NPI registry status
Active
2026 NPPES data Family Medicine Physician NPI 1831159219 PA
Verify on CMS → Kari Hegg, PA
Family Medicine Physician in Edina, Minnesota.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 147,760 in Family Medicine Physician, and covers specialty classification, practice address, and Medicare Part D prescribing data when reported. According to CMS, every field reflects the provider's official federal registration, see our methodology.
Federal data, no proprietary rating.
We show these CMS records as-is - no composite score, no star rating, no editorial opinion layered on top.
Prescribing volume
691
Medicare Part D claims · 333 beneficiaries · Family Medicine Physician avg: 3K
MIPS score
83.5/100
▲ 0 pts above national avg 83.5 · Above neutral
Industry payments
$1.2K
10 payments · CMS Open Payments (Sunshine Act)
What the federal data shows
Kari Hegg, PA reported a CMS MIPS final score of 83.5/100 - above the 83.5 national average - and filed 691 Medicare Part D claims in 2023.
- 83.5/100
- MIPS score · +0 vs avg
- 691
- Part D claims, 2023
- Likely
- board-certified (heuristic)
- ≥39th
- pct among measured MIPS (lower-bound band)
Every figure on this page comes straight from federal CMS records (NPPES, Medicare Part D, MIPS, Open Payments) - no proprietary rating or editorial opinion is applied.
CMS NPPES provider registry desk
NPI 1831159219 · Family Medicine Physician
NPI-10 · ENUM-LEGACY · TAX-MEGA · MIPS-INLINE · RX-LIGHT · BOOK-LIGHT · PHOTO-FINISH
- NPI-10 1831159219
- ENUM-LEGACY 2006
- TAX-MEGA 148K Family Medicine
- MIPS-INLINE 83.5/100
- RX-LIGHT 691
- BOOK-LIGHT 3,827 in Minnesota
- PHOTO-FINISH Debra Bell · ±0.0
MIPS final-score neighbourhood
Same-specialty nationwide peers by CMS final score, not geographic proximity
- Hegg · this prov…
Hegg · this provider
83.5 MIPS pts
- Kurt Fuchs · hig…
Kurt Fuchs
83.5 MIPS pts
- Debra Bell · near
Debra Bell
83.5 MIPS pts
- Claire Berken · …
Claire Berken
83.5 MIPS pts
- Shawn Culey · near
Shawn Culey
83.5 MIPS pts
What this shows Nearest measured MIPS peers for this NUCC specialty (2023 performance year).
Kari Hegg, PA's MIPS score vs every measured U.S. clinician
CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure. Clinicians whose score CMS assigned without scoring any category are excluded.
84 ≥ 39th percentile 39% of 454,083 measured providers are in lower value bands
Each bar is a band; taller bars hold more measured providers. The dashed line + filled bar mark this entry. Hover or tap any bar for its full count, share, and where it sits relative to this entry.
The percentile is a conservative whole-score-point band: it counts only measured clinicians in lower score bands. A CMS MIPS metric is not a recommendation or a clinical-quality rating by PlainDoctor. See methodology § corpus placement.
Source CMS Merit-based Incentive Payment System (MIPS) · 2023
Where Kari Hegg, PA sits
This provider among family medicine physician peers
Across the 21,266 family medicine physician providers who report both Medicare Part D prescribing and a MIPS quality score, Kari Hegg, PA writes more Part D claims than 29% of them and scores higher on MIPS quality than 38% - placing this provider in the lower-volume, lower-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.
Each dot is one family medicine physician peer from a representative sample of 60; the gold marker is Kari Hegg, PA. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
✓
Board certification likely (heuristic, not verified)
Kari Hegg, PA practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 2 hospital affiliations - signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).
What does the federal data show about Kari Hegg, PA?
Near national averagePrimary specialty
Family Medicine Physician
Medicare Part D claims
691 80% vs specialty avg
MIPS final score
83.5/100 0 pts vs avg
Specialty distribution in Minnesota
How Family Medicine Physician compares to other specialties among Minnesota providers
Medicare quality performance, MIPS
Kari Hegg, PA's 2023 MIPS final score plotted against the Family Medicine Physician national average
- MIPS Final Score
- 83.5/100
- vs 83.5 national avg · 2023 performance year
How MIPS and board certification work
The Merit-based Incentive Payment System (MIPS) scores providers 0–100 across four performance categories: Quality, Cost, Promoting Interoperability, and Improvement Activities, weighted under 42 CFR §414.1380. Reporting is voluntary for many small practices, so absence of a MIPS score is not a quality signal.
