DR. KIRK PHILLIP HEITMAN M.D.
NPI 1003041849
Pathology - Anatomic Pathology & Clinical Pathology in Lexington, KY

Q: What is Kirk Heitman's NPI number?

The NPI number for Kirk Heitman is 1003041849. It was assigned to this individual provider in the NPPES registry on May 22, 2009.

Q: What is Kirk Heitman's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Anatomic Pathology & Clinical Pathology, with taxonomy code 207ZP0102X.

Q: When was this NPI record last updated?

The NPPES record for Kirk Heitman was last updated on August 6, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since May 22, 2009PECOS EnrolledAccepts Medicare Assignment

800 ROSE ST, MS117, LEXINGTON, KY 40536(859) 257-1446 Get Directions Write a Review

NPPES record last updated: August 6, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

On this page

About Dr. Kirk Phillip Heitman M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. KIRK PHILLIP HEITMAN M.D. (NPI 1003041849) is an individual anatomic pathology & clinical pathology provider in Lexington, Kentucky, licensed in New Jersey (25MA09992400) and active in the NPI registry since May 2009. He is enrolled in Medicare PECOS, is affiliated with Robert Wood Johnson University Hospital - Somerset, and is a graduate of Other (2008).

NPPES Registry Identity

NPI1003041849

Entity TypeIndividualMale

Primary Taxonomy207ZP0102X

Provider Legal NameDR. KIRK PHILLIP HEITMANCredential: M.D.

Location Address800 ROSE ST, MS117Lexington, KY 40536-0298

Mailing Address800 Rose St, Ms117Lexington, KY 40536-0298 · (859) 257-1446

Phone(859) 257-1446

Sole ProprietorNo

Medical School CMSOtherGraduated 2008

Enumeration DateMay 22, 2009

Last NPPES UpdateAugust 6, 2024

NPPES CertifiedAugust 6, 2024

✔ NPI 1003041849 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPathology · Anatomic Pathology & Clinical PathologyAllopathic & Osteopathic Physicians

Taxonomy Code207ZP0102X

Licenses✔ Licensed in NJ · 25MA09992400✔ Licensed in KY · 47049

Definition

A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.

Also ListedPathology · CytopathologyTaxonomy 207ZC0500X · License 25MA09992400 (NJ), 47049 (KY)

800 ROSE ST, Lexington, KY 40536

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter of Tennessee.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Kirk Phillip Heitman M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3870718596

PECOS Enrollment IDI20210428000724

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

Medicare enrollment records show Kirk Heitman reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Digestive Healthcare Center PA

558 mi

Specialist

511 COURTYARD DR, BUILDING 500
Hillsborough, NJ 08844

Reassigned Medicare billing, New Jersey enrollment
37 clinicians in this Medicare group

NPI 1255318085 (908) 218-9222

Rutgers Health-Rwj Pediatric Critical Care

565 mi

Anesthesiology

125 PATERSON ST STE 5123
New Brunswick, NJ 08901

Reassigned Medicare billing, New Jersey enrollment
492 clinicians in this Medicare group

NPI 1063420776 (732) 235-7246

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 15

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Pathology examination of tissue using a microscope, intermediate complexity 88305

A pathology examination of tissue with intermediate complexity involves studying a small sample of your body tissue under a microscope. This helps in identifying any abnormal cells or signs of disease. It's a detailed process requiring expert analysis to ensure accurate results.

846 services274 patients

Special stained specimen slides to examine tissue including interpretation and report 88313

Special stained specimen slides are used to examine tissue samples. This involves applying special dyes to the tissue, which helps to highlight certain features under a microscope. The findings are then interpreted and a report is provided. This can aid in diagnosing various health conditions.

308 services118 patients

Special stained specimen slides to examine tissue, each additional procedure 88341

Special stained specimen slides are used to analyze tissue in detail. In this process, extra procedures may be needed for a more thorough examination. These involve applying special stains to the tissue on slides, enhancing specific elements for closer study.

185 services50 patients

Special stained specimen slides to identify organisms including interpretation and report 88312

This service involves coloring specimen slides in a special way to help identify organisms. The colors make different parts of the organism stand out. Afterward, a detailed interpretation and report on the findings are provided.

140 services115 patients

Pathology examination of tissue using a microscope, intermediate complexity 88305

118 services76 patients

Special stained specimen slides to examine tissue, initial procedure 88342

This procedure involves the use of specially stained slides to examine tissue samples. The initial process involves obtaining a small tissue sample from your body. This sample is then placed on a slide and stained with special dyes to highlight different structures and elements. The stained slide is then examined under a microscope to help diagnose any potential health issues.

82 services68 patients

Pathology examination of tissue using a microscope, moderately low complexity 88304

A pathology examination of tissue, moderately low complexity, involves studying a small sample of your body tissue under a microscope. It helps to identify any abnormal cells or diseases. It's a routine procedure, not complex, and provides crucial insights for your diagnosis.

