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JAMES T HEIBERGER MD
NPI 1336238930
Family Medicine in Colorado Springs, CO

Active since October 12, 2006PECOS Enrolled
1304 N ACADEMY BLVD, 106, COLORADO SPRINGS, CO 80909(719) 638-4548(719) 638-4571 Get Directions Write a Review

NPPES record last updated: May 22, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About James T Heiberger Md NPPES

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

JAMES T HEIBERGER MD (NPI 1336238930) is an individual family medicine provider in Colorado Springs, Colorado, licensed in Colorado (24223) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1976).

NPPES Registry Identity

NPI1336238930
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameJAMES T HEIBERGERCredential: MD
Location Address1304 N ACADEMY BLVD, 106Colorado Springs, CO 80909
Mailing Address1304 N Academy Blvd, 106Colorado Springs, CO 80909 · (719) 638-4548 · Fax (719) 638-4571
Phone(719) 638-4548
Fax(719) 638-4571
Sole ProprietorNo
Medical School CMSOtherGraduated 1976
Enumeration DateOctober 12, 2006
Last NPPES UpdateMay 22, 2008
✔ NPI 1336238930 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in CO · 24223
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1304 N ACADEMY BLVD, Colorado Springs, CO 80909
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Other Identifiers 5

Medicare PINC810994CO
Other080001911CO · R.r.medicare
Medicare PIN40501
Medicaid01242239CO
Medicare UPIND24408

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

James T Heiberger Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9537194618
PECOS Enrollment IDI20050927001450
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 3

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 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.
143 services44 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.
31 services20 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
23 services21 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 80909 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
$89.43 typical visit price
range $58.06 – $174.82
Typical copayment $22.35 (range $14.51 – $43.70)
Most-billed visit code 99203
Established Patient
$102.03 typical visit price
range $18.88 – $142.79
Typical copayment $25.50 (range $4.72 – $35.69)
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.

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
2 suppliers13 claims13 services$12.96 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
2 suppliers13 claims13 services$59.47 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 14

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

DR. CHARLES P HIGGINS D. O.
Family Medicine
1304 N ACADEMY BLVD, SUITE 208
COLORADO SPRINGS, CO 80909
El Paso County (719) 596-6700
DR HIGGINS FAMILY PRACTICE PC
Family Medicine
1304 N ACADEMY BLVD, SUITE 208
COLORADO SPRINGS, CO 80909
El Paso County (719) 596-6700
RICHARD A PRICE M.D.
Family Medicine
1304 N ACADEMY BLVD, #204
COLORADO SPRINGS, CO 80909
El Paso County (719) 637-0005
DR MIGUELINA VARGAS, PHD
Psychologist
1304 N ACADEMY BLVD, SUITE 204
COLORADO SPRINGS, CO 80909
El Paso County (719) 205-4309
DR. ROBERT DEAN THOMAN D.D.S.
Dentist (Pediatric Dentistry)
1304 N ACADEMY BLVD
COLORADO SPRINGS, CO 80909
El Paso County (719) 596-2097
NAB, INC.
Chiropractor
1304 N ACADEMY BLVD, STE 208
COLORADO SPRINGS, CO 80909
El Paso County (719) 344-2121
DR. JIM P KALHORN DDS
Dentist
1304 N ACADEMY BLVD, SUITE 104
COLORADO SPRINGS, CO 80909
El Paso County (719) 596-3939
MY THERAPY MATTERS LLC
Marriage & Family Therapist
1304 N ACADEMY BLVD
COLORADO SPRINGS, CO 80909
El Paso County (435) 817-0155

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 James Heiberger's NPI number?

The NPI number for James Heiberger is 1336238930. It was assigned to this individual provider in the NPPES registry on October 12, 2006.

Where is James Heiberger located?

James Heiberger practices at 1304 N Academy Blvd 106, Colorado Springs, CO 80909. The listed phone number is (719) 638-4548.

What is James Heiberger's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is James Heiberger enrolled in Medicare?

Yes. James Heiberger is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for James Heiberger was last updated on May 22, 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.