DONALD D. HEGLAND M.D.
NPI 1376627869
Internal Medicine - Cardiovascular Disease in Durham, NC

Q: What is Donald Hegland's NPI number?

The NPI number for Donald Hegland is 1376627869. It was assigned to this individual provider in the NPPES registry on October 24, 2006.

Q: What is Donald Hegland's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Donald Hegland was last updated on March 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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 October 24, 2006PECOS EnrolledAccepts Medicare Assignment

2100 ERWIN RD, DURHAM, NC 27710(919) 684-8111 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

On this page

About Donald D. Hegland M.d. NPPES

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

DONALD D. HEGLAND M.D. (NPI 1376627869) is an individual cardiovascular disease provider in Durham, North Carolina and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS, is affiliated with Duke University Hospital, and is a graduate of University Of Florida College Of Medicine (1999).

NPPES Registry Identity

NPI1376627869

Entity TypeIndividualMale

Primary Taxonomy207RC0000X

Provider Legal NameDONALD D. HEGLANDCredential: M.D.

Location Address2100 ERWIN RDDurham, NC 27710-0001

Mailing Address4101 N Roxboro StDurham, NC 27704-2121 · (919) 684-8111

Phone(919) 684-8111

Sole ProprietorNo

Medical School CMSUniversity Of Florida College Of MedicineGraduated 1999

Enumeration DateOctober 24, 2006

Last NPPES UpdateMarch 7, 2023

✔ NPI 1376627869 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians

Taxonomy Code207RC0000X

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.

2100 ERWIN RD, Durham, NC 27710

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of North Carolina 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

Donald D. Hegland 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 ID3476531294

PECOS Enrollment IDI20040708001477, I20100825000129

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 Donald Hegland reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Duke Health Integrated Practice, Inc.

0.4 mi

General Practice

40 DUKE MEDICINE CIR
Durham, NC 27710

Reassigned Medicare billing, North Carolina and Virginia enrollments
3,671 clinicians in this Medicare group

NPI 1205553369 (919) 620-4855

Danville Physician Practices LLC

46 mi

Rural Health

404 AIRPORT DR STE A
Danville, VA 24540

Reassigned Medicare billing, Virginia enrollment
204 clinicians in this Medicare group

NPI 1770260499 (434) 799-3802

Martinsville Physician Practices LLC

70 mi

Rural Health

319 HOSPITAL DR STE 202
Martinsville, VA 24112

Reassigned Medicare billing, Virginia enrollment
87 clinicians in this Medicare group

NPI 1558049742 (276) 666-0452

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 17

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.

Evaluation of single, dual, multiple lead or leadless pacemaker system or implantable defibrillator system, remote up to 90 days 93296

This procedure involves remotely monitoring your pacemaker or implantable defibrillator system. Over a 90-day period, we check the device's performance and your heart's activity. This helps ensure the device is functioning properly and providing the best possible support for your heart health.

267 services240 patients

Evaluation of single, dual, multiple lead or leadless pacemaker system, remote up to 90 days 93294

This procedure evaluates your pacemaker system remotely for up to 90 days. It checks whether single, dual, multiple lead, or leadless pacemakers are working properly. It's a safe, convenient way to ensure your heart device is functioning optimally.

161 services145 patients

Evaluation of single, dual, or multiple lead implantable defibrillator system, remote up to 90 days 93295

This procedure involves remotely monitoring your implantable defibrillator system, which can have single, dual, or multiple leads. Over a period of up to 90 days, the system's performance is evaluated to ensure it's working properly and providing the necessary heart rhythm support.

115 services104 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.

91 services72 patients

Programming of dual lead pacemaker system 93280

Programming of a dual lead pacemaker system is a procedure to adjust your heart's pacemaker settings. This process involves a small device, called a programmer, that communicates with your pacemaker to ensure it's working optimally for your heart's needs.

60 services51 patients

Evaluation of cardiac rhythm monitor system, remote up to 30 days 93298

This procedure involves remotely monitoring your heart rhythm for up to 30 days. A small device will record your heart's activity, which can be accessed by your healthcare team. This aids in diagnosing any irregularities or issues with your heart function.

48 services37 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.

47 services39 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.

38 services38 patients

Programming of multiple lead pacemaker system 93281

Programming of a multiple lead pacemaker system involves adjusting settings on your pacemaker device to optimize its function. This device uses electrical impulses to regulate your heart's rhythm. The procedure ensures it's working effectively for your specific needs.

36 services23 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.

