MARK DIETER HEINE MD
NPI 1336111608
Psychiatry & Neurology - Psychiatry in Durham, NC

Active since February 02, 2006PECOS EnrolledAccepts Medicare Assignment
4004 BEN FRANKLIN BLVD, DURHAM, NC 27704(919) 479-1600(919) 479-5551 Get Directions Write a Review

NPPES record last updated: August 7, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mark Dieter Heine Md NPPES

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

MARK DIETER HEINE MD (NPI 1336111608) is an individual psychiatry provider in Durham, North Carolina, licensed in North Carolina (33593) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1985).

NPPES Registry Identity

NPI1336111608
Entity TypeIndividualMale
Primary Taxonomy2084P0800X
Provider Legal NameMARK DIETER HEINECredential: MD
Location Address4004 BEN FRANKLIN BLVDDurham, NC 27704
Mailing Address4004 Ben Franklin BlvdDurham, NC 27704 · (919) 479-1600 · Fax (919) 479-5551
Fax(919) 479-5551
Sole ProprietorNo
Medical School CMSOtherGraduated 1985
Enumeration DateFebruary 2, 2006
Last NPPES UpdateAugust 7, 2020
NPPES CertifiedAugust 7, 2020
NPI 1336111608 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License Licensed in NC · 33593
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
4004 BEN FRANKLIN BLVD, Durham, NC 27704

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

Mark Dieter Heine 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 ID4981728334
PECOS Enrollment IDI20100908000101
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 2

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.
114 services23 patients
Psychotherapy with evaluation and management visit, 30 minutes 90833
Psychotherapy with evaluation and management is a 30-minute session where a mental health professional talks with you about your concerns and feelings. They assess your mental health, provide support, and manage your treatment plan to help improve your well-being.
72 services18 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27704 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
$165.09 typical visit price
range $54.12 – $165.09
Typical copayment $41.27 (range $13.53 – $41.27)
Most-billed visit code 99205
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.

Other Providers at the Same Location NPPES 9

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

Social Worker (Clinical)
4004 BEN FRANKLIN BLVD
DURHAM, NC 27704
Psychologist
4004 BEN FRANKLIN BLVD
DURHAM, NC 27704
Counselor (Professional)
4004 BEN FRANKLIN BLVD
DURHAM, NC 27704
Case Management
4004 BEN FRANKLIN BLVD
DURHAM, NC 27704
Psychologist
4004 BEN FRANKLIN BLVD
DURHAM, NC 27704
Psychologist
4004 BEN FRANKLIN BLVD
DURHAM, NC 27704
Social Worker (Clinical)
4004 BEN FRANKLIN BLVD
DURHAM, NC 27704
Psychologist
4004 BEN FRANKLIN BLVD
DURHAM, NC 27704

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 Mark Heine's NPI number?

The NPI number for Mark Heine is 1336111608. It was assigned to this individual provider in the NPPES registry on February 2, 2006.

Where is Mark Heine located?

Mark Heine practices at 4004 Ben Franklin Blvd, Durham, NC 27704. The listed phone number is (919) 479-1600.

What is Mark Heine's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Mark Heine enrolled in Medicare?

Yes. Mark Heine 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 Mark Heine accept?

Health plans from Blue Cross and Blue Shield of NC list Mark Heine 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.

When was this NPI record last updated?

The NPPES record for Mark Heine was last updated on August 7, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.