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DR. DWAYNE MAXWELL HANSEN JR. DO
NPI 1871013938
Surgery in Rexburg, ID

Active since June 20, 2017PECOS EnrolledAccepts Medicare Assignment
381 E 4TH N STE 100, REXBURG, ID 83440(208) 656-8442(208) 656-8453 Get Directions Write a Review

NPPES record last updated: June 11, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 11, 2025, Apr 28, 2022, Jun 20, 2017 (3 updates tracked since 2017).

About Dr. Dwayne Maxwell Hansen Jr. Do NPPES

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

DR. DWAYNE MAXWELL HANSEN JR. DO (NPI 1871013938) is an individual surgery provider in Rexburg, Idaho, licensed in Idaho (O-1663) and active in the NPI registry since June 2017. He is enrolled in Medicare PECOS, is affiliated with Madison Memorial Hospital, and is a graduate of Des Moines University Of Osteopathic Medicine And Health Sciences (2017).

NPPES Registry Identity

NPI1871013938
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameDR. DWAYNE MAXWELL HANSEN JR.Credential: DO
Location Address381 E 4TH N STE 100Rexburg, ID 83440-1684
Mailing AddressPo Box 185Rexburg, ID 83440-0185 · (208) 656-8442 · Fax (208) 656-8453
Phone(208) 656-8442
Fax(208) 656-8453
Sole ProprietorYes
Medical School CMSDes Moines University Of Osteopathic Medicine And Health SciencesGraduated 2017
Enumeration DateJune 20, 2017
Last NPPES UpdateJune 11, 20253 updates tracked since enumeration
NPPES CertifiedJune 11, 2025
✔ NPI 1871013938 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
Licenses✔ Licensed in ID · O-1663✔ Licensed in ND · RL14661
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.
381 E 4TH N STE 100, Rexburg, ID 83440
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Accepted Insurance

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

Dr. Dwayne Maxwell Hansen Jr. Do 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 ID3779979539
PECOS Enrollment IDI20220726003480
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 9

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.
41 services31 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.
30 services27 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.
19 services19 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.
19 services18 patients
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
16 services15 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
15 services13 patients

Hospital Affiliations CMS Care Compare 2

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

Madison Memorial Hospital

Acute Care Hospitals · Rexburg, ID
5/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number130025
Location450 East Main StreetRexburg, ID 83440 · Madison County
Emergency services

Mountain View Hospital

Acute Care Hospitals · Idaho Falls, ID
1/5 CMS rating
OwnershipPhysician
CMS Certification Number130065
Location2325 Coronado StreetIdaho Falls, ID 83404 · Bonneville County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 83440 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
$81.13 typical visit price
range $52.44 – $160.17
Typical copayment $20.28 (range $13.11 – $40.04)
Most-billed visit code 99203
Established Patient
$65.77 typical visit price
range $16.68 – $130.93
Typical copayment $16.44 (range $4.17 – $32.73)
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 2

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

MAX HANSEN SURGERY PLLC
Surgery
381 E 4TH N STE 100
REXBURG, ID 83440
Madison County (208) 656-8442
JOSHUA R FULLMER MD PLLC
Ophthalmology
381 E 4TH N STE 100
REXBURG, ID 83440
Madison County (208) 359-1888

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 Dwayne Hansen's NPI number?

The NPI number for Dwayne Hansen is 1871013938. It was assigned to this individual provider in the NPPES registry on June 20, 2017.

Where is Dwayne Hansen located?

Dwayne Hansen practices at 381 E 4th N Ste 100, Rexburg, ID 83440. The listed phone number is (208) 656-8442.

What is Dwayne Hansen's specialty?

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

Is Dwayne Hansen enrolled in Medicare?

Yes. Dwayne Hansen 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 Dwayne Hansen accept?

Health plans from Moda Health Plan, Inc., Providence Health Plan, Select Health and University of Utah Health Plans list Dwayne Hansen 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 Dwayne Hansen affiliated with any hospitals?

According to CMS data, Dwayne Hansen is affiliated with Madison Memorial Hospital and Mountain View Hospital.

When was this NPI record last updated?

The NPPES record for Dwayne Hansen was last updated on June 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.