JOHN ALEX HEINTZELMAN M.D.
NPI 1003194739
Family Medicine in Columbiana, OH

Q: What is John Heintzelman's NPI number?

The NPI number for John Heintzelman is 1003194739. It was assigned to this individual provider in the NPPES registry on July 29, 2011.

Q: What is John Heintzelman's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for John Heintzelman was last updated on January 8, 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 July 29, 2011PECOS EnrolledAccepts Medicare Assignment

107 ROYAL BIRKDALE DR STE A, COLUMBIANA, OH 44408(330) 482-9350(330) 482-2336 Get Directions Write a Review

NPPES record last updated: January 8, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 28, 2016, Sep 29, 2015 (2 updates tracked since 2015).

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About John Alex Heintzelman M.d. NPPES

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

JOHN ALEX HEINTZELMAN M.D. (NPI 1003194739) is an individual family medicine provider in Columbiana, Ohio, licensed in Ohio (35123178) and active in the NPI registry since July 2011. He is enrolled in Medicare PECOS, is affiliated with St Elizabeth Youngstown Hospital, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1003194739

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameJOHN ALEX HEINTZELMANCredential: M.D.

Location Address107 ROYAL BIRKDALE DR STE AColumbiana, OH 44408-8493

Mailing Address107 Royal Birkdale Dr Ste AColumbiana, OH 44408-8493 · (330) 482-9350 · Fax (330) 482-2336

Phone(330) 482-9350

Fax(330) 482-2336

Sole ProprietorNo

Medical School CMSNortheastern Ohio University College Of MedicineGraduated 2011

Enumeration DateJuly 29, 2011

Last NPPES UpdateJanuary 8, 20242 updates tracked since enumeration

NPPES CertifiedJanuary 8, 2024

✔ NPI 1003194739 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in OH · 35123178

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

107 ROYAL BIRKDALE DR STE A, Columbiana, OH 44408

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Secondary Practice Locations 3

Location 1225 E State Route 14Columbiana, OH 44408-8490 · Phone (330) 482-2903 · Fax (330) 482-3690

Location 2107 Royal Birkdale Dr Ste AColumbiana, OH 44408-8493 · Phone (330) 482-9350 · Fax (330) 482-2336

Location 38423 Market St Ste 101Boardman, OH 44512-6778 · Phone (330) 729-8700 · Fax (330) 729-8701

Other Identifiers 2

Medicaid0106485OH

OtherH347380OH · Medicare Ptan

Accepted Insurance

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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

John Alex Heintzelman 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 ID7618194176

PECOS Enrollment IDI20140807001113

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.

Areas of Expertise CMS Part B claims 8

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

118 services72 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

88 services65 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

76 services76 patients

Hemoglobin a1c level 83036

Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.

36 services24 patients

Administration of influenza virus vaccine G0008

The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.

33 services31 patients

Influenza vaccine, inactivated 90653

The Influenza vaccine, inactivated, is a shot given to protect against the flu. It contains killed virus particles that help your body build immunity to the flu. It's recommended annually to keep your protection up-to-date. It's safe for ages 6 months and up.

26 services26 patients

Hospital Affiliations CMS Care Compare 3

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

St Elizabeth Youngstown Hospital

Acute Care Hospitals · Youngstown, OH

2/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number360064

Location1044 Belmont AvenueYoungstown, OH 44501 · Mahoning County

Emergency services

Salem Regional Medical Center

Acute Care Hospitals · Salem, OH

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number360185

Location1995 East State StreetSalem, OH 44460 · Columbiana County

Emergency services

Hmhp St Elizabeth Boardman Health Center

Acute Care Hospitals · Boardman, OH

3/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number360276

Location8401 Market StreetBoardman, OH 44512 · Mahoning County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 44408 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

$84.72 typical visit price

range $54.34 – $166.65

Typical copayment $21.18 (range $13.58 – $41.66)

Most-billed visit code 99203

Established Patient

$96.44 typical visit price

range $17.10 – $135.40

Typical copayment $24.11 (range $4.27 – $33.85)

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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

7 suppliers30 claims67 services$4.82 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 9

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

MR. WYNAND NEL MD

Family Medicine