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DR. KIMBERLY A HEGEWALD MD
NPI 1851379770
Pediatrics in Traverse City, MI

Active since January 03, 2006PECOS Enrolled
3537 W FRONT ST STE G, TRAVERSE CITY, MI 49684(231) 935-8822 Get Directions Write a Review

NPPES record last updated: December 21, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Kimberly A Hegewald Md NPPES

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

DR. KIMBERLY A HEGEWALD MD (NPI 1851379770) is an individual pediatrics provider in Traverse City, Michigan, licensed in Michigan (4301075523) and active in the NPI registry since January 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1851379770
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameDR. KIMBERLY A HEGEWALDCredential: MD
Location Address3537 W FRONT ST STE GTraverse City, MI 49684-7943
Mailing Address3537 W Front St Ste GTraverse City, MI 49684-7943
Phone(231) 935-8822
Sole ProprietorNo
Enumeration DateJanuary 3, 2006
Last NPPES UpdateDecember 21, 2020
NPPES CertifiedDecember 21, 2020
✔ NPI 1851379770 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in MI · 4301075523
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
3537 W FRONT ST STE G, Traverse City, MI 49684
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Other Identifiers 1

Medicaid4290606MI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, McLaren Health Plan Community 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 (PECOS)

Dr. Kimberly A Hegewald Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49684 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
$84.74 typical visit price
range $54.34 – $166.68
Typical copayment $21.18 (range $13.58 – $41.67)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.09 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

Other Providers at the Same Location NPPES 4

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

DR. LISA CHIMNER MD
Pediatrics
3537 W FRONT ST STE G
TRAVERSE CITY, MI 49684
Grand Traverse County (231) 935-8822
DR. TUAN BUI M.D.
Pediatrics
3537 W FRONT ST STE G
TRAVERSE CITY, MI 49684
Grand Traverse County (231) 935-8822
GRAND TRAVERSE CHILDREN'S CLINIC
Pediatrics
3537 W FRONT ST STE G
TRAVERSE CITY, MI 49684
Grand Traverse County (231) 935-8827
DR. KATHERINE RENEE ELMS M.D.
Pediatrics
3537 W FRONT ST STE G
TRAVERSE CITY, MI 49684
Grand Traverse County (231) 935-8827

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 Kimberly Hegewald's NPI number?

The NPI number for Kimberly Hegewald is 1851379770. It was assigned to this individual provider in the NPPES registry on January 3, 2006.

Where is Kimberly Hegewald located?

Kimberly Hegewald practices at 3537 W Front St Ste G, Traverse City, MI 49684. The listed phone number is (231) 935-8822.

What is Kimberly Hegewald's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Kimberly Hegewald enrolled in Medicare?

Yes. Kimberly Hegewald is registered in the Medicare PECOS enrollment system.

What insurance does Kimberly Hegewald accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, McLaren Health Plan Community and Priority Health list Kimberly Hegewald 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.

When was this NPI record last updated?

The NPPES record for Kimberly Hegewald was last updated on December 21, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.