DR. ROBERT EMIL HEINL IV M.D.
NPI 1427443902
Internal Medicine - Interventional Cardiology in Marion, OH

Active since April 01, 2015PECOS EnrolledAccepts Medicare Assignment
87.65/100
CMS Quality Rating
278 BARKS RD W, MARION, OH 43302(740) 383-7980(740) 383-3040 Get Directions Write a Review

NPPES record last updated: November 25, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Robert Emil Heinl Iv M.d. NPPES

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

DR. ROBERT EMIL HEINL IV M.D. (NPI 1427443902) is an individual interventional cardiology provider in Marion, Ohio, licensed in Ohio (35.145442) and active in the NPI registry since April 2015. He is enrolled in Medicare PECOS, is affiliated with Riverside Methodist Hospital, and is a graduate of Warren Alpert Medical School Of Brown University (2015).

NPPES Registry Identity

NPI1427443902
Entity TypeIndividualMale
Primary Taxonomy207RI0011X
Provider Legal NameDR. ROBERT EMIL HEINL IVCredential: M.D.
Location Address278 BARKS RD WMarion, OH 43302-7367
Mailing AddressPo Box 7527Dublin, OH 43017-0727
Fax(740) 383-3040
Sole ProprietorNo
Medical School CMSWarren Alpert Medical School Of Brown UniversityGraduated 2015
Enumeration DateApril 1, 2015
Last NPPES UpdateNovember 25, 2024
NPPES CertifiedNovember 25, 2024
NPI 1427443902 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Interventional CardiologyAllopathic & Osteopathic Physicians
Taxonomy Code207RI0011X
License Licensed in OH · 35.145442
Definition
An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system.
278 BARKS RD W, Marion, OH 43302

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. Robert Emil Heinl Iv 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 ID3375923741
PECOS Enrollment IDI20220630002948
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 12

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.

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
417 services298 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.
188 services155 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
101 services98 patients
Insertion of tube in left lower heart chamber and coronary artery for diagnosis with review by radiologist 93458
This procedure involves placing a tube into your left lower heart chamber and coronary artery. It helps doctors diagnose heart conditions by allowing them to view these areas in detail. A radiologist will review the images to ensure accurate diagnosis.
46 services46 patients
Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision by physician 93016
An exercise or drug-induced heart stress test with ECG involves monitoring your heart's activity while it's under stress, either from exercise or medication. A doctor supervises the entire procedure to ensure safety and accuracy in results. This test helps detect heart problems.
31 services31 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.
31 services31 patients

Hospital Affiliations CMS Care Compare 3

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

Riverside Methodist Hospital

Acute Care Hospitals · Columbus, OH
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360006
Location3535 Olentangy River RdColumbus, OH 43214 · Franklin County
Emergency services Birthing friendly

Marion General Hospital

Acute Care Hospitals · Marion, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360011
Location1000 Mckinley Park DriveMarion, OH 43302 · Marion County
Emergency services Birthing friendly

Hardin Memorial Hospital

Critical Access Hospitals · Kenton, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number361315
Location921 East Franklin StreetKenton, OH 43326 · Hardin County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43302 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
$126.12 typical visit price
range $54.34 – $166.65
Typical copayment $31.53 (range $13.58 – $41.66)
Most-billed visit code 99204
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

87.65/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality74.45
Promoting Interoperability96.03
Improvement Activities40

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.

Internal Medicine (Interventional Cardiology)
278 BARKS RD W
MARION, OH 43302
Nurse Practitioner (Family)
278 BARKS RD W
MARION, OH 43302
Physician Assistant
278 BARKS RD W
MARION, OH 43302
Nurse Practitioner (Family)
278 BARKS RD W
MARION, OH 43302
Internal Medicine (Cardiovascular Disease)
278 BARKS RD W
MARION, OH 43302
Nurse Practitioner (Adult Health)
278 BARKS RD W
MARION, OH 43302
Nurse Practitioner (Acute Care)
278 BARKS RD W
MARION, OH 43302
Internal Medicine (Interventional Cardiology)
278 BARKS RD W
MARION, OH 43302

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 Robert Heinl's NPI number?

The NPI number for Robert Heinl is 1427443902. It was assigned to this individual provider in the NPPES registry on April 1, 2015.

Where is Robert Heinl located?

Robert Heinl practices at 278 Barks Rd W, Marion, OH 43302. The listed phone number is (740) 383-7980.

What is Robert Heinl's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Interventional Cardiology, with taxonomy code 207RI0011X.

Is Robert Heinl enrolled in Medicare?

Yes. Robert Heinl 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 Robert Heinl accept?

Health plans from CareSource and MedMutual list Robert Heinl 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 Robert Heinl affiliated with any hospitals?

According to CMS data, Robert Heinl is affiliated with Riverside Methodist Hospital, Marion General Hospital and Hardin Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Robert Heinl was last updated on November 25, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months 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.