HESHAM ELMERGAWY M.D
NPI 1811246176
Internal Medicine - Rheumatology in Eugene, OR

Q: What is Hesham Elmergawy's NPI number?

The NPI number for Hesham Elmergawy is 1811246176. It was assigned to this individual provider in the NPPES registry on September 2, 2012.

Q: What is Hesham Elmergawy's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Rheumatology, with taxonomy code 207RR0500X.

Q: When was this NPI record last updated?

The NPPES record for Hesham Elmergawy was last updated on May 7, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since September 02, 2012PECOS EnrolledAccepts Medicare Assignment

1650 CHAMBERS ST, EUGENE, OR 97402(541) 686-1711 Get Directions Write a Review

NPPES record last updated: May 7, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: May 7, 2026, Sep 20, 2025, Aug 5, 2022 (3 updates tracked since 2022).

On this page

About Hesham Elmergawy M.d NPPES

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

HESHAM ELMERGAWY M.D (NPI 1811246176) is an individual rheumatology provider in Eugene, Oregon, licensed in Illinois (036.160907) and active in the NPI registry since September 2012. He is enrolled in Medicare PECOS, is affiliated with Good Samaritan Regional Medical Center, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1811246176

Entity TypeIndividualMale

Primary Taxonomy207RR0500X

Provider Legal NameHESHAM ELMERGAWYCredential: M.D

Location Address1650 CHAMBERS STEugene, OR 97402-3636

Mailing AddressPo Box 35380Las Vegas, NV 89133-5380

Phone(541) 686-1711

Sole ProprietorNo

Medical School CMSOtherGraduated 2007

Enumeration DateSeptember 2, 2012

Last NPPES UpdateMay 7, 20263 updates tracked since enumeration

NPPES CertifiedMay 7, 2026

✔ NPI 1811246176 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · RheumatologyAllopathic & Osteopathic Physicians

Taxonomy Code207RR0500X

Licenses✔ Licensed in IL · 036.160907✔ Licensed in OR · MD172157

Definition

An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases.

1650 CHAMBERS ST, Eugene, OR 97402

Open in Google Maps ↗

Secondary Practice Locations 2

Location 11007 Harlow Rd Ste 210Springfield, OR 97477-7126 · Phone (541) 741-0387

Location 21801 W Taylor StChicago, IL 60612-4795 · Phone (312) 413-5569

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Moda Health Plan, Inc., Providence Health Plan 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

Hesham Elmergawy 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 ID6709196215

PECOS Enrollment IDI20151113000405

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 3

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 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.

164 services142 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.

33 services33 patients

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.

27 services27 patients

Hospital Affiliations CMS Care Compare 5

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

Good Samaritan Regional Medical Center

Acute Care Hospitals · Corvallis, OR

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number380014

Location3600 NW Samaritan DriveCorvallis, OR 97330 · Benton County

Emergency services Birthing friendly

Mckenzie-Willamette Medical Center

Acute Care Hospitals · Springfield, OR

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number380020

Location1460 G StreetSpringfield, OR 97477 · Lane County

Emergency services Birthing friendly

Samaritan Albany General Hospital

Acute Care Hospitals · Albany, OR

3/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number380022

Location1046 6th Avenue SWAlbany, OR 97321 · Linn County

Emergency services Birthing friendly

Mercy Medical Center

Acute Care Hospitals · Roseburg, OR

4/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number380027

Location2700 NW Stewart ParkwayRoseburg, OR 97471 · Douglas County

Emergency services Birthing friendly

Samaritan Pacific Community Hospital

Critical Access Hospitals · Newport, OR

1/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number381314

Location930 SW Abbey StreetNewport, OR 97365 · Lincoln County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97402 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

$126.25 typical visit price

range $54.96 – $166.64

Typical copayment $31.56 (range $13.74 – $41.66)

Most-billed visit code 99204

Established Patient

$97.16 typical visit price

range $17.68 – $136.19

Typical copayment $24.29 (range $4.42 – $34.04)

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.

Referred Medical Equipment & Supplies CMS DME claims 2

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

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

2 suppliers13 claims13 services$16.19 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

2 suppliers13 claims13 services$81.41 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.

GALEN R GRIFFIN MD

Family Medicine