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MAX HANSEN SURGERY PLLC
NPI 1497403760
Surgery in Rexburg, ID

Active since March 15, 2022
381 E 4TH N STE 100, REXBURG, ID 83440(208) 656-8442(208) 656-8453 Get Directions Write a Review

NPPES record last updated: March 15, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Max Hansen Surgery Pllc NPPES

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

MAX HANSEN SURGERY PLLC (NPI 1497403760) is a healthcare organization registered as a surgery in Rexburg, Idaho and active in the NPI registry since March 2022. The organization lists Dwayne Maxwell Hansen, Doctor Of Osteopath - Surgeon, as its authorized official.

NPPES Registry Identity

NPI1497403760
Entity TypeOrganization
Primary Taxonomy208600000X
Legal Business NameMAX HANSEN SURGERY PLLC
Location Address381 E 4TH N STE 100Rexburg, ID 83440-1684
Mailing AddressPo Box 185Rexburg, ID 83440-0185 · (208) 656-8442 · Fax (208) 656-8453
Phone(208) 656-8442
Fax(208) 656-8453
Organization SubpartNo
Authorized OfficialDwayne Maxwell HansenDoctor Of Osteopath - Surgeon · (208) 656-8442
Enumeration DateMarch 15, 2022
NPPES CertifiedMarch 15, 2022
✔ NPI 1497403760 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
381 E 4TH N STE 100, Rexburg, ID 83440
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Molina Healthcare, University of Utah Health Plans.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Max Hansen Surgery Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Max Hansen Surgery PLLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Dwayne Hansen, DO
General Surgery
NPI 1871013938
381 E 4TH N STE 100
Rexburg, ID 83440
(208) 656-8442
✔ PECOS✔ Accepts Medicare1.6 mi

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

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 Max Hansen Surgery PLLC's NPI number?

The NPI number for Max Hansen Surgery PLLC is 1497403760. It was assigned to this organization in the NPPES registry on March 15, 2022.

Where is Max Hansen Surgery PLLC located?

Max Hansen Surgery PLLC is located at 381 E 4th N Ste 100, Rexburg, ID 83440. The listed phone number is (208) 656-8442.

What is Max Hansen Surgery PLLC's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Max Hansen Surgery PLLC enrolled in Medicare?

Yes. Max Hansen Surgery PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Max Hansen Surgery PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (General Surgery) reassigns their Medicare billing to Max Hansen Surgery PLLC. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Max Hansen Surgery PLLC accept?

Health plans from Molina Healthcare and University of Utah Health Plans list Max Hansen Surgery PLLC 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 Max Hansen Surgery PLLC was last updated on March 15, 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.