DR. MONICA MICHELLE HEGEDUS M.D.
NPI 1285993238
Pediatrics in Beverly Hills, CA

Active since May 11, 2012PECOS Enrolled
85.71/100
CMS Quality Rating
8501 WILSHIRE BLVD, BEVERLY HILLS, CA 90211(310) 382-3278 Get Directions Write a Review

NPPES record last updated: January 20, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Monica Michelle Hegedus M.d. NPPES

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

DR. MONICA MICHELLE HEGEDUS M.D. (NPI 1285993238) is an individual pediatrics provider in Beverly Hills, California, licensed in California (A134659) and active in the NPI registry since May 2012. She is enrolled in Medicare PECOS and maintains a secondary practice location in Eugene.

NPPES Registry Identity

NPI1285993238
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameDR. MONICA MICHELLE HEGEDUSCredential: M.D.
Location Address8501 WILSHIRE BLVDBeverly Hills, CA 90211-3150
Mailing Address8501 Wilshire BlvdBeverly Hills, CA 90211-3150 · (310) 382-3278
Sole ProprietorNo
Enumeration DateMay 11, 2012
Last NPPES UpdateJanuary 20, 2025
NPPES CertifiedJanuary 20, 2025
NPI 1285993238 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Licenses Licensed in CA · A134659 Licensed in OR · MD223371
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
8501 WILSHIRE BLVD, Beverly Hills, CA 90211

Secondary Practice Location 1

Location 11400 Valley River Dr Ste 110Eugene, OR 97401-6758 · Phone (541) 222-7370 · Fax (541) 222-7374

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 (PECOS)

Dr. Monica Michelle Hegedus M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90211 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
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
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.

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.

85.71/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality85.67
Promoting Interoperability100
Improvement Activities40
Cost61.47

Other Providers at the Same Location NPPES 17

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

Ophthalmology
8501 WILSHIRE BLVD, STE 316
BEVERLY HILLS, CA 90211
Pediatrics
8501 WILSHIRE BLVD, #205
BEVERLY HILLS, CA 90211
Clinic/Center (Radiology, Mobile)
8501 WILSHIRE BLVD, STE 250
BEVERLY HILLS, CA 90211
Pharmacy (Community/Retail Pharmacy)
8501 WILSHIRE BLVD, STE 105
BEVERLY HILLS, CA 90211
Occupational Therapist
8501 WILSHIRE BLVD
BEVERLY HILLS, CA 90211
Clinic/Center (Medical Specialty)
8501 WILSHIRE BLVD, 316
BEVERLY HILLS, CA 90211
Pediatrics
8501 WILSHIRE BLVD, SUITE 150
BEVERLY HILLS, CA 90211
Registered Nurse (Administrator)
8501 WILSHIRE BLVD
BEVERLY HILLS, CA 90211

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 Monica Hegedus's NPI number?

The NPI number for Monica Hegedus is 1285993238. It was assigned to this individual provider in the NPPES registry on May 11, 2012.

Where is Monica Hegedus located?

Monica Hegedus practices at 8501 Wilshire Blvd, Beverly Hills, CA 90211. The listed phone number is (310) 382-3278.

What is Monica Hegedus's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Monica Hegedus enrolled in Medicare?

Yes. Monica Hegedus is registered in the Medicare PECOS enrollment system.

What insurance does Monica Hegedus accept?

Health plans from BridgeSpan Health Company, Kaiser Permanente, Moda Health Plan, Inc., Providence Health Plan and Regence BlueCross BlueShield of Oregon list Monica Hegedus 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 Monica Hegedus was last updated on January 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months 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.