JAMES M. HEINRICH M.D.
NPI 1033117619
Orthopaedic Surgery in Evansville, IN
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 and is a graduate of Indiana University School Of Medicine (1973).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 6
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
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.
Medicare Billing Reassignments
2Medicare enrollment records show James Heinrich reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Evansville, IN 47715
- Reassigned Medicare billing, Indiana enrollment
- 31 clinicians in this Medicare group
Bloomington, IN 47403
- Reassigned Medicare billing, Indiana enrollment
- 348 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 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.
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.
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.
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.
Which organizations bill Medicare for James Heinrich's services?
According to the CMS Revalidation Reassignment List (October 2026 release), James Heinrich reassigns Medicare benefits to 2 organizations: Tri-State Orthopaedic Surgeons, Inc. (Evansville, IN) and Orthopaedics-Indianapolis, Inc. (Bloomington, IN). 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 James Heinrich's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does James Heinrich accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield 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.
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.
# James M. Heinrich, M.D. · NPI 1033117619
Orthopaedic Surgery physician in Evansville, Indiana. Individual provider, active in the CMS NPPES registry since July 8, 2005.
## Identity
- **NPI:** 1033117619 (Entity type: Individual)
- **Enumerated:** July 8, 2005
- **Primary specialty:** Orthopaedic Surgery · taxonomy 207X00000X
- **State license:** 1024918 (Indiana)
- **Sole proprietor:** No
## Practice location
- **Address:** 225 CROSS LAKE DR., Evansville, IN 47715-8198
- **Phone:** (812) 477-1558
## 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:** 2 organizations under Medicare reassignment (form CMS-855R): Tri-State Orthopaedic Surgeons, Inc. (NPI 1073501003, Evansville, IN); Orthopaedics-Indianapolis, Inc. (NPI 1194245753, Bloomington, IN) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Indiana University School Of Medicine, class of 1973
## Record status
- **NPPES last updated:** April 27, 2017
- **Other identifiers:** Medicare UPIN D95043 (IN); Other 200009402 (IN); Medicare ID-Type Unspecified 836570D; and 3 more
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Source: [NPI Profile](https://npiprofile.com/npi/1033117619) · Data from the CMS NPPES public registry.