Registered
4100 PARK FOREST DR, SUITE 210
TRAVERSE CITY, MI 49684
Anesthesiology
4100 PARK FOREST DR, SUITE 210
TRAVERSE CITY, MI 49684
Nurse Anesthetist, Certified Registered
4100 PARK FOREST DR, SUITE 210
TRAVERSE CITY, MI 49684
Nurse Anesthetist, Certified Registered
4100 PARK FOREST DR, SUITE 210
TRAVERSE CITY, MI 49684
Nurse Anesthetist, Certified Registered
4100 PARK FOREST DR, SUITE 210
TRAVERSE CITY, MI 49684

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 Montgomery Hegewald's NPI number?

The NPI number for Montgomery Hegewald is 1205902095. It was assigned to this individual provider in the NPPES registry on November 26, 2006.

Where is Montgomery Hegewald located?

Montgomery Hegewald practices at 4100 Park Forest Dr Suite 208, Traverse City, MI 49684. The listed phone number is (231) 935-5710.

What is Montgomery Hegewald's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Montgomery Hegewald enrolled in Medicare?

Yes. Montgomery Hegewald 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 Montgomery Hegewald accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, McLaren Health Plan Community and Priority Health list Montgomery Hegewald 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 Montgomery Hegewald affiliated with any hospitals?

According to CMS data, Montgomery Hegewald is affiliated with Munson Healthcare Cadillac Hospital, Munson Medical Center and Munson Healthcare Otsego Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Montgomery Hegewald was last updated on August 29, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.