DR. SUMIKO JOAN HEGSTAD MD
NPI 1306870761
Plastic Surgery in Boise, ID

Q: 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.

Q: What is Sumiko Hegstad's specialty?

The primary specialty registered for this NPI is Plastic Surgery with taxonomy code 208200000X.

Q: 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.

Active since July 10, 2006PECOS EnrolledAccepts Medicare Assignment

83.32/100

CMS Quality Rating

222 N 2ND ST STE 102, BOISE, ID 83702(208) 344-1281(208) 344-1696 Get Directions Write a Review

NPPES record last updated: June 4, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 4, 2019, Mar 20, 2019 (2 updates tracked since 2019).

On this page

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

NPI1306870761

Entity TypeIndividualFemale

Primary Taxonomy208200000X

Provider Legal NameDR. SUMIKO JOAN HEGSTADCredential: MD

Location Address222 N 2ND ST STE 102Boise, ID 83702-6129

Mailing Address222 N 2nd St Ste 102Boise, ID 83702-6129 · (208) 344-1281 · Fax (208) 344-1696

Phone(208) 344-1281

Fax(208) 344-1696

Sole ProprietorYes

Medical School CMSUniversity Of Louisville School Of MedicineGraduated 1988

Enumeration DateJuly 10, 2006

Last NPPES UpdateJune 4, 20192 updates tracked since enumeration

✔ NPI 1306870761 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPlastic SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208200000X

License✔ Licensed in ID · M6778

Definition

A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.

222 N 2ND ST STE 102, Boise, ID 83702

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Other Names 1

Other Name (5)Dr. Susan J. Hegstad Md

Accepted Insurance

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

PECOS PAC ID3173703303

PECOS Enrollment IDI20110204000939

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.

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, ID

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number130006

Location190 East Bannock StreetBoise, ID 83712 · Ada County

Emergency services Birthing friendly

Physician 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.

New Patient

$81.13 typical visit price

range $52.44 – $160.17

Typical copayment $20.28 (range $13.11 – $40.04)

Most-billed visit code 99203

Established Patient

$65.77 typical visit price

range $16.68 – $130.93

Typical copayment $16.44 (range $4.17 – $32.73)

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.

83.32/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

79.51

Promoting Interoperability

100

Improvement Activities

Cost

64.88

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.

SUSAN J. HEGSTAD, M.D., PA

Plastic Surgery

222 N 2ND ST STE 102
BOISE, ID 83702

Ada County (208) 344-1281

MR. JAMES A OLSON MD

Colon & Rectal Surgery

222 N 2ND ST STE 102
BOISE, ID 83702

Ada County (208) 424-0280

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.

What insurance does Sumiko Hegstad accept?

Health plans from Moda Health Plan, Inc., PacificSource Health Plans and Providence Health Plan 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.