ANDREW D VANDERHEYDEN M.D.
NPI 1093925679
Pathology - Anatomic Pathology & Clinical Pathology in Dubuque, IA

Q: What is Andrew Vanderheyden's NPI number?

The NPI number for Andrew Vanderheyden is 1093925679. It was assigned to this individual provider in the NPPES registry on May 23, 2007.

Q: What is Andrew Vanderheyden's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Anatomic Pathology & Clinical Pathology, with taxonomy code 207ZP0102X.

Active since May 23, 2007PECOS EnrolledAccepts Medicare Assignment

92.85/100

CMS Quality Rating

350 N GRANDVIEW AVE, DUBUQUE, IA 52001(563) 589-2431(563) 556-0986 Get Directions Write a Review

NPPES record last updated: October 26, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Andrew D Vanderheyden M.d. NPPES

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

ANDREW D VANDERHEYDEN M.D. (NPI 1093925679) is an individual anatomic pathology & clinical pathology provider in Dubuque, Iowa, licensed in Iowa (38130) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS, is affiliated with Midwest Medical Center, and is a graduate of University Of Wisconsin School Of Medicine (2004).

NPPES Registry Identity

NPI1093925679

Entity TypeIndividualMale

Primary Taxonomy207ZP0102X

Provider Legal NameANDREW D VANDERHEYDENCredential: M.D.

Location Address350 N GRANDVIEW AVEDubuque, IA 52001-6388

Mailing Address1026 A Ave NeCedar Rapids, IA 52402-5036 · (319) 369-7002 · Fax (319) 369-8095

Phone(563) 589-2431

Fax(563) 556-0986

Sole ProprietorNo

Medical School CMSUniversity Of Wisconsin School Of MedicineGraduated 2004

Enumeration DateMay 23, 2007

Last NPPES UpdateOctober 26, 2020

NPPES CertifiedOctober 26, 2020

✔ NPI 1093925679 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPathology · Anatomic Pathology & Clinical PathologyAllopathic & Osteopathic Physicians

Taxonomy Code207ZP0102X

Licenses✔ Licensed in IA · 38130✔ Licensed in OH · 35090920

Definition

A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.

350 N GRANDVIEW AVE, Dubuque, IA 52001

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Other Identifiers 1

OtherMD-38130IA · Iowa License Number

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter from NH Healthy Families, Ambetter from Sunflower Health Plan 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

Andrew D Vanderheyden 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 ID4082763768

PECOS Enrollment IDI20090529000222

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 17

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.

Pathology examination of tissue using a microscope, intermediate complexity 88305

A pathology examination of tissue with intermediate complexity involves studying a small sample of your body tissue under a microscope. This helps in identifying any abnormal cells or signs of disease. It's a detailed process requiring expert analysis to ensure accurate results.

2,317 services1,242 patients

Special stained specimen slides to examine tissue, each additional procedure 88341

Special stained specimen slides are used to analyze tissue in detail. In this process, extra procedures may be needed for a more thorough examination. These involve applying special stains to the tissue on slides, enhancing specific elements for closer study.

673 services164 patients

Special stained specimen slides to examine tissue, initial procedure 88342

This procedure involves the use of specially stained slides to examine tissue samples. The initial process involves obtaining a small tissue sample from your body. This sample is then placed on a slide and stained with special dyes to highlight different structures and elements. The stained slide is then examined under a microscope to help diagnose any potential health issues.

281 services215 patients

Pathology examination of specimen during surgery, first tissue block 88331

A pathology examination during surgery involves the immediate analysis of a removed tissue sample. This helps the surgeon make decisions during your operation. The "first tissue block" refers to the initial sample examined. It's a vital step to ensure your health.

195 services138 patients

Pathology examination of tissue using a microscope, moderately high complexity 88307

A pathology examination of tissue with moderate complexity involves a detailed study of a small tissue sample from your body. Using a microscope, experts analyze the tissue's structure and cells to identify any abnormalities. This helps in diagnosing various health conditions accurately.

157 services93 patients

Cell examination of specimen, concentration technique 88108

Cell examination of a specimen using a concentration technique is a lab process that enhances the detection of cells in a sample. This method helps to focus on key areas of the sample, making it easier to spot abnormalities or changes. It's a crucial part of diagnosing and monitoring certain health conditions.

142 services131 patients

Evaluation of fine needle aspirate with interpretation and report 88173

This procedure involves using a thin needle to collect a small sample from an abnormal area or lump. The sample is then examined under a microscope to identify any potential issues. A report of the findings is provided for further analysis.

