Doctor profile · Federal record
Dr. Heather McDougall, MD
Gastroenterology Physician (CMS: Gastroenterology) · Internal Medicine Physician · Sioux Falls, SD
- NPI 1396840401
- Accepts Medicare
- MIPS 76.7 / 100 · 2023
- 25 yrs in practice
- Licensed in 2 states
- Female
- Solo practice
- No sanctions
Practice & contact
- Primary practice
-
1205 S Grange Ave, Suite 104
Sioux Falls, SD 571050407
(605) 328-8500
fax (605) 328-8501 - Mailing address
-
Po Box 5074
Sioux Falls, SD 571175074
Credentials & registration
- NPI registered
- September 2006 — 20 yrs on file
- Profile last updated
- March 25, 2022
- Year of graduation
- 2001 — 25 yrs since
- Specialty taxonomy
- 207RG0100X — NUCC code
- State licenses (2)
- South Dakota #8199 · Minnesota #47238
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1396840401. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
308
Distinct HCPCS
9
Medicare allowed
$37,658
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
99222 |
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 99 | 96 | $124 | |
43239 |
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 44 | 44 | $112 | |
45380 |
Biopsy of large bowel using a flexible endoscope | 40 | 39 | $101 | |
99232 |
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 33 | 27 | $75 | |
43235 |
Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 25 | 25 | $107 | |
45385 |
Removal of polyps or growths of large bowel using an endoscope with mechanical snare | 25 | 25 | $227 | |
99221 |
Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes | 16 | 15 | $80 | |
43255 |
Control of bleeding of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 13 | 13 | $181 | |
45378 |
Diagnostic exam of large bowel using a flexible endoscope | 13 | 13 | $155 |
In context: peer comparison
Among 11 peers in this city , average services per provider: 86. This provider delivers 3.6× the peer median.Open Payments
Industry payments received
All-time total
$80
Transactions
1
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Janssen Biotech, Inc. | 1 | $79.99 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
100
Patients
91
Total drug cost
$1,527
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Ondansetron Hcl | Generic | 40 | 39 | $48 |
| Peg 3350-Electrolyte (Sodium Chloride/Nahco3/Kcl/Peg) | Brand | 35 | 35 | $993 |
| Omeprazole | Generic | 25 | 17 | $486 |
Hospital affiliations
Frequently asked questions
What is Dr. Heather McDougall's medical specialty?
Dr. Heather McDougall practices Gastroenterology Physician in Sioux Falls, SD.
Where does Dr. Heather McDougall practice?
Dr. Heather McDougall practices at 1205 S Grange Ave, Sioux Falls, SD 571050407. Office phone: 6053288500.
What is Dr. Heather McDougall's NPI?
Dr. Heather McDougall's National Provider Identifier (NPI) is 1396840401, issued by NPPES.
Does Dr. Heather McDougall accept Medicare assignment?
Yes. Dr. Heather McDougall accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Heather McDougall commonly perform?
Top Medicare-reported procedures in 2023: Initial hospital care with straightforward or low-level medical decision making (HCPCS 99222); Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope (HCPCS 43239); Biopsy of large bowel using a flexible endoscope (HCPCS 45380). Source: CMS Medicare Physician & Other Practitioners file.