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DR. CATHERINE BOOTH HEILMAN M.D.
NPI 1114956018
Family Medicine in East Berlin, PA

Active since July 02, 2006PECOS EnrolledAccepts Medicare Assignment
105 4TH ST # 727, EAST BERLIN, PA 17316(717) 812-4900(717) 255-0951 Get Directions Write a Review

NPPES record last updated: January 12, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jan 12, 2026, Jun 15, 2021, Jul 14, 2016 (3 updates tracked since 2016).

About Dr. Catherine Booth Heilman M.d. NPPES

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

DR. CATHERINE BOOTH HEILMAN M.D. (NPI 1114956018) is an individual family medicine provider in East Berlin, Pennsylvania, licensed in Pennsylvania (MD054335L) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS, is affiliated with Wellspan York Hospital, and is a graduate of University Of Maryland School Of Medicine (1992).

NPPES Registry Identity

NPI1114956018
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. CATHERINE BOOTH HEILMANCredential: M.D.
Location Address105 4TH ST # 727East Berlin, PA 17316-9638
Mailing Address601 Memory LnYork, PA 17402-2231 · (717) 851-1405
Phone(717) 812-4900
Fax(717) 255-0951
Sole ProprietorNo
Medical School CMSUniversity Of Maryland School Of MedicineGraduated 1992
Enumeration DateJuly 2, 2006
Last NPPES UpdateJanuary 12, 20263 updates tracked since enumeration
NPPES CertifiedJanuary 12, 2026
✔ NPI 1114956018 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in PA · MD054335L
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
105 4TH ST # 727, East Berlin, PA 17316
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Other Names 1

Former Name (1)Catherine Marie Booth

Other Identifiers 14

Medicaid001737729PA
OtherP002799PA · Gateway-wmg
Other1143591PA · Amerihealth Mercy-wmg
Other252754PA · Unison-wmg Cfa
Other412838PA · Highmark Blue Shield
Other542309MD · Carefirst Md Bcbs
Other30152923PA · Amerihealth Caritas Pa - Wmg - Thfpc
Other50081477PA · Capital Blue Cross-wmg Cfa
Other267513PA · Mamsi-wmg
Other95950PA · Unison-wmg
Other029745PA · Johns Hopkins
Other1060501PA · Capital Blue Cross-wmg
Other55945PA · Geisinger
Other5820236PA · Aetna

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Catherine Booth Heilman 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 ID3577593573
PECOS Enrollment IDI20050819000048
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Catherine Heilman reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Wellspan Medical Group
Same address
Family Medicine
105 4TH ST # 727
East Berlin, PA 17316
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 3,080 clinicians in this Medicare group
NPI 1649348525 (717) 812-4900
York Hospital
14 mi
Clinic/Center
605 S GEORGE ST, SUITE 200
York, PA 17403
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 272 clinicians in this Medicare group
NPI 1497814040 (717) 851-2334

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

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.
508 services281 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
100 services98 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
97 services95 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.
74 services67 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
35 services28 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
25 services25 patients

Hospital Affiliations CMS Care Compare 4

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

Wellspan York Hospital

Acute Care Hospitals · York, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390046
Location1001 South George StreetYork, PA 17403 · York County
Emergency services Birthing friendly

Gettysburg Hospital

Acute Care Hospitals · Gettysburg, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390065
Location147 Gettys StreetGettysburg, PA 17325 · Adams County
Emergency services Birthing friendly

Wellspan Chambersburg Hospital

Acute Care Hospitals · Chambersburg, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390151
Location112 North Seventh StreetChambersburg, PA 17201 · Franklin County
Emergency services Birthing friendly

Upmc Hanover

Acute Care Hospitals · Hanover, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390233
Location300 Highland AveHanover, PA 17331 · York County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 17316 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
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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 15

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
7 suppliers33 claims79 services$6.11 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
4 suppliers26 claims32 services$0.95 avg. paid by Medicare
Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each A4385
DME-Orthotic Devices · category DF010N
1 supplier12 claims240 services$4.65 avg. paid by Medicare
Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, 4 x 4 inches or smaller, each A4409
DME-Orthotic Devices · category DF010N
1 supplier12 claims240 services$5.50 avg. paid by Medicare
Ostomy pouch, drainable; for use on barrier with non-locking flange, with filter (2 piece system), each A4425
DME-Orthotic Devices · category DF010N
1 supplier12 claims240 services$3.46 avg. paid by Medicare
Skin barrier; solid, 6 x 6 or equivalent, each A5121
DME-Orthotic Devices · category DF010N
1 supplier12 claims240 services$6.33 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 3

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

STEPHANIE JANE ELLWOOD DO
Family Medicine
105 4TH ST # 727
EAST BERLIN, PA 17316
Adams County (717) 812-4900
DR. RACHEL BENELLI MARKEY
Family Medicine
105 4TH ST # 727
EAST BERLIN, PA 17316
Adams County (717) 812-4900
WELLSPAN MEDICAL GROUP
Family Medicine
105 4TH ST # 727
EAST BERLIN, PA 17316
Adams County (717) 812-4900

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 Catherine Heilman's NPI number?

The NPI number for Catherine Heilman is 1114956018. It was assigned to this individual provider in the NPPES registry on July 2, 2006. The provider is also known as Catherine Marie Booth.

Where is Catherine Heilman located?

Catherine Heilman practices at 105 4th St # 727, East Berlin, PA 17316. The listed phone number is (717) 812-4900.

What is Catherine Heilman's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Catherine Heilman enrolled in Medicare?

Yes. Catherine Heilman 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.

Which organizations bill Medicare for Catherine Heilman's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Catherine Heilman reassigns Medicare benefits to 2 organizations: Wellspan Medical Group (East Berlin, PA) and York Hospital (York, PA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Catherine Heilman's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Catherine Heilman affiliated with any hospitals?

According to CMS data, Catherine Heilman is affiliated with Wellspan York Hospital, Gettysburg Hospital, Wellspan Chambersburg Hospital and Upmc Hanover.

When was this NPI record last updated?

The NPPES record for Catherine Heilman was last updated on January 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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.