STEPHEN J HEYMAN MD
NPI 1104820760
Internal Medicine - Pulmonary Disease in Nashville, TN

Active since June 10, 2005PECOS Enrolled
300 20TH AVE N, 9TH FLOOR, NASHVILLE, TN 37203(615) 284-1400(615) 284-1348 Get Directions Write a Review

NPPES record last updated: September 6, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Stephen J Heyman Md NPPES

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

STEPHEN J HEYMAN MD (NPI 1104820760) is an individual pulmonary disease provider in Nashville, Tennessee, licensed in Tennessee (16996) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1104820760
Entity TypeIndividualMale
Primary Taxonomy207RP1001X
Provider Legal NameSTEPHEN J HEYMANCredential: MD
Location Address300 20TH AVE N, 9TH FLOORNashville, TN 37203-2131
Mailing Address300 20th Ave N, Ste 403Nashville, TN 37203-5180 · (615) 284-7261 · Fax (615) 284-7501
Fax(615) 284-1348
Sole ProprietorNo
Enumeration DateJune 10, 2005
Last NPPES UpdateSeptember 6, 2018
NPI 1104820760 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
License Licensed in TN · 16996
Definition
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
300 20TH AVE N, Nashville, TN 37203

Other Identifiers 4

Other110054564TN · Rr Medicare
Other3065360TN · Blue Cross Blue Shield
Other4129154TN · Aetna
Medicaid3052529TN

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 (PECOS)

Stephen J Heyman Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 6

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.
119 services106 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.
92 services70 patients
Sleep study in sleep lab with continuous airway pressure (6 years or older) 95811
A sleep study in a sleep lab with continuous airway pressure is a test for individuals aged 6 and above. It monitors your sleep patterns to check for disorders like sleep apnea. Continuous airway pressure helps keep your airways open while you sleep, improving your breathing.
18 services16 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.
18 services18 patients
Sleep study in sleep lab (6 years or older) 95810
A sleep study in a sleep lab is a non-invasive overnight test that monitors your body while you sleep. It helps doctors understand your sleep patterns and identify any issues like sleep apnea or insomnia. You'll be connected to equipment that tracks your heart rate, brain waves, breathing, and movements.
17 services17 patients
Sleep study including heart rate, breathing, airflow, and effort 95806
A sleep study monitors your heart rate, breathing patterns, airflow, and physical effort while you sleep. It helps identify sleep disorders by tracking your sleep stages and cycles. This data aids doctors in diagnosing and treating sleep-related issues.
14 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37203 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
$121.80 typical visit price
range $52.64 – $160.89
Typical copayment $30.45 (range $13.16 – $40.22)
Most-billed visit code 99204
Established Patient
$93.60 typical visit price
range $16.72 – $131.41
Typical copayment $23.40 (range $4.18 – $32.85)
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.

Referred Medical Equipment & Supplies CMS DME claims 23

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
23 suppliers160 claims160 services$33.97 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
24 suppliers110 claims110 services$79.92 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
22 suppliers109 claims275 services$30.13 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
19 suppliers144 claims814 services$16.83 avg. paid by Medicare
Pillow for use on nasal cannula type interface, replacement only, pair A7033
DME-Other DME · category DE001N
17 suppliers57 claims323 services$12.94 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
27 suppliers213 claims213 services$48.18 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Psychiatry & Neurology (Neurology)
300 20TH AVE N, SUITE 600
NASHVILLE, TN 37203
Nurse Practitioner
300 20TH AVE N, SUITE G4
NASHVILLE, TN 37203
Physician Assistant
300 20TH AVE N, 7TH FLOOR
NASHVILLE, TN 37203
Anesthesiology
300 20TH AVE N
NASHVILLE, TN 37203
Specialist
300 20TH AVE N, SUITE 106
NASHVILLE, TN 37203
Nurse Practitioner
300 20TH AVE N, STE 301
NASHVILLE, TN 37203
Internal Medicine (Sleep Medicine)
300 20TH AVE N, SUITE G-8
NASHVILLE, TN 37203
Nurse Practitioner (Women's Health)
300 20TH AVE N, SUITE 102
NASHVILLE, TN 37203

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 Stephen Heyman's NPI number?

The NPI number for Stephen Heyman is 1104820760. It was assigned to this individual provider in the NPPES registry on June 10, 2005.

Where is Stephen Heyman located?

Stephen Heyman practices at 300 20th Ave N 9th Floor, Nashville, TN 37203. The listed phone number is (615) 284-1400.

What is Stephen Heyman's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Stephen Heyman enrolled in Medicare?

Yes. Stephen Heyman is registered in the Medicare PECOS enrollment system.

What insurance does Stephen Heyman accept?

Health plans from Blue Cross and Blue Shield of Alabama and Oscar Insurance Company list Stephen Heyman 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 Stephen Heyman was last updated on September 6, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.