DAVID G HEIDEMANN MD
NPI 1073504122
Ophthalmology in Southfield, MI

Active since October 28, 2005PECOS EnrolledAccepts Medicare Assignment
80.99/100
CMS Quality Rating
29201 TELEGRAPH RD, SUITE 101, SOUTHFIELD, MI 48034(248) 350-1130(248) 350-2709 Get Directions Write a Review

NPPES record last updated: July 28, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About David G Heidemann Md NPPES

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

DAVID G HEIDEMANN MD (NPI 1073504122) is an individual ophthalmology provider in Southfield, Michigan, licensed in Michigan (4301048651) and active in the NPI registry since October 2005. He is enrolled in Medicare PECOS, is affiliated with Beaumont Hospital Royal Oak, and maintains a secondary practice location in Royal Oak.

NPPES Registry Identity

NPI1073504122
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameDAVID G HEIDEMANNCredential: MD
Location Address29201 TELEGRAPH RD, SUITE 101Southfield, MI 48034-1331
Mailing Address29201 Telegraph Rd, Suite 101Southfield, MI 48034-1331 · (248) 350-1130 · Fax (248) 350-2709
Fax(248) 350-2709
Sole ProprietorYes
Medical School CMSWayne State University School Of MedicineGraduated 1982
Enumeration DateOctober 28, 2005
Last NPPES UpdateJuly 28, 2022
NPPES CertifiedJuly 28, 2022
NPI 1073504122 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License Licensed in MI · 4301048651
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
29201 TELEGRAPH RD, Southfield, MI 48034

Secondary Practice Location 1

Location 13535 W 13 Mile Rd Ste 555Royal Oak, MI 48073-6770 · Phone (248) 551-2020 · Fax (248) 551-2267

Other Identifiers 1

Medicaid1818756MI

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

David G Heidemann 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.

PECOS PAC ID1557265998
PECOS Enrollment IDI20031126000234
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 8

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.
248 services183 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.
62 services51 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.
39 services39 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.
35 services32 patients
Imaging of retina 92134
Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.
30 services29 patients
Ct scan of cornea 92025
A CT scan of the cornea is a non-invasive imaging test that uses X-rays to capture detailed pictures of your eye's cornea. It helps in diagnosing diseases or damage, planning for surgery, or evaluating the results of a treatment. It's a safe and painless procedure.
29 services28 patients

Hospital Affiliations CMS Care Compare

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

Beaumont Hospital Royal Oak

Acute Care Hospitals · Royal Oak, MI
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230130
Location3601 W Thirteen Mile RdRoyal Oak, MI 48073 · Oakland County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48034 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
$134.28 typical visit price
range $58.04 – $177.36
Typical copayment $33.57 (range $14.51 – $44.34)
Most-billed visit code 99204
Established Patient
$72.38 typical visit price
range $18.32 – $143.49
Typical copayment $18.09 (range $4.58 – $35.87)
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.

80.99/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality67.25
Promoting Interoperability100
Improvement Activities40
Cost59.73

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.

Ophthalmology
29201 TELEGRAPH RD, SUITE #606
SOUTHFIELD, MI 48034
Internal Medicine (Cardiovascular Disease)
29201 TELEGRAPH RD, SUITE 460
SOUTHFIELD, MI 48034
Nurse Practitioner
29201 TELEGRAPH RD, SUITE 404
SOUTHFIELD, MI 48034
Ophthalmology
29201 TELEGRAPH RD, SUITE 606
SOUTHFIELD, MI 48034
Internal Medicine (Cardiovascular Disease)
29201 TELEGRAPH RD
SOUTHFIELD, MI 48034
Specialist
29201 TELEGRAPH RD, SUITE 500
SOUTHFIELD, MI 48034
Social Worker (Clinical)
29201 TELEGRAPH RD, SUITE 550
SOUTHFIELD, MI 48034
Urology
29201 TELEGRAPH RD, SUITE 460
SOUTHFIELD, MI 48034

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 David Heidemann's NPI number?

The NPI number for David Heidemann is 1073504122. It was assigned to this individual provider in the NPPES registry on October 28, 2005.

Where is David Heidemann located?

David Heidemann practices at 29201 Telegraph Rd Suite 101, Southfield, MI 48034. The listed phone number is (248) 350-1130.

What is David Heidemann's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is David Heidemann enrolled in Medicare?

Yes. David Heidemann 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 David Heidemann accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, McLaren Health Plan Community and Priority Health list David Heidemann 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 David Heidemann affiliated with any hospitals?

According to CMS data, David Heidemann is affiliated with Beaumont Hospital Royal Oak.

When was this NPI record last updated?

The NPPES record for David Heidemann was last updated on July 28, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.