DR. THOMAS HEIGLE M.D.
NPI 1174573711
Ophthalmology in Baton Rouge, LA

Q: What is Thomas Heigle's NPI number?

The NPI number for Thomas Heigle is 1174573711. It was assigned to this individual provider in the NPPES registry on May 12, 2006.

Q: What is Thomas Heigle's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Q: When was this NPI record last updated?

The NPPES record for Thomas Heigle was last updated on February 21, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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 May 12, 2006PECOS EnrolledAccepts Medicare Assignment

87.37/100

CMS Quality Rating

7777 HENNESSY BLVD, SUITE 3000, BATON ROUGE, LA 70808(225) 766-7441(225) 766-7597 Get Directions Write a Review

NPPES record last updated: February 21, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Dr. Thomas Heigle M.d. NPPES

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

DR. THOMAS HEIGLE M.D. (NPI 1174573711) is an individual ophthalmology provider in Baton Rouge, Louisiana, licensed in Louisiana (021254) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Our Lady Of The Lake Regional Medical Center, and is a graduate of Other (1991).

NPPES Registry Identity

NPI1174573711

Entity TypeIndividualMale

Primary Taxonomy207W00000X

Provider Legal NameDR. THOMAS HEIGLECredential: M.D.

Location Address7777 HENNESSY BLVD, SUITE 3000Baton Rouge, LA 70808-4300

Mailing Address7777 Hennessy Blvd, Suite 3000Baton Rouge, LA 70808-4300 · (225) 766-7441 · Fax (225) 766-7597

Phone(225) 766-7441

Fax(225) 766-7597

Sole ProprietorNo

Medical School CMSOtherGraduated 1991

Enumeration DateMay 12, 2006

Last NPPES UpdateFebruary 21, 2008

✔ NPI 1174573711 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians

Taxonomy Code207W00000X

License✔ Licensed in LA · 021254

Definition

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

7777 HENNESSY BLVD, Baton Rouge, LA 70808

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Other Identifiers 4

Medicare UPING05221LA

Medicare ID-Type Unspecified5H479LA

Medicare NSC0328120001LA

Medicaid1429937LA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, 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

Dr. Thomas Heigle 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 ID9032208731

PECOS Enrollment IDI20100826000247

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 16

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 complete exam of visual system 92014

An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.

528 services498 patients

Established patient problem focused exam of visual system 92012

This is a routine check-up for existing patients focusing on the visual system. It involves examining your eyes to detect any potential issues or changes in your vision. It's a crucial part of maintaining good eye health.

500 services224 patients

Ct scan of cornea 92025

A CT scan of the cornea is a non-invasive imaging test that uses X-rays to capture detailed pictures of your eye's cornea. It helps in diagnosing diseases or damage, planning for surgery, or evaluating the results of a treatment. It's a safe and painless procedure.

131 services84 patients

Measurement of corneal curvature and depth of eye 92136

This procedure measures the shape and depth of your eye, specifically the cornea, the clear front surface. It helps in diagnosing conditions, planning for surgeries, or fitting contact lenses. It's non-invasive and painless.

114 services49 patients

Imaging of optic nerve 92133

Imaging of the optic nerve is a non-invasive procedure that captures detailed pictures of your optic nerve. It helps doctors assess eye health, particularly for conditions like glaucoma. It's painless, quick, and uses safe technology like MRI or OCT (Optical Coherence Tomography).

113 services102 patients

Imaging of retina 92134

Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.

103 services97 patients

Imaging of front third of eye using a special microscope 92286

This procedure involves capturing detailed images of the front part of your eye using a specialized microscope. It helps in identifying any eye abnormalities or issues, improving the accuracy of diagnosis and treatment planning.

69 services68 patients

Removal of cataract with insertion of prosthetic lens 66984

This is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.

63 services36 patients

New patient complete exam of visual system 92004

A new patient complete exam of the visual system is a thorough evaluation of your eyes and vision. It checks for any potential issues and assesses overall eye health. It includes tests for visual acuity, eye movement, and light response.

47 services47 patients

Photography of content of eyes 92285

Photography of the content of eyes, also known as ocular photography, captures detailed images of different parts of the eye. It helps identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. The process is non-invasive and painless.

45 services29 patients

Exam of visual field with extended testing 92083

An extended visual field exam is a detailed test to evaluate your peripheral (side) vision. It helps to detect any potential blind spots which may not be noticeable in daily life. These could be caused by eye diseases like glaucoma, or neurological conditions.

42 services39 patients

Removal of recurring cataract in lens capsule using a laser 66821

This procedure, known as YAG laser capsulotomy, treats cloudiness in the lens capsule following cataract surgery. A laser is used to create a small hole in the cloudy capsule, allowing light to pass through and restore clear vision. It's a quick, painless procedure.

