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MICHAEL JAMES HEGEMANN PA-C
NPI 1730662156
Physician Assistant in Indiana, PA

Active since September 11, 2018PECOS EnrolledAccepts Medicare Assignment
93.78/100
CMS Quality Rating
120 IRMC DR STE 160, INDIANA, PA 15701(724) 357-7000(724) 357-7449 Get Directions Write a Review

NPPES record last updated: September 16, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 16, 2022, Oct 1, 2019, Sep 11, 2018 (3 updates tracked since 2018).

About Michael James Hegemann Pa-c NPPES

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

MICHAEL JAMES HEGEMANN PA-C (NPI 1730662156) is an individual physician assistant in Indiana, Pennsylvania, licensed in Pennsylvania (MA060090) and active in the NPI registry since September 2018. He is enrolled in Medicare PECOS, is affiliated with Indiana Regional Medical Center, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1730662156
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameMICHAEL JAMES HEGEMANNCredential: PA-C
Location Address120 IRMC DR STE 160Indiana, PA 15701-3675
Mailing Address640 Kolter DrIndiana, PA 15701-3570 · (814) 414-6164
Phone(724) 357-7000
Fax(724) 357-7449
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateSeptember 11, 2018
Last NPPES UpdateSeptember 16, 20223 updates tracked since enumeration
NPPES CertifiedSeptember 16, 2022
✔ NPI 1730662156 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in PA · MA060090
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
120 IRMC DR STE 160, Indiana, PA 15701
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware.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

Michael James Hegemann Pa-c 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 ID4981944121
PECOS Enrollment IDI20190325002743
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.

Replacement of knee joint, both sides of knee 27447
A bilateral knee joint replacement is a procedure where the damaged parts of both your knee joints are replaced with artificial parts. It aims to relieve pain and improve mobility. The process involves a surgical operation under anesthesia.
18 services18 patients

Hospital Affiliations CMS Care Compare

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

Indiana Regional Medical Center

Acute Care Hospitals · Indiana, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390173
Location835 Hospital RoadIndiana, PA 15701 · Indiana County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 15701 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
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$68.36 typical visit price
range $17.33 – $135.84
Typical copayment $17.09 (range $4.33 – $33.96)
Most-billed visit code 99213
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.

93.78/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality85.07
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. TABITHA L CONRAD PA-C
Physician Assistant
120 IRMC DR STE 160
INDIANA, PA 15701
Indiana County (724) 465-2676
IPG ORTHO LLP
Orthopaedic Surgery
120 IRMC DR STE 160
INDIANA, PA 15701
Indiana County (724) 465-2676

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 Michael Hegemann's NPI number?

The NPI number for Michael Hegemann is 1730662156. It was assigned to this individual provider in the NPPES registry on September 11, 2018.

Where is Michael Hegemann located?

Michael Hegemann practices at 120 Irmc Dr Ste 160, Indiana, PA 15701. The listed phone number is (724) 357-7000.

What is Michael Hegemann's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Michael Hegemann enrolled in Medicare?

Yes. Michael Hegemann 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 Michael Hegemann accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Michael Hegemann 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 Michael Hegemann affiliated with any hospitals?

According to CMS data, Michael Hegemann is affiliated with Indiana Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Michael Hegemann was last updated on September 16, 2022. 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.