1. Home
  2. Directory
  3. Alaska
  4. Fairbanks
  5. Obstetrics Gynecology
  6. NPI Profile

DR. DORIS HEILMAN M.D.
NPI 1154396497
Obstetrics & Gynecology in Fairbanks, AK

Active since February 21, 2006PECOS EnrolledAccepts Medicare Assignment
1626 30TH AVE., FAIRBANKS, AK 99701(907) 479-7701(907) 479-7718 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Doris Heilman M.d. NPPES

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

DR. DORIS HEILMAN M.D. (NPI 1154396497) is an individual obstetrics & gynecology provider in Fairbanks, Alaska, licensed in Alaska (1253) and active in the NPI registry since February 2006. She is enrolled in Medicare PECOS and is a graduate of University Of Virginia School Of Medicine (1970).

NPPES Registry Identity

NPI1154396497
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameDR. DORIS HEILMANCredential: M.D.
Location Address1626 30TH AVE.Fairbanks, AK 99701-7423
Mailing Address1626 30th AveFairbanks, AK 99701-7423 · (907) 479-7701 · Fax (907) 479-7718
Phone(907) 479-7701
Fax(907) 479-7718
Sole ProprietorNo
Medical School CMSUniversity Of Virginia School Of MedicineGraduated 1970
Enumeration DateFebruary 21, 2006
Last NPPES UpdateMarch 7, 2023
✔ NPI 1154396497 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in AK · 1253
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.
1626 30TH AVE., Fairbanks, AK 99701
Open in Google Maps ↗

Other Identifiers 1

MedicaidMD1253AK

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska.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. Doris Heilman 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 ID3274545751
PECOS Enrollment IDI20060627000239
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 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.
36 services25 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
18 services15 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.
14 services13 patients
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.
12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 99701 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
$168.20 typical visit price
range $71.33 – $222.64
Typical copayment $42.05 (range $17.83 – $55.66)
Most-billed visit code 99204
Established Patient
$90.40 typical visit price
range $21.84 – $181.48
Typical copayment $22.60 (range $5.46 – $45.37)
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.

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 Doris Heilman's NPI number?

The NPI number for Doris Heilman is 1154396497. It was assigned to this individual provider in the NPPES registry on February 21, 2006.

Where is Doris Heilman located?

Doris Heilman practices at 1626 30th Ave., Fairbanks, AK 99701. The listed phone number is (907) 479-7701.

What is Doris Heilman's specialty?

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

Is Doris Heilman enrolled in Medicare?

Yes. Doris Heilman 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 Doris Heilman accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list Doris Heilman 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 Doris Heilman was last updated on March 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.