DR. DWAYNE MAXWELL JR. HANSEN (DO) – Surgery Physician, NPI 1871013938
Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
131 GENERAL SURGERY in ND
Provider Addresses for DR. DWAYNE MAXWELL JR. HANSEN (DO)
PO BOX 185
REXBURG, ID 834400185
Phone: (208) 656-8442
Fax: (208) 656-8453
Type: Mailing
1301 N. COLUMBIA RD STOP 9037
UND DEPARTMENT OF SURGERY
GRAND FORKS, ND 582029037
Phone: (701) 777-3067
Type: Mailing
1301 N COLUMBIA RD STOP 9037
UND DEPARTMENT OF SURGERY
GRAND FORKS, ND 582029037
Phone: (701) 777-3067
Type: Location
381 E 4TH N STE 100
REXBURG, ID 834401684
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 8 Open Payments records for all available years, with a total value of $483.
Total Amount is formed as General ($483) + Research ($0) + Ownership ($0) = $483.
Last reported payment date: 2024-08-13 • Largest payer in this snapshot: Intuitive Surgical, Inc. ($244).
Total Amount
$483
General + Research + Ownership
Payments
8
Total payment records
General Amount
$483
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-08-13
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Intuitive Surgical, Inc. | $244 |
| Davol Inc. | $140 |
| Medtronic, Inc. | $78 |
| Boston Scientific Corporation | $22 |
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: 2022-07-26
PECOS data refreshed: 2026-05-27
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 |
|---|---|---|---|---|
| I20220726003480 | 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 |
|---|---|---|---|---|
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 53 | 53 | $0 |
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | 44 | 39 | $0 |
| 43239 | Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 28 | 27 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 22 | 19 | $0 |
| 45385 | Removal of polyps or growths of large bowel using an endoscope with mechanical snare | 19 | 19 | $0 |
Insurance plans in this area (ZIP 83440)
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