39 services33 patients

Preparation of tissue for examination by removing any calcium present 88311

This procedure involves treating tissue samples to remove any calcium, which can interfere with the examination. The tissue is soaked in a special solution that safely dissolves the calcium, leaving the tissue intact for accurate analysis. This helps in making precise diagnoses.

31 services26 patients

Cell examination of body fluid, smears 88104

Cell examination of body fluid, or smear, is a laboratory test where a sample of your body fluid is taken. It's then thinly spread on a glass slide and examined under a microscope to check for abnormalities. This can help diagnose various health conditions.

28 services27 patients

Pathology examination of tissue using a microscope, moderately high complexity 88307

A pathology examination of tissue with moderate complexity involves a detailed study of a small tissue sample from your body. Using a microscope, experts analyze the tissue's structure and cells to identify any abnormalities. This helps in diagnosing various health conditions accurately.

28 services16 patients

Special stained specimen slides to examine tissue including interpretation and report 88313

28 services16 patients

Screening examination of specimen cells, extended study 88162

A screening examination of specimen cells, extended study, is a detailed analysis of a sample of cells from your body. This test helps identify any abnormalities or changes in your cells that might indicate a health concern. It's a preventive measure to catch potential issues early.

16 services15 patients

Evaluation of fine needle aspirate with interpretation and report 88173

This procedure involves using a thin needle to collect a small sample from an abnormal area or lump. The sample is then examined under a microscope to identify any potential issues. A report of the findings is provided for further analysis.

16 services13 patients

Evaluation of fine needle aspirate 88172

Evaluation of fine needle aspirate is a diagnostic procedure where a thin needle is used to collect cells from a lump or mass. This sample is then examined under a microscope to determine the nature of the lump, whether it's benign (non-cancerous) or malignant (cancerous).

14 services11 patients

Surgical pathology, gross and microscopic examinations, for prostate needle biopsy, any method G0416

This procedure involves taking a small tissue sample from your gland located beneath your bladder. The sample is then examined under a microscope by a pathologist to check for any abnormalities or diseases. This is a standard method to ensure your well-being.

13 services13 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Robert Wood Johnson University Hospital - Somerset

Acute Care Hospitals · Somerville, NJ

1/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number310048

Location110 Rehill AveSomerville, NJ 08876 · Somerset County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40536 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$122.77 typical visit price

range $52.76 – $162.27

Typical copayment $30.69 (range $13.19 – $40.56)

Most-billed visit code 99204

Established Patient

$93.94 typical visit price

range $16.53 – $131.99

Typical copayment $23.48 (range $4.13 – $32.99)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. JEREMY WAYNE THACKER M.D.

Radiology (Diagnostic Radiology)

800 ROSE ST, HX-302 UKMC
LEXINGTON, KY 40536

Fayette County (859) 257-4457

HARISH RAM MD

Anesthesiology

800 ROSE ST
LEXINGTON, KY 40536

Fayette County (859) 323-5956

MS. YVONNE P RICE APRN NP-C

Nurse Practitioner (Family)

800 ROSE ST
LEXINGTON, KY 40536

Fayette County (859) 218-1779

VANESSA D. SMITH MD

Pathology (Anatomic Pathology)

800 ROSE ST
LEXINGTON, KY 40536

Fayette County (859) 323-6183

JASMINE HOWARD APRN

Nurse Practitioner (Acute Care)

800 ROSE ST, MN604
LEXINGTON, KY 40536

Fayette County (859) 323-6047

MITCHELL ALEXANDER MIGUEL M.D.

Hospitalist

800 ROSE ST
LEXINGTON, KY 40536

Fayette County (859) 323-6047

LEAH RAY YEAGER APRN

Nurse Practitioner (Family)

800 ROSE ST, CC417
LEXINGTON, KY 40536

Fayette County (859) 257-1223

KEESHA OVEE WATTS CRNA

Nurse Anesthetist, Certified Registered

800 ROSE ST
LEXINGTON, KY 40536

Fayette County (859) 323-5956

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kirk Heitman's NPI number?

The NPI number for Kirk Heitman is 1003041849. It was assigned to this individual provider in the NPPES registry on May 22, 2009.

Where is Kirk Heitman located?

Kirk Heitman practices at 800 Rose St Ms117, Lexington, KY 40536. The listed phone number is (859) 257-1446.

What is Kirk Heitman's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Anatomic Pathology & Clinical Pathology, with taxonomy code 207ZP0102X.

Is Kirk Heitman enrolled in Medicare?

Yes. Kirk Heitman is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Kirk Heitman's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kirk Heitman reassigns Medicare benefits to 2 organizations: Digestive Healthcare Center PA (Hillsborough, NJ) and Rutgers Health-Rwj Pediatric Critical Care (New Brunswick, NJ). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kirk Heitman's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kirk Heitman accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan and Ambetter of Tennessee list Kirk Heitman as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Kirk Heitman affiliated with any hospitals?

According to CMS data, Kirk Heitman is affiliated with Robert Wood Johnson University Hospital - Somerset.

When was this NPI record last updated?

The NPPES record for Kirk Heitman was last updated on August 6, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.