MARK D HEGEWALD (MD) – Otolaryngology/Facial Plastic Surgery Physician, NPI 1700825304

MARK D HEGEWALD (MD) is a healthcare provider. based in Federal way, Washington. specializing in Otolaryngology/Facial Plastic Surgery Physician. They hold the professional credentials MD. They hold a License No. MD00025475 (WA). The NPI Number for MARK D HEGEWALD (MD) is 1700825304

Main info

Male
43 Years Of Experience
Accepts Medicare Assignment
Name
MARK D HEGEWALD (MD)
NPI
1700825304
Phone
(253) 661-2594
Address
34612 6TH AVE S
Enumeration Date
6 June 2006
Last Update Date
29 December 2011

Doctor Profile

Medical School Name
UNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE
Secondary Phone
2539271882
Graduation Year
1983 (43 years ago)
PAC ID
2264498963
Group Practice PAC ID
3971596024
Professional Enrollment ID
I20041204000070
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

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Provider Addresses for MARK D HEGEWALD (MD)

  • 34612, 6th Avenue South, Federal Way, King County, Washington, 98003, United States

    SUITE 200

    FEDERAL WAY, WA 980038723

    Phone: (253) 661-2594

    Fax: (253) 661-2694

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 7 Open Payments records for all available years, with a total value of $370.

Total Amount is formed as General ($370) + Research ($0) + Ownership ($0) = $370.

Last reported payment date: 2024-01-09 • Largest payer in this snapshot: AERIN MEDICAL INC. ($288).

Total Amount

$370

General + Research + Ownership

Payments

7

Total payment records

General Amount

$370

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-01-09

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2004-12-04

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20041204000070IOtolaryngologyWATBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes180116$0
G0268Removal of impacted cerumen (one or both ears) by physician on same date of service as audiologic function testing8561$0
92567Test to assess middle ear function5550$0
92557Comprehensive hearing and speech recognition test5352$0
31231Diagnostic exam of nasal passages using an endoscope4335$0
View full utilization report →

Insurance plans in this area (ZIP 98003)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3971596024View full group profile
NameSpecialtyState
U R O L O G YWA
U R O L O G YWA
U R O L O G YWA
O T O L A R Y N G O L O G YWA
-WA
U R O L O G YWA
O T O L A R Y N G O L O G YWA
O T O L A R Y N G O L O G YWA
-WA
Nurse PractitionerWA

Reviews

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Frequently asked questions

Can I use this page to confirm MARK D HEGEWALD (MD)'s NPI?
Yes. MARK D HEGEWALD (MD) is listed with NPI 1700825304 in the public NPI dataset.
Can I rely on MARK D HEGEWALD (MD) being an active provider?
As of the registry snapshot, MARK D HEGEWALD (MD) is marked active.
What is MARK D HEGEWALD (MD)'s primary classification?
Otolaryngology/Facial Plastic Surgery Physician is the headline specialty for MARK D HEGEWALD (MD) here. Clinical services aligned with this taxonomy classification.
What address line appears for MARK D HEGEWALD (MD)?
MARK D HEGEWALD (MD)'s geographic hint is Federal Way, Washington in our summary view.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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