39 services29 patients

Closure of tear duct opening using plug 68761

Closure of the tear duct opening using a plug is a procedure to address excessive tear production. A small device is inserted into the tear duct to block it, reducing tear flow and relieving symptoms. This is a safe, reversible process, often performed in-office.

30 services26 patients

Ultrasound scan of cornea to determine thickness 76514

An ultrasound scan of the cornea is a non-invasive procedure that uses sound waves to measure the thickness of your cornea. This helps in diagnosing certain eye conditions and planning treatments. No discomfort or pain is typically experienced.

30 services30 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.

25 services12 patients

Transplantation of outer layer of corneal tissue 65756

The transplantation of the outer layer of corneal tissue is a procedure to replace damaged or diseased corneal tissue with healthy tissue from a donor. This can improve vision and alleviate pain or discomfort.

20 services17 patients

Hospital Affiliations CMS Care Compare 3

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

Our Lady Of The Lake Regional Medical Center

Acute Care Hospitals · Baton Rouge, LA

4/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number190064

Location5000 Hennessy BlvdBaton Rouge, LA 70808 · E. Baton Rouge County

Emergency services

Baton Rouge General Medical Center

Acute Care Hospitals · Baton Rouge, LA

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number190065

Location8585 Picardy AveBaton Rouge, LA 70809 · E. Baton Rouge County

Emergency services Birthing friendly

Womans Hospital

Acute Care Hospitals · Baton Rouge, LA

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number190128

Location100 Woman's WayBaton Rouge, LA 70817 · E. Baton Rouge County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 70808 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

$124.60 typical visit price

range $53.43 – $164.73

Typical copayment $31.15 (range $13.35 – $41.18)

Most-billed visit code 99204

Established Patient

$67.06 typical visit price

range $16.64 – $133.62

Typical copayment $16.76 (range $4.16 – $33.40)

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.

87.37/100

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

Scored as part of a group practice

Quality

69.52

Promoting Interoperability

100

Improvement Activities

Cost

55.04

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.

SARA ADAMS MARTIN MD

Anesthesiology

7777 HENNESSY BLVD, SUITE 301
BATON ROUGE, LA 70808

East Baton Rouge Parish (225) 214-6438

CELESTE BUUCK FNP

Nurse Practitioner

7777 HENNESSY BLVD, SUITE 1000
BATON ROUGE, LA 70808

East Baton Rouge Parish (225) 767-3900

PAMELA STANLEY NP

Nurse Practitioner (Acute Care)

7777 HENNESSY BLVD, SUITE 701
BATON ROUGE, LA 70808

East Baton Rouge Parish (225) 765-5864

EYE SPECIALISTS EYEWEAR

Durable Medical Equipment & Medical Supplies

7777 HENNESSY BLVD, SUITE 5000
BATON ROUGE, LA 70808

East Baton Rouge Parish (225) 768-7777

DR. JOHN MCALISTER WHITAKER M.D.

Surgery

7777 HENNESSY BLVD, SUITE 612
BATON ROUGE, LA 70808

East Baton Rouge Parish (225) 769-5656

PAULLA DANIELLE BROUILLETTE PA

Physician Assistant

7777 HENNESSY BLVD, OUR LADY OF THE LAKE MED CNTR -- ER DEPT
BATON ROUGE, LA 70808

East Baton Rouge Parish (888) 447-2450

OUR LADY OF THE LAKE ADVANCED HEALTH SOLUTIONS

Surgery

7777 HENNESSY BLVD, SUITE 612
BATON ROUGE, LA 70808

East Baton Rouge Parish (225) 769-5656

AMY MARTIN MCMILLAN CRNA

Nurse Anesthetist, Certified Registered

7777 HENNESSY BLVD, SUITE 301
BATON ROUGE, LA 70808

East Baton Rouge Parish (225) 214-6438

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 Thomas Heigle's NPI number?

The NPI number for Thomas Heigle is 1174573711. It was assigned to this individual provider in the NPPES registry on May 12, 2006.

Where is Thomas Heigle located?

Thomas Heigle practices at 7777 Hennessy Blvd Suite 3000, Baton Rouge, LA 70808. The listed phone number is (225) 766-7441.

What is Thomas Heigle's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Thomas Heigle enrolled in Medicare?

Yes. Thomas Heigle 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 Thomas Heigle accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health, Ambetter from Superior HealthPlan and Blue Cross Blue Shield of Wyoming and 6 other insurers list Thomas Heigle 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 Thomas Heigle affiliated with any hospitals?

According to CMS data, Thomas Heigle is affiliated with Our Lady Of The Lake Regional Medical Center, Baton Rouge General Medical Center and Womans Hospital.

When was this NPI record last updated?

The NPPES record for Thomas Heigle was last updated on February 21, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.