Dr. Sumiko Joan Hegstad, MD

  • Boise, ID
  • Plastic surgeon
NPI1306870761PAC ID3173703303
Medicare patients, 2024
13
Part D claims, 2024
46
MIPS score, 2024
87
Hospital affiliations
1
Industry payments
$2,338
Practice address
190 East Bannock Street, Boise, ID 83712
Practice phone
Call (208) 381-2222
Professional email
Get professional email
Personal email
Get personal email
Mobile number
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Social profiles

Primary practice

St. Luke's Boise Medical Center

Hospital · Boise, Idaho

See all 5 affiliations

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Dr. Sumiko Joan Hegstad is a plastic surgeon in Boise, Idaho

Dr. Hegstad practices at St. Luke's Boise Medical Center in Boise, Idaho, part of St. Luke's Health System.

Dr. Hegstad's NPI, 1306870761, was assigned on July 10, 2006. Dr. Hegstad graduated from University of Louisville School of Medicine in 1988. Dr. Hegstad holds Idaho license M6778.

NPI and contact details
Medicare PAC ID
3173703303
NPI enumeration date
July 10, 2006
NPI status
Active
Accepts Medicare assignment
Yes
Practice phone
(208) 381-2222
Professional email
Get email
Personal email
Get email
Mobile number
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Sex
Female
Estimated age
64
Medical school graduation
1988

Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; Dmand AI Affiliation Data; and Doctors and Clinicians National Downloadable File (CMS)

Dr. Sumiko Joan Hegstad practices at St. Luke's Boise Medical Center in Boise, Idaho

Dr. Hegstad's primary practice is St. Luke's Boise Medical Center, at 190 East Bannock Street, Boise, ID 83712 in Ada County. The practice phone is (208) 381-2222.

Source: Dmand AI Affiliation Data

Dr. Sumiko Joan Hegstad is affiliated with 4 sites of care and 1 medical group

Dr. Hegstad's primary practice is St. Luke's Boise Medical Center in Boise, Idaho, part of St. Luke's Health System. The medical group on file is St. Luke's Health System. Dmand AI also links Dr. Hegstad to 1 more breast imaging center, 1 physician office and 1 group practice or clinic, each named with a free account.

See all 5 affiliations for Dr. Hegstad

Sources: Dmand AI Affiliation Data; and Dmand AI Org Hierarchy Data

Dmand AI tracks the EHR system at Dr. Sumiko Joan Hegstad's practice

Dmand AI tracks the electronic health record (EHR) system at each site where Dr. Hegstad practices, 4 sites in all. Vendor and product names are available with a free account.

EHR by site
SiteEHR vendor and product
St. Luke's Boise Medical CenterAvailable with a free account
+3 more affiliated sitesAvailable with a free account

Source: Dmand AI Technology Install Data

For health IT teams

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Dr. Sumiko Joan Hegstad is one of 23 plastic surgeons in Idaho

Plastic surgery is Dr. Hegstad's primary specialty in the NPI Registry, under taxonomy code 208200000X. Dr. Hegstad is licensed in Idaho.

Specialties and state licenses

  • Plastic surgery, IdahoPrimaryLicense M6778 · taxonomy 208200000X

Plastic surgeons near Dr. Hegstad

Counts of plastic surgeons with a Dmand AI profile, by place and practice. Each opens the list.

Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; and Dmand AI Peer Benchmarks

Dr. Sumiko Joan Hegstad treated 13 Medicare patients in 2024, average age 68

CMS counts 13 Medicare patients who saw Dr. Hegstad in 2024. The largest group is 85 and over, with 0 patients. Their average risk score is 0.60, where 1.00 is the Medicare average.

Across all payers, Dmand AI patient panel data puts Dr. Hegstad's median patient age at 52, with 100% women.

Medicare patients, 202413
Average age68
Average risk score0.60

Dr. Hegstad's Medicare patients by age, 2024

CMS leaves out age groups with fewer than 11 patients.