107 services71 patients

Pathology examination of tissue using a microscope, moderately low complexity 88304

A pathology examination of tissue, moderately low complexity, involves studying a small sample of your body tissue under a microscope. It helps to identify any abnormal cells or diseases. It's a routine procedure, not complex, and provides crucial insights for your diagnosis.

94 services91 patients

Microscopic genetic analysis of tumor, using computer-assisted technology 88361

Microscopic genetic analysis of a tumor uses advanced computer technology to examine the genetic makeup of the tumor cells. This helps to understand the tumor better and tailor a treatment plan. It's a non-invasive procedure and provides valuable insights for your healthcare team.

94 services25 patients

Evaluation of fine needle aspirate 88172

Evaluation of fine needle aspirate is a diagnostic procedure where a thin needle is used to collect cells from a lump or mass. This sample is then examined under a microscope to determine the nature of the lump, whether it's benign (non-cancerous) or malignant (cancerous).

77 services63 patients

Special stained specimen slides to identify organisms including interpretation and report 88312

This service involves coloring specimen slides in a special way to help identify organisms. The colors make different parts of the organism stand out. Afterward, a detailed interpretation and report on the findings are provided.

62 services40 patients

Pap test, evaluation of fine needle aspirate, immediate, each additional evaluation episode 88177

A Pap test is a procedure that checks for abnormal cells in the body, which could indicate a serious condition. The evaluation of a fine needle aspirate is a process where a small sample is taken with a thin needle for examination. This can be done multiple times for a thorough analysis.

58 services19 patients

Preparation of tissue for examination by removing any calcium present 88311

This procedure involves treating tissue samples to remove any calcium, which can interfere with the examination. The tissue is soaked in a special solution that safely dissolves the calcium, leaving the tissue intact for accurate analysis. This helps in making precise diagnoses.

55 services45 patients

Special stained specimen slides to examine tissue including interpretation and report 88313

Special stained specimen slides are used to examine tissue samples. This involves applying special dyes to the tissue, which helps to highlight certain features under a microscope. The findings are then interpreted and a report is provided. This can aid in diagnosing various health conditions.

39 services23 patients

Surgical pathology, gross and microscopic examinations, for prostate needle biopsy, any method G0416

This procedure involves taking a small tissue sample from your gland located beneath your bladder. The sample is then examined under a microscope by a pathologist to check for any abnormalities or diseases. This is a standard method to ensure your well-being.

23 services23 patients

Blood smear interpretation by physician with written report 85060

Blood smear interpretation is a lab test where your doctor examines a sample of your blood under a microscope. They look for abnormalities in your blood cells which can help diagnose various conditions. You'll receive a written report of the findings.

13 services12 patients

Protein measurement, serum 84165

A serum protein measurement is a blood test that determines the levels of proteins in your blood. It is used to evaluate your overall health, and diagnose nutritional problems, kidney disease, liver disease, or immune disorders.

12 services12 patients

Hospital Affiliations CMS Care Compare 5

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

Midwest Medical Center

Critical Access Hospitals · Galena, IL

OwnershipVoluntary non-profit - Private

CMS Certification Number141302

Location1 Medical Center DriveGalena, IL 61036 · Jo Daviess County

Emergency services

St Lukes Hospital

Acute Care Hospitals · Cedar Rapids, IA

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number160045

Location1026 A Ave NECedar Rapids, IA 52402 · Linn County

Emergency services Birthing friendly

Allen Hospital

Acute Care Hospitals · Waterloo, IA

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number160110

Location1825 Logan AvenueWaterloo, IA 50703 · Black Hawk County

Emergency services Birthing friendly

Finley Hospital

Acute Care Hospitals · Dubuque, IA

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number160117

Location350 North Grandview AvenueDubuque, IA 52001 · Dubuque County

Emergency services Birthing friendly

Grant Regional Health Center

Critical Access Hospitals · Lancaster, WI

OwnershipVoluntary non-profit - Private

CMS Certification Number521322

Location507 S Monroe StLancaster, WI 53813 · Grant County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 52001 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

$122.23 typical visit price

range $52.96 – $161.40

Typical copayment $30.55 (range $13.24 – $40.35)

Most-billed visit code 99204

Established Patient

$94.05 typical visit price

range $16.91 – $131.98

Typical copayment $23.51 (range $4.22 – $32.99)

Most-billed visit code 99214

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.

92.85/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

85.71

Improvement Activities

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.

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