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JAMES M. HEINRICH M.D.
NPI 1033117619
Orthopaedic Surgery in Evansville, IN

Active since July 08, 2005PECOS EnrolledAccepts Medicare Assignment
59.5/100
CMS Quality Rating
225 CROSS LAKE DR., EVANSVILLE, IN 47715(812) 477-1558 Get Directions Write a Review

NPPES record last updated: April 27, 2017. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About James M. Heinrich M.d. NPPES

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

JAMES M. HEINRICH M.D. (NPI 1033117619) is an individual orthopaedic surgery provider in Evansville, Indiana, licensed in Indiana (1024918) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS, is affiliated with Ascension St Vincent Evansville, and is a graduate of Indiana University School Of Medicine (1973).

NPPES Registry Identity

NPI1033117619
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameJAMES M. HEINRICHCredential: M.D.
Location Address225 CROSS LAKE DR.Evansville, IN 47715-8198
Mailing Address225 Cross Lake Dr.Evansville, IN 47715-8198 · (812) 477-1558
Phone(812) 477-1558
Sole ProprietorNo
Medical School CMSIndiana University School Of MedicineGraduated 1973
Enumeration DateJuly 8, 2005
Last NPPES UpdateApril 27, 2017
✔ NPI 1033117619 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License✔ Licensed in IN · 1024918
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
225 CROSS LAKE DR., Evansville, IN 47715
Open in Google Maps ↗

Other Identifiers 6

Medicare UPIND95043IN
Other200009402IN · Rr Medicare
Medicare ID-Type Unspecified836570D
Medicaid100242370AIN
Other000000108304IN · Anthem
Other181210IN · Healthlink

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

James M. Heinrich 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 ID749175784
PECOS Enrollment IDI20100315000516
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 3

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.

Computer-assisted surgery for muscle and bone procedure 20985
Computer-assisted surgery for muscle and bone procedures involves using a computer to aid in planning and performing surgery. This technology helps increase precision, reduce invasiveness, and improve outcomes. It's commonly used in orthopedic surgeries like joint replacements.
27 services27 patients
Replacement of knee joint, both sides of knee 27447
A bilateral knee joint replacement is a procedure where the damaged parts of both your knee joints are replaced with artificial parts. It aims to relieve pain and improve mobility. The process involves a surgical operation under anesthesia.
26 services25 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.
12 services12 patients

Hospital Affiliations CMS Care Compare

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

Ascension St Vincent Evansville

Acute Care Hospitals · Evansville, IN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150100
Location3700 Washington AveEvansville, IN 47750 · Vanderburgh County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 47715 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
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
Established Patient
$66.48 typical visit price
range $16.93 – $132.22
Typical copayment $16.62 (range $4.23 – $33.05)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

59.5/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality44.58
Promoting Interoperability38
Improvement Activities40
Cost72.08

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 James Heinrich's NPI number?

The NPI number for James Heinrich is 1033117619. It was assigned to this individual provider in the NPPES registry on July 8, 2005.

Where is James Heinrich located?

James Heinrich practices at 225 Cross Lake Dr., Evansville, IN 47715. The listed phone number is (812) 477-1558.

What is James Heinrich's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is James Heinrich enrolled in Medicare?

Yes. James Heinrich 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.

What insurance does James Heinrich accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and CareSource list James Heinrich 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 James Heinrich affiliated with any hospitals?

According to CMS data, James Heinrich is affiliated with Ascension St Vincent Evansville.

When was this NPI record last updated?

The NPPES record for James Heinrich was last updated on April 27, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.