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DR. MARIKA L HENEGAN MD
NPI 1477558385
Family Medicine in Keene, NH

Active since June 16, 2005PECOS EnrolledAccepts Medicare Assignment
78.61/100
CMS Quality Rating
590 COURT ST, DARTMOUTH-HITCHCOCK KEENE, KEENE, NH 03431(603) 354-5400(603) 354-6562 Get Directions Write a Review

NPPES record last updated: September 22, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Marika L Henegan Md NPPES

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

DR. MARIKA L HENEGAN MD (NPI 1477558385) is an individual family medicine provider in Keene, New Hampshire, licensed in New Hampshire (12113) and active in the NPI registry since June 2005. She is enrolled in Medicare PECOS, is affiliated with Mary Hitchcock Memorial Hospital, and is a graduate of Oregon Health Sciences University School Of Medicine (2000).

NPPES Registry Identity

NPI1477558385
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. MARIKA L HENEGANCredential: MD
Location Address590 COURT ST, DARTMOUTH-HITCHCOCK KEENEKeene, NH 03431-1719
Mailing Address590 Court St, Dartmouth-hitchcock KeeneKeene, NH 03431-1719 · (603) 354-5400 · Fax (603) 354-6562
Phone(603) 354-5400
Fax(603) 354-6562
Sole ProprietorNo
Medical School CMSOregon Health Sciences University School Of MedicineGraduated 2000
Enumeration DateJune 16, 2005
Last NPPES UpdateSeptember 22, 2017
✔ NPI 1477558385 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in NH · 12113
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
590 COURT ST, Keene, NH 03431
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Other Names 1

Former Name (1)Marika L Ostroski Md

Other Identifiers 13

Other222594672NH · Tricare
Medicare PINRE747401NH
Other01YP05493NH01NH · Anthem
Other3422158NH · Aetna
Other222594672NH · United Health Care
Medicare UPINH99006NH
Other2139345NH · Cigna
Other222594672NH · Healthcare Value Manage
Other373963NH · Mvp Healthcare
Other222594672NH · Greatwest Health Care
OtherAA3742NH · Harvard Pilgrim
Medicaid80300001NH
Other222594672NH · Private Health Care

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from NH Healthy Families, Anthem Blue Cross and Blue Sheld, Anthem Blue Cross and Blue Shield and more.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. Marika L Henegan 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 ID8527955186
PECOS Enrollment IDI20040301000237
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.

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.
112 services108 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.
101 services99 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.
22 services22 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.
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.

Mary Hitchcock Memorial Hospital

Acute Care Hospitals · Lebanon, NH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number300003
Location1 Medical Center DriveLebanon, NH 03756 · Grafton County
Emergency services Birthing friendly

Cheshire Medical Center

Acute Care Hospitals · Keene, NH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number300019
Location580 Court StreetKeene, NH 03431 · Cheshire County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 03431 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
$89.14 typical visit price
range $57.75 – $174.26
Typical copayment $22.28 (range $14.43 – $43.56)
Most-billed visit code 99203
Established Patient
$101.54 typical visit price
range $18.70 – $142.15
Typical copayment $25.38 (range $4.67 – $35.53)
Most-billed visit code 99214
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.

78.61/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality75.22
Promoting Interoperability100
Improvement Activities40
Cost53.49

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.

KRISTIE N LA MONICA PA
Physician Assistant (Medical)
590 COURT ST
KEENE, NH 03431
Cheshire County (603) 354-5496
DR. LESLIE THOMAS PITTS M.D.
Family Medicine
590 COURT ST
KEENE, NH 03431
Cheshire County (603) 354-5454
DR. HEIDI FEDRIZZI RINEHART MD
Obstetrics & Gynecology
590 COURT ST
KEENE, NH 03431
Cheshire County (603) 354-5400
MRS. JESSE R RIDGWAY CNM
Advanced Practice Midwife
590 COURT ST
KEENE, NH 03431
Cheshire County (603) 354-6534
DR. OLIVIER P VAN HOUTTE MD
Surgery
590 COURT ST
KEENE, NH 03431
Cheshire County (603) 354-5400
DR. MURPHY R NEENAN APRN
Nurse Practitioner (Family)
590 COURT ST
KEENE, NH 03431
Cheshire County (603) 354-5400
DR. PAUL C. BETTINGER M.D.
Orthopaedic Surgery (Hand Surgery)
590 COURT ST
KEENE, NH 03431
Cheshire County (603) 354-5454
MICHELE L PARR CRNA
Nurse Anesthetist, Certified Registered
590 COURT ST
KEENE, NH 03431
Cheshire County (603) 354-6534

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 Marika Henegan's NPI number?

The NPI number for Marika Henegan is 1477558385. It was assigned to this individual provider in the NPPES registry on June 16, 2005. The provider is also known as Marika L Ostroski MD.

Where is Marika Henegan located?

Marika Henegan practices at 590 Court St Dartmouth-Hitchcock Keene, Keene, NH 03431. The listed phone number is (603) 354-5400.

What is Marika Henegan's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Marika Henegan enrolled in Medicare?

Yes. Marika Henegan 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 Marika Henegan accept?

Health plans from Ambetter from NH Healthy Families, Anthem Blue Cross and Blue Sheld, Anthem Blue Cross and Blue Shield and Harvard Pilgrim Health Care list Marika Henegan 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 Marika Henegan affiliated with any hospitals?

According to CMS data, Marika Henegan is affiliated with Mary Hitchcock Memorial Hospital and Cheshire Medical Center.

When was this NPI record last updated?

The NPPES record for Marika Henegan was last updated on September 22, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.