JOHN HIEHLE MD
NPI 1013901743
Radiology - Diagnostic Radiology in Upland, PA
About John Hiehle Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JOHN HIEHLE MD (NPI 1013901743) is an individual diagnostic radiology provider in Upland, Pennsylvania, licensed in Pennsylvania (MD042759E) and active in the NPI registry since September 2005. He is enrolled in Medicare PECOS, is affiliated with University Of Mississippi Med Center, and is a graduate of Harvard Medical School (1987).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 3
Accepted 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 Hiehle Md 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.
Medicare Billing Reassignments
4Medicare enrollment records show John Hiehle reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Chester, PA 19013
- Reassigned Medicare billing, Pennsylvania enrollment
- 654 clinicians in this Medicare group
Chester, PA 19013
- Reassigned Medicare billing, Pennsylvania enrollment
- 41 clinicians in this Medicare group
Grenada, MS 38901
- Reassigned Medicare billing, Mississippi enrollment
- 1,932 clinicians in this Medicare group
Port Gibson, MS 39150
- Reassigned Medicare billing, Mississippi enrollment
- 69 clinicians in this Medicare group
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 24
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.
Hospital Affiliations CMS Care Compare 3
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
University Of Mississippi Med Center
Acute Care Hospitals · Jackson, MSMerit Health Madison
Acute Care Hospitals · Canton, MSUniversity Of Mississippi Medical Center- Grenada
Acute Care Hospitals · Grenada, MSPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 19013 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
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.
CHESTER, PA 19013
CHESTER, PA 19013
CHESTER, PA 19013
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 Hiehle's NPI number?
The NPI number for John Hiehle is 1013901743. It was assigned to this individual provider in the NPPES registry on September 8, 2005.
Where is John Hiehle located?
John Hiehle practices at 1 Medical Center Blvd, Upland, PA 19013. The listed phone number is (610) 447-2517.
What is John Hiehle's specialty?
The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.
Is John Hiehle enrolled in Medicare?
Yes. John Hiehle 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 Hiehle's services?
According to the CMS Revalidation Reassignment List (October 2026 release), John Hiehle reassigns Medicare benefits to 4 organizations: Prospect Health Access Network, Inc. (Chester, PA), Southeast Radiology Ltd (Chester, PA), State Of Mississippi-University Of Mississippi Medical Center (Grenada, MS) and Claiborne County Hospital (Port Gibson, MS). 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 Hiehle's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does John Hiehle accept?
Health plans from Molina Healthcare list John Hiehle 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 Hiehle affiliated with any hospitals?
According to CMS data, John Hiehle is affiliated with University Of Mississippi Med Center, Merit Health Madison and University Of Mississippi Medical Center- Grenada.
When was this NPI record last updated?
The NPPES record for John Hiehle was last updated on March 8, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.
# John Hiehle, MD · NPI 1013901743
Diagnostic Radiology physician in Upland, Pennsylvania. Individual provider, active in the CMS NPPES registry since September 8, 2005.
## Identity
- **NPI:** 1013901743 (Entity type: Individual)
- **Enumerated:** September 8, 2005
- **Primary specialty:** Radiology - Diagnostic Radiology · taxonomy 2085R0202X
- **State license:** MD042759E (Pennsylvania)
- **Sole proprietor:** No
## Practice location
- **Address:** 1 MEDICAL CENTER BLVD, Upland, PA 19013-3902
- **Phone:** (610) 447-2517 · **Fax:** (610) 956-0069
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 4 organizations under Medicare reassignment (form CMS-855R): Prospect Health Access Network, Inc. (NPI 1154776797, Chester, PA); Southeast Radiology Ltd (NPI 1790779684, Chester, PA); State Of Mississippi-University Of Mississippi Medical Center (NPI 1932538527, Grenada, MS); Claiborne County Hospital (NPI 1710238324, Port Gibson, MS) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Harvard Medical School, class of 1987
## Record status
- **NPPES last updated:** March 8, 2011
- **Other identifiers:** Medicare UPIN F61051 (PA); Medicare PIN 584435 (PA); Medicaid 1494184 (PA)
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Source: [NPI Profile](https://npiprofile.com/npi/1013901743) · Data from the CMS NPPES public registry.