Karen M. Hegmann, MD
NPI 1447281852ActiveIndividual· Family Medicine· Menomonee Falls, WI
Family Medicine (MD) in Menomonee Falls, Wisconsin, trained at Medical College of Wisconsin (class of 1990). Their prescriptions cost Medicare Part D more than their services did: $381,880 for 5,911 claims, against $59,622 paid for services in 2024.
Overview
| NPI | 1447281852 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MD |
| Sole proprietor | No |
| NPI issued | Jul 5, 2006 |
| Last updated in NPPES | Jun 17, 2024 |
| Certified by provider | Jun 17, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | 32544 | WI |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Family Practice (WI) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 138 |
|---|---|
| Services billed | 2,766 across 33 procedure codes |
| Paid by Medicare | $59,622 |
Part D prescriptions in 2024
| Prescriptions (claims) | 5,911 · 14,192 30-day fills |
|---|---|
| Patients | 402 |
| Total drug cost | $381,880 |
| Generic share | 88% of claims |
Education and affiliations
| Medical school | Medical College of Wisconsin |
|---|---|
| Graduation year | 1990 |
| Medicare specialty | Family Practice |
Medical group
- Aurora Advanced Healthcare, Inc.Milwaukee, WI · 1,124 clinicians
Hospital affiliations
- Aurora Medical CenterGrafton, WI
- Aurora Medical Center - SummitSummit, WI
- Aurora Medical Ctr Washington CountyHartford, WI
Other facilities
- Aurora at HomeHospice · Wauwatosa, WI
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 41 family medicine physicians in Menomonee Falls · All family medicine physicians in Wisconsin