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DR. DANIEL JOSEPH HEIDENBERG M.D.
NPI 1346773256
Urology in Wesley Chapel, FL

Active since April 07, 2017PECOS EnrolledAccepts Medicare Assignment
78.58/100
CMS Quality Rating
3743 MARYWEATHER LN, WESLEY CHAPEL, FL 33544(813) 607-4655(813) 607-4656 Get Directions Write a Review

NPPES record last updated: July 29, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 29, 2024, Aug 29, 2022, May 13, 2022 (3 updates tracked since 2022).

About Dr. Daniel Joseph Heidenberg M.d. NPPES

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

DR. DANIEL JOSEPH HEIDENBERG M.D. (NPI 1346773256) is an individual urology provider in Wesley Chapel, Florida, licensed in Florida (ME166541) and active in the NPI registry since April 2017. He is enrolled in Medicare PECOS, is affiliated with Tampa General Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1346773256
Entity TypeIndividualMale
Primary Taxonomy208800000X
Provider Legal NameDR. DANIEL JOSEPH HEIDENBERGCredential: M.D.
Location Address3743 MARYWEATHER LNWesley Chapel, FL 33544-7782
Mailing Address5015 W Nassau StTampa, FL 33607-3814 · (881) 356-0196 · Fax (813) 356-0197
Phone(813) 607-4655
Fax(813) 607-4656
Sole ProprietorNo
Medical School CMSTulane University School Of MedicineGraduated 2017
Enumeration DateApril 7, 2017
Last NPPES UpdateJuly 29, 20243 updates tracked since enumeration
NPPES CertifiedJuly 29, 2024
✔ NPI 1346773256 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
License✔ Licensed in FL · ME166541
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
3743 MARYWEATHER LN, Wesley Chapel, FL 33544
Open in Google Maps ↗

Secondary Practice Locations 2

Location 113400 E Shea BlvdScottsdale, AZ 85259-5499 · Phone (480) 301-8000
Location 22150 Pennsylvania Ave NWWashington, DC 20037-3201 · Phone (202) 741-3000

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Ambetter of Alabama 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. Daniel Joseph Heidenberg M.d. 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 ID5092194159
PECOS Enrollment IDI20240809000951
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 7

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 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.
31 services24 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.
27 services22 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.
27 services24 patients
Ultrasound measurement of bladder capacity after voiding 51798
Ultrasound measurement of bladder capacity after voiding is a non-invasive test that uses sound waves to create images of your bladder. It's done after you've emptied your bladder to see if there's any leftover urine, which can help diagnose certain conditions.
22 services18 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.
16 services16 patients
Electronic assessment of bladder emptying 51741
Electronic assessment of bladder emptying is a non-invasive test that measures how well your bladder functions. It uses ultrasound technology to create images of your bladder before and after you use the restroom, helping to identify any issues with bladder emptying.
14 services14 patients

Hospital Affiliations CMS Care Compare 3

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

Tampa General Hospital

Acute Care Hospitals · Tampa, FL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100128
Location1 Tampa General CirTampa, FL 33606 · Hillsborough County
Emergency services Birthing friendly

Adventhealth Wesley Chapel

Acute Care Hospitals · Wesley Chapel, FL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100319
Location2600 Bruce B Downs BlvdWesley Chapel, FL 33544 · Pasco County
Emergency services Birthing friendly

Baycare Hospital Wesley Chapel

Acute Care Hospitals · Wesley Chapel, FL
OwnershipProprietary
CMS Certification Number100362
Location4501 Bruce B. Downs BlvdWesley Chapel, FL 33544 · Pasco County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33544 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
$130.04 typical visit price
range $56.00 – $171.84
Typical copayment $32.51 (range $14.00 – $42.96)
Most-billed visit code 99204
Established Patient
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
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.

78.58/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality69.05
Promoting Interoperability100
Improvement Activities40
Cost59.56

Other Providers at the Same Location NPPES 2

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

PREFERRED INJURY PHYSICIANS OF WESLEY CHAPEL
Chiropractor
3743 MARYWEATHER LN
WESLEY CHAPEL, FL 33544
Pasco County (813) 900-7246
ANDRIA ABRAHAM A.R.N.P.
Nurse Practitioner (Family)
3743 MARYWEATHER LN
WESLEY CHAPEL, FL 33544
Pasco County (813) 973-0398

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 Daniel Heidenberg's NPI number?

The NPI number for Daniel Heidenberg is 1346773256. It was assigned to this individual provider in the NPPES registry on April 7, 2017.

Where is Daniel Heidenberg located?

Daniel Heidenberg practices at 3743 Maryweather Ln, Wesley Chapel, FL 33544. The listed phone number is (813) 607-4655.

What is Daniel Heidenberg's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Is Daniel Heidenberg enrolled in Medicare?

Yes. Daniel Heidenberg 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 Daniel Heidenberg accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, AvMed and Florida Blue (BlueCross BlueShield FL) and 5 other insurers list Daniel Heidenberg 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 Daniel Heidenberg affiliated with any hospitals?

According to CMS data, Daniel Heidenberg is affiliated with Tampa General Hospital, Adventhealth Wesley Chapel and Baycare Hospital Wesley Chapel.

When was this NPI record last updated?

The NPPES record for Daniel Heidenberg was last updated on July 29, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.