DR. KELLY HEEGARD M.D.
NPI 1538397807
Internal Medicine - Nephrology in Greenville, SC

Q: What is Kelly Heegard's NPI number?

The NPI number for Kelly Heegard is 1538397807. It was assigned to this individual provider in the NPPES registry on June 25, 2009.

Q: What is Kelly Heegard's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Q: When was this NPI record last updated?

The NPPES record for Kelly Heegard was last updated on April 30, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.

Active since June 25, 2009PECOS EnrolledAccepts Medicare Assignment

18.7/100

CMS Quality Rating

203 MILLS AVE, GREENVILLE, SC 29605(864) 271-1844(864) 271-2147 Get Directions Write a Review

NPPES record last updated: April 30, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 30, 2019, Aug 24, 2018, Mar 17, 2018 and 1 more (4 updates tracked since 2017).

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About Dr. Kelly Heegard M.d. NPPES

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

DR. KELLY HEEGARD M.D. (NPI 1538397807) is an individual nephrology provider in Greenville, South Carolina, licensed in South Carolina (52383) and active in the NPI registry since June 2009. He is enrolled in Medicare PECOS, is affiliated with Prisma Health Oconee Memorial Hospital, and maintains 15 additional practice locations.

NPPES Registry Identity

NPI1538397807

Entity TypeIndividualMale

Primary Taxonomy207RN0300X

Provider Legal NameDR. KELLY HEEGARDCredential: M.D.

Location Address203 MILLS AVEGreenville, SC 29605-4019

Mailing Address203 Mills AveGreenville, SC 29605-4019 · (864) 271-1844 · Fax (864) 271-2147

Phone(864) 271-1844

Fax(864) 271-2147

Sole ProprietorNo

Medical School CMSUniversity Of South Alabama College Of MedicineGraduated 1999

Enumeration DateJune 25, 2009

Last NPPES UpdateApril 30, 20194 updates tracked since enumeration

✔ NPI 1538397807 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians

Taxonomy Code207RN0300X

Licenses✔ Licensed in SC · 52383✔ Licensed in FL · ME131121

Definition

An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.

203 MILLS AVE, Greenville, SC 29605

Open in Google Maps ↗

Secondary Practice Locations 15

Location 1307 Boatner Rd, Ste 114Eglin AFB, FL 32542-1302 · Phone (850) 883-8132

Location 25934 Berryhill Medical Park Dr # 1Milton, FL 32570 · Phone (850) 623-4771 · Fax (850) 623-3938

Location 34583 Watkins StPace, FL 32571-2511 · Phone (850) 889-4152 · Fax (850) 623-3938

Location 44304 Lancaster DrNiceville, FL 32578-4563 · Phone (850) 862-2385 · Fax (850) 862-0482

Location 58880 Navarre Pkwy Ste 101Navarre, FL 32566-3613 · Phone (850) 862-2385 · Fax (850) 862-0482

Location 614114 Alabama StJay, FL 32565-1219 · Phone (850) 444-4700 · Fax (850) 434-8144

Location 71118 Gulf Breeze Pkwy Ste 200Gulf Breeze, FL 32561-7806 · Phone (850) 444-4700 · Fax (850) 434-8144

Location 8319 Green Acres Rd Ste 103Fort Walton Beach, FL 32547-1170 · Phone (850) 862-2385 · Fax (850) 862-0482

Location 936474A Emerald Coast Pkwy Ste 1102Destin, FL 32541-3706 · Phone (850) 862-2385 · Fax (850) 862-0482

Location 104415 US Highway 331 SDefuniak Springs, FL 32435-6307 · Phone (850) 398-6606 · Fax (850) 398-6424

Location 11221 E Redstone AveCrestview, FL 32539-5373 · Phone (850) 398-6606 · Fax (850) 398-6424

Location 126001 Industrial BlvdCentury, FL 32535-3312 · Phone (850) 444-4700 · Fax (850) 434-8144

Location 132940 N Blue Angel PkwyPensacola, FL 32506-2925 · Phone (850) 444-4700 · Fax (850) 434-8144

Location 14121 Commerce Blvd Ste BEasley, SC 29642-1544 · Phone (864) 859-3038 · Fax (864) 271-2147

Location 151619 Creighton Rd Ste 1Pensacola, FL 32504 · Phone (850) 444-4700 · Fax (850) 434-8144

Other Identifiers 2

Other52383SC · Sc Medical License

Medicaid523838SC

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, BlueCross BlueShield of South Carolina 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. Kelly Heegard 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 ID6709003700

PECOS Enrollment IDI20180822001000

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 18

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.

