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DAVID J HAGEDORN DO
NPI 1922078369
Family Medicine in Waterloo, IA

Active since January 26, 2006PECOS Enrolled
2101 KIMBALL AVENUE, SUITE 401, WATERLOO, IA 50702(319) 272-2002(319) 272-2071 Get Directions Write a Review

NPPES record last updated: June 2, 2016. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About David J Hagedorn Do NPPES

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

DAVID J HAGEDORN DO (NPI 1922078369) is an individual family medicine provider in Waterloo, Iowa, licensed in Iowa (03115) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1922078369
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDAVID J HAGEDORNCredential: DO
Location Address2101 KIMBALL AVENUE, SUITE 401Waterloo, IA 50702
Mailing AddressP.o. Box 2880Waterloo, IA 50704-2880 · (319) 272-2002 · Fax (319) 272-2071
Phone(319) 272-2002
Fax(319) 272-2071
Sole ProprietorNo
Enumeration DateJanuary 26, 2006
Last NPPES UpdateJune 2, 2016
✔ NPI 1922078369 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in IA · 03115
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
2101 KIMBALL AVENUE, Waterloo, IA 50702
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Other Names 1

Professional Name (2)Mr. David James Hagedorn Do

Other Identifiers 3

Medicaid0725283IA
Medicare UPING60989IA
Medicare PINI21674IA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

David J Hagedorn Do 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.

Medicare Billing Reassignment

Medicare enrollment records show David Hagedorn reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Grundy County Memorial Hospital
31 mi
Critical Access
201 E J AVE
Grundy Center, IA 50638
  • Reassigned Medicare billing, Iowa enrollment
  • 65 clinicians in this Medicare group
NPI 1821055989 (319) 824-5421

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 50702 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
$81.84 typical visit price
range $52.96 – $161.40
Typical copayment $20.46 (range $13.24 – $40.35)
Most-billed visit code 99203
Established Patient
$94.05 typical visit price
range $16.91 – $131.98
Typical copayment $23.51 (range $4.22 – $32.99)
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.

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 David Hagedorn's NPI number?

The NPI number for David Hagedorn is 1922078369. It was assigned to this individual provider in the NPPES registry on January 26, 2006. The provider is also known as Mr. David James Hagedorn Do.

Where is David Hagedorn located?

David Hagedorn practices at 2101 Kimball Avenue Suite 401, Waterloo, IA 50702. The listed phone number is (319) 272-2002.

What is David Hagedorn's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is David Hagedorn enrolled in Medicare?

Yes. David Hagedorn is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for David Hagedorn's services?

According to the CMS Revalidation Reassignment List (October 2026 release), David Hagedorn reassigns Medicare benefits to Grundy County Memorial Hospital (Grundy Center, IA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for David Hagedorn's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does David Hagedorn accept?

Health plans from Medica list David Hagedorn 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 David Hagedorn was last updated on June 2, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.