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DR. KEVIN A HEINTZELMAN DO
NPI 1184701344
Internal Medicine in Jackson, MS

Active since November 01, 2006PECOS EnrolledAccepts Medicare Assignment
71/100
CMS Quality Rating
1200 N STATE ST, SUITE 480, JACKSON, MS 39202(601) 352-2273(601) 714-3415 Get Directions Write a Review

NPPES record last updated: June 6, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Kevin A Heintzelman Do NPPES

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

DR. KEVIN A HEINTZELMAN DO (NPI 1184701344) is an individual internal medicine provider in Jackson, Mississippi, licensed in Mississippi (20864) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS, is affiliated with Mississippi Baptist Medical Center, and is a graduate of Philadelphia College Of Osteopathic Medicine (1998).

NPPES Registry Identity

NPI1184701344
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. KEVIN A HEINTZELMANCredential: DO
Location Address1200 N STATE ST, SUITE 480Jackson, MS 39202-2001
Mailing AddressPo Box 23996Jackson, MS 39225 · (601) 206-6100 · Fax (601) 206-6052
Phone(601) 352-2273
Fax(601) 714-3415
Sole ProprietorNo
Medical School CMSPhiladelphia College Of Osteopathic MedicineGraduated 1998
Enumeration DateNovember 1, 2006
Last NPPES UpdateJune 6, 2013
✔ NPI 1184701344 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses✔ Licensed in MS · 20864✔ Licensed in NY · 224633
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
1200 N STATE ST, Jackson, MS 39202
Open in Google Maps ↗

Other Identifiers 5

Medicare ID-Type UnspecifiedDD1806NY
Medicare UPINH28918NY
Medicaid03658704MS
Medicare PIN302I117970MS
Medicaid02272493NY

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. Kevin A Heintzelman Do 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 ID4082758891
PECOS Enrollment IDI20100217000535
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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
1,079 services300 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
177 services172 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
143 services78 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
28 services28 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
11 services11 patients

Hospital Affiliations CMS Care Compare

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

Mississippi Baptist Medical Center

Acute Care Hospitals · Jackson, MS
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number250102
Location1225 N State StJackson, MS 39202 · Hinds County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 39202 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
$120.41 typical visit price
range $51.65 – $159.18
Typical copayment $30.10 (range $12.91 – $39.79)
Most-billed visit code 99204
Established Patient
$92.20 typical visit price
range $16.15 – $129.61
Typical copayment $23.05 (range $4.03 – $32.40)
Most-billed visit code 99214
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.

71/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality56.58
Promoting Interoperability86
Improvement Activities40
Cost58.42

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
25%199 patients1/55-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.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
5 suppliers68 claims68 services$16.47 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
5 suppliers68 claims68 services$74.30 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

MEDICAL FOUNDATION OF CENTRAL MISSISSIPPI, INC.
Neuromusculoskeletal Medicine & OMM
1200 N STATE ST, SUITE 420
JACKSON, MS 39202
Hinds County (601) 355-3353
DR. REBECCA CHICK PACE M.D.
Internal Medicine
1200 N STATE ST, SUITE 500
JACKSON, MS 39202
Hinds County (601) 352-2273
CHRISTINA L BARLOW M.D.
Internal Medicine
1200 N STATE ST, SUITE 500
JACKSON, MS 39202
Hinds County (601) 352-2273
CHARLES DAVID HERRINGTON
Physical Therapist
1200 N STATE ST, SUITE 500
JACKSON, MS 39202
Hinds County (601) 352-2273
DR. RAJESH G PATEL MD
Specialist
1200 N STATE ST, SUITE 480
JACKSON, MS 39202
Hinds County (601) 352-2273
GINA BURKHEAD BURGE NP
Nurse Practitioner (Family)
1200 N STATE ST, SUITE 420
JACKSON, MS 39202
Hinds County (601) 355-3353
DR. BRET J BARRETT MD
Internal Medicine (Infectious Disease)
1200 N STATE ST, SUITE 500
JACKSON, MS 39202
Hinds County (601) 352-2273
MEDICAL FOUNDATION OF CENTRAL MS INC
Family Medicine
1200 N STATE ST, SUITE LL-10
JACKSON, MS 39202
Hinds County (601) 714-6411

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 Kevin Heintzelman's NPI number?

The NPI number for Kevin Heintzelman is 1184701344. It was assigned to this individual provider in the NPPES registry on November 1, 2006.

Where is Kevin Heintzelman located?

Kevin Heintzelman practices at 1200 N State St Suite 480, Jackson, MS 39202. The listed phone number is (601) 352-2273.

What is Kevin Heintzelman's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Kevin Heintzelman enrolled in Medicare?

Yes. Kevin Heintzelman 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 Kevin Heintzelman accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of Tennessee and 4 other insurers list Kevin Heintzelman 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 Kevin Heintzelman affiliated with any hospitals?

According to CMS data, Kevin Heintzelman is affiliated with Mississippi Baptist Medical Center.

When was this NPI record last updated?

The NPPES record for Kevin Heintzelman was last updated on June 6, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.