Physician Profile
Based in Sioux Falls, SD, Heather E. McDougall, MD is listed in the NPI registry under gastroenterology. Heather graduated from Indiana University School of Medicine in 2001. Heather is also listed as specializing in internal medicine. Medicare claims data shows Heather provided 247 services to 239 patients. The services billed most often include initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes, biopsy of large bowel using a flexible endoscope, and biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope.
Summarised automatically from public NPI registry and CMS Medicare data. Not written or reviewed by this provider. Claim this profile to replace it.
License numbers are what the provider reported to NPPES when the NPI was issued or updated. NPPES does not verify licensure; confirm current standing with the state licensing board.
Exactly as CMS reports it (National Downloadable File, Opt-Out Affidavits, Order & Referring). Not an insurance directory; confirm coverage with the office.
1205 S GRANGE AVE SUITE 104
Sioux Falls, SD 57105
Within Gastroenterology generally. Availability varies by clinician, training and location — this profile has not been claimed, so nothing here is a personal claim by the provider.
Most searched conditions
Biliary and pancreas
Colon and anorectal
Esophagus and swallowing
Functional bowel and motility
Liver
Stomach and duodenum
Bowel & Colon
Digestive Symptoms
Gallbladder & Bile Ducts
Most searched procedures
Lower endoscopy
Upper endoscopy
Capsule and physiology testing
Diagnostic Testing
Liver procedures
Treatments
247 services · 239 patients · 7 distinct codes
| Procedure | Type | Code | Services | Compared with peers |
|---|---|---|---|---|
| Biopsy of large bowel using a flexible endoscope | Procedure | 45380 |
49 | As often as other peers in Gastroenterology |
| Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | Procedure | 43239 |
35 | Less often than most peers in Gastroenterology |
| Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope | Procedure | 43235 |
31 | More often than most peers in Gastroenterology |
| Removal of polyps or growths of large bowel using an endoscope with mechanical snare | Procedure | 45385 |
28 | Less often than most peers in Gastroenterology |
| Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | Office visit | 99222 |
68 | More often than most peers in Gastroenterology |
| Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes | Office visit | 99221 |
19 | As often as other peers in Gastroenterology |
| Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | Office visit | 99232 |
17 | Less often than most peers in Gastroenterology |
Source: CMS Medicare public data. Shows how often procedures were billed — not quality of care or patient satisfaction.
Dr. McDougall is a gastroenterologist in Sioux Falls, SD. That is the designation recorded for this NPI in the federal registry, where it is listed as “Gastroenterology”.
NPI registry
Dr. McDougall is listed at 1205 S Grange Ave Suite 104, Sioux Falls, SD 57105. Addresses come from the NPI registry and can lag a move, so confirm before travelling.
NPI registry
The number on file is (605) 328-8500. Guide.md cannot book appointments or pass on messages — please call the office directly.
NPI registry
Dr. McDougall's National Provider Identifier is 1396840401. It is issued by the Centers for Medicare & Medicaid Services and is unique and permanent — it does not change if they move practice.
NPI registry
Dr. McDougall attended Indiana University School of Medicine, graduating in 2001. This comes from the CMS National Downloadable File.
CMS public data
Dr. McDougall has 25 years experience. Calculated from a graduation year of 2001, reported in the CMS National Downloadable File.
CMS public data
According to Medicare billing data, Dr. McDougall performs procedures including biopsy of large bowel using a flexible endoscope, biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope and diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope, alongside routine visits and testing. This reflects Medicare patients only and is billing volume, not a measure of quality.
Medicare claims
Not yet. This profile is built from public federal data and has not been confirmed by Dr. McDougall. If this is you, claiming it is free.
Guide.md
Provider data sourced from the NPPES NPI Registry and CMS public datasets. Information is provided for reference and is not medical advice.