Declan F Hegarty, MD
Individual provider Active NPI Surgery Physician · Lucedale, MS
NPI 1477526945 · NPPES record last updated Mar 17, 2018
Key facts
- NPI
- 1477526945
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Surgery Physician 208600000X
- License
- 25465 (MS)
- Practice address
- 57 Dewey St
Lucedale, MS 39452-5707 - Phone
- (601) 766-0308
- Fax
- (601) 766-0309
- NPI assigned
- Feb 7, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 12
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- General Surgery
- Education
- Other, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Vicksburg Clinic LLC
Practice addresses (Care Compare)
2100 Hwy 61 N
Vicksburg, MS 39183-8211
Phone (601) 883-5000
2200 Hwy 61 N
Vicksburg, MS 39183-8246
Hospital & facility affiliations
- Arden Home Health of West Ms, LLC
- Merit Health River Region
Merit-based Incentive Payment System (MIPS)
- Final score
- 88.07 of 100
- Quality
- 73.89
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 1-10 |
| Hernia repair - groin (open) | 1-10 |
| Hernia repair (minimally invasive) | 1-10 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 39 |
| Melanoma (skin cancer) excision | 1-10 |
| Removal of tissue | 46 |
| Removal or shaving of skin growth | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MS
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180102001542 | MS | Practitioner - General Surgery | 5698774719 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25465 | MS | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vicksburg Healthcare LLC | Current |
Accepting new patients | |
| Community Surgical Center Dr. David Crump | Surgery | Current |
Accepting new patients |
| Vicksburg Healthcare LLC | Current |
Accepting new patients | |
| George County Hospital | Current | Accepting new patients | |
| Vicksburg Clinic LLC | Current |
Accepting new patients | |
| Vicksburg Clinic LLC | Surgery | Past | Accepting new patients |
| Gulf Coast Hma Physician Management LLC | Surgery | Past | Accepting new patients |
| Port Charlotte Hma Physician Management LLC | Surgery | Past | Accepting new patients |
| Port Charlotte Hma Physician Management LLC | Past | Accepting new patients |
Locations
872 Winter St
Lucedale, MS 39452
Phone (601) 766-0308
57 Dewey St
Lucedale, MS 39452
Phone (601) 766-0308
2100 Highway 61 N
Vicksburg, MS 39183
Phone (601) 883-5001
104 McAuley Dr
Vicksburg, MS 39183
Phone (601) 638-7271
Interoperability endpoints
- declan.hegarty.1@1475.direct.athenahealth.com
- declanhegarty@communitym.allscriptsdirect.net
- declanhegarty@grh.medalliesdirect.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | ME94859 | FL | |
| Surgery Physician | 208600000X | 25465 | MS | Yes |
Addresses
Primary practice location
57 Dewey St
Lucedale, MS 39452-5707
Mailing address
PO Box 1007
Lucedale, MS 39452-1007
Phone (601) 766-0308
Other practice location 1
403 W Highland Blvd
Inverness, FL 34452-4717
Phone (352) 726-3646
Other practice location 2
872 Winter St
Lucedale, MS 39452-5797
Phone (601) 766-0308
Other practice location 3
872 Winter St
Lucedale, MS 39452-5797
Phone (601) 766-0308
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 25465 | Other | MS | MS MEDICAL LICENSURE |
| 1477526945 | Other | FL | NPI |
| 277709600 | Medicaid | FL |
Other providers in Lucedale, MS
- Christopher Aaron Hamm
- Ronald Ray Harrison
- Hattiesburg Clinic, PA
- Leigh Ann Havens
- Heart to Heart Outreach Ministries, Inc.
- Dyane P Held
- Larry A Henderson Jr.
- Breeley Henzen
- Susan H. Hewlett
- Renata Holland Hillman
All providers in Lucedale, MS · Surgery Physician in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 17, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.