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

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: October 25, 2026.

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

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
Open in Google Maps ↗

Secondary Practice Locations 3

Location 1225 E State Route 14Columbiana, OH 44408-8490 · Phone (330) 482-2903 · Fax (330) 482-3690
Location 28423 Market St Ste 101Boardman, OH 44512-6778 · Phone (330) 729-8700 · Fax (330) 729-8701
Location 3107 Royal Birkdale Dr Ste AColumbiana, OH 44408-8493 · Phone (330) 482-9350 · Fax (330) 482-2336

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, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignments

2

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

Mercy Health Physicians Youngstown Specialty Care LLC
16 mi
Dentist
1044 BELMONT AVE
Youngstown, OH 44504
  • Reassigned Medicare billing, Ohio enrollment
  • 744 clinicians in this Medicare group
NPI 1609544055 (330) 746-7211
Mercy Health Physicians Youngstown, LLC
16 mi
Family Medicine
1044 BELMONT AVE
Youngstown, OH 44504
  • Reassigned Medicare billing, Ohio enrollment
  • 374 clinicians in this Medicare group
NPI 1154636066 (330) 746-7211

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 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
107 ROYAL BIRKDALE DR STE A
COLUMBIANA, OH 44408
Columbiana County (330) 482-9350
MERCY HEALTH PHYSICIANS YOUNGSTOWN SPECIALTY CARE LLC
Durable Medical Equipment & Medical Supplies (Customized Equipment)
107 ROYAL BIRKDALE DR STE A
COLUMBIANA, OH 44408
Columbiana County (330) 482-9350
DAVID NICHOLAS BAER DPM
Podiatrist (Primary Podiatric Medicine)
107 ROYAL BIRKDALE DR STE A
COLUMBIANA, OH 44408
Columbiana County (330) 482-9350
MERCY HEALTH PHYSICIANS YOUNGSTOWN LLC
Durable Medical Equipment & Medical Supplies
107 ROYAL BIRKDALE DR STE A
COLUMBIANA, OH 44408
Columbiana County (330) 482-9350
MR. ALBERT J GUARNIERI PT
Physical Therapist
107 ROYAL BIRKDALE DR STE A
COLUMBIANA, OH 44408
Columbiana County (330) 482-9350
MATTHEW MICHAEL NARDUCCI DPM
Podiatrist (Primary Podiatric Medicine)
107 ROYAL BIRKDALE DR STE A
COLUMBIANA, OH 44408
Columbiana County (330) 482-9350
THOMAS R TIMKO M.D.
Internal Medicine
107 ROYAL BIRKDALE DR STE A
COLUMBIANA, OH 44408
Columbiana County (330) 482-9350
MS. LORI JEAN GRENICH MS, MSN, RN, CNP
Nurse Practitioner (Adult Health)
107 ROYAL BIRKDALE DR STE A
COLUMBIANA, OH 44408
Columbiana County (330) 482-9350

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 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.

Where is John Heintzelman located?

John Heintzelman practices at 107 Royal Birkdale Dr Ste A, Columbiana, OH 44408. The listed phone number is (330) 482-9350.

What is John Heintzelman's specialty?

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

Is John Heintzelman enrolled in Medicare?

Yes. John Heintzelman 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 John Heintzelman's services?

According to the CMS Revalidation Reassignment List (October 2026 release), John Heintzelman reassigns Medicare benefits to 2 organizations: Mercy Health Physicians Youngstown Specialty Care LLC (Youngstown, OH) and Mercy Health Physicians Youngstown, LLC (Youngstown, OH). 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 John Heintzelman's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does John Heintzelman accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and Antidote Health Plan of Ohio, Inc. and 5 other insurers list John Heintzelman 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 John Heintzelman affiliated with any hospitals?

According to CMS data, John Heintzelman is affiliated with St Elizabeth Youngstown Hospital, Salem Regional Medical Center and Hmhp St Elizabeth Boardman Health Center.

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.