DR. HEATHER ELIZABETH MCDOUGALL MD
NPI 1396840401
Internal Medicine - Gastroenterology in Sioux Falls, SD
About Dr. Heather Elizabeth Mcdougall Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. HEATHER ELIZABETH MCDOUGALL MD (NPI 1396840401) is an individual gastroenterology provider in Sioux Falls, South Dakota, licensed in South Dakota (8199) and active in the NPI registry since September 2006. She is enrolled in Medicare PECOS, is affiliated with Sanford Usd Medical Center, and is a graduate of Indiana University School Of Medicine (2001).
NPPES Registry Identity
Specialties & Licenses 2
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
Accepted 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. Heather Elizabeth Mcdougall 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.
Areas of Expertise CMS Part B claims 7
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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Sanford Usd Medical Center
Acute Care Hospitals · Sioux Falls, SDPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 57105 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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.
SIOUX FALLS, SD 57105
SIOUX FALLS, SD 57105
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 Heather Mcdougall's NPI number?
The NPI number for Heather Mcdougall is 1396840401. It was assigned to this individual provider in the NPPES registry on September 13, 2006.
Where is Heather Mcdougall located?
Heather Mcdougall practices at 1205 S Grange Ave Suite 104, Sioux Falls, SD 57105. The listed phone number is (605) 328-8500.
What is Heather Mcdougall's specialty?
The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.
Is Heather Mcdougall enrolled in Medicare?
Yes. Heather Mcdougall 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 Heather Mcdougall accept?
Health plans from Medica, Sanford Health Plan and Security Health Plan list Heather Mcdougall 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 Heather Mcdougall affiliated with any hospitals?
According to CMS data, Heather Mcdougall is affiliated with Sanford Usd Medical Center.
When was this NPI record last updated?
The NPPES record for Heather Mcdougall was last updated on March 25, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.