Individual provider Active NPI

Ted James Hegner, P.A.

  • Surgical Physician Assistant
  • Madison, WI
National Provider Identifier
1700331527
Registry record updated May 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
5569 Issued in WI
Practice address
600 Highland Ave
Madison, WI 53792-5218
Phone
(608) 263-1530
NPI assigned
Aug 22, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 23, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X 085.005902 IL
Surgical Physician Assistant 363AS0400X 5569 WI Primary

Addresses

Primary practice location

600 Highland Ave
Madison, WI 53792-5218

Mailing address

7974 Uw Health CT
Middleton, WI 53562-5531

Other practice location 1

101 E Miller Rd
Sterling, IL 61081-1252
Phone (815) 632-5285

Other practice location 2

6005 Park Ave Ste 802
Memphis, TN 38119-5218
Phone (901) 236-0508

Other names 1

  • Theodore James Hegner Other name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address thegner1295158@direct.uwhealth.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, TN, WI3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20161102000977 IL Practitioner - Physician Assistant 7012295686 Reassigns benefits to 1 organization
I20181105001567 TN Practitioner - Physician Assistant 7012295686 Reassigns benefits to 1 organization
I20230206000313 WI Practitioner - Physician Assistant 7012295686 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

600 Highland Ave
Madison, WI 53792-0001
Phone (608) 263-6400

705 S University Ave
Suite 200
Beaver Dam, WI 53916-3079
Phone (920) 887-9272

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
83.32 of 100Reported as group
Quality
87.78
Promoting interoperability
77
Improvement activities
40
Cost
75.8

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
085.005902ILMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
University of Wisconsin Medical Foundation, Inc CurrentSince Feb 6, 2023 Accepting new patients
University of Wisconsin Medical Foundation, Inc CurrentSince Feb 6, 2023 Accepting new patients
CGH Medical Center CurrentSince Oct 1, 2016 Accepting new patients
CGH Medical Center Past Accepting new patients
University of Wisconsin Medical Foundation Inc Past Accepting new patients

Locations

100 E Lefevre Rd
Sterling, IL 61081
Phone (815) 625-0400

101 E Miller Rd
Sterling, IL 61081
Phone (815) 632-5285

600 Highland Ave
Madison, WI 53792
Phone (608) 263-0325

1 S Park St
Madison, WI 53715
Phone (608) 287-2000

7974 Uw Health Ct
Middleton, WI 53562
Phone (608) 829-5270

Interoperability endpoints

  • Direct secure messaging: thegner1295158@direct.uwhealth.org

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1471824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684800000000",
    "number": "1700331527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7974 UW HEALTH CT",
            "city": "MIDDLETON",
            "state": "WI",
            "postal_code": "535625531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 HIGHLAND AVE",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537925218",
            "telephone_number": "608-263-1530"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "101 E Miller Rd",
            "address_purpose": "LOCATION",
            "city": "Sterling",
            "state": "IL",
            "postal_code": "610811252",
            "country_code": "US",
            "telephone_number": "815-632-5285",
            "fax_number": "815-632-5824",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6005 Park Ave Ste 802",
            "address_purpose": "LOCATION",
            "city": "Memphis",
            "state": "TN",
            "postal_code": "381195218",
            "country_code": "US",
            "telephone_number": "901-236-0508",
            "fax_number": "901-682-2143",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HEGNER",
        "first_name": "TED",
        "middle_name": "JAMES",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-08-22",
        "last_updated": "2023-05-23",
        "certification_date": "2023-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "IL",
            "license": "085.005902",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "WI",
            "license": "5569",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "thegner1295158@direct.uwhealth.org",
            "affiliation": "N",
            "address_1": "600 Highland Ave",
            "city": "Madison",
            "state": "WI",
            "country_code": "US",
            "postal_code": "537925218",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "THEODORE",
            "last_name": "HEGNER",
            "middle_name": "JAMES",
            "credential": "PA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Madison, WI

Sources for this page

Verify at the official NPI Registry.