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TIMOTHY RYAN HEIDER MD
NPI 1245275072
Surgery in Mooresville, NC

Active since June 17, 2006PECOS EnrolledAccepts Medicare Assignment
89.63/100
CMS Quality Rating
106 ALEXANDER BANK DR STE 300, MOORESVILLE, NC 28117(704) 660-4584(704) 660-4967 Get Directions Write a Review

NPPES record last updated: September 9, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 9, 2020, Sep 2, 2020, Oct 18, 2017 (3 updates tracked since 2017).

About Timothy Ryan Heider Md NPPES

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

TIMOTHY RYAN HEIDER MD (NPI 1245275072) is an individual surgery provider in Mooresville, North Carolina, licensed in North Carolina (20001489) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Atrium Health Lincoln, and is a graduate of University Of North Carolina At Chapel Hill School Of Medicine (1999).

NPPES Registry Identity

NPI1245275072
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameTIMOTHY RYAN HEIDERCredential: MD
Location Address106 ALEXANDER BANK DR STE 300Mooresville, NC 28117-9624
Mailing Address106 Alexander Bank Dr Ste 300Mooresville, NC 28117-9624 · (704) 660-4584 · Fax (704) 660-4967
Phone(704) 660-4584
Fax(704) 660-4967
Sole ProprietorNo
Medical School CMSUniversity Of North Carolina At Chapel Hill School Of MedicineGraduated 1999
Enumeration DateJune 17, 2006
Last NPPES UpdateSeptember 9, 20203 updates tracked since enumeration
NPPES CertifiedSeptember 9, 2020
✔ NPI 1245275072 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in NC · 20001489
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
106 ALEXANDER BANK DR STE 300, Mooresville, NC 28117
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Other Names 1

Professional Name (2)T Ryan Heider Md

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee 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

Timothy Ryan Heider Md 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 ID9638174667
PECOS Enrollment IDI20060926000591
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.
80 services39 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.
20 services20 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
16 services16 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 services12 patients

Hospital Affiliations CMS Care Compare

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

Atrium Health Lincoln

Acute Care Hospitals · Lincolnton, NC
5/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number340145
Location433 Mcalister RdLincolnton, NC 28092 · Lincoln County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28117 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
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.

89.63/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality77.66
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 4

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

EMILY FRANCES CARPER R.D.
Dietitian, Registered
106 ALEXANDER BANK DR STE 300
MOORESVILLE, NC 28117
Iredell County (704) 660-4584
DR. CREIGHTON D FISCINA MD
Surgery
106 ALEXANDER BANK DR STE 300
MOORESVILLE, NC 28117
Iredell County (704) 660-4584
NOVANT HEALTH MEDICAL GROUP, LLC
Surgery
106 ALEXANDER BANK DR STE 300
MOORESVILLE, NC 28117
Iredell County (704) 660-4584
ANDREW C JONES RDN, LDN
Dietitian, Registered
106 ALEXANDER BANK DR STE 300
MOORESVILLE, NC 28117
Iredell County (704) 660-4584

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 Timothy Heider's NPI number?

The NPI number for Timothy Heider is 1245275072. It was assigned to this individual provider in the NPPES registry on June 17, 2006. The provider is also known as T Ryan Heider MD.

Where is Timothy Heider located?

Timothy Heider practices at 106 Alexander Bank Dr Ste 300, Mooresville, NC 28117. The listed phone number is (704) 660-4584.

What is Timothy Heider's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Timothy Heider enrolled in Medicare?

Yes. Timothy Heider 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 Timothy Heider accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee, AmeriHealth Caritas Next and Blue Cross and Blue Shield of NC and 2 other insurers list Timothy Heider 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 Timothy Heider affiliated with any hospitals?

According to CMS data, Timothy Heider is affiliated with Atrium Health Lincoln.

When was this NPI record last updated?

The NPPES record for Timothy Heider was last updated on September 9, 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.