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MICHAEL JAMES HECK M.D.
NPI 1154379659
Orthopaedic Surgery in Memphis, TN

Active since May 05, 2006PECOS EnrolledAccepts Medicare Assignment
76.24/100
CMS Quality Rating
7685 WINCHESTER RD STE 100, MEMPHIS, TN 38125(901) 752-6963(901) 759-4746 Get Directions Write a Review

NPPES record last updated: December 23, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 23, 2024, Mar 23, 2023, Feb 20, 2020 (3 updates tracked since 2020).

About Michael James Heck M.d. NPPES

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

MICHAEL JAMES HECK M.D. (NPI 1154379659) is an individual orthopaedic surgery provider in Memphis, Tennessee, licensed in Tennessee (12295) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS and is a graduate of Louisiana State University School Of Medicine In Shreveport (1979).

NPPES Registry Identity

NPI1154379659
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameMICHAEL JAMES HECKCredential: M.D.
Location Address7685 WINCHESTER RD STE 100Memphis, TN 38125-2202
Mailing Address965 Ridge Lake Blvd Ste 315Memphis, TN 38120-9401
Phone(901) 752-6963
Fax(901) 759-4746
Sole ProprietorNo
Medical School CMSLouisiana State University School Of Medicine In ShreveportGraduated 1979
Enumeration DateMay 5, 2006
Last NPPES UpdateDecember 23, 20243 updates tracked since enumeration
NPPES CertifiedDecember 23, 2024
✔ NPI 1154379659 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License✔ Licensed in TN · 12295
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.
7685 WINCHESTER RD STE 100, Memphis, TN 38125
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Magnolia Health and more.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

Michael James Heck 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 ID3779589106
PECOS Enrollment IDI20061009000027
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 5

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.
74 services56 patients
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg J0702
This injection contains two medications, betamethasone acetate and betamethasone sodium phosphate. It is used to reduce inflammation and pain. It's given by a healthcare professional, often directly into the area causing discomfort.
51 services17 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.
43 services20 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.
36 services28 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.
31 services31 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 38125 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
$81.53 typical visit price
range $52.64 – $160.89
Typical copayment $20.38 (range $13.16 – $40.22)
Most-billed visit code 99203
Established Patient
$66.01 typical visit price
range $16.72 – $131.41
Typical copayment $16.50 (range $4.18 – $32.85)
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.

76.24/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality71.13
Promoting Interoperability81
Improvement Activities40
Cost65.51

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.

QUANESHIA R FARRIS ANP
Nurse Practitioner (Adult Health)
7685 WINCHESTER RD STE 100
MEMPHIS, TN 38125
Shelby County (901) 752-6963
BMG FAMILY PHYSICIANS GROUP FOUNDATION, INC
Family Medicine
7685 WINCHESTER RD STE 100
MEMPHIS, TN 38125
Shelby County (901) 257-9500

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 Michael Heck's NPI number?

The NPI number for Michael Heck is 1154379659. It was assigned to this individual provider in the NPPES registry on May 5, 2006.

Where is Michael Heck located?

Michael Heck practices at 7685 Winchester Rd Ste 100, Memphis, TN 38125. The listed phone number is (901) 752-6963.

What is Michael Heck's specialty?

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

Is Michael Heck enrolled in Medicare?

Yes. Michael Heck 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 Michael Heck accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of North Carolina and 7 other insurers list Michael Heck 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.

When was this NPI record last updated?

The NPPES record for Michael Heck was last updated on December 23, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.