Heather Elizabeth McDougall, MD
Gastroenterology Physician · Sioux Falls, SD
Heather Elizabeth McDougall, MD is a gastroenterology physician with a practice address in Sioux Falls, South Dakota, and NPI 1396840401, issued on Sep 13, 2006. Check the license (South Dakota 8199, as entered in NPPES) on the South Dakota Board of Medical and Osteopathic Examiners; the Medicare figures below come from public CMS files.
- Name
- Heather Elizabeth McDougall
- Credential
- MD
- Primary taxonomy
- Gastroenterology Physician 207RG0100X
- License numbers
- 8199 SD
47238 MN
Self-reported in NPPES; status is on the state search - Practice location
- 1205 S Grange Ave, Sioux Falls, SD 57105
- Phone
- (605) 328-8500
- Enumerated
- Sep 13, 2006
- Record last updated
- Mar 25, 2022
- Fax
- (605) 328-8501
- Medicare enrollment
- Enrolled (PECOS I20120106000134); accepts Medicare assignment
- Medical or professional school
- Indiana University School Of Medicine, 2001
- Entity
- Type 1 · individual
8 nearest gastroenterology physician records → All 49 in South Dakota → Look up another NPI →
Also registered at 1205 S Grange Ave
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Backer Abdu, MDGastroenterology Physician1306366760
- Mouhanna Abu Ghanimeh, M.D.Gastroenterology Physician1962812982
- Muslim Atiq, M.D.Gastroenterology Physician1548475031
- Lee Austin, M.D.Gastroenterology Physician1306927074
- Barry Bauer, M.D.Pediatrics Physician1831195569
- Robert Behrend, MDInternal Medicine Physician1578569000
Verify Heather Elizabeth McDougall in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersSouth Dakota Board of Medical and Osteopathic Examiners
Search for license 8199Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
83% fewer Medicare Part D claims than the average gastroenterology physician in 2024
137 Medicare Part D claims for 76 beneficiaries, against an average of 811 among the 16,445 providers of this specialty who prescribed in Part D.
Most prescribed
- Ondansetron Hcl49 claims
- Peg 3350-Electrolyte46 claims
- Omeprazole17 claims
Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.
The practice group's MIPS final score for 2023 (Medicare payment program): 76.7 of 100
The Merit-based Incentive Payment System score is reported for the practice group, not for one clinician alone. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.
Source: CMS Quality Payment Program, MIPS performance year 2023, group reporting; category weights for 2023 (qpp.cms.gov).
Industry payments in 2024: $79.99
1 payment: education; the largest payer was Janssen Biotech, Inc. The 13,350 providers of this specialty with any payment received $5,015.95 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.
Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.
Bills Medicare through 2 group practices
- Sanford ClinicSioux Falls, SD
- Sanford Medical CenterSioux Falls, SD
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Heather Elizabeth McDougall among 49 gastroenterology physician records in South Dakota
Heather Elizabeth McDougall, MD is one of 49 gastroenterology physician records with a practice address in South Dakota. 76% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2006, is newer than 14% of them.
- NPI issued2006 · 14% of these records are older, 51% newer
- In a Medicare fileYes · 76% of these records are
- In the CMS Doctors and Clinicians fileYes · 65% of these records are
- Graduated2001 · median 2009 among the 32 with a school on file
- Record last updated2022 · 49% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207RG0100X and a South Dakota practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
Gastroenterology Physician providers in South Dakota
There are 49 gastroenterology physician records in South Dakota.
All 49 in South Dakota → Every provider in Sioux Falls → Gastroenterology Physician nationwide →
The 8 gastroenterology physician records with the nearest ZIP codes
- Muslim Atiq, M.D.Sioux Falls, SD 571051548475031
- Lee Austin, M.D.Sioux Falls, SD 571051306927074
- Brett Baloun, MDSioux Falls, SD 571051245448869
- John Barker, M.D.Sioux Falls, SD 571051063486975
- Edward Burkhalter, M.D.Sioux Falls, SD 571051396708046
- Jorge Gilbert, M.D.Sioux Falls, SD 571051205831377
- Christopher Hurley, M.D.Sioux Falls, SD 571051619972783
- Robert Meyer, M.D.Sioux Falls, SD 571051972551471
Common questions
What is Heather Elizabeth McDougall, MD's NPI number?
Heather Elizabeth McDougall, MD's National Provider Identifier (NPI) is 1396840401, issued on Sep 13, 2006. An NPI identifies a provider in billing; it is not a license.
Where is Heather Elizabeth McDougall, MD located?
The NPPES record lists a practice address at 1205 S Grange Ave, Sioux Falls, SD, 57105. Phone: (605) 328-8500. Providers update this record themselves, so call before visiting.
How can I verify Heather Elizabeth McDougall, MD's license?
NPPES lists South Dakota license number 8199, as entered by the provider. Search the South Dakota Board of Medical and Osteopathic Examiners at https://www.sdbmoe.gov/. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
How much does Heather Elizabeth McDougall, MD prescribe under Medicare Part D?
In 2024, Heather Elizabeth McDougall, MD had 137 Medicare Part D claims for 76 beneficiaries; the average among gastroenterology physician prescribers was 811. Part D covers Medicare prescriptions only.
What is Heather Elizabeth McDougall, MD's MIPS final score?
The 2023 MIPS final score is 76.7 of 100, reported for the practice group. The average among 454,083 clinicians with a measured score was 83.5.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.