PRABHAKARA S HEGGUNJE MD
NPI 1316900442
Internal Medicine - Cardiovascular Disease in Evansville, IN

Q: What is Prabhakara Heggunje's NPI number?

The NPI number for Prabhakara Heggunje is 1316900442. It was assigned to this individual provider in the NPPES registry on April 10, 2006.

Q: What is Prabhakara Heggunje's specialty?

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

Active since April 10, 2006PECOS EnrolledAccepts Medicare Assignment

79.52/100

CMS Quality Rating

415 W COLUMBIA ST, EVANSVILLE, IN 47710(812) 464-0521(812) 464-0565 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Prabhakara S Heggunje Md NPPES

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

PRABHAKARA S HEGGUNJE MD (NPI 1316900442) is an individual cardiovascular disease provider in Evansville, Indiana, licensed in Indiana (01059515A) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS, is affiliated with Fairfield Memorial Hospital 1, and is a graduate of Other (1981).

NPPES Registry Identity

NPI1316900442

Entity TypeIndividualMale

Primary Taxonomy207RC0000X

Provider Legal NamePRABHAKARA S HEGGUNJECredential: MD

Location Address415 W COLUMBIA STEvansville, IN 47710-1656

Mailing Address415 W Columbia StEvansville, IN 47710-1656 · (812) 464-0521 · Fax (812) 464-0565

Phone(812) 464-0521

Fax(812) 464-0565

Sole ProprietorNo

Medical School CMSOtherGraduated 1981

Enumeration DateApril 10, 2006

Last NPPES UpdateJuly 13, 2026

✔ NPI 1316900442 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians

Taxonomy Code207RC0000X

License✔ Licensed in IN · 01059515A

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.

415 W COLUMBIA ST, Evansville, IN 47710

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Other Identifiers 3

Other000000341000Anthem

Medicaid255543KY

Medicaid64092778KY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.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

Prabhakara S Heggunje 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 ID2466441209

PECOS Enrollment IDI20040827000545, I20041020001219

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

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

Deaconess Hospital, Inc

Same address

Family Medicine

415 W COLUMBIA ST, STE 100
Evansville, IN 47710

Reassigned Medicare billing, Indiana enrollment
717 clinicians in this Medicare group

NPI 1578727475 (812) 450-6200

Deaconess Specialty Physicians, Inc

Same address

Cardiovascular Disease

350 W COLUMBIA ST STE 310
Evansville, IN 47710

Reassigned Medicare billing, Indiana and Kentucky enrollments
Also billed through NPI 1386319440 (Kentucky)
264 clinicians in this Medicare group

NPI 1306344817 (812) 450-7899

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

Areas of Expertise CMS Part B claims 23

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.

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.

920 services696 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

372 services173 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.

324 services209 patients

Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes 99152

This procedure involves a doctor administering a medication to reduce your consciousness during a procedure. This helps in managing discomfort and anxiety. The initial application lasts for 15 minutes and is for individuals aged 5 years or older.

180 services178 patients

Insertion of tube in left lower heart chamber and coronary artery for diagnosis with review by radiologist 93458

This procedure involves placing a tube into your left lower heart chamber and coronary artery. It helps doctors diagnose heart conditions by allowing them to view these areas in detail. A radiologist will review the images to ensure accurate diagnosis.

132 services131 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.

131 services130 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

117 services117 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

61 services61 patients

Ultrasound evaluation of heart blood vessel or graft with review by radiologist, initial vessel 92978

This procedure involves using ultrasound technology to examine the first vessel of your heart or graft. A radiologist will review the images. It's a non-invasive way to check the health of your heart's blood vessels.

40 services40 patients

Insertion of stents with balloon dilation of coronary artery or branch, single artery or branch 92928

This procedure involves placing a small, mesh tube (stent) in your coronary artery to keep it open. A balloon is used to expand the stent and artery, improving blood flow to your heart. It's typically done for a single artery or branch.

34 services34 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

33 services27 patients

Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision by physician 93016

An exercise or drug-induced heart stress test with ECG involves monitoring your heart's activity while it's under stress, either from exercise or medication. A doctor supervises the entire procedure to ensure safety and accuracy in results. This test helps detect heart problems.

32 services32 patients

Exercise or drug-induced heart stress test with electrocardiogram (ecg) with review by physician 93018

An exercise or drug-induced heart stress test with ECG is a procedure to assess how your heart functions under stress. It can involve exercising or medication to make your heart work harder while an ECG records its activity. A physician reviews the results.

32 services32 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.

22 services22 patients

Ultrasound of heart, follow-up 93308

A follow-up ultrasound of the heart, also known as an echocardiogram, is a non-invasive test that uses sound waves to create images of your heart. It helps doctors monitor your heart's function and structures after initial assessment or treatment.

22 services22 patients

Insertion of tube in left lower heart chamber, coronary artery and bypass graft for diagnosis with review by radiologist 93459

This procedure involves placing a tube into your left lower heart chamber, coronary artery, and bypass graft. It's done for diagnostic purposes and is carefully reviewed by a radiologist. This helps determine the health of your heart and arteries, aiding in future treatment plans.

22 services22 patients

Ultrasound evaluation of heart blood vessel during diagnosis or treatment, initial vessel 93571

This procedure involves using ultrasound technology to examine the first blood vessel of your heart. It helps identify any abnormalities or issues, providing crucial information for diagnosis or treatment. It's a safe, non-invasive process.