Dialysis services, 4 or more physician visits per month (20 years or older) 90960

Dialysis is a treatment that filters and purifies your blood using a machine. It helps keep your fluids and electrolytes in balance when the kidneys can't do their job. This service includes 4 or more visits per month with a physician to monitor your health and adjust your treatment as needed.

237 services51 patients

Insertion of needle into vein for collection of blood sample 36415

This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.

219 services157 patients

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.

212 services144 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

176 services95 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

131 services79 patients

Hemodialysis procedure with physician evaluation 90935

Hemodialysis is a treatment that uses a machine to filter waste and excess fluid from your blood when your kidneys can't. A physician checks your health before, during, and after the procedure to ensure it's working effectively for you.

116 services67 patients

Home dialysis services per month (20 years or older) 90966

Home dialysis services provide kidney treatment for patients aged 20 or older right in their own homes. This service includes necessary equipment, supplies, and support for performing dialysis. It's a convenient option that allows patients to maintain their daily routines while receiving essential care.

109 services35 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

52 services50 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

51 services51 patients

Kidney function blood test panel 80069

A kidney function blood test panel checks how well your kidneys are working. It measures levels of various substances in your blood, including proteins, electrolytes, and waste products. The results can help detect potential kidney issues early.

38 services34 patients

Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count 85025

A Complete Blood Cell Count is a common test that measures various components of the blood, including red cells (carry oxygen), white cells (fight infection), and platelets (help blood clot). An automated test ensures accuracy. The differential count provides detailed information about white cell types.

35 services35 patients

Parathormone (parathyroid hormone) level 83970

The Parathormone level test measures the amount of parathyroid hormone in your blood. This hormone controls calcium and phosphorus levels in the body, which are vital for bone health. Abnormal levels may indicate issues like kidney disease or parathyroid gland disorders.

33 services33 patients

Dialysis procedure including 1 evaluation 90945

Dialysis is a treatment that filters and purifies the blood when your kidneys can't do their job. The procedure involves circulating your blood through a machine that removes waste products. An evaluation is done beforehand to assess your health and determine the best approach for your treatment.

32 services17 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

27 services27 patients

Creatinine level to test for kidney function or muscle injury 82570

A creatinine level test measures the amount of creatinine in your blood. This substance is a waste product from normal muscle use. Higher levels can indicate possible kidney dysfunction or muscle injury. This test helps monitor kidney health.

24 services23 patients

Dialysis services, 2-3 physician visits per month (20 years or older) 90961

Dialysis is a treatment that performs the function of healthy kidneys if they're not working properly. It removes waste and excess fluid from your blood. 2-3 physician visits per month are recommended for monitoring your health and adjusting your treatment as needed. This service is available for those aged 20 years and older.

20 services18 patients

Blood test, comprehensive group of blood chemicals 80053

A comprehensive group of blood chemicals test, also known as a comprehensive metabolic panel, is a blood test that measures your sugar level, electrolyte and fluid balance, kidney function, and liver function. This helps to check your body's overall health.

13 services12 patients

Total protein level, urine 84156

The Total Protein Level in urine test measures the amount of protein present in your urine. This helps to check kidney health as high levels may indicate a problem. It's a simple, non-invasive procedure involving a urine sample.

13 services13 patients

Hospital Affiliations CMS Care Compare 4

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

Prisma Health Oconee Memorial Hospital

Acute Care Hospitals · Seneca, SC

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number420009

Location298 Memorial DrSeneca, SC 29672 · Oconee County

Emergency services Birthing friendly

Prisma Health Baptist Easley Hospital

Acute Care Hospitals · Easley, SC

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number420015

Location200 Fleetwood DriveEasley, SC 29640 · Pickens County

Emergency services

St Francis-Downtown

Acute Care Hospitals · Greenville, SC

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number420023

LocationOne St Francis DrGreenville, SC 29601 · Greenville County

Emergency services Birthing friendly

Prisma Health Greenville Memorial Hospital

Acute Care Hospitals · Greenville, SC

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number420078

Location701 Grove RoadGreenville, SC 29605 · Greenville County

Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29605 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

$124.04 typical visit price

range $53.57 – $163.84

Typical copayment $31.01 (range $13.39 – $40.96)

Most-billed visit code 99204

Established Patient

$95.12 typical visit price

range $16.96 – $133.52

Typical copayment $23.78 (range $4.24 – $33.38)

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.

18.7/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Individually scored

Quality

Promoting Interoperability

Improvement Activities

Cost

62.36

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period Q0512

Treatment-Chemotherapy · category RH012N

1 supplier15 claims15 services$12.70 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

DR. CHITRA NATHAN M.D.

Internal Medicine (Nephrology)