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OLE A. HEGGENESS D.O.
NPI 1518911908
Family Medicine in Downey, CA

Active since May 20, 2006PECOS EnrolledAccepts Medicare Assignment
8255 FIRESTONE BLVD STE 500, DOWNEY, CA 90241(562) 231-2470(562) 231-2479 Get Directions Write a Review

NPPES record last updated: May 16, 2018. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Ole A. Heggeness D.o. NPPES

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

OLE A. HEGGENESS D.O. (NPI 1518911908) is an individual family medicine provider in Downey, California, licensed in California (20A4925) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS and is a graduate of Western University Of Health Sciences College Of Dental Med (1983).

NPPES Registry Identity

NPI1518911908
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameOLE A. HEGGENESSCredential: D.O.
Location Address8255 FIRESTONE BLVD STE 500Downey, CA 90241
Mailing Address8255 Firestone Blvd Ste 500Downey, CA 90241-4858 · (562) 231-2470 · Fax (562) 231-2479
Phone(562) 231-2470
Fax(562) 231-2479
Sole ProprietorYes
Medical School CMSWestern University Of Health Sciences College Of Dental MedGraduated 1983
Enumeration DateMay 20, 2006
Last NPPES UpdateMay 16, 2018
✔ NPI 1518911908 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in CA · 20A4925
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.
8255 FIRESTONE BLVD STE 500, Downey, CA 90241
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Other Identifiers 5

Medicaid00AX49250CA
Other010046850Railroad
Other020A49250Blue Shield Id #
Other520207Health Net Id #
OtherP00631832Railroad

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

Ole A. Heggeness D.o. 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 ID3870523426
PECOS Enrollment IDI20050815000234
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 Reassignment

Medicare enrollment records show Ole Heggeness reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Access Primary Care Physicians, Inc.
7.3 mi
Family Medicine
9209 COLIMA RD STE 4400
Whittier, CA 90605
  • Reassigned Medicare billing, California enrollment
  • 27 clinicians in this Medicare group
NPI 1750858510 (833) 260-3358

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

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 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.
21 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90241 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
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
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.

Reported Quality Measures

Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
43%286 patients3/55-star benchmark: 85%
Diabetes: Medical Attention for Nephropathy
The percentage of patients 18-75 years of age with diabetes who had a nephropathy screening test or evidence of nephropathy during the measurement period
95%119 patients4/55-star benchmark: 99%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
96%1,422 patients4/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
95%1,039 patients4/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
7%295 patients1/55-star benchmark: 100%
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
65%385 patients3/55-star benchmark: 90%
Preventive Care and Screening: Influenza Immunization
Percentage of patients aged 6 months and older seen for a visit between October 1 and March 31 who received an influenza immunization OR who reported previous receipt of an influenza immunization
41%418 patients2/55-star benchmark: 88%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
2%300 patients1/55-star benchmark: 100%
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.

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 Ole Heggeness's NPI number?

The NPI number for Ole Heggeness is 1518911908. It was assigned to this individual provider in the NPPES registry on May 20, 2006.

Where is Ole Heggeness located?

Ole Heggeness practices at 8255 Firestone Blvd Ste 500, Downey, CA 90241. The listed phone number is (562) 231-2470.

What is Ole Heggeness's specialty?

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

Is Ole Heggeness enrolled in Medicare?

Yes. Ole Heggeness 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 organization bills Medicare for Ole Heggeness's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ole Heggeness reassigns Medicare benefits to Access Primary Care Physicians, Inc. (Whittier, CA). The 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 Ole Heggeness's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Ole Heggeness was last updated on May 16, 2018. 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.