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TED JAMES HEGNER P.A.
NPI 1700331527
Physician Assistant - Surgical in Madison, WI

Active since August 22, 2016PECOS EnrolledAccepts Medicare Assignment
77.43/100
CMS Quality Rating
600 HIGHLAND AVE, MADISON, WI 53792(608) 263-1530 Get Directions Write a Review

NPPES record last updated: May 23, 2023. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: May 23, 2023, Jan 25, 2023, Feb 28, 2020 and 1 more (4 updates tracked since 2016).

About Ted James Hegner P.a. NPPES

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

TED JAMES HEGNER P.A. (NPI 1700331527) is an individual surgical provider in Madison, Wisconsin, licensed in Wisconsin (5569) and active in the NPI registry since August 2016. He is enrolled in Medicare PECOS, is affiliated with University Of Wi Hospitals & Clinics Authority, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1700331527
Entity TypeIndividualMale
Primary Taxonomy363AS0400X
Provider Legal NameTED JAMES HEGNERCredential: P.A.
Location Address600 HIGHLAND AVEMadison, WI 53792-5218
Mailing Address7974 Uw Health CtMiddleton, WI 53562-5531
Phone(608) 263-1530
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateAugust 22, 2016
Last NPPES UpdateMay 23, 20234 updates tracked since enumeration
NPPES CertifiedMay 23, 2023
✔ NPI 1700331527 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
Licenses✔ Licensed in WI · 5569✔ Licensed in IL · 085.005902
600 HIGHLAND AVE, Madison, WI 53792
Open in Google Maps ↗

Other Names 1

Other Name (5)Theodore James Hegner Pa

Secondary Practice Locations 2

Location 1101 E Miller RdSterling, IL 61081-1252 · Phone (815) 632-5285 · Fax (815) 632-5824
Location 26005 Park Ave Ste 802Memphis, TN 38119-5218 · Phone (901) 236-0508 · Fax (901) 682-2143

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Group Health Cooperative-SCW, HealthPartners, Oscar Insurance Company.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

Ted James Hegner P.a. 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 ID7012295686
PECOS Enrollment IDI20230206000313
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

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 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.
13 services13 patients

Hospital Affiliations CMS Care Compare

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

University Of Wi Hospitals & Clinics Authority

Acute Care Hospitals · Madison, WI
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number520098
Location600 Highland AvenueMadison, WI 53792 · Dane County
Emergency services

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.

77.43/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality81.83
Promoting Interoperability77
Improvement Activities40
Cost62.12

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.

JASON ALAN CHRISTENSEN PHARMD
Pharmacist
600 HIGHLAND AVE, COMPLIANCE MAIL CODE 2433
MADISON, WI 53792
Dane County (608) 662-0817
LAURA JEAN KOPPLIN MD, PHD
Ophthalmology
600 HIGHLAND AVE
MADISON, WI 53792
Dane County (608) 263-6070
HAGGI MAZEH MD
Surgery
600 HIGHLAND AVE
MADISON, WI 53792
Dane County (608) 265-8072
DR. SWAPNIL SUNIL LANJEWAR M.D.
Internal Medicine (Infectious Disease)
600 HIGHLAND AVE
MADISON, WI 53792
Dane County (608) 263-0946
DR. MATTHEW JAMES HOYT M.D.
Anesthesiology
600 HIGHLAND AVE
MADISON, WI 53792
Dane County (608) 263-8100
VANESSA MERCEDES WELTEN MD MPH
Transplant Surgery
600 HIGHLAND AVE
MADISON, WI 53792
Dane County (617) 732-5500
JOHN HENRY NORMAN HARRISON
Anesthesiology
600 HIGHLAND AVE
MADISON, WI 53792
Dane County (608) 263-8100
PIPPA FROUKTE COSPER MD
Radiology (Radiation Oncology)
600 HIGHLAND AVE
MADISON, WI 53792
Dane County (608) 263-8500

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 Ted Hegner's NPI number?

The NPI number for Ted Hegner is 1700331527. It was assigned to this individual provider in the NPPES registry on August 22, 2016. The provider is also known as Theodore James Hegner PA.

Where is Ted Hegner located?

Ted Hegner practices at 600 Highland Ave, Madison, WI 53792. The listed phone number is (608) 263-1530.

What is Ted Hegner's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Ted Hegner enrolled in Medicare?

Yes. Ted Hegner 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 Ted Hegner accept?

Health plans from Group Health Cooperative-SCW, HealthPartners and Oscar Insurance Company list Ted Hegner 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 Ted Hegner affiliated with any hospitals?

According to CMS data, Ted Hegner is affiliated with University Of Wi Hospitals & Clinics Authority.

When was this NPI record last updated?

The NPPES record for Ted Hegner was last updated on May 23, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.