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WILLIAM DUNCAN HEGGEN M.D.
NPI 1427015866
Radiology - Diagnostic Radiology in Clive, IA

Active since April 28, 2006PECOS EnrolledAccepts Medicare Assignment
12368 STRATFORD DR, SUITE 300, CLIVE, IA 50325(515) 226-9810(515) 226-8408 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About William Duncan Heggen M.d. NPPES

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

WILLIAM DUNCAN HEGGEN M.D. (NPI 1427015866) is an individual diagnostic radiology provider in Clive, Iowa, licensed in Iowa (22697) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS, is affiliated with Trinity Regional Medical Center, and is a graduate of University Of Iowa, Rj & L Carver College Of Medicine (1980).

NPPES Registry Identity

NPI1427015866
Entity TypeIndividualMale
Primary Taxonomy2085R0202X
Provider Legal NameWILLIAM DUNCAN HEGGENCredential: M.D.
Location Address12368 STRATFORD DR, SUITE 300Clive, IA 50325-8162
Mailing Address5215 Robertson DrDes Moines, IA 50312-2131 · (515) 277-3037
Phone(515) 226-9810
Fax(515) 226-8408
Sole ProprietorNo
Medical School CMSUniversity Of Iowa, Rj & L Carver College Of MedicineGraduated 1980
Enumeration DateApril 28, 2006
Last NPPES UpdateJuly 13, 2026
✔ NPI 1427015866 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
License✔ Licensed in IA · 22697
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
12368 STRATFORD DR, Clive, IA 50325
Open in Google Maps ↗

Other Identifiers 1

Medicaid7189977IA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Insurance Company, Wellmark Health Plan of Iowa, Inc..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

William Duncan Heggen 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 ID5092606228
PECOS Enrollment IDI20091123000053
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

3

Medicare enrollment records show William Heggen reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Iowa Diagnostic Imaging & Procedure Center, L C
Same address
Diagnostic Radiology
12368 STRATFORD DR, SUITE 300
Clive, IA 50325
  • Reassigned Medicare billing, Iowa enrollment
  • 37 clinicians in this Medicare group
NPI 1528026481 (515) 226-9810
Iowa Radiology, P C
Same address
Diagnostic Radiology
12368 STRATFORD DR, SUITE 300
Clive, IA 50325
  • Reassigned Medicare billing, Iowa enrollment
  • 33 clinicians in this Medicare group
NPI 1336107283 (515) 226-9810
Trinity Regional Medical Center
59 mi
End-Stage Renal Disease (ESRD) Treatment
1610 COLLINS ST, SUITE D
Webster City, IA 50595
  • Reassigned Medicare billing, Iowa enrollment
  • 387 clinicians in this Medicare group
NPI 1568650174 (515) 832-1667

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare 5

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

Trinity Regional Medical Center

Acute Care Hospitals · Fort Dodge, IA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number160016
Location802 Kenyon RdFort Dodge, IA 50501 · Webster County
Emergency services Birthing friendly

Unitypoint Health - Des Moines Iowa Methodist Medi

Acute Care Hospitals · Des Moines, IA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number160082
Location1200 Pleasant StreetDes Moines, IA 50309 · Polk County
Emergency services Birthing friendly

Grinnell Regional Medical Center

Acute Care Hospitals · Grinnell, IA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number160147
Location210 Fourth AvenueGrinnell, IA 50112 · Poweshiek County
Emergency services Birthing friendly

Stewart Memorial Community Hospital

Critical Access Hospitals · Lake City, IA
OwnershipVoluntary non-profit - Private
CMS Certification Number161350
Location1301 West Main StreetLake City, IA 51449 · Calhoun County
Emergency services

Loring Hospital

Critical Access Hospitals · Sac City, IA
OwnershipVoluntary non-profit - Private
CMS Certification Number161370
Location211 Highland Avenue PO Box 217Sac City, IA 50583 · Sac County

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 50325 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
$81.84 typical visit price
range $52.96 – $161.40
Typical copayment $20.46 (range $13.24 – $40.35)
Most-billed visit code 99203
Established Patient
$66.36 typical visit price
range $16.91 – $131.98
Typical copayment $16.59 (range $4.22 – $32.99)
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

Radiology: Reminder System for Screening Mammograms
Percentage of patients undergoing a screening mammogram whose information is entered into a reminder system with a target due date for the next mammogram
100%390 patients
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.

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.

ANDREW DAVID NISH M.D.
Radiology (Vascular & Interventional Radiology)
12368 STRATFORD DR, SUITE 300
CLIVE, IA 50325
Polk County (515) 226-9810
DR. JAMES H JACOBS JR. MD
Radiology (Diagnostic Radiology)
12368 STRATFORD DR, SUITE 300
CLIVE, IA 50325
Polk County (515) 226-9810
JOHN RIZZI M.D.
Radiology (Body Imaging)
12368 STRATFORD DR, SUITE 300
CLIVE, IA 50325
Polk County (515) 226-9810
DR. AARON CHRISTOPHER HURLBUT MD
Radiology (Diagnostic Radiology)
12368 STRATFORD DR, SUITE 300
CLIVE, IA 50325
Polk County (402) 560-2691
DAVID LAWRENCE LACEY M.D.
Radiology (Vascular & Interventional Radiology)
12368 STRATFORD DR, SUITE 300
CLIVE, IA 50325
Polk County (515) 226-9810
STUART KENT LEHR M.D.
Radiology (Diagnostic Radiology)
12368 STRATFORD DR, SUITE 300
CLIVE, IA 50325
Polk County (515) 226-9810
CHARLES NATHANIEL HEGGEN M.D.
Radiology (Diagnostic Radiology)
12368 STRATFORD DR, SUITE 300
CLIVE, IA 50325
Polk County (515) 226-9810
FREDERICK B STEINBERG M.D.
Radiology (Diagnostic Radiology)
12368 STRATFORD DR, STE 300
CLIVE, IA 50325
Polk County (515) 226-9810

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 William Heggen's NPI number?

The NPI number for William Heggen is 1427015866. It was assigned to this individual provider in the NPPES registry on April 28, 2006.

Where is William Heggen located?

William Heggen practices at 12368 Stratford Dr Suite 300, Clive, IA 50325. The listed phone number is (515) 226-9810.

What is William Heggen's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is William Heggen enrolled in Medicare?

Yes. William Heggen 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 William Heggen's services?

According to the CMS Revalidation Reassignment List (October 2026 release), William Heggen reassigns Medicare benefits to 3 organizations: Iowa Diagnostic Imaging & Procedure Center, L C (Clive, IA), Iowa Radiology, P C (Clive, IA) and Trinity Regional Medical Center (Webster City, IA). 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 William Heggen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does William Heggen accept?

Health plans from Oscar Insurance Company and Wellmark Health Plan of Iowa, Inc. list William Heggen 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 William Heggen affiliated with any hospitals?

According to CMS data, William Heggen is affiliated with Trinity Regional Medical Center, Unitypoint Health - Des Moines Iowa Methodist Medi, Grinnell Regional Medical Center, Stewart Memorial Community Hospital and Loring Hospital.

When was this NPI record last updated?

The NPPES record for William Heggen 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 3 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.