DR. DWAYNE M HANSEN (M.D.) – Surgery Physician, NPI 1376581546
Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
191 GENERAL SURGERY in ID
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Provider Addresses for DR. DWAYNE M HANSEN (M.D.)
PO BOX 185
REXBURG, ID 834400185
Phone: (208) 656-8442
Fax: (208) 656-8453
Type: Mailing
East 4th North, Rexburg, Madison County, Idaho, 83460, United States
STE 100
REXBURG, ID 83440
Phone: (208) 656-8442
Fax: (208) 656-8453
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 20 Open Payments records for all available years, with a total value of $1,874.
Total Amount is formed as General ($1,874) + Research ($0) + Ownership ($0) = $1,874.
Last reported payment date: 2024-10-11 • Largest payer in this snapshot: Intuitive Surgical, Inc. ($1,254).
Total Amount
$1,874
General + Research + Ownership
Payments
20
Total payment records
General Amount
$1,874
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-11
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Intuitive Surgical, Inc. | $1,254 |
| Medtronic, Inc. | $198 |
| Davol Inc. | $198 |
| TELA Bio, Inc. | $151 |
| Inspire Medical Systems, Inc. | $37 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2004-09-30
PECOS data refreshed: 2026-06-15
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20040930000782 | I | General Surgery | ID | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | 85 | 66 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 61 | 61 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 47 | 41 | $0 |
| 43239 | Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 28 | 28 | $0 |
| 45380 | Biopsy of large bowel using a flexible endoscope | 23 | 23 | $0 |
Insurance plans in this area (ZIP 83440)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| GENERAL SURGERY | ID | 45378 | Diagnostic examination of large bowel using an endoscope | 13 | 13 |
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