33 services32 patients

Programming of multiple lead implantable defibrillator system 93284

Programming of a multiple lead implantable defibrillator system involves adjusting settings on your implanted device to help control irregular heart rhythms. The process is non-invasive and helps ensure optimal device performance for maintaining heart health.

30 services23 patients

Programming of dual lead implantable defibrillator system 93283

Programming of a dual lead implantable defibrillator system involves adjusting settings on a device implanted in your chest. This device monitors your heart rhythm and delivers electrical pulses to correct irregular heartbeats, helping maintain a healthy heart rhythm.

25 services17 patients

New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205

This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.

18 services18 patients

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.

17 services17 patients

Insertion of pacemaker and upper and lower heart chamber electrode 33208

A pacemaker insertion is a procedure where a small device, called a pacemaker, is implanted under your skin. This device uses electrical pulses to prompt the heart to beat at a normal rate. Electrodes are placed in the upper and lower chambers of your heart to help regulate your heartbeat.

15 services15 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

14 services14 patients

Insertion of left lower heart electrode for pacemaker or defibrillator 33225

The procedure involves placing a small electrode in your left lower heart region. This electrode is part of a pacemaker or defibrillator, devices that help regulate your heart rhythm. It's done under local anesthesia, and you may feel mild discomfort.

12 services12 patients

Hospital Affiliations CMS Care Compare 2

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

Duke University Hospital

Acute Care Hospitals · Durham, NC

5/5 CMS rating

OwnershipProprietary

CMS Certification Number340030

Location2100 Erwin RdDurham, NC 27705 · Durham County

Emergency services Birthing friendly

Sovah Health Danville

Acute Care Hospitals · Danville, VA

2/5 CMS rating

OwnershipProprietary

CMS Certification Number490075

Location142 South Main StreetDanville, VA 24541 · Danville City County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27710 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

$125.01 typical visit price

range $54.12 – $165.09

Typical copayment $31.25 (range $13.53 – $41.27)

Most-billed visit code 99204

Established Patient

$67.72 typical visit price

range $17.21 – $134.61

Typical copayment $16.93 (range $4.30 – $33.65)

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.

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.

NICOLAS DEL RIO AESCHLIMANN M.D.

Anesthesiology

2100 ERWIN RD
DURHAM, NC 27710

Durham County (919) 684-8111

MR. GILBERT HOLMES CIOCCI

Pediatrics

2100 ERWIN RD, DUKE UNIVERSITY MEDICAL CENTER - DUMC 3350
DURHAM, NC 27710

Durham County (919) 668-1100

VINOD PRASAD

Pediatrics (Pediatric Critical Care Medicine)

2100 ERWIN RD
DURHAM, NC 27710

Durham County (919) 620-4467

VIRGINIA KRAUS

Internal Medicine (Rheumatology)

2100 ERWIN RD
DURHAM, NC 27710

Durham County (919) 620-4467

DR. SCOTT COUSINS MD

Ophthalmology

2100 ERWIN RD
DURHAM, NC 27710

Durham County (919) 684-8111

CINDY BLACK CRNA

Nurse Anesthetist, Certified Registered

2100 ERWIN RD
DURHAM, NC 27710

Durham County (919) 620-4467

DONALD MOEDE

Nurse Anesthetist, Certified Registered

2100 ERWIN RD
DURHAM, NC 27710

Durham County (919) 620-4467

THOMAS D'AMICO M.D.

Thoracic Surgery (Cardiothoracic Vascular Surgery)

2100 ERWIN RD
DURHAM, NC 27710

Durham County (919) 620-4467

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 Donald Hegland's NPI number?

The NPI number for Donald Hegland is 1376627869. It was assigned to this individual provider in the NPPES registry on October 24, 2006.

Where is Donald Hegland located?

Donald Hegland practices at 2100 Erwin Rd, Durham, NC 27710. The listed phone number is (919) 684-8111.

What is Donald Hegland's specialty?

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

Is Donald Hegland enrolled in Medicare?

Yes. Donald Hegland 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 Donald Hegland's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Donald Hegland reassigns Medicare benefits to 3 organizations: Duke Health Integrated Practice, Inc. (Durham, NC), Danville Physician Practices LLC (Danville, VA) and Martinsville Physician Practices LLC (Martinsville, VA). 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 Donald Hegland's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Donald Hegland accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and Cigna Healthcare list Donald Hegland 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 Donald Hegland affiliated with any hospitals?

According to CMS data, Donald Hegland is affiliated with Duke University Hospital and Sovah Health Danville.

When was this NPI record last updated?

The NPPES record for Donald Hegland was last updated on March 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.