THOMAS HEISCHMIDT M.D.
NPI 1396720983
Internal Medicine in Effingham, IL
About Thomas Heischmidt M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
THOMAS HEISCHMIDT M.D. (NPI 1396720983) is an individual internal medicine provider in Effingham, Illinois, licensed in Illinois (036097905) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS, is affiliated with St Anthonys Memorial Hospital, and is a graduate of University Of Illinois College Of Med (chi/peor/rock/chm-urb) (1995).
NPPES Registry Identity
Specialties & Licenses 2
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.
Other Identifiers 1
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
Thomas Heischmidt 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.
Areas of Expertise CMS Part B claims 6
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.
Hospital Affiliations CMS Care Compare 4
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
St Anthonys Memorial Hospital
Acute Care Hospitals · Effingham, ILSt Johns Hospital
Acute Care Hospitals · Springfield, ILSarah Bush Lincoln Health Center
Acute Care Hospitals · Mattoon, ILClay County Hospital
Critical Access Hospitals · Flora, ILPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 62401 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Referred Medical Equipment & Supplies CMS DME claims 38
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
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.
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 Thomas Heischmidt's NPI number?
The NPI number for Thomas Heischmidt is 1396720983. It was assigned to this individual provider in the NPPES registry on December 7, 2005.
Where is Thomas Heischmidt located?
Thomas Heischmidt practices at 1106 N Merchant St, Effingham, IL 62401. The listed phone number is (217) 342-7000.
What is Thomas Heischmidt's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Thomas Heischmidt enrolled in Medicare?
Yes. Thomas Heischmidt 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 Thomas Heischmidt accept?
Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Home State Health list Thomas Heischmidt 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 Thomas Heischmidt affiliated with any hospitals?
According to CMS data, Thomas Heischmidt is affiliated with St Anthonys Memorial Hospital, St Johns Hospital, Sarah Bush Lincoln Health Center and Clay County Hospital.
When was this NPI record last updated?
The NPPES record for Thomas Heischmidt was last updated on September 8, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.
