DR. SUMIKO JOAN HEGSTAD MD
NPI 1306870761
Plastic Surgery in Boise, ID
About Dr. Sumiko Joan Hegstad Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. SUMIKO JOAN HEGSTAD MD (NPI 1306870761) is an individual plastic surgery provider in Boise, Idaho, licensed in Idaho (M6778) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS, is affiliated with St Luke's Regional Medical Center, and is a graduate of University Of Louisville School Of Medicine (1988).
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Sumiko Joan Hegstad Md 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.
Medicare Billing Reassignment
Medicare enrollment records show Sumiko Hegstad reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Boise, ID 83712
- Reassigned Medicare billing, Idaho enrollment
- 1,312 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
St Luke's Regional Medical Center
Acute Care Hospitals · Boise, IDPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 83702 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Other Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Sumiko Hegstad's NPI number?
The NPI number for Sumiko Hegstad is 1306870761. It was assigned to this individual provider in the NPPES registry on July 10, 2006. The provider is also known as Dr. Susan J. Hegstad MD.
Where is Sumiko Hegstad located?
Sumiko Hegstad practices at 222 N 2nd St Ste 102, Boise, ID 83702. The listed phone number is (208) 344-1281.
What is Sumiko Hegstad's specialty?
The primary specialty registered for this NPI is Plastic Surgery with taxonomy code 208200000X.
Is Sumiko Hegstad enrolled in Medicare?
Yes. Sumiko Hegstad 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.
Which organization bills Medicare for Sumiko Hegstad's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Sumiko Hegstad reassigns Medicare benefits to St Lukes Clinic-Treasure Valley LLC (Boise, ID). The 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 Sumiko Hegstad's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Sumiko Hegstad accept?
Health plans from Moda Health Plan, Inc., PacificSource Health Plans, Providence Health Plan and Select Health list Sumiko Hegstad 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 Sumiko Hegstad affiliated with any hospitals?
According to CMS data, Sumiko Hegstad is affiliated with St Luke's Regional Medical Center.
When was this NPI record last updated?
The NPPES record for Sumiko Hegstad was last updated on June 4, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.
# Dr. Sumiko Joan Hegstad, MD · NPI 1306870761
Plastic Surgery physician in Boise, Idaho. Individual provider, active in the CMS NPPES registry since July 10, 2006.
## Identity
- **NPI:** 1306870761 (Entity type: Individual)
- **Enumerated:** July 10, 2006
- **Primary specialty:** Plastic Surgery · taxonomy 208200000X
- **State license:** M6778 (Idaho)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 222 N 2ND ST STE 102, Boise, ID 83702-6129
- **Phone:** (208) 344-1281 · **Fax:** (208) 344-1696
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** St Lukes Clinic-Treasure Valley LLC (NPI 1326336058, Boise, ID), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Louisville School Of Medicine, class of 1988
## Record status
- **NPPES last updated:** June 4, 2019
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Source: [NPI Profile](https://npiprofile.com/npi/1306870761) · Data from the CMS NPPES public registry.