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MICHAEL D HEDEMARK MD
NPI 1992805931
Internal Medicine in Meridian, ID

Active since September 22, 2006PECOS EnrolledAccepts Medicare Assignment
520 S EAGLE RD, SUITE 3102, MERIDIAN, ID 83642(208) 706-5100(208) 706-5169 Get Directions Write a Review

NPPES record last updated: January 23, 2014. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Michael D Hedemark Md NPPES

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

MICHAEL D HEDEMARK MD (NPI 1992805931) is an individual internal medicine provider in Meridian, Idaho, licensed in Idaho (M-9924) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS, is affiliated with St Luke's Regional Medical Center, and is a graduate of University Of Washington School Of Medicine (2005).

NPPES Registry Identity

NPI1992805931
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameMICHAEL D HEDEMARKCredential: MD
Location Address520 S EAGLE RD, SUITE 3102Meridian, ID 83642-6351
Mailing Address190 E Bannock StBoise, ID 83712-6241
Phone(208) 706-5100
Fax(208) 706-5169
Sole ProprietorNo
Medical School CMSUniversity Of Washington School Of MedicineGraduated 2005
Enumeration DateSeptember 22, 2006
Last NPPES UpdateJanuary 23, 2014
✔ NPI 1992805931 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses✔ Licensed in ID · M-9924✔ Licensed in WA · ML20008230
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
520 S EAGLE RD, Meridian, ID 83642
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Other Identifiers 1

Medicare PIN20000248ID

Accepted Insurance

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

Michael D Hedemark Md 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 ID8820141260
PECOS Enrollment IDI20090731000573
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 4

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.
241 services158 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.
208 services143 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
44 services38 patients
Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and G0180
This is a service where a doctor or authorized practitioner certifies that you require Medicare-covered home health services. They will communicate with the home health agency and review reports on your health status to ensure you receive appropriate care. This does not involve an in-person visit.
16 services12 patients

Hospital Affiliations CMS Care Compare 5

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

St Luke's Regional Medical Center

Acute Care Hospitals · Boise, ID
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number130006
Location190 East Bannock StreetBoise, ID 83712 · Ada County
Emergency services Birthing friendly

Saint Alphonsus Regional Medical Center

Acute Care Hospitals · Boise, ID
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number130007
Location1055 North Curtis RoadBoise, ID 83706 · Ada County
Emergency services Birthing friendly

St Luke's Nampa Medical Center

Acute Care Hospitals · Nampa, ID
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number130071
Location9850 West St Lukes DriveNampa, ID 83687 · Canyon County
Emergency services Birthing friendly

St Luke's Elmore Medical Center

Critical Access Hospitals · Mountain Home, ID
OwnershipVoluntary non-profit - Private
CMS Certification Number131311
Location895 North 6th EastMountain Home, ID 83647 · Elmore County
Emergency services Birthing friendly

St Luke's Mccall

Critical Access Hospitals · Mccall, ID
OwnershipProprietary
CMS Certification Number131312
Location1000 State StreetMccall, ID 83638 · Valley County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 83642 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
$121.27 typical visit price
range $52.44 – $160.17
Typical copayment $30.31 (range $13.11 – $40.04)
Most-billed visit code 99204
Established Patient
$93.26 typical visit price
range $16.68 – $130.93
Typical copayment $23.31 (range $4.17 – $32.73)
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 4

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
17 suppliers66 claims127 services$6.21 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
9 suppliers18 claims22 services$1.04 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
1 supplier22 claims22 services$5.65 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
5 suppliers34 claims34 services$176.46 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.

DR. MAGGIE D. VUTURO MD
Urology (Urogynecology and Reconstructive Pelvic Surgery)
520 S EAGLE RD, STE 3112
MERIDIAN, ID 83642
Ada County (208) 706-5800
MICHAEL J GRIFFITHS RPH
Pharmacist
520 S EAGLE RD
MERIDIAN, ID 83642
Ada County (208) 706-5255
ROBIN MCGAW HUGHES PT
Physical Therapist
520 S EAGLE RD
MERIDIAN, ID 83642
Ada County (208) 381-4757
MRS. AUDREY GYUNG NGUYEN PHARMD
Pharmacist (Pharmacotherapy)
520 S EAGLE RD
MERIDIAN, ID 83642
Ada County (208) 706-1523
MR. BENJAMIN WATSON PA-C
Physician Assistant (Medical)
520 S EAGLE RD, SUITE 1234
MERIDIAN, ID 83642
Ada County (661) 332-9138
NICOLE DANIELLE BORCYK OTR/L
Occupational Therapist
520 S EAGLE RD
MERIDIAN, ID 83642
Ada County (208) 706-5000
CRAIG R SPENCER MD
Urology
520 S EAGLE RD, STE 3112
MERIDIAN, ID 83642
Ada County (208) 706-5800
TRAVIS G WILLIAMS DO
Internal Medicine (Medical Oncology)
520 S EAGLE RD
MERIDIAN, ID 83642
Ada County (208) 706-5651

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 Michael Hedemark's NPI number?

The NPI number for Michael Hedemark is 1992805931. It was assigned to this individual provider in the NPPES registry on September 22, 2006.

Where is Michael Hedemark located?

Michael Hedemark practices at 520 S Eagle Rd Suite 3102, Meridian, ID 83642. The listed phone number is (208) 706-5100.

What is Michael Hedemark's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Michael Hedemark enrolled in Medicare?

Yes. Michael Hedemark 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 Michael Hedemark accept?

Health plans from Moda Health Plan, Inc., PacificSource Health Plans and Providence Health Plan list Michael Hedemark 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 Michael Hedemark affiliated with any hospitals?

According to CMS data, Michael Hedemark is affiliated with St Luke's Regional Medical Center, Saint Alphonsus Regional Medical Center, St Luke's Nampa Medical Center, St Luke's Elmore Medical Center and St Luke's Mccall.

When was this NPI record last updated?

The NPPES record for Michael Hedemark was last updated on January 23, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.