Board certification through an ABMS or AOA member board signals voluntary post-licensure examination plus continuous Maintenance of Certification cycles. Verify any individual provider's status through certificationmatters.org (ABMS) or osteopathic.org (AOA).
Practice Address
Provider Details
| NPI | 1831159219 |
|---|---|
| Specialty | Family Medicine Physician |
| Credentials | PA |
| Gender | Female |
| NPI Issued | 03/28/2006 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
83.5331
Final Score
Measured-score avg: 83.5
81.7967
Quality
63.3136
Cost
100
Promoting Interoperability
Reporting: Group practice
Hospital and facility affiliations
Facilities where Kari Hegg, PA bills Medicare from. Star ratings (1-5) are CMS Hospital Compare's "Hospital overall rating" - a composite of mortality, readmission, patient experience, safety, timely care, and efficient use of medical imaging measures. Source: CMS Care Compare.
Allina Health System
Minneapolis, MN
Pinnacle Dermatology SC
Excelsior, MN
Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).
Industry payments received (2024) - CMS Open Payments transparency data
The federal Physician Payments Sunshine Act (part of the Affordable Care Act) requires drug and medical-device manufacturers + group purchasing organizations to publicly report payments and other transfers of value to physicians and teaching hospitals. The data below covers 2024 for Kari Hegg, PA. Source: openpaymentsdata.cms.gov.
Total received
$1.2K
Largest payer
Janssen Biotech, Inc.
Most common payment type
Food and Beverage
Industry payments are not necessarily indicators of bias, they include research funding, consulting fees for evidence-based work, royalties for inventions, food at conferences, and similar items. The disclosure exists for transparency. Read our methodology for how we interpret this data.
Medicare Part D Prescribing Data
CMS Medicare Part D prescriber-level data for calendar year 2023.
691
Total Claims
$280K
Total Drug Cost
333
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 819
- Total Day Supply
- 21,243
- Generic Drug Cost
- $26K
- Antibiotic Claims
- 79
Patient Demographics
- Average Patient Age
- 74.1 years
- Avg HCC Risk Score
- 1.09
- Gender Split
- 61% female / 39% male
- Age Distribution
- <65: 26, 65-74: 143, 75-84: 112, 85+: 52
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
What Kari Hegg, PA prescribes most
Top Medicare Part D drugs by claim count, 2023
- Ketoconazole
Ketoconazole
95 claims
- Triamcinolone Acet…
Triamcinolone Acetonide
85 claims
- Clobetasol Propion…
Clobetasol Propionate
69 claims
- Hydrocortisone
Hydrocortisone
67 claims
- Prednisone 36
Prednisone
36 claims
- Doxycycline Hyclate 33
Doxycycline Hyclate
33 claims
- Betamethasone Dipr… 26
Betamethasone Dipropionate
26 claims
- Fluocinonide 23
Fluocinonide
23 claims
| Drug | Claims |
|---|---|
| Ketoconazole | 95 |
| Triamcinolone Acetonide | 85 |
| Clobetasol Propionate | 69 |
| Hydrocortisone | 67 |
| Prednisone | 36 |
| Doxycycline Hyclate | 33 |
| Betamethasone Dipropionate | 26 |
| Fluocinonide | 23 |
| Cephalexin | 21 |
| Finasteride | 21 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Family Medicine Physician Overview
How Kari Hegg, PA fits within the Family Medicine Physician landscape nationally.
147,760
Family Medicine Physician Providers in US
56
States with Family Medicine Physician
3,418
Avg Claims per Provider
Kari Hegg, PA's 691 claims are below the specialty average of 3,418.
Nationwide Family Medicine Physician peers with similar MIPS or enrollment year
Two federal-record peer sets for Hegg, both outside Minnesota so the neighborhoods are not geographic containment.
Similar MIPS final score
Nearest same-specialty clinicians by CMS MIPS final score (83.5 here).