Dr. Hegstad's patients across all payers

Dmand AI patient panel data covers Medicare, Medicaid and commercial patients.

Patient panel by age, all payers

Median age 52

Patient panel by sex, all payers

  • Women100%
  • Men0%

Sources: Dmand AI Patient Panel Data; and Medicare Physician & Other Practitioners - by Provider (CMS), 2024 data

Dr. Sumiko Joan Hegstad wrote 46 Medicare Part D claims in 2024

In 2024, Dr. Hegstad wrote 46 Medicare Part D claims for 14 patients. 93% of them were for generic drugs. CMS names the drug for 12 of them, across 1 drug with 11 or more claims each, at $61 in total drug cost. In 2023, CMS named 11 claims across 1 drug.

Part D claims, 202446
Drugs named by CMS1
Total drug cost$61
Part D patients14

Dr. Hegstad's Part D claims by kind of drug, 2024

  • Generic43 claims93%
  • Brand-name and other3 claims7%

Dr. Hegstad's most prescribed drugs by claims, 2024

CMS names a drug when it has 11 or more claims. Share is of the claims for drugs CMS names.

Drug classes CMS tracks in Dr. Hegstad's Part D claims, 2024

  • Opioids26%12 of 46 claims
  • Antibiotics41%19 of 46 claims

Share of all Part D claims for each drug class CMS reports on. Classes with no claims are left out.

Part D claims for drugs CMS names, 2023 to 2024

  • 2023
  • 2024
Claims for drugs CMS names
2023: 112024: 129%

Drugs named by CMS: 1 in 2024, 1 in 2023.

See all prescribing by Dr. Hegstad

Sources: Medicare Part D Prescribers - by Provider and Drug (CMS), 2024 data, released May 6, 2026; and Medicare Part D Prescribers - by Provider (CMS), 2024 data

Dr. Sumiko Joan Hegstad scored 87 out of 100 in Medicare's MIPS program for 2024

CMS publishes a Merit-based Incentive Payment System (MIPS) score of 87 out of 100 for Dr. Hegstad for performance year 2024, reported as part of a group. Dr. Hegstad accepts Medicare assignment, so Medicare's approved amount is taken as full payment.

Accepts Medicare assignment
Yes

Dr. Hegstad's MIPS scores, performance year 2024

  • 87of 100Final score
  • 81.3of 100Quality
  • 100of 100Promoting Interoperability
  • 40of 100Improvement Activities
  • 76of 100Cost

Each score is out of 100. The final score weighs the categories CMS scored for this clinician.

Mastectomy: 1 to 10 procedures (CMS shows small counts as a range)

Sources: Doctors and Clinicians National Downloadable File (CMS); Clinician Public Reporting: Overall MIPS Performance (CMS), 2024 data, released September 10, 2026; and Doctors and Clinicians Utilization Data (CMS)

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Dr. Sumiko Joan Hegstad received $2,338 in industry payments from 2016 to 2025

CMS Open Payments shows 25 general payments to Dr. Hegstad from 4 drug and device companies from 2016 to 2025. Food and beverage make up the largest share, 59% of the total. Allergan Inc. paid the most, $1,386.

General payments to Dr. Hegstad by program year, 2016 to 2025

General payments to Dr. Hegstad by kind, 2016 to 2025

$2.3Kin total
  • Food and beverage$1,37959%
  • Travel and lodging$95941%

Companies that paid Dr. Hegstad the most, 2016 to 2025

Share is of all general payments to this clinician.

See all payments to Dr. Hegstad

Source: Open Payments (CMS), 2025 data, released July 7, 2026

Dr. Sumiko Joan Hegstad graduated from University of Louisville School of Medicine

Dr. Hegstad graduated from University of Louisville School of Medicine in 1988.

