JAMES RONALD HEGVIK MD
NPI 1780099135
Surgery in Dakota Dunes, SD

Q: What is James Hegvik's NPI number?

The NPI number for James Hegvik is 1780099135. It was assigned to this individual provider in the NPPES registry on June 24, 2014.

Q: What is James Hegvik's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Q: When was this NPI record last updated?

The NPPES record for James Hegvik was last updated on December 23, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since June 24, 2014PECOS EnrolledAccepts Medicare Assignment

575 N SIOUX POINT ROAD, DAKOTA DUNES, SD 57049(605) 217-2667(605) 217-2900 Get Directions Write a Review

NPPES record last updated: December 23, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About James Ronald Hegvik Md NPPES

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

JAMES RONALD HEGVIK MD (NPI 1780099135) is an individual surgery provider in Dakota Dunes, South Dakota, licensed in South Dakota (11590) and active in the NPI registry since June 2014. He is enrolled in Medicare PECOS, is affiliated with St Lukes Regional Medical Center, and is a graduate of University Of North Dakota School Of Medicine (2014).

NPPES Registry Identity

NPI1780099135

Entity TypeIndividualMale

Primary Taxonomy208600000X

Provider Legal NameJAMES RONALD HEGVIKCredential: MD

Location Address575 N SIOUX POINT ROADDakota Dunes, SD 57049-5312

Mailing Address575 N Sioux Point RoadDakota Dunes, SD 57049-5312 · (605) 217-2667 · Fax (605) 217-2900

Phone(605) 217-2667

Fax(605) 217-2900

Sole ProprietorNo

Medical School CMSUniversity Of North Dakota School Of MedicineGraduated 2014

Enumeration DateJune 24, 2014

Last NPPES UpdateDecember 23, 2025

NPPES CertifiedDecember 23, 2025

✔ NPI 1780099135 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208600000X

Licenses✔ Licensed in SD · 11590✔ Licensed in IA · MD-45898✔ Licensed in NE · 31594

Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License R-10078 (IA)

575 N SIOUX POINT ROAD, Dakota Dunes, SD 57049

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter from Sunflower Health Plan, Ambetter Health 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

James Ronald Hegvik Md 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 ID2860617909

PECOS Enrollment IDI20190712002446, I20190719000759

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 7

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.

107 services80 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

35 services29 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

26 services26 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.

21 services18 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.

18 services18 patients

Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385

This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.

14 services14 patients

Hospital Affiliations CMS Care Compare 4

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

St Lukes Regional Medical Center

Acute Care Hospitals · Sioux City, IA

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number160146

Location2720 Stone Park BoulevardSioux City, IA 51104 · Woodbury County

Emergency services Birthing friendly

Mercyone Siouxland Medical Center

Acute Care Hospitals · Sioux City, IA

1/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number160153

Location801 5th StSioux City, IA 51101 · Woodbury County

Emergency services

Burgess Health Center

Critical Access Hospitals · Onawa, IA

OwnershipVoluntary non-profit - Private

CMS Certification Number161359

Location1600 Diamond StreetOnawa, IA 51040 · Monona County

Emergency services

Dunes Surgical Hospital

Acute Care Hospitals · Dakota Dunes, SD

OwnershipProprietary

CMS Certification Number430089

Location600 N Sioux Point RoadDakota Dunes, SD 57049 · Union County

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 57049 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

$85.21 typical visit price

range $55.52 – $167.23

Typical copayment $21.30 (range $13.88 – $41.80)

Most-billed visit code 99203

Established Patient

$69.20 typical visit price

range $18.08 – $137.08

Typical copayment $17.30 (range $4.52 – $34.27)

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.

Other Providers at the Same Location NPPES 11

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

DR. CRAIG ROBERT NEMECHEK MD

Surgery