1. Home
  2. Directory
  3. California
  4. Beverly Hills
  5. Pediatrics
  6. NPI Profile

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: November 01, 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
Phone(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.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
8501 WILSHIRE BLVD, Beverly Hills, CA 90211
Open in Google Maps ↗

Secondary Practice Location 1

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc..Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignments

2

Medicare enrollment records show Monica Hegedus reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Cedars-Sinai Medical Care Foundation
0.4 mi
Specialist
6500 WILSHIRE BLVD FL 15
Los Angeles, CA 90048
  • Reassigned Medicare billing, California enrollment
  • 2,118 clinicians in this Medicare group
NPI 1316984388 (310) 385-3200
Peacehealth Medical Group
733 mi
Family Medicine
1200 HILYARD ST
Eugene, OR 97401
  • Reassigned Medicare billing, Oregon enrollment
  • 412 clinicians in this Medicare group
NPI 1447207287 (541) 687-6217

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

IVAN RICHARD JACOBS M.D.
Ophthalmology
8501 WILSHIRE BLVD, STE 316
BEVERLY HILLS, CA 90211
Los Angeles County (310) 652-2255
DR. VICKI Y SHIMOYAMA M.D.
Pediatrics
8501 WILSHIRE BLVD, #205
BEVERLY HILLS, CA 90211
Los Angeles County (310) 385-3345
MEDNIK MEDICAL CORPORATION
Clinic/Center (Radiology, Mobile)
8501 WILSHIRE BLVD, STE 250
BEVERLY HILLS, CA 90211
Los Angeles County (310) 492-0613
DRUGSTORE CAFE INC
Pharmacy (Community/Retail Pharmacy)
8501 WILSHIRE BLVD, STE 105
BEVERLY HILLS, CA 90211
Los Angeles County (310) 657-4500
TIFFANY NAVIDBAKHSH
Occupational Therapist
8501 WILSHIRE BLVD
BEVERLY HILLS, CA 90211
Los Angeles County (310) 659-9511
MEDICAL GROUP ASSOCIATES INC
Clinic/Center (Medical Specialty)
8501 WILSHIRE BLVD, 316
BEVERLY HILLS, CA 90211
Los Angeles County (310) 652-2255
RINA BIHARI SHAH MD
Pediatrics
8501 WILSHIRE BLVD, SUITE 150
BEVERLY HILLS, CA 90211
Los Angeles County (310) 248-7000
JENNIFER CHANG
Registered Nurse (Administrator)
8501 WILSHIRE BLVD
BEVERLY HILLS, CA 90211
Los Angeles County (707) 943-2344

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.

Which organizations bill Medicare for Monica Hegedus's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Monica Hegedus reassigns Medicare benefits to 2 organizations: Cedars-Sinai Medical Care Foundation (Los Angeles, CA) and Peacehealth Medical Group (Eugene, OR). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Monica Hegedus's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Monica Hegedus accept?

Health plans from Moda Health Plan, Inc. 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 21 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.