DR. PETER HEIDBRINK M.D.
NPI 1124071956
Internal Medicine - Pulmonary Disease in Dallas, TX

Active since May 19, 2006PECOS EnrolledAccepts Medicare Assignment
221 W COLORADO BLVD STE 525, DALLAS, TX 75208(214) 960-5681(214) 960-5681 Get Directions Write a Review

NPPES record last updated: April 23, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 23, 2024, Jan 18, 2019, Jul 5, 2017 (3 updates tracked since 2017).

About Dr. Peter Heidbrink M.d. NPPES

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

DR. PETER HEIDBRINK M.D. (NPI 1124071956) is an individual pulmonary disease provider in Dallas, Texas, licensed in Texas (E1869) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Baylor Scott & White Medical Center At Irving, and is a graduate of Baylor College Of Medicine (1973).

NPPES Registry Identity

NPI1124071956
Entity TypeIndividualMale
Primary Taxonomy207RP1001X
Provider Legal NameDR. PETER HEIDBRINKCredential: M.D.
Location Address221 W COLORADO BLVD STE 525Dallas, TX 75208-2312
Mailing Address221 W Colorado Blvd Ste 525Dallas, TX 75208-2312 · (214) 960-5681 · Fax (214) 960-5681
Fax(214) 960-5681
Sole ProprietorNo
Medical School CMSBaylor College Of MedicineGraduated 1973
Enumeration DateMay 19, 2006
Last NPPES UpdateApril 23, 20243 updates tracked since enumeration
NPPES CertifiedApril 23, 2024
NPI 1124071956 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 TX · E1869
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.
221 W COLORADO BLVD STE 525, Dallas, TX 75208

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. Peter Heidbrink 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 ID9537292354
PECOS Enrollment IDI20100730000648
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 4

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.
349 services241 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.
128 services108 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.
37 services37 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
23 services23 patients

Hospital Affiliations CMS Care Compare 3

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

Baylor Scott & White Medical Center At Irving

Acute Care Hospitals · Irving, TX
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450079
Location1901 N Macarthur BlvdIrving, TX 75061 · Dallas County
Emergency services Birthing friendly

Baylor Scott & White Medical Center- Waxahachie

Acute Care Hospitals · Waxahachie, TX
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450372
Location2400 N Interstate Highway 35EWaxahachie, TX 75165 · Ellis County
Emergency services Birthing friendly

Baylor Scott & White Medical Center Grapevine

Acute Care Hospitals · Grapevine, TX
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450563
Location1650 W College StGrapevine, TX 76051 · Tarrant County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75208 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
$131.01 typical visit price
range $57.18 – $172.86
Typical copayment $32.75 (range $14.29 – $43.21)
Most-billed visit code 99204
Established Patient
$100.80 typical visit price
range $18.48 – $141.20
Typical copayment $25.20 (range $4.62 – $35.30)
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.

Reported Quality Measures

Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
91%295 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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
14 suppliers40 claims40 services$32.11 avg. paid by Medicare
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable A7003
DME-Other DME · category DE000N
3 suppliers13 claims26 services$1.31 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
11 suppliers27 claims27 services$78.40 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
11 suppliers37 claims85 services$30.18 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
8 suppliers21 claims118 services$17.00 avg. paid by Medicare
Pillow for use on nasal cannula type interface, replacement only, pair A7033
DME-Other DME · category DE001N
5 suppliers16 claims92 services$13.67 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.

Internal Medicine (Pulmonary Disease)
221 W COLORADO BLVD STE 525
DALLAS, TX 75208
Psychiatry & Neurology (Neurocritical Care)
221 W COLORADO BLVD STE 525
DALLAS, TX 75208
Physician Assistant
221 W COLORADO BLVD STE 525
DALLAS, TX 75208
Nurse Practitioner (Acute Care)
221 W COLORADO BLVD STE 525
DALLAS, TX 75208
Nurse Practitioner (Acute Care)
221 W COLORADO BLVD STE 525
DALLAS, TX 75208
Nurse Practitioner (Acute Care)
221 W COLORADO BLVD STE 525
DALLAS, TX 75208
Nurse Practitioner (Acute Care)
221 W COLORADO BLVD STE 525
DALLAS, TX 75208
Nurse Practitioner (Acute Care)
221 W COLORADO BLVD STE 525
DALLAS, TX 75208

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 Peter Heidbrink's NPI number?

The NPI number for Peter Heidbrink is 1124071956. It was assigned to this individual provider in the NPPES registry on May 19, 2006.

Where is Peter Heidbrink located?

Peter Heidbrink practices at 221 W Colorado Blvd Ste 525, Dallas, TX 75208. The listed phone number is (214) 960-5681.

What is Peter Heidbrink's specialty?

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

Is Peter Heidbrink enrolled in Medicare?

Yes. Peter Heidbrink 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 Peter Heidbrink accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 3 other insurers list Peter Heidbrink 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 Peter Heidbrink affiliated with any hospitals?

According to CMS data, Peter Heidbrink is affiliated with Baylor Scott & White Medical Center At Irving, Baylor Scott & White Medical Center- Waxahachie and Baylor Scott & White Medical Center Grapevine.

When was this NPI record last updated?

The NPPES record for Peter Heidbrink was last updated on April 23, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.