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JOHN BRADFIELD HEINRICH M.D.
NPI 1053526533
Orthopaedic Surgery in Dallas, TX

Active since May 10, 2007PECOS EnrolledAccepts Medicare Assignment
12222 N CENTRAL EXPY STE 130, DALLAS, TX 75243(214) 265-3260(214) 265-3261 Get Directions Write a Review

NPPES record last updated: August 11, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 11, 2023, Nov 29, 2021 (2 updates tracked since 2021).

About John Bradfield Heinrich M.d. NPPES

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

JOHN BRADFIELD HEINRICH M.D. (NPI 1053526533) is an individual orthopaedic surgery provider in Dallas, Texas, licensed in Texas (M4142) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS, is affiliated with Baylor Scott And White Medical Center Uptown, and is a graduate of Indiana University School Of Medicine (2003).

NPPES Registry Identity

NPI1053526533
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameJOHN BRADFIELD HEINRICHCredential: M.D.
Location Address12222 N CENTRAL EXPY STE 130Dallas, TX 75243-3758
Mailing AddressPo Box 676928Dallas, TX 75267-6928 · (214) 265-3260 · Fax (972) 294-3343
Phone(214) 265-3260
Fax(214) 265-3261
Sole ProprietorNo
Medical School CMSIndiana University School Of MedicineGraduated 2003
Enumeration DateMay 10, 2007
Last NPPES UpdateAugust 11, 20232 updates tracked since enumeration
NPPES CertifiedAugust 11, 2023
✔ NPI 1053526533 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
Licenses✔ Licensed in TX · M4142✔ Licensed in IN · 01064754A
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.
12222 N CENTRAL EXPY STE 130, Dallas, TX 75243
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Other Identifiers 3

Medicaid204220202TX
Medicaid204220203TX
Other8AD834TX · Bcbs

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections 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 Bradfield 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 ID7618043787
PECOS Enrollment IDI20090528000266
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 10

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.
266 services147 patients
Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
219 services110 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
184 services110 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
141 services140 patients
X-ray of knee, 4 or more views 73564
An X-ray of the knee, 4 or more views, is a non-invasive imaging test. It involves capturing multiple images of your knee from different angles. This helps in diagnosing conditions such as fractures, arthritis, or infections. The procedure is quick and painless.
124 services94 patients
X-ray of shoulder, minimum of 2 views 73030
An X-ray of the shoulder, with a minimum of 2 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of your shoulder bones. This helps in diagnosing conditions like fractures, arthritis, or other abnormalities. The procedure is quick and painless.
62 services43 patients

Hospital Affiliations CMS Care Compare 2

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

Baylor Scott And White Medical Center Uptown

Acute Care Hospitals · Dallas, TX
OwnershipProprietary
CMS Certification Number450422
Location2727 East Lemmon Avenue Building IDallas, TX 75204 · Dallas County
Emergency services

Methodist Hospital For Surgery

Acute Care Hospitals · Addison, TX
4/5 CMS rating
OwnershipProprietary
CMS Certification Number670073
Location17101 Dallas ParkwayAddison, TX 75001 · Dallas County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75243 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
$88.19 typical visit price
range $57.18 – $172.86
Typical copayment $22.04 (range $14.29 – $43.21)
Most-billed visit code 99203
Established Patient
$71.28 typical visit price
range $18.48 – $141.20
Typical copayment $17.82 (range $4.62 – $35.30)
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.

Other Providers at the Same Location NPPES 3

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

HILLTOP ORTHOPEDICS AND SPORTS
Orthopaedic Surgery
12222 N CENTRAL EXPY STE 130
DALLAS, TX 75243
Dallas County (214) 265-3260
SVH HEALTHCARE PLLC
Anesthesiology
12222 N CENTRAL EXPY STE 130
DALLAS, TX 75243
Dallas County (214) 335-4055
DR. PAUL DOMINIC SAADI MD
Orthopaedic Surgery
12222 N CENTRAL EXPY STE 130
DALLAS, TX 75243
Dallas County (214) 324-2471

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 Heinrich's NPI number?

The NPI number for John Heinrich is 1053526533. It was assigned to this individual provider in the NPPES registry on May 10, 2007.

Where is John Heinrich located?

John Heinrich practices at 12222 N Central Expy Ste 130, Dallas, TX 75243. The listed phone number is (214) 265-3260.

What is John Heinrich's specialty?

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

Is John Heinrich enrolled in Medicare?

Yes. John 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 John Heinrich accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 4 other insurers list John 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 John Heinrich affiliated with any hospitals?

According to CMS data, John Heinrich is affiliated with Baylor Scott And White Medical Center Uptown and Methodist Hospital For Surgery.

When was this NPI record last updated?

The NPPES record for John Heinrich was last updated on August 11, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.