DR. JOEL THOMAS HEITMAN M.D.
NPI 1164656559
Radiology - Diagnostic Radiology in Saint Louis, MO

Active since May 13, 2009PECOS EnrolledAccepts Medicare Assignment
76.98/100
CMS Quality Rating
615 S NEW BALLAS RD DEPT OF, SAINT LOUIS, MO 63141(314) 251-6031 Get Directions Write a Review

NPPES record last updated: August 18, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 18, 2020, Jan 28, 2020, Aug 24, 2017 and 1 more (4 updates tracked since 2016).

About Dr. Joel Thomas Heitman M.d. NPPES

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

DR. JOEL THOMAS HEITMAN M.D. (NPI 1164656559) is an individual diagnostic radiology provider in Saint Louis, Missouri, licensed in Missouri (2019042401) and active in the NPI registry since May 2009. He is enrolled in Medicare PECOS, is affiliated with Geisinger-community Medical Center, and is a graduate of Other (2008).

NPPES Registry Identity

NPI1164656559
Entity TypeIndividualMale
Primary Taxonomy2085R0202X
Provider Legal NameDR. JOEL THOMAS HEITMANCredential: M.D.
Location Address615 S NEW BALLAS RD DEPT OFSaint Louis, MO 63141-8221
Mailing Address150 Bertrand DrFranklin, TN 37064-8308 · (810) 964-1892
Sole ProprietorNo
Medical School CMSOtherGraduated 2008
Enumeration DateMay 13, 2009
Last NPPES UpdateAugust 18, 20204 updates tracked since enumeration
NPPES CertifiedAugust 18, 2020
NPI 1164656559 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
Licenses Licensed in MO · 2019042401 Licensed in MI · 4301095035 Licensed in KY · 47753 Licensed in OH · 35125154 Licensed in TN · 52155 Licensed in IN · 01074617A
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
615 S NEW BALLAS RD DEPT OF, Saint Louis, MO 63141

Other Identifiers 5

MedicaidQ012331TN
Medicaid1164656559MI
Medicaid7100328740KY
Medicaid0112227OH
Medicaid201255510IN

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. Joel Thomas Heitman 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 ID9638391121
PECOS Enrollment IDI20150112000416
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 23

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.

X-ray of chest, 1 view 71045
A chest X-ray, 1 view, is a quick, painless test that produces images of the structures within your chest, such as your heart, lungs, and blood vessels. It helps in diagnosing conditions like pneumonia, heart problems, or lung cancer. You'll stand in front of a machine that emits X-rays, which pass through your body to create the image.
835 services804 patients
Ct scan head or brain without contrast 70450
A CT scan of the head or brain without contrast is a non-invasive imaging procedure. It uses X-rays to create detailed pictures of your brain, skull, and other structures inside your head. It helps to detect conditions like strokes, tumors, or injuries. No dye (contrast) is used in this test.
670 services647 patients
Ct scan of upper spine without contrast 72125
A CT scan of the upper spine without contrast is a non-invasive imaging test that uses X-rays to capture detailed images of your neck and upper back. It helps in identifying issues like fractures, tumors, or infections. No dye (contrast) is used in this scan.
325 services321 patients
Mri scan of brain without contrast 70551
An MRI scan of the brain without contrast is a non-invasive imaging test. It uses a magnetic field and radio waves to create detailed images of your brain. It helps in detecting abnormalities like tumors, stroke, inflammation, or infection.
135 services135 patients
Ct scan of blood vessels of neck with contrast 70498
A CT scan of the neck's blood vessels with contrast is a diagnostic procedure. It uses X-rays and a special dye to create detailed images of your neck's blood vessels. This helps doctors detect issues such as blockages or abnormalities.
48 services48 patients
Ct scan of abdomen and pelvis with contrast 74177
A CT scan of the abdomen and pelvis with contrast is an imaging procedure. A special dye, called contrast, is used to make certain areas more visible. This can help identify issues such as infections, tumors, or other abnormalities. The procedure is painless and usually takes about 30 minutes.
45 services44 patients

Hospital Affiliations CMS Care Compare 5

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

Geisinger-Community Medical Center

Acute Care Hospitals · Scranton, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390001
Location1822 Mulberry StreetScranton, PA 18510 · Lackawanna County
Emergency services Birthing friendly

Geisinger Medical Center

Acute Care Hospitals · Danville, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390006
Location100 North Academy AvenueDanville, PA 17822 · Montour County
Emergency services Birthing friendly

Geisinger-Lewistown Hospital

Acute Care Hospitals · Lewistown, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390048
Location400 Highland AvenueLewistown, PA 17044 · Mifflin County
Emergency services Birthing friendly

Mount Nittany Medical Center

Acute Care Hospitals · State College, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390268
Location1800 East Park AveState College, PA 16803 · Centre County
Emergency services Birthing friendly

Geisinger Wyoming Valley Medical Center

Acute Care Hospitals · Wilkes Barre, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390270
Location1000 East Mountain BoulevardWilkes Barre, PA 18711 · Luzerne County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63141 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
$86.32 typical visit price
range $55.65 – $169.38
Typical copayment $21.58 (range $13.91 – $42.34)
Most-billed visit code 99203
Established Patient
$69.50 typical visit price
range $17.76 – $137.92
Typical copayment $17.37 (range $4.44 – $34.48)
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.

76.98/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality72.91
Improvement Activities40

Other Providers at the Same Location NPPES 20

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

Anesthesiologist Assistant
615 S NEW BALLAS RD DEPT OF
SAINT LOUIS, MO 63141
Anesthesiologist Assistant
615 S NEW BALLAS RD DEPT OF
SAINT LOUIS, MO 63141
Anesthesiologist Assistant
615 S NEW BALLAS RD DEPT OF
SAINT LOUIS, MO 63141
Nurse Anesthetist, Certified Registered
615 S NEW BALLAS RD DEPT OF
SAINT LOUIS, MO 63141
Anesthesiologist Assistant
615 S NEW BALLAS RD DEPT OF
SAINT LOUIS, MO 63141
Anesthesiologist Assistant
615 S NEW BALLAS RD DEPT OF
SAINT LOUIS, MO 63141
Nurse Anesthetist, Certified Registered
615 S NEW BALLAS RD DEPT OF
SAINT LOUIS, MO 63141
Nurse Anesthetist, Certified Registered
615 S NEW BALLAS RD DEPT OF
SAINT LOUIS, MO 63141

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 Joel Heitman's NPI number?

The NPI number for Joel Heitman is 1164656559. It was assigned to this individual provider in the NPPES registry on May 13, 2009.

Where is Joel Heitman located?

Joel Heitman practices at 615 S New Ballas Rd Dept Of, Saint Louis, MO 63141. The listed phone number is (314) 251-6031.

What is Joel Heitman's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is Joel Heitman enrolled in Medicare?

Yes. Joel Heitman 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 Joel Heitman accept?

Health plans from Oscar Health Maintenance Organization of Florida and Oscar Insurance Company list Joel Heitman 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 Joel Heitman affiliated with any hospitals?

According to CMS data, Joel Heitman is affiliated with Geisinger-Community Medical Center, Geisinger Medical Center, Geisinger-Lewistown Hospital, Mount Nittany Medical Center and Geisinger Wyoming Valley Medical Center.

When was this NPI record last updated?

The NPPES record for Joel Heitman was last updated on August 18, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.