DR. MEGAN NICHOLE HEIL D.O.
NPI 1134354012
Ophthalmology in Goshen, IN

Active since May 21, 2009PECOS EnrolledAccepts Medicare Assignment
90.42/100
CMS Quality Rating
1615 WINSTED DR, GOSHEN, IN 46526(574) 533-8633 Get Directions Write a Review

NPPES record last updated: July 30, 2015. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Dr. Megan Nichole Heil D.o. NPPES

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

DR. MEGAN NICHOLE HEIL D.O. (NPI 1134354012) is an individual ophthalmology provider in Goshen, Indiana, licensed in Indiana (02004590A) and active in the NPI registry since May 2009. She is enrolled in Medicare PECOS, is affiliated with Goshen Hospital, and is a graduate of Kansas City University Of Physicians And Surgeons (2009).

NPPES Registry Identity

NPI1134354012
Entity TypeIndividualFemale
Primary Taxonomy207W00000X
Provider Legal NameDR. MEGAN NICHOLE HEILCredential: D.O.
Location Address1615 WINSTED DRGoshen, IN 46526-4696
Mailing Address8084 E Quiet Harbor DrSyracuse, IN 46567-7522 · (573) 712-8929
Sole ProprietorNo
Medical School CMSKansas City University Of Physicians And SurgeonsGraduated 2009
Enumeration DateMay 21, 2009
Last NPPES UpdateJuly 30, 2015
NPI 1134354012 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License Licensed in IN · 02004590A
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.
1615 WINSTED DR, Goshen, IN 46526

Other Names 1

Former Name (1)Dr. Megan Nichole Bridges Do

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. Megan Nichole Heil D.o. 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 ID7416199922
PECOS Enrollment IDI20150709000093
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.

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.
752 services565 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.
717 services330 patients
Injection, aflibercept, 1 mg J0178
Aflibercept injection is a treatment for certain eye conditions that affect vision. It works by blocking abnormal blood vessel growth and leakage in the eye, which can cause vision loss. The medication is administered directly into the eye by a healthcare professional.
454 services57 patients
Injection of drug into eye 67028
An injection into the eye is a procedure where a medication is delivered directly into your eye to treat various conditions. A local anesthetic is applied to numb the eye, ensuring minimal discomfort. The drug helps manage diseases like macular degeneration or diabetic retinopathy.
439 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.
235 services152 patients
Unclassified biologics J3590
Unclassified biologics are a type of treatment derived from living organisms. They can include a wide range of substances, such as vaccines, blood components, or genes, used to prevent or treat diseases. Each is specifically designed to interact with the body's natural defenses to promote healing.
164 services44 patients

Hospital Affiliations CMS Care Compare

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

Goshen Hospital

Acute Care Hospitals · Goshen, IN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150026
Location200 High Park AveGoshen, IN 46526 · Elkhart County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46526 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
$122.49 typical visit price
range $53.07 – $161.76
Typical copayment $30.62 (range $13.26 – $40.44)
Most-billed visit code 99204
Established Patient
$66.48 typical visit price
range $16.93 – $132.22
Typical copayment $16.62 (range $4.23 – $33.05)
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.

90.42/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Improvement Activities40
Cost68.07

Other Providers at the Same Location NPPES 8

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

Physical Therapist
1615 WINSTED DR
GOSHEN, IN 46526
Physical Therapy Assistant
1615 WINSTED DR, SUITE 3
GOSHEN, IN 46526
Internal Medicine (Gastroenterology)
1615 WINSTED DR, STE 1
GOSHEN, IN 46526
Physical Therapist
1615 WINSTED DR, SUITE 3
GOSHEN, IN 46526
Eyewear Supplier
1615 WINSTED DR
GOSHEN, IN 46526
Internal Medicine (Gastroenterology)
1615 WINSTED DR, STE 1
GOSHEN, IN 46526
Optometrist
1615 WINSTED DR
GOSHEN, IN 46526
Physical Therapy Assistant
1615 WINSTED DR, SUITE 3
GOSHEN, IN 46526

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 Megan Heil's NPI number?

The NPI number for Megan Heil is 1134354012. It was assigned to this individual provider in the NPPES registry on May 21, 2009. The provider is also known as Dr. Megan Nichole Bridges Do.

Where is Megan Heil located?

Megan Heil practices at 1615 Winsted Dr, Goshen, IN 46526. The listed phone number is (574) 533-8633.

What is Megan Heil's specialty?

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

Is Megan Heil enrolled in Medicare?

Yes. Megan Heil 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 Megan Heil accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas, CareSource and Providence Health Plan list Megan Heil 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 Megan Heil affiliated with any hospitals?

According to CMS data, Megan Heil is affiliated with Goshen Hospital.

When was this NPI record last updated?

The NPPES record for Megan Heil was last updated on July 30, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.