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
Accepted 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. 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.
Medicare Billing Reassignments
2Medicare enrollment records show Heather Mcdougall reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Sioux Falls, SD 57105
- Reassigned Medicare billing, South Dakota enrollment
- 826 clinicians in this Medicare group
Sioux Falls, SD 57105
- Reassigned Medicare billing, South Dakota enrollment
- 1,097 clinicians in this Medicare group
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 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 2
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, SDSanford Vermillion Hospital
Critical Access Hospitals · Vermillion, 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
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.
Which organizations bill Medicare for Heather Mcdougall's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Heather Mcdougall reassigns Medicare benefits to 2 organizations: Sanford Clinic (Sioux Falls, SD) and Sanford Medical Center (Sioux Falls, SD). 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 Heather Mcdougall's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Heather Mcdougall accept?
Health plans from Sanford Health Plan, Security Health Plan, Wellmark Health Plan of Iowa, Inc. and Wellmark of South Dakota, Inc. 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 and Sanford Vermillion Hospital.
When was this NPI record last updated?
The NPPES record for Heather Mcdougall was last updated on March 25, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Dr. Heather Elizabeth Mcdougall, MD · NPI 1396840401
Gastroenterology physician in Sioux Falls, South Dakota. Individual provider, active in the CMS NPPES registry since September 13, 2006.
## Identity
- **NPI:** 1396840401 (Entity type: Individual)
- **Enumerated:** September 13, 2006
- **Primary specialty:** Internal Medicine - Gastroenterology · taxonomy 207RG0100X
- **State license:** 8199 (South Dakota)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1205 S GRANGE AVE, SUITE 104, Sioux Falls, SD 57105-0407
- **Phone:** (605) 328-8500 · **Fax:** (605) 328-8501
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Sanford Clinic (NPI 1295848521, Sioux Falls, SD); Sanford Medical Center (NPI 1093090342, Sioux Falls, SD) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Indiana University School Of Medicine, class of 2001
## Record status
- **NPPES last updated:** March 25, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1396840401) · Data from the CMS NPPES public registry.