DR. TIMOTHY HEGEMAN DO
NPI 1285990184
Internal Medicine - Cardiovascular Disease in Colorado Springs, CO

Active since April 04, 2012PECOS EnrolledAccepts Medicare Assignment
97.58/100
CMS Quality Rating
1400 E BOULDER ST STE 700, COLORADO SPRINGS, CO 80909(719) 635-7172(719) 365-7668 Get Directions Write a Review

NPPES record last updated: July 23, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Timothy Hegeman Do NPPES

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

DR. TIMOTHY HEGEMAN DO (NPI 1285990184) is an individual cardiovascular disease provider in Colorado Springs, Colorado, licensed in Colorado (DR.0060617) and active in the NPI registry since April 2012. He is enrolled in Medicare PECOS and is a graduate of New York College Of Osteo Medicine Of New York Institute Of Technology (2012).

NPPES Registry Identity

NPI1285990184
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
Provider Legal NameDR. TIMOTHY HEGEMANCredential: DO
Location Address1400 E BOULDER ST STE 700Colorado Springs, CO 80909
Mailing Address2695 Rocky Mountain Ave Ste 150Loveland, CO 80538-9071 · (970) 624-4451 · Fax (970) 490-4199
Fax(719) 365-7668
Sole ProprietorNo
Medical School CMSNew York College Of Osteo Medicine Of New York Institute Of TechnologyGraduated 2012
Enumeration DateApril 4, 2012
Last NPPES UpdateJuly 23, 2018
NPI 1285990184 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License Licensed in CO · DR.0060617
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
Also ListedInternal MedicineTaxonomy 207R00000X · License DR.0060617 (CO)
1400 E BOULDER ST STE 700, Colorado Springs, CO 80909

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

Dr. Timothy Hegeman Do 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 ID5799910352
PECOS Enrollment IDI20180705001383
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 29

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.

Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml Q9967
Low osmolar contrast material with 300-399 mg/ml iodine concentration is a diagnostic tool used in imaging procedures. It helps to enhance the visibility of specific areas in the body, aiding in accurate diagnosis. It's safe and generally well-tolerated by patients.
3,235 services29 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
633 services487 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
531 services514 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
403 services296 patients
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306
This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.
329 services326 patients
Anticoagulant management of patient taking warfarin 93793
Anticoagulant management with warfarin involves monitoring and adjusting your medication to prevent blood clots while minimizing the risk of bleeding. Regular blood tests measure your response to warfarin, helping adjust your dose if necessary. It's crucial to maintain a consistent diet and promptly report any changes in your health.
191 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 80909 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
$132.55 typical visit price
range $58.06 – $174.82
Typical copayment $33.13 (range $14.51 – $43.70)
Most-billed visit code 99204
Established Patient
$72.20 typical visit price
range $18.88 – $142.79
Typical copayment $18.05 (range $4.72 – $35.69)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

97.58/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality86.53
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
4 suppliers13 claims13 services$70.19 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Internal Medicine (Cardiovascular Disease)
1400 E BOULDER ST STE 700
COLORADO SPRINGS, CO 80909
Nuclear Medicine (Nuclear Cardiology)
1400 E BOULDER ST STE 700
COLORADO SPRINGS, CO 80909
Thoracic Surgery (Cardiothoracic Vascular Surgery)
1400 E BOULDER ST STE 700
COLORADO SPRINGS, CO 80909
Psychiatry & Neurology (Neurology)
1400 E BOULDER ST STE 700
COLORADO SPRINGS, CO 80909
Internal Medicine (Cardiovascular Disease)
1400 E BOULDER ST STE 700
COLORADO SPRINGS, CO 80909
Physician Assistant
1400 E BOULDER ST STE 700
COLORADO SPRINGS, CO 80909
Internal Medicine
1400 E BOULDER ST STE 700
COLORADO SPRINGS, CO 80909
Nurse Practitioner (Acute Care)
1400 E BOULDER ST STE 700
COLORADO SPRINGS, CO 80909

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 Timothy Hegeman's NPI number?

The NPI number for Timothy Hegeman is 1285990184. It was assigned to this individual provider in the NPPES registry on April 4, 2012.

Where is Timothy Hegeman located?

Timothy Hegeman practices at 1400 E Boulder St Ste 700, Colorado Springs, CO 80909. The listed phone number is (719) 635-7172.

What is Timothy Hegeman's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Timothy Hegeman enrolled in Medicare?

Yes. Timothy Hegeman 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 Timothy Hegeman accept?

Health plans from UnitedHealthcare list Timothy Hegeman 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.

When was this NPI record last updated?

The NPPES record for Timothy Hegeman was last updated on July 23, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.