DR. DUANE B HEILBRONN JR. M.D.
NPI 1417956186
Obstetrics & Gynecology in Saginaw, MI

Active since July 15, 2005PECOS EnrolledAccepts Medicare Assignment
926 N MICHIGAN AVE, SAGINAW, MI 48602(989) 753-8453(989) 753-3519 Get Directions Write a Review

NPPES record last updated: April 19, 2010. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Dr. Duane B Heilbronn Jr. M.d. NPPES

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

DR. DUANE B HEILBRONN JR. M.D. (NPI 1417956186) is an individual obstetrics & gynecology provider in Saginaw, Michigan, licensed in Michigan (DH050434) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS, is affiliated with Covenant Medical Center, and is a graduate of Wayne State University School Of Medicine (1985).

NPPES Registry Identity

NPI1417956186
Entity TypeIndividualMale
Primary Taxonomy207V00000X
Provider Legal NameDR. DUANE B HEILBRONN JR.Credential: M.D.
Location Address926 N MICHIGAN AVESaginaw, MI 48602-4323
Mailing Address926 N Michigan AveSaginaw, MI 48602-4323 · (989) 753-8453 · Fax (989) 753-3519
Fax(989) 753-3519
Sole ProprietorNo
Medical School CMSWayne State University School Of MedicineGraduated 1985
Enumeration DateJuly 15, 2005
Last NPPES UpdateApril 19, 2010
NPI 1417956186 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License Licensed in MI · DH050434
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
926 N MICHIGAN AVE, Saginaw, MI 48602

Other Identifiers 3

Medicare PIN0G36028MI
Medicare UPINE59711MI
Medicaid2839975MI

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

Dr. Duane B Heilbronn Jr. 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 ID6709884745
PECOS Enrollment IDI20061129000289
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 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.

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.
144 services87 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
26 services26 patients
Cervical or vaginal cancer screening; pelvic and clinical breast examination G0101
This procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.
25 services25 patients
Assessment of emotional or behavioral problems 96127
Assessment of emotional or behavioral problems involves a thorough evaluation of your feelings, thoughts, and behaviors. It's a process where professionals study patterns over time to identify potential issues like anxiety, depression, or other mental health conditions.
15 services15 patients
Ultrasound scan of uterus, ovaries, tubes, cervix and pelvic area through vagina 76830
An ultrasound scan of the lower abdominal region is a safe, non-invasive procedure that uses sound waves to create images of internal structures. This helps in checking the health of reproductive organs and detecting any abnormalities. The scan is done via a small probe inserted into the body.
11 services11 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.
11 services11 patients

Hospital Affiliations CMS Care Compare

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

Covenant Medical Center

Acute Care Hospitals · Saginaw, MI
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230070
Location1447 N HarrisonSaginaw, MI 48602 · Saginaw County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48602 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
$126.15 typical visit price
range $54.34 – $166.68
Typical copayment $31.53 (range $13.58 – $41.67)
Most-billed visit code 99204
Established Patient
$68.07 typical visit price
range $17.09 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
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 20

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

Advanced Practice Midwife
926 N MICHIGAN AVE
SAGINAW, MI 48602
Nurse Practitioner (Obstetrics & Gynecology)
926 N MICHIGAN AVE
SAGINAW, MI 48602
Obstetrics & Gynecology
926 N MICHIGAN AVE
SAGINAW, MI 48602
Clinic/Center (Federally Qualified Health Center (FQHC))
926 N MICHIGAN AVE
SAGINAW, MI 48602
Internal Medicine
926 N MICHIGAN AVE
SAGINAW, MI 48602
Advanced Practice Midwife
926 N MICHIGAN AVE
SAGINAW, MI 48602
Advanced Practice Midwife
926 N MICHIGAN AVE
SAGINAW, MI 48602
Obstetrics & Gynecology
926 N MICHIGAN AVE
SAGINAW, MI 48602

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 Duane Heilbronn's NPI number?

The NPI number for Duane Heilbronn is 1417956186. It was assigned to this individual provider in the NPPES registry on July 15, 2005.

Where is Duane Heilbronn located?

Duane Heilbronn practices at 926 N Michigan Ave, Saginaw, MI 48602. The listed phone number is (989) 753-8453.

What is Duane Heilbronn's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Duane Heilbronn enrolled in Medicare?

Yes. Duane Heilbronn 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 Duane Heilbronn accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company and Priority Health list Duane Heilbronn 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 Duane Heilbronn affiliated with any hospitals?

According to CMS data, Duane Heilbronn is affiliated with Covenant Medical Center.

When was this NPI record last updated?

The NPPES record for Duane Heilbronn was last updated on April 19, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.