ABHIJITH HEGDE M.D.
NPI 1588839336
Internal Medicine - Pulmonary Disease in Danbury, CT

Active since April 23, 2008PECOS EnrolledAccepts Medicare Assignment
94.24/100
CMS Quality Rating
24 HOSPITAL AVE, DANBURY, CT 06810(203) 739-7070(203) 739-8931 Get Directions Write a Review

NPPES record last updated: November 8, 2010. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Abhijith Hegde M.d. NPPES

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

ABHIJITH HEGDE M.D. (NPI 1588839336) is an individual pulmonary disease provider in Danbury, Connecticut, licensed in Connecticut (046166) and active in the NPI registry since April 2008. He is enrolled in Medicare PECOS, is affiliated with Putnam Hospital Center, and is a graduate of Other (1994).

NPPES Registry Identity

NPI1588839336
Entity TypeIndividualMale
Primary Taxonomy207RP1001X
Provider Legal NameABHIJITH HEGDECredential: M.D.
Location Address24 HOSPITAL AVEDanbury, CT 06810-6099
Mailing Address24 Hospital AveDanbury, CT 06810-6099 · (203) 739-7070 · Fax (203) 739-8931
Fax(203) 739-8931
Sole ProprietorNo
Medical School CMSOtherGraduated 1994
Enumeration DateApril 23, 2008
Last NPPES UpdateNovember 8, 2010
NPI 1588839336 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
License Licensed in CT · 046166
Definition
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
Also ListedInternal Medicine · Critical Care MedicineTaxonomy 207RC0200X · License 046166 (CT)
24 HOSPITAL AVE, Danbury, CT 06810

Other Identifiers 1

Medicare PIN290000462CT

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

Abhijith Hegde 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 ID4385715754
PECOS Enrollment IDI20080612000822
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 15

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.

Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
257 services140 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.
242 services178 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.
105 services72 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.
91 services71 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.
58 services56 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.
45 services45 patients

Hospital Affiliations CMS Care Compare

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

Putnam Hospital Center

Acute Care Hospitals · Carmel, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330273
Location670 Stoneleigh AvenueCarmel, NY 10512 · Putnam County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06810 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
$138.84 typical visit price
range $60.82 – $183.10
Typical copayment $34.71 (range $15.20 – $45.77)
Most-billed visit code 99204
Established Patient
$106.68 typical visit price
range $19.76 – $149.26
Typical copayment $26.67 (range $4.94 – $37.31)
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.

94.24/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality78.26
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 22

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

Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
7 suppliers37 claims37 services$32.96 avg. paid by Medicare
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable A7003
DME-Other DME · category DE000N
1 supplier13 claims26 services$1.29 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
7 suppliers48 claims48 services$77.44 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
7 suppliers49 claims139 services$29.16 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
9 suppliers43 claims252 services$15.04 avg. paid by Medicare
Pillow for use on nasal cannula type interface, replacement only, pair A7033
DME-Other DME · category DE001N
3 suppliers17 claims98 services$11.98 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.

Emergency Medicine
24 HOSPITAL AVE
DANBURY, CT 06810
Nurse Anesthetist, Certified Registered
24 HOSPITAL AVE
DANBURY, CT 06810
Student in an Organized Health Care Education/Training Program
24 HOSPITAL AVE
DANBURY, CT 06810
Physician Assistant (Surgical)
24 HOSPITAL AVE
DANBURY, CT 06810
Nurse Practitioner (Acute Care)
24 HOSPITAL AVE
DANBURY, CT 06810
Anesthesiology
24 HOSPITAL AVE
DANBURY, CT 06810
Internal Medicine
24 HOSPITAL AVE
DANBURY, CT 06810
Emergency Medicine
24 HOSPITAL AVE
DANBURY, CT 06810

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 Abhijith Hegde's NPI number?

The NPI number for Abhijith Hegde is 1588839336. It was assigned to this individual provider in the NPPES registry on April 23, 2008.

Where is Abhijith Hegde located?

Abhijith Hegde practices at 24 Hospital Ave, Danbury, CT 06810. The listed phone number is (203) 739-7070.

What is Abhijith Hegde's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Abhijith Hegde enrolled in Medicare?

Yes. Abhijith Hegde 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.

Is Abhijith Hegde affiliated with any hospitals?

According to CMS data, Abhijith Hegde is affiliated with Putnam Hospital Center.

When was this NPI record last updated?

The NPPES record for Abhijith Hegde was last updated on November 8, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.