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STUART LUCAS HEDGPETH MD
NPI 1396236923
Psychiatry & Neurology - Psychiatry in New York City, NY

Active since May 18, 2018PECOS EnrolledAccepts Medicare Assignment
109 E 27TH, SUITE 55, NEW YORK CITY, NY 10001(917) 634-5311(332) 219-9339 Get Directions Write a Review

NPPES record last updated: March 22, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 22, 2023, Dec 14, 2022, Aug 16, 2022 and 1 more (4 updates tracked since 2018).

About Stuart Lucas Hedgpeth Md NPPES

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

STUART LUCAS HEDGPETH MD (NPI 1396236923) is an individual psychiatry provider in New York City, New York, licensed in Texas (T8833) and active in the NPI registry since May 2018. He is enrolled in Medicare PECOS and is a graduate of Brody School Of Medicine At East Carolina University (2016).

NPPES Registry Identity

NPI1396236923
Entity TypeIndividualMale
Primary Taxonomy2084P0800X
Provider Legal NameSTUART LUCAS HEDGPETHCredential: MD
Location Address109 E 27TH, SUITE 55New York City, NY 10001
Mailing Address109 W 27th St Ste 5sNew York, NY 10001-6208 · (917) 634-5311
Phone(917) 634-5311
Fax(332) 219-9339
Sole ProprietorNo
Medical School CMSBrody School Of Medicine At East Carolina UniversityGraduated 2016
Enumeration DateMay 18, 2018
Last NPPES UpdateMarch 22, 20234 updates tracked since enumeration
NPPES CertifiedMarch 22, 2023
✔ NPI 1396236923 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License✔ Licensed in TX · T8833
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
109 E 27TH, New York City, NY 10001
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Baylor Scott and White Health Plan, Blue Cross and Blue Shield of Texas, CHRISTUS Health Plan 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

Stuart Lucas Hedgpeth 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 ID8527314061
PECOS Enrollment IDI20230206000194, I20230330003036, I20250523000002
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

2

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

Mccd Psychiatry Services PLLC
0.4 mi
Psychiatry
109 W 27TH ST # 5S
New York, NY 10001
  • Reassigned Medicare billing, New York enrollment
  • 590 clinicians in this Medicare group
NPI 1033750823 (917) 634-5311
Mccd Fl Psychiatry Services PA
838 mi
Psychiatry
1301 RIVERPLACE BLVD STE 800
Jacksonville, FL 32207
  • Reassigned Medicare billing, District of Columbia, Texas and Virginia enrollments
  • 76 clinicians in this Medicare group
NPI 1659003457 (833) 351-8255

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 4

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 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.
120 services21 patients
Psychotherapy with evaluation and management visit, 30 minutes 90833
Psychotherapy with evaluation and management is a 30-minute session where a mental health professional talks with you about your concerns and feelings. They assess your mental health, provide support, and manage your treatment plan to help improve your well-being.
70 services19 patients
Psychotherapy with evaluation and management visit, 45 minutes 90836
Psychotherapy with evaluation and management is a 45-minute session where a healthcare provider discusses your mental and emotional health. They assess your current state, manage any issues, and help you develop coping strategies. This service aims to improve your overall well-being.
61 services22 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.
15 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10001 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
$198.19 typical visit price
range $65.69 – $198.19
Typical copayment $49.54 (range $16.42 – $49.54)
Most-billed visit code 99205
Established Patient
$81.44 typical visit price
range $21.20 – $160.66
Typical copayment $20.36 (range $5.30 – $40.16)
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.

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 Stuart Hedgpeth's NPI number?

The NPI number for Stuart Hedgpeth is 1396236923. It was assigned to this individual provider in the NPPES registry on May 18, 2018.

Where is Stuart Hedgpeth located?

Stuart Hedgpeth practices at 109 E 27th Suite 55, New York City, NY 10001. The listed phone number is (917) 634-5311.

What is Stuart Hedgpeth's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Stuart Hedgpeth enrolled in Medicare?

Yes. Stuart Hedgpeth 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 Stuart Hedgpeth's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Stuart Hedgpeth reassigns Medicare benefits to 2 organizations: Mccd Psychiatry Services PLLC (New York, NY) and Mccd Fl Psychiatry Services PA (Jacksonville, FL). 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 Stuart Hedgpeth's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Stuart Hedgpeth accept?

Health plans from Baylor Scott and White Health Plan, Blue Cross and Blue Shield of Texas, CHRISTUS Health Plan and Oscar Insurance Company list Stuart Hedgpeth 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.

When was this NPI record last updated?

The NPPES record for Stuart Hedgpeth was last updated on March 22, 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.