ALEX MICHAEL HEIMBIGNER M.D.
NPI 1386098853
Pathology - Anatomic Pathology in Phoenix, AZ

Active since April 20, 2016PECOS EnrolledAccepts Medicare Assignment
88.55/100
CMS Quality Rating
424 S 56TH ST STE 110, PHOENIX, AZ 85034(602) 685-5211(480) 478-8091 Get Directions Write a Review

NPPES record last updated: October 23, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 23, 2023, May 2, 2023, Aug 16, 2022 (3 updates tracked since 2022).

About Alex Michael Heimbigner M.d. NPPES

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

ALEX MICHAEL HEIMBIGNER M.D. (NPI 1386098853) is an individual anatomic pathology provider in Phoenix, Arizona, licensed in Arizona (68585) and active in the NPI registry since April 2016. He is enrolled in Medicare PECOS, maintains a secondary practice location in Tucson, and is a graduate of Loyola University Of Chicago, Stritch School Of Medicine (2016).

NPPES Registry Identity

NPI1386098853
Entity TypeIndividualMale
Primary Taxonomy207ZP0101X
Provider Legal NameALEX MICHAEL HEIMBIGNERCredential: M.D.
Location Address424 S 56TH ST STE 110Phoenix, AZ 85034-2177
Mailing Address1501 N Campbell Ave, Po Box 245043, Room 5205Tucson, AZ 85724-5043 · (520) 694-2163
Fax(480) 478-8091
Sole ProprietorNo
Medical School CMSLoyola University Of Chicago, Stritch School Of MedicineGraduated 2016
Enumeration DateApril 20, 2016
Last NPPES UpdateOctober 23, 20233 updates tracked since enumeration
NPPES CertifiedOctober 23, 2023
NPI 1386098853 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPathology · Anatomic PathologyAllopathic & Osteopathic Physicians
Taxonomy Code207ZP0101X
License Licensed in AZ · 68585
Definition
A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.
424 S 56TH ST STE 110, Phoenix, AZ 85034

Secondary Practice Location 1

Location 11625 N Campbell AveTucson, AZ 85719-4330 · Phone (520) 694-8888

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

Alex Michael Heimbigner 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 ID7911253760
PECOS Enrollment IDI20230508001113
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 33

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.

Flow cytometry technique for dna or cell analysis, each additional marker 88185
Flow cytometry is a technique that helps analyze the physical and chemical characteristics of cells or particles. When an additional marker is used, it aids in identifying specific cell types or stages of disease. This helps in precise diagnosis and treatment planning.
895 services41 patients
Microscopic genetic analysis of tissue, computer-assisted technology, initial procedure, each multiplex procedure 88374
This procedure involves analyzing tissue at a genetic level using a microscope and advanced computer technology. The initial process involves the collection and preparation of tissue samples. Each multiplex procedure refers to the simultaneous testing of multiple genetic markers to identify abnormalities.
472 services77 patients
Microscopic genetic analysis of tumor, manual 88360
Microscopic genetic analysis of a tumor involves examining your tumor's genes under a microscope. This helps identify specific genetic changes in the tumor cells. This information can aid in diagnosing, predicting disease progression, and determining the most effective treatment options.
439 services94 patients
Pathology examination of tissue using a microscope, intermediate complexity 88305
A pathology examination of tissue with intermediate complexity involves studying a small sample of your body tissue under a microscope. This helps in identifying any abnormal cells or signs of disease. It's a detailed process requiring expert analysis to ensure accurate results.
354 services193 patients
Special stained specimen slides to examine tissue, each additional procedure 88341
Special stained specimen slides are used to analyze tissue in detail. In this process, extra procedures may be needed for a more thorough examination. These involve applying special stains to the tissue on slides, enhancing specific elements for closer study.
306 services73 patients
Special stained specimen slides to examine tissue including interpretation and report 88313
Special stained specimen slides are used to examine tissue samples. This involves applying special dyes to the tissue, which helps to highlight certain features under a microscope. The findings are then interpreted and a report is provided. This can aid in diagnosing various health conditions.
253 services108 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85034 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
$127.71 typical visit price
range $55.44 – $168.60
Typical copayment $31.92 (range $13.86 – $42.15)
Most-billed visit code 99204
Established Patient
$98.00 typical visit price
range $17.72 – $137.41
Typical copayment $24.50 (range $4.43 – $34.35)
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.

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.

88.55/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality86.53
Improvement Activities40

Other Providers at the Same Location NPPES 18

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

Pathology (Anatomic Pathology & Clinical Pathology)
424 S 56TH ST STE 110
PHOENIX, AZ 85034
Pathology (Anatomic Pathology & Clinical Pathology)
424 S 56TH ST STE 110
PHOENIX, AZ 85034
Pathology (Anatomic Pathology & Clinical Pathology)
424 S 56TH ST STE 110
PHOENIX, AZ 85034
Pathology (Anatomic Pathology & Clinical Pathology)
424 S 56TH ST STE 110
PHOENIX, AZ 85034
Pathology (Anatomic Pathology & Clinical Pathology)
424 S 56TH ST STE 110
PHOENIX, AZ 85034
Pathology (Dermatopathology)
424 S 56TH ST STE 110
PHOENIX, AZ 85034
Pathology (Anatomic Pathology & Clinical Pathology)
424 S 56TH ST STE 110
PHOENIX, AZ 85034
Pathology (Anatomic Pathology & Clinical Pathology)
424 S 56TH ST STE 110
PHOENIX, AZ 85034

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 Alex Heimbigner's NPI number?

The NPI number for Alex Heimbigner is 1386098853. It was assigned to this individual provider in the NPPES registry on April 20, 2016.

Where is Alex Heimbigner located?

Alex Heimbigner practices at 424 S 56th St Ste 110, Phoenix, AZ 85034. The listed phone number is (602) 685-5211.

What is Alex Heimbigner's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Anatomic Pathology, with taxonomy code 207ZP0101X.

Is Alex Heimbigner enrolled in Medicare?

Yes. Alex Heimbigner 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 Alex Heimbigner accept?

Health plans from Oscar Health Plan, Inc. and Oscar Insurance Company list Alex Heimbigner 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 Alex Heimbigner was last updated on October 23, 2023. 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.