  1. Medical schoolUniversity of Louisville School of Medicine

Source: Dmand AI Professional Profile Data

Sources for Dr. Sumiko Joan Hegstad's profile data

Sources for the data on this page
Data on this pageSource
NPI, name, sex, specialty and licensesNPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Professional Profile Data
Practice locations and phoneDmand AI Affiliation Data
Primary practice, affiliations and health systemDmand AI Affiliation DataDmand AI Org Hierarchy Data
Medicare patients and the all-payer patient panelDmand AI Patient Panel DataMedicare Physician & Other Practitioners - by Provider (CMS) (opens in a new tab)
Part D prescribingMedicare Part D Prescribers - by Provider and Drug (CMS) (opens in a new tab)Medicare Part D Prescribers - by Provider (CMS) (opens in a new tab)
MIPS scores, telehealth, assignment and procedure percentilesDoctors and Clinicians National Downloadable File (CMS) (opens in a new tab)Clinician Public Reporting: Overall MIPS Performance (CMS) (opens in a new tab)Doctors and Clinicians Utilization Data (CMS) (opens in a new tab)
Industry paymentsOpen Payments (CMS) (opens in a new tab)
Training, board certification and membershipsDmand AI Professional Profile Data
EHR at each practice siteDmand AI Technology Install Data
Similar physiciansDmand AI Affiliation Data

Data last refreshed October 2026Report an inaccuracyRemove my information

FAQ

Frequently asked questions about Dr. Sumiko Joan Hegstad

Spotted something out of date? Email hello@dmand.ai and we will check the record. Contact details live in the free trial.

What is Dr. Sumiko Joan Hegstad's NPI number?

Dr. Sumiko Joan Hegstad's NPI number is 1306870761. It was assigned on July 10, 2006, and it is active in the NPI Registry.

What kind of doctor is Dr. Sumiko Joan Hegstad?

Dr. Sumiko Joan Hegstad is a plastic surgeon in Boise, Idaho. The primary specialty in the NPI Registry is Plastic Surgery Physician (taxonomy code 208200000X).

Where does Dr. Sumiko Joan Hegstad practice?

Dr. Hegstad practices at 190 East Bannock Street, Boise, ID 83712. Dr. Hegstad's primary practice is St. Luke's Boise Medical Center in Boise, Idaho, part of St. Luke's Health System. Dmand AI also links Dr. Hegstad to 1 breast imaging center, 1 physician office and 1 group practice or clinic.

What is Dr. Sumiko Joan Hegstad's office phone number?

The practice phone on file for Dr. Hegstad is (208) 381-2222.

What is Dr. Sumiko Joan Hegstad's medical license number?

Dr. Hegstad holds Idaho license M6778.

Which hospitals is Dr. Sumiko Joan Hegstad affiliated with?

Dr. Hegstad practices at St. Luke's Boise Medical Center in Boise, Idaho.

What medical group is Dr. Sumiko Joan Hegstad part of?

Dr. Hegstad is linked to St. Luke's Health System.

Does Dr. Sumiko Joan Hegstad accept Medicare?

Yes. CMS lists Dr. Hegstad as accepting Medicare assignment.

What is Dr. Sumiko Joan Hegstad's MIPS score?

Dr. Hegstad's MIPS final score for performance year 2024 is 87 out of 100, reported as part of a group.

How many Medicare patients does Dr. Sumiko Joan Hegstad see?

CMS counts 13 Medicare patients who saw Dr. Hegstad in 2024, with an average age of 68.

Show 4 more questionsShow fewer questions

Where did Dr. Sumiko Joan Hegstad go to medical school?

Dr. Hegstad graduated from University of Louisville School of Medicine in 1988.

What drugs does Dr. Sumiko Joan Hegstad prescribe most?

In 2024 Medicare Part D data, Dr. Hegstad's most prescribed drugs by claims were Cephalexin.

Has Dr. Sumiko Joan Hegstad received payments from drug or device companies?

CMS Open Payments shows $2,338 in general payments to Dr. Hegstad from 4 companies from 2016 to 2025. The largest total came from Allergan Inc.

How long has Dr. Sumiko Joan Hegstad been practicing?

Dr. Hegstad graduated from medical school in 1988, 38 years ago.

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