DR. SUSAN MARIE HEINECK M.D.
NPI 1245345610
Internal Medicine in Seguin, TX

Q: What is Susan Heineck's NPI number?

The NPI number for Susan Heineck is 1245345610. It was assigned to this individual provider in the NPPES registry on August 19, 2006.

Q: What is Susan Heineck's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Susan Heineck was last updated on January 19, 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.

Active since August 19, 2006PECOS Enrolled

1215 E COURT ST, SEGUIN, TX 78155(830) 379-2411 Get Directions Write a Review

NPPES record last updated: January 19, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Dr. Susan Marie Heineck M.d. NPPES

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

DR. SUSAN MARIE HEINECK M.D. (NPI 1245345610) is an individual internal medicine provider in Seguin, Texas, licensed in Texas (Q7204) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1245345610

Entity TypeIndividualFemale

Primary Taxonomy207R00000X

Provider Legal NameDR. SUSAN MARIE HEINECKCredential: M.D.

Location Address1215 E COURT STSeguin, TX 78155-5129

Mailing Address20108 Victoria Chase RdLago Vista, TX 78645-6311 · (503) 507-8701

Phone(830) 379-2411

Sole ProprietorNo

Enumeration DateAugust 19, 2006

Last NPPES UpdateJanuary 19, 2023

NPPES CertifiedJanuary 19, 2023

✔ NPI 1245345610 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in TX · Q7204

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.

Also ListedEmergency MedicineTaxonomy 207P00000X · License MD23510 (OR), Q7204 (TX), MD2016-0139 (NM), MD.34932 (AL)

1215 E COURT ST, Seguin, TX 78155

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Other Identifiers 1

Medicaid287063OR

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Baylor Scott and White Health Plan, Blue Cross and Blue Shield of Texas, Imperial Insurance Companies, Inc. and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Susan Marie Heineck M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignments

Medicare enrollment records show Susan Heineck reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Third Coast Emergency Physicians Southwest PA

40 mi

Emergency Medicine

4103 NORTH LOOK 1604 W
San Antonio, TX 78249

Reassigned Medicare billing, Texas enrollment
379 clinicians in this Medicare group

NPI 1497793475 (330) 493-4443

Travis County Emergency Physicians PA

53 mi

Emergency Medicine

1201 W 38TH ST
Austin, TX 78705

Reassigned Medicare billing, Texas enrollment
1,511 clinicians in this Medicare group

NPI 1962440933 (330) 493-4443

Hospitalist Medicine Physicians Of New Mexico - Clovis, LLC

378 mi

Emergency Medicine

4900 N LOVINGTON HWY
Hobbs, NM 88240

Reassigned Medicare billing, New Mexico enrollment
119 clinicians in this Medicare group

NPI 1477031094 (575) 492-5000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

Emergency department visit with high level of medical decision making 99285

An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.

142 services140 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010

A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.

96 services93 patients

Emergency department visit with moderate level of medical decision making 99284

An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.

70 services70 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.

25 services25 patients

Emergency department visit with low level of medical decision making 99283

An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.

17 services17 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78155 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

$126.40 typical visit price

range $54.84 – $166.88

Typical copayment $31.60 (range $13.71 – $41.72)

Most-billed visit code 99204

Established Patient

$97.05 typical visit price

range $17.52 – $136.11

Typical copayment $24.26 (range $4.38 – $34.02)

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.

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.

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