Same NPPES enumeration year (2006)
Same-specialty clinicians who entered the NPI registry in the same calendar year, outside this state.
Nearby Family Medicine Physician Providers in Minnesota
Other clinicians with the same primary specialty enrolled in Minnesota, drawn from the same CMS NPPES roster as Hegg.
One of 3,827 Family Medicine Physician providers enrolled in Minnesota, 5 are shown here.
Dr. Lise Aasheim
M.D.
Albert Lea, MN
Dr. Cherry Abary
D.O.
Eden Prairie, MN
Dr. Jihan Abbott
D.O.
Woodbury, MN
Dr. Mona Abdel-Bary
MBBCH
Fridley, MN
Dr. Yasmin Abdulaya
MD
Saint Cloud, MN
Compare Family Medicine Physician nationally: see state-by-state distribution →
Frequently Asked Questions
What is Kari Hegg, PA's specialty? ▼
Kari Hegg, PA specializes in Family Medicine Physician and practices in Edina, Minnesota. Credentials: PA.
How much does Kari Hegg, PA prescribe under Medicare Part D? ▼
In 2023, Kari Hegg, PA wrote 691 Medicare Part D claims totaling $280K in drug costs for 333 beneficiaries.
What is Kari Hegg, PA's Medicare quality score? ▼
Kari Hegg, PA has a CMS MIPS Final Score of 83.5/100 (Quality: 81.8, Cost: 63.3). The average MIPS Final Score across the 454,083 clinicians with at least one published category score is 83.5; clinicians whose score CMS assigned without scoring any category are excluded from that average. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Kari Hegg, PA located? ▼
Kari Hegg, PA is located at 7373 FRANCE AVE S STE 110, Edina, MN, 55435. Phone: (763) 231-8700.
What is Kari Hegg, PA's NPI number? ▼
Kari Hegg, PA's National Provider Identifier (NPI) is 1831159219, issued on 03/28/2006.
How many Family Medicine Physician providers are there in the US? ▼
There are 147,760 Family Medicine Physician providers across 56 states in the US. The average Family Medicine Physician provider writes 3,418 Medicare Part D claims per year.
What drugs does Kari Hegg, PA prescribe most often? ▼
Based on 2023 Medicare Part D data, Kari Hegg, PA's most frequently prescribed drugs include Ketoconazole, Triamcinolone Acetonide, Clobetasol Propionate. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Kari Hegg, PA accept Medicare? ▼
Kari Hegg, PA appears in CMS Medicare data with 691 Part D claims and 333 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Kari Hegg, PA's credentials? ▼
Kari Hegg, PA's NPI is 1831159219 with credentials PA. You can verify this through the NPPES NPI Registry, check state medical board records, and confirm board certification through the ABMS or AOA.
Data Sources
View source datasets and methodology notes
- Provider Directory
- CMS National Plan and Provider Enumeration System (NPPES), download.cms.gov/nppes, updated monthly. Contains NPI, specialty, credentials, and practice location.
- Specialty Classification
- NUCC Health Care Provider Taxonomy (nucc.org), the industry standard for classifying provider specialties in Medicare and Medicaid billing.
- Prescribing Data
- CMS Medicare Part D Prescriber Public Use File (2023). Includes claims, drug costs, beneficiaries, and opioid prescribing rates.
- Quality Performance
- CMS Merit-based Incentive Payment System (MIPS) - 2023 performance year.
- Limitations
- Provider data is self-reported to CMS. Prescribing data reflects Medicare Part D only and does not include commercial insurance, Medicaid, or cash prescriptions. Claims below 11 beneficiaries are suppressed by CMS for privacy.
See our complete data methodology for details on how we collect and process government data.
Data as of April 2026 (NPPES) / 2023 (Medicare Part D). Source: Centers for Medicare & Medicaid Services (CMS).
Disclaimer: Data from CMS NPPES and Medicare Part D. PlainDoctor does not rate or rank providers. Provider information is self-reported and may not be current. Always verify information directly with the provider. About · Methodology
Every figure on PlainDoctor is rendered directly from the federal CMS NPPES registry, Medicare Part D, MIPS, and Open Payments records, no number is typed in by an editor. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of May 2026.