DR. JEREMY JAMES HEFFNER M.D.
NPI 1053628172
Surgery in Lima, OH

Active since September 10, 2010PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
1003 BELLEFONTAINE AVE, SUITE 125, LIMA, OH 45804(419) 998-8207(419) 998-8216 Get Directions Write a Review

NPPES record last updated: January 4, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jan 4, 2021, Dec 29, 2020, Sep 17, 2020 and 2 more (5 updates tracked since 2016).

About Dr. Jeremy James Heffner M.d. NPPES

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

DR. JEREMY JAMES HEFFNER M.D. (NPI 1053628172) is an individual surgery provider in Lima, Ohio, licensed in Ohio (35.120664) and active in the NPI registry since September 2010. He is enrolled in Medicare PECOS, is affiliated with Lima Memorial Health System, and is a graduate of University Of Cincinnati College Of Medicine (2006).

NPPES Registry Identity

NPI1053628172
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameDR. JEREMY JAMES HEFFNERCredential: M.D.
Location Address1003 BELLEFONTAINE AVE, SUITE 125Lima, OH 45804-2868
Mailing Address1001 Bellefontaine AveLima, OH 45804-2800 · (419) 998-4575 · Fax (419) 998-4586
Fax(419) 998-8216
Sole ProprietorNo
Medical School CMSUniversity Of Cincinnati College Of MedicineGraduated 2006
Enumeration DateSeptember 10, 2010
Last NPPES UpdateJanuary 4, 20215 updates tracked since enumeration
NPPES CertifiedJanuary 4, 2021
NPI 1053628172 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
Licenses Licensed in OH · 35.120664 Licensed in OH · 57.012489 Licensed in MI · 4301098147
Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Also ListedSurgery · Surgical Critical CareTaxonomy 2086S0102X · License 4301098147 (MI), 35.120664 (OH)
1003 BELLEFONTAINE AVE, Lima, OH 45804

Accepted 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

Dr. Jeremy James Heffner 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 ID8628225059
PECOS Enrollment IDI20130626000532
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 11

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.

Destruction of first incompetent vein of arm or leg using radiofrequency and imaging guidance 36475
This procedure involves using radiofrequency energy, a type of heat energy, to close off an unhealthy vein in your arm or leg. Imaging guidance helps ensure precise targeting of the vein. This helps improve blood flow by rerouting it through healthier veins.
136 services29 patients
Ultrasound study of arm or leg veins with compression and maneuvers 93970
An ultrasound study of arm or leg veins with compression and maneuvers is a non-invasive procedure that uses sound waves to create images of your veins. This helps identify blood clots or other vein problems. During the procedure, pressure is applied to the veins and certain movements are performed to assess blood flow.
56 services42 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.
56 services47 patients
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.
50 services46 patients
Ultrasound study of one arm or leg veins with compression and maneuvers 93971
This is a non-invasive procedure using sound waves to visualize veins in an arm or leg. It involves applying gentle pressure and performing certain movements. It helps identify any abnormal blood flow or clots, ensuring vascular health.
19 services14 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.
19 services19 patients

Hospital Affiliations CMS Care Compare

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

Lima Memorial Health System

Acute Care Hospitals · Lima, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number360009
Location1001 Bellefontaine AvenueLima, OH 45804 · Allen County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45804 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
$68.07 typical visit price
range $17.10 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
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.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored

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.

Physician Assistant
1003 BELLEFONTAINE AVE, SUITE 125
LIMA, OH 45804
Pharmacist
1003 BELLEFONTAINE AVE
LIMA, OH 45804
Nurse Anesthetist, Certified Registered
1003 BELLEFONTAINE AVE
LIMA, OH 45804
Surgery (Vascular Surgery)
1003 BELLEFONTAINE AVE, SUITE 150
LIMA, OH 45804
Nurse Anesthetist, Certified Registered
1003 BELLEFONTAINE AVE
LIMA, OH 45804
Surgery (Vascular Surgery)
1003 BELLEFONTAINE AVE, SUITE 150
LIMA, OH 45804
Orthopaedic Surgery
1003 BELLEFONTAINE AVE, SUITE 100
LIMA, OH 45804
Pharmacist
1003 BELLEFONTAINE AVE
LIMA, OH 45804

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 Jeremy Heffner's NPI number?

The NPI number for Jeremy Heffner is 1053628172. It was assigned to this individual provider in the NPPES registry on September 10, 2010.

Where is Jeremy Heffner located?

Jeremy Heffner practices at 1003 Bellefontaine Ave Suite 125, Lima, OH 45804. The listed phone number is (419) 998-8207.

What is Jeremy Heffner's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Jeremy Heffner enrolled in Medicare?

Yes. Jeremy Heffner 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 Jeremy Heffner accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, CareSource and MedMutual and 1 other insurer list Jeremy Heffner 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 Jeremy Heffner affiliated with any hospitals?

According to CMS data, Jeremy Heffner is affiliated with Lima Memorial Health System.

When was this NPI record last updated?

The NPPES record for Jeremy Heffner was last updated on January 4, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.