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DR. DWAYNE M HANSEN M.D.
NPI 1376581546
Surgery in Rexburg, ID

Active since June 02, 2006PECOS EnrolledAccepts Medicare Assignment
381 EAST 4TH NORTH, STE 100, REXBURG, ID 83440(208) 656-8442(208) 656-8453 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Jul 13, 2026, Mar 7, 2023 (2 updates tracked since 2023).

About Dr. Dwayne M Hansen M.d. NPPES

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

DR. DWAYNE M HANSEN M.D. (NPI 1376581546) is an individual surgery provider in Rexburg, Idaho, licensed in Idaho (M8427) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Madison Memorial Hospital, and is a graduate of Tulane University School Of Medicine (1992).

NPPES Registry Identity

NPI1376581546
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameDR. DWAYNE M HANSENCredential: M.D.
Location Address381 EAST 4TH NORTH, STE 100Rexburg, ID 83440
Mailing AddressPo Box 185Rexburg, ID 83440-0185 · (208) 656-8442 · Fax (208) 656-8453
Phone(208) 656-8442
Fax(208) 656-8453
Sole ProprietorNo
Medical School CMSTulane University School Of MedicineGraduated 1992
Enumeration DateJune 2, 2006
Last NPPES UpdateJuly 13, 20262 updates tracked since enumeration
✔ NPI 1376581546 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in ID · M8427
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
381 EAST 4TH NORTH, Rexburg, ID 83440
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Other Identifiers 3

Other48488ID · Blue Cross Of Idaho
OtherCS9440ID · Idaho State Board Of Phar
OtherM8427ID · Idaho State License

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc., Molina Healthcare, Select Health.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. Dwayne M Hansen M.d. 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 ID1951370402
PECOS Enrollment IDI20040930000782
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 Reassignment

Medicare enrollment records show Dwayne Hansen reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Dwayne M. Hansen MD PLLC
1.6 mi
Surgery
381 EAST 4TH NORTH STREET, SUITE 100
Rexburg, ID 83440
  • Reassigned Medicare billing, Idaho enrollment
NPI 1114024650 (208) 656-8442

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 9

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.

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
46 services41 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.
42 services37 patients
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
25 services24 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
19 services19 patients
Biopsy of large bowel using a flexible endoscope 45380
A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.
16 services16 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.
16 services16 patients

Hospital Affiliations CMS Care Compare 3

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

Madison Memorial Hospital

Acute Care Hospitals · Rexburg, ID
5/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number130025
Location450 East Main StreetRexburg, ID 83440 · Madison County
Emergency services

Mountain View Hospital

Acute Care Hospitals · Idaho Falls, ID
1/5 CMS rating
OwnershipPhysician
CMS Certification Number130065
Location2325 Coronado StreetIdaho Falls, ID 83404 · Bonneville County
Emergency services Birthing friendly

Teton Valley Hospital

Critical Access Hospitals · Driggs, ID
OwnershipVoluntary non-profit - Private
CMS Certification Number131313
Location120 East Howard AveDriggs, ID 83422 · Teton County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 83440 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.

Reported Quality Measures

Patient-Centered Surgical Risk Assessment and Communication
Percentage of patients who underwent a non-emergency surgery who had their personalized risks of postoperative complications assessed by their surgical team prior to surgery using a clinical data-based, patient-specific risk calculator and who received…
91%334 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
3 suppliers12 claims12 services$114.61 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES

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

REXBURG SURGERY CENTER LLC
Clinic/Center (Ambulatory Surgical)
381 EAST 4TH NORTH, SUITE 200
REXBURG, ID 83440
Madison County (208) 359-2300

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 Dwayne Hansen's NPI number?

The NPI number for Dwayne Hansen is 1376581546. It was assigned to this individual provider in the NPPES registry on June 2, 2006.

Where is Dwayne Hansen located?

Dwayne Hansen practices at 381 East 4th North Ste 100, Rexburg, ID 83440. The listed phone number is (208) 656-8442.

What is Dwayne Hansen's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Dwayne Hansen enrolled in Medicare?

Yes. Dwayne Hansen 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 Dwayne Hansen's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Dwayne Hansen reassigns Medicare benefits to Dwayne M. Hansen MD PLLC (Rexburg, 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 Dwayne Hansen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Dwayne Hansen accept?

Health plans from Moda Health Plan, Inc., Molina Healthcare and Select Health list Dwayne Hansen 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 Dwayne Hansen affiliated with any hospitals?

According to CMS data, Dwayne Hansen is affiliated with Madison Memorial Hospital, Mountain View Hospital and Teton Valley Hospital.

When was this NPI record last updated?

The NPPES record for Dwayne Hansen 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 4 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.