22 services21 patients

Ultrasound of heart with probe in esophagus, with report 93312

This procedure, called a transesophageal echocardiogram, uses a small probe passed into your esophagus to capture detailed images of your heart. The report provides information about your heart's structure and function.

17 services17 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

15 services15 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

15 services14 patients

Ultrasound of heart with color-depicted blood flow, rate and valve function 93325

An ultrasound of the heart, also known as an echocardiogram, uses sound waves to create pictures of your heart. It shows the structure, movement, and blood flow within your heart. This helps assess the heart's health and function, including the valves and rate.

14 services14 patients

Insertion of tube in right and left heart chambers and coronary artery for diagnosis with review by radiologist 93460

This procedure involves placing a tube into the heart chambers and coronary artery. It helps diagnose heart conditions. A radiologist reviews the images obtained. It's a standard, safe procedure performed by experienced medical professionals.

13 services12 patients

Injection for imaging of aorta above heart valve with review by radiologist 93567

This procedure involves injecting a special dye into your bloodstream to enhance the visibility of your aorta on imaging scans. A radiologist then reviews these images to assess the health of your aorta, which is the main artery from your heart.

11 services11 patients

Hospital Affiliations CMS Care Compare 5

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Fairfield Memorial Hospital 1

Critical Access Hospitals · Fairfield, IL

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number141311

Location303 N W 11th StreetFairfield, IL 62837 · Wayne County

Emergency services

Ferrell Hospital Community Foundations

Critical Access Hospitals · Eldorado, IL

OwnershipVoluntary non-profit - Private

CMS Certification Number141324

Location1201 Pine StreetEldorado, IL 62930 · Saline County

Emergency services

Deaconess Hospital Inc

Acute Care Hospitals · Evansville, IN

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number150082

Location600 Mary StEvansville, IN 47710 · Vanderburgh County

Emergency services

Gibson General Hospital

Critical Access Hospitals · Princeton, IN

OwnershipVoluntary non-profit - Private

CMS Certification Number151319

Location1808 Sherman DrPrinceton, IN 47670 · Gibson County

Emergency services

Deaconess Henderson Hospital

Acute Care Hospitals · Henderson, KY

2/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number180056

Location1305 N Elm StHenderson, KY 42420 · Henderson County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 47710 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

$122.49 typical visit price

range $53.07 – $161.76

Typical copayment $30.62 (range $13.26 – $40.44)

Most-billed visit code 99204

Established Patient

$66.48 typical visit price

range $16.93 – $132.22

Typical copayment $16.62 (range $4.23 – $33.05)

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.

79.52/100

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

Scored as part of a group practice

Quality

78.16

Promoting Interoperability

100

Improvement Activities

Cost

50.9

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.

DR. JERRY BECKER M.D.

Internal Medicine (Cardiovascular Disease)

415 W COLUMBIA ST
EVANSVILLE, IN 47710

Vanderburgh County (812) 464-9133

DR. SCOTT M CORDTS MD

Family Medicine

415 W COLUMBIA ST, STE 110
EVANSVILLE, IN 47710

Vanderburgh County (812) 450-3363

DAVIS DOUGLAS SZYMANSKI MD

Family Medicine

415 W COLUMBIA ST
EVANSVILLE, IN 47710

Vanderburgh County (812) 450-3363

HUMZA KHAN MD

Family Medicine

415 W COLUMBIA ST
EVANSVILLE, IN 47710

Vanderburgh County (812) 450-3363

THE HEART GROUP, PC

Clinical Medical Laboratory

415 W COLUMBIA ST
EVANSVILLE, IN 47710

Vanderburgh County (812) 464-0521

NATHAN D OAKLEY MD

Family Medicine

415 W COLUMBIA ST, STE 110
EVANSVILLE, IN 47710

Vanderburgh County (812) 450-3363

JENNIFER N SITZMAN NP

Nurse Practitioner (Family)

415 W COLUMBIA ST, STE 110
EVANSVILLE, IN 47710

Vanderburgh County (812) 450-3363

THE HEART GROUP, PC

Clinic/Center (Radiology)

415 W COLUMBIA ST
EVANSVILLE, IN 47710

Vanderburgh County (812) 464-0521

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 Prabhakara Heggunje's NPI number?

The NPI number for Prabhakara Heggunje is 1316900442. It was assigned to this individual provider in the NPPES registry on April 10, 2006.

Where is Prabhakara Heggunje located?

Prabhakara Heggunje practices at 415 W Columbia St, Evansville, IN 47710. The listed phone number is (812) 464-0521.

What is Prabhakara Heggunje's specialty?

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

Is Prabhakara Heggunje enrolled in Medicare?

Yes. Prabhakara Heggunje 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 organizations bill Medicare for Prabhakara Heggunje's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Prabhakara Heggunje reassigns Medicare benefits to 2 organizations: Deaconess Hospital, Inc (Evansville, IN) and Deaconess Specialty Physicians, Inc (Evansville, IN). 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 Prabhakara Heggunje's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Prabhakara Heggunje accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 2 other insurers list Prabhakara Heggunje 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 Prabhakara Heggunje affiliated with any hospitals?

According to CMS data, Prabhakara Heggunje is affiliated with Fairfield Memorial Hospital 1, Ferrell Hospital Community Foundations, Deaconess Hospital Inc, Gibson General Hospital and Deaconess Henderson Hospital.

When was this NPI record last updated?

The NPPES record for Prabhakara Heggunje was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.