DR. JACQUELINE HEDER MIMS MD
NPI 1154310043
Obstetrics & Gynecology in Winston-salem, NC

Q: What is Jacqueline Mims's NPI number?

The NPI number for Jacqueline Mims is 1154310043. It was assigned to this individual provider in the NPPES registry on October 14, 2005. The provider is also known as Jacqueline Marie Heder MD.

Q: What is Jacqueline Mims's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Q: When was this NPI record last updated?

The NPPES record for Jacqueline Mims was last updated on November 17, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.

Active since October 14, 2005PECOS EnrolledAccepts Medicare Assignment

91.1/100

CMS Quality Rating

2927 LYNDHURST AVE, WINSTON-SALEM, NC 27103(336) 765-9350(336) 760-4255 Get Directions Write a Review

NPPES record last updated: November 17, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Jacqueline Heder Mims Md NPPES

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

DR. JACQUELINE HEDER MIMS MD (NPI 1154310043) is an individual obstetrics & gynecology provider in Winston-salem, North Carolina, licensed in North Carolina (9800639) and active in the NPI registry since October 2005. She is enrolled in Medicare PECOS, is affiliated with Novant Health Forsyth Medical Center, and is a graduate of University Of North Carolina At Chapel Hill School Of Medicine (1994).

NPPES Registry Identity

NPI1154310043

Entity TypeIndividualFemale

Primary Taxonomy207V00000X

Provider Legal NameDR. JACQUELINE HEDER MIMSCredential: MD

Location Address2927 LYNDHURST AVEWinston-salem, NC 27103-4005

Mailing Address2927 Lyndhurst AveWinston-salem, NC 27103-4005 · (336) 765-9350 · Fax (336) 760-4255

Phone(336) 765-9350

Fax(336) 760-4255

Sole ProprietorNo

Medical School CMSUniversity Of North Carolina At Chapel Hill School Of MedicineGraduated 1994

Enumeration DateOctober 14, 2005

Last NPPES UpdateNovember 17, 2011

✔ NPI 1154310043 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians

Taxonomy Code207V00000X

License✔ Licensed in NC · 9800639

Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

2927 LYNDHURST AVE, Winston-salem, NC 27103

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Other Names 1

Former Name (1)Jacqueline Marie Heder Md

Other Identifiers 6

Medicare ID-Type Unspecified2257879NC

Other1144YNC · Bcbs

Medicare UPING84430NC

Medicare PIN2257879CNC

Medicare PIN2257879ANC

Medicaid891144YNC

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC, UnitedHealthcare.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. Jacqueline Heder Mims Md 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 ID3476720749

PECOS Enrollment IDI20120127000355

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.

Cervical or vaginal cancer screening; pelvic and clinical breast examination G0101

This procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.

46 services46 patients

Annual depression screening, 5 to 15 minutes G0444

An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.

23 services23 patients

Ultrasound scan of uterus, ovaries, tubes, cervix and pelvic area through vagina 76830

An ultrasound scan of the lower abdominal region is a safe, non-invasive procedure that uses sound waves to create images of internal structures. This helps in checking the health of reproductive organs and detecting any abnormalities. The scan is done via a small probe inserted into the body.

18 services17 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.

12 services11 patients

Hospital Affiliations CMS Care Compare

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

Novant Health Forsyth Medical Center

Acute Care Hospitals · Winston-Salem, NC

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number340014

Location3333 Silas Creek ParkwayWinston-Salem, NC 27103 · Forsyth County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27103 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

$125.01 typical visit price

range $54.12 – $165.09

Typical copayment $31.25 (range $13.53 – $41.27)

Most-billed visit code 99204

Established Patient

$67.72 typical visit price

range $17.21 – $134.61

Typical copayment $16.93 (range $4.30 – $33.65)

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.

91.1/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

90.09

Promoting Interoperability

100

Improvement Activities

Cost

80.24

Reported Quality Measures

Breast Cancer Screening

93%388 patients5/55-star benchmark: 93%

Cervical Cancer Screening

92%729 patients4/55-star benchmark: 98%

Closing the Referral Loop: Receipt of Specialist Report

45%64 patients3/55-star benchmark: 87%

Colorectal Cancer Screening

76%549 patients4/55-star benchmark: 88%

Documentation of Current Medications in the Medical Record

90%1,198 patients4/55-star benchmark: 100%

e-Prescribing

98%354 patients4/55-star benchmark: 100%

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan

28%946 patients2/55-star benchmark: 98%

Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented

34%1,053 patients3/55-star benchmark: 61%

Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention

Patients screened: 6% · 806 patients

5%806 patients

Provide Patients Electronic Access to Their Health Information

96%495 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.

Other Providers at the Same Location NPPES 15

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

DR. SCOTT A WASHBURN MD

Obstetrics & Gynecology

2927 LYNDHURST AVE
WINSTON-SALEM, NC 27103

Forsyth County (336) 765-9350

DR. BRADLEY EDGAR JACOBS MD

Obstetrics & Gynecology

2927 LYNDHURST AVE
WINSTON-SALEM, NC 27103

Forsyth County (336) 765-9350

ASHLEY LAUREN CHANG

Nurse Practitioner (Family)