Hesham Elmergawy, M.D
NPI 1811246176 · Rheumatology Physician · Eugene, OR
Enrolled with Medicare as Practitioner - Internal Medicine · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Hesham Elmergawy, M.D is a Rheumatology Physician provider in Eugene, OR (NPI 1811246176).
Provider details
- NPI number
- 1811246176
- Entity type
- Individual
- Primary specialty
- Rheumatology PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D
- Sex
- Male
- Sole proprietor
- No
- License
- 036.160907 (IL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
13 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
3 documented practice locations
- Medicare service volume (vs. specialty peers)25% of score
224 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 164 | $124 |
| New Patient Office Or Other Outpatient Visit With Moderate Level of Medical Decision Making, If Using Time, 45 Minutes Or More99204 | 33 | $161 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 27 | $88 |
Typical Medicare-allowed amounts for these services range $88–$161 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 8 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Methotrexate Sodiumbrand: Methotrexate | 77 | 41 |
| Hydroxychloroquine Sulfate | 73 | 31 |
| Prednisone | 62 | 34 |
| Mycophenolate Mofetil | 18 | — |
| Leflunomide | 16 | — |
| Allopurinol | 15 | — |
| Etanerceptbrand: Enbrel Sureclick | 14 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$464 across 16 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Additional practice locations (2)
- 1801 W Taylor StChicago, IL 60612-4795Phone: (312) 413-5569
- 1007 Harlow Rd Ste 210Springfield, OR 97477-7126Phone: (541) 741-0387
Registry dates
- Enumerated
- 2012-09-02
- Last updated
- 2026-05-07
- Certified
- 2026-05-07
Frequently asked questions
- What is Hesham Elmergawy's NPI number?
- Hesham Elmergawy's National Provider Identifier (NPI) is 1811246176, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Hesham Elmergawy's specialty?
- Hesham Elmergawy is listed in the NPPES registry with a primary specialty of Rheumatology Physician (Allopathic & Osteopathic Physicians).
- Where is Hesham Elmergawy located?
- Hesham Elmergawy's practice location on file with NPPES is 1650 Chambers St, Eugene, OR 97402-3636.
- What is Hesham Elmergawy's phone number?
- The practice phone number listed in the NPPES registry for Hesham Elmergawy is (541) 686-1711.
- Does Hesham Elmergawy accept Medicare?
- Hesham Elmergawy is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Hesham Elmergawy's NPI active?
- Yes — Hesham Elmergawy's NPI (1811246176) is active in the NPPES registry as of the last update on 2026-05-07.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.