JONATHAN H HEGLER
NPI 1952382277
Family Medicine in Greenwood, SC

Active since November 14, 2005PECOS EnrolledAccepts Medicare Assignment
96.08/100
CMS Quality Rating
1325 SPRING ST, GREENWOOD, SC 29646(864) 725-4272(864) 725-4452 Get Directions Write a Review

NPPES record last updated: December 9, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Jonathan H Hegler NPPES

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

JONATHAN H HEGLER (NPI 1952382277) is an individual family medicine provider in Greenwood, South Carolina, licensed in South Carolina (21838) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS, is affiliated with Self Regional Healthcare, and is a graduate of University Of South Carolina School Of Medicine (1999).

NPPES Registry Identity

NPI1952382277
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameJONATHAN H HEGLER
Location Address1325 SPRING STGreenwood, SC 29646-3860
Mailing Address1325 Spring StGreenwood, SC 29646-3860 · (864) 725-4272 · Fax (864) 725-4452
Fax(864) 725-4452
Sole ProprietorNo
Medical School CMSUniversity Of South Carolina School Of MedicineGraduated 1999
Enumeration DateNovember 14, 2005
Last NPPES UpdateDecember 9, 2021
NPPES CertifiedDecember 9, 2021
NPI 1952382277 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in SC · 21838
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.

1325 SPRING ST, Greenwood, SC 29646

Accepted 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

Jonathan H Hegler 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 ID4587764295
PECOS Enrollment IDI20070711000032
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 15

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.

Follow-up hospital inpatient care per day, typically 35 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
273 services116 patients
Follow-up hospital inpatient care per day, typically 25 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
172 services88 patients
Follow-up nursing facility visit per day, typically 35 minutes 99310
A follow-up nursing facility visit is a routine check-up that typically lasts about 35 minutes. During this visit, your health status is evaluated, any changes in your condition are noted, and necessary adjustments to your care plan are made. It's an essential part of maintaining your health.
118 services72 patients
Initial hospital inpatient care per day, typically 70 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.
92 services87 patients
Follow-up nursing facility visit per day, typically 25 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
91 services56 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
68 services67 patients

Hospital Affiliations CMS Care Compare

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

Self Regional Healthcare

Acute Care Hospitals · Greenwood, SC
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number420071
Location1325 Spring StreetGreenwood, SC 29646 · Greenwood County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29646 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
$83.18 typical visit price
range $53.57 – $163.84
Typical copayment $20.79 (range $13.39 – $40.96)
Most-billed visit code 99203
Established Patient
$95.12 typical visit price
range $16.96 – $133.52
Typical copayment $23.78 (range $4.24 – $33.38)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

96.08/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality92.17
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 6

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

Powered pressure reducing mattress overlay/pad, alternating, with pump, includes heavy duty E0181
DME-Other DME · category DE000N
1 supplier13 claims13 services$11.57 avg. paid by Medicare
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260
DME-Hospital Beds · category DB000N
1 supplier31 claims31 services$61.44 avg. paid by Medicare
Standard hemi (low seat) wheelchair K0002
DME-Wheelchairs · category DD000N
1 supplier65 claims65 services$33.68 avg. paid by Medicare
Lightweight wheelchair K0003
DME-Wheelchairs · category DD000N
1 supplier18 claims18 services$52.05 avg. paid by Medicare
Heavy duty wheelchair K0006
DME-Wheelchairs · category DD000N
1 supplier11 claims11 services$50.87 avg. paid by Medicare
Elevating leg rests, pair (for use with capped rental wheelchair base) K0195
DME-Wheelchairs · category DD021N
1 supplier71 claims71 services$9.51 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.

Pathology (Anatomic Pathology)
1325 SPRING ST
GREENWOOD, SC 29646
Anesthesiology
1325 SPRING ST, ANESTHESIA DEPT
GREENWOOD, SC 29646
Nurse Anesthetist, Certified Registered
1325 SPRING ST, ANESTHESIA DEPT
GREENWOOD, SC 29646
Anesthesiology
1325 SPRING ST, ANESTHESIA DEPT
GREENWOOD, SC 29646
Nurse Anesthetist, Certified Registered
1325 SPRING ST, ANESTHESIA DEPT
GREENWOOD, SC 29646
Emergency Medicine
1325 SPRING ST, LAKELANDS EMERGENCY PHYSICIANS, PA
GREENWOOD, SC 29646
Nurse Practitioner (Family)
1325 SPRING ST
GREENWOOD, SC 29646
Emergency Medicine
1325 SPRING ST
GREENWOOD, SC 29646

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 Jonathan Hegler's NPI number?

The NPI number for Jonathan Hegler is 1952382277. It was assigned to this individual provider in the NPPES registry on November 14, 2005.

Where is Jonathan Hegler located?

Jonathan Hegler practices at 1325 Spring St, Greenwood, SC 29646. The listed phone number is (864) 725-4272.

What is Jonathan Hegler's specialty?

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

Is Jonathan Hegler enrolled in Medicare?

Yes. Jonathan Hegler 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 Jonathan Hegler accept?

Health plans from First Choice Next and Molina Healthcare list Jonathan Hegler 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 Jonathan Hegler affiliated with any hospitals?

According to CMS data, Jonathan Hegler is affiliated with Self Regional Healthcare.

When was this NPI record last updated?

The NPPES record for Jonathan Hegler was last updated on December 9, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.