DR. ADAM JAMES HEISINGER D.O.
NPI 1144460296
Orthopaedic Surgery in Tigard, OR

Active since March 03, 2009PECOS EnrolledAccepts Medicare Assignment
71.93/100
CMS Quality Rating
7300 SW CHILDS RD STE B, TIGARD, OR 97224(503) 692-8700 Get Directions Write a Review

NPPES record last updated: December 19, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Dec 19, 2024, Jan 20, 2021, Mar 17, 2018 and 1 more (4 updates tracked since 2017).

About Dr. Adam James Heisinger D.o. NPPES

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

DR. ADAM JAMES HEISINGER D.O. (NPI 1144460296) is an individual orthopaedic surgery provider in Tigard, Oregon, licensed in Oregon (DO187093) and active in the NPI registry since March 2009. He is enrolled in Medicare PECOS, is affiliated with Providence St Vincent Medical Center, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1144460296
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameDR. ADAM JAMES HEISINGERCredential: D.O.
Location Address7300 SW CHILDS RD STE BTigard, OR 97224-7772
Mailing AddressPo Box 3290La Grande, OR 97850-7290 · (541) 963-8421 · Fax (541) 963-1476
Sole ProprietorYes
Medical School CMSDes Moines University Of Osteopathic Medicine And Health SciencesGraduated 2008
Enumeration DateMarch 3, 2009
Last NPPES UpdateDecember 19, 20244 updates tracked since enumeration
NPPES CertifiedDecember 19, 2024
NPI 1144460296 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
Licenses Licensed in OR · DO187093 Licensed in OH · 58-002720 Licensed in VA · 0102202485
Definition

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

7300 SW CHILDS RD STE B, Tigard, OR 97224

Secondary Practice Locations 2

Location 12952 Veterans Blvd SEMassillon, OH 44646-9611 · Phone (330) 832-8761 · Fax (330) 834-4786
Location 21501 Maple Ave Ste 200Richmond, VA 23226-2553 · Phone (804) 285-2300 · Fax (804) 288-8240

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. Adam James Heisinger 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 ID1658591862
PECOS Enrollment IDI20181004003085
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 8

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.

Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
336 services28 patients
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.
97 services58 patients
Aspiration and/or injection of fluid large joint using ultrasound guidance 20611
This procedure involves using ultrasound technology to accurately locate a large joint, usually the knee or shoulder. A needle is then inserted to either extract fluid (aspiration) or inject medication. The ultrasound helps ensure precision and safety.
55 services38 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.
32 services32 patients
X-ray of knee, 4 or more views 73564
An X-ray of the knee, 4 or more views, is a non-invasive imaging test. It involves capturing multiple images of your knee from different angles. This helps in diagnosing conditions such as fractures, arthritis, or infections. The procedure is quick and painless.
30 services24 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
24 services18 patients

Hospital Affiliations CMS Care Compare 3

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

Providence St Vincent Medical Center

Acute Care Hospitals · Portland, OR
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number380004
Location9205 SW Barnes RoadPortland, OR 97225 · Washington County
Emergency services Birthing friendly

Providence Willamette Falls Medical Center

Acute Care Hospitals · Oregon City, OR
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number380038
Location1500 Division StreetOregon City, OR 97045 · Clackamas County
Emergency services Birthing friendly

Legacy Meridian Park Medical Center

Acute Care Hospitals · Tualatin, OR
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number380089
Location19300 SW 65th AvenueTualatin, OR 97062 · Washington County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97224 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
$90.51 typical visit price
range $58.99 – $176.88
Typical copayment $22.62 (range $14.74 – $44.22)
Most-billed visit code 99203
Established Patient
$73.28 typical visit price
range $19.32 – $144.79
Typical copayment $18.32 (range $4.83 – $36.19)
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.

71.93/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality90.53
Promoting Interoperability100
Improvement Activities40
Cost10

Other Providers at the Same Location NPPES 2

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

Physician Assistant (Medical)
7300 SW CHILDS RD STE B
TIGARD, OR 97224
Physician Assistant
7300 SW CHILDS RD STE B
TIGARD, OR 97224

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 Adam Heisinger's NPI number?

The NPI number for Adam Heisinger is 1144460296. It was assigned to this individual provider in the NPPES registry on March 3, 2009.

Where is Adam Heisinger located?

Adam Heisinger practices at 7300 SW Childs Rd Ste B, Tigard, OR 97224. The listed phone number is (503) 692-8700.

What is Adam Heisinger's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Adam Heisinger enrolled in Medicare?

Yes. Adam Heisinger 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 Adam Heisinger accept?

Health plans from BridgeSpan Health Company, Providence Health Plan and Regence BlueCross BlueShield of Oregon list Adam Heisinger 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 Adam Heisinger affiliated with any hospitals?

According to CMS data, Adam Heisinger is affiliated with Providence St Vincent Medical Center, Providence Willamette Falls Medical Center and Legacy Meridian Park Medical Center.

When was this NPI record last updated?

The NPPES record for Adam Heisinger was last updated on December 19, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.