KEVIN DOUGLAS HEINZE MD
NPI 1427552181
Ophthalmology - Ophthalmic Plastic and Reconstructive Surgery in New York, NY

Active since March 19, 2018PECOS EnrolledAccepts Medicare Assignment
87.08/100
CMS Quality Rating
1305 YORK AVE, NEW YORK, NY 10021(646) 962-2020 Get Directions Write a Review

NPPES record last updated: July 29, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 5, 2022, May 11, 2022, Mar 19, 2018 (3 updates tracked since 2018).

About Kevin Douglas Heinze Md NPPES

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

KEVIN DOUGLAS HEINZE MD (NPI 1427552181) is an individual ophthalmic plastic and reconstructive surgery provider in New York, New York, licensed in New York (329128) and active in the NPI registry since March 2018. He is enrolled in Medicare PECOS, is affiliated with New York-presbyterian Hospital, and is a graduate of University Of Michigan Medical School (2018).

NPPES Registry Identity

NPI1427552181
Entity TypeIndividualMale
Primary Taxonomy207WX0200X
Provider Legal NameKEVIN DOUGLAS HEINZECredential: MD
Location Address1305 YORK AVENew York, NY 10021-5663
Mailing Address1855 W Taylor StChicago, IL 60612-7242 · (312) 996-6562 · Fax (312) 996-1934
Sole ProprietorYes
Medical School CMSUniversity Of Michigan Medical SchoolGraduated 2018
Enumeration DateMarch 19, 2018
Last NPPES UpdateJuly 29, 20253 updates tracked since enumeration
NPPES CertifiedJuly 29, 2025
NPI 1427552181 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyOphthalmology · Ophthalmic Plastic and Reconstructive SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207WX0200X
License Licensed in NY · 329128
Definition
A physician who specializes in oculofacial plastic and reconstructive surgery. This subspecialty combines orbital and periocular surgery with facial plastic surgery, and includes aesthetic and reconstructive surgery of the face, orbit, eyelid, and lacrimal system. Practitioners evaluate, diagnose and treat conditions involving the eyelids, brows, midface, orbits, lacrimal systems and surrounding and supporting structures of the face and neck.
Also ListedOphthalmologyTaxonomy 207W00000X · License 036.160433 (IL)
1305 YORK AVE, New York, NY 10021

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

Kevin Douglas Heinze Md 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 ID9931455078
PECOS Enrollment IDI20240827002839
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.

Hospital Affiliations CMS Care Compare

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

New York-Presbyterian Hospital

Acute Care Hospitals · New York, NY
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330101
Location525 East 68th StreetNew York, NY 10065 · New York County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10021 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
$150.24 typical visit price
range $65.69 – $198.19
Typical copayment $37.56 (range $16.42 – $49.54)
Most-billed visit code 99204
Established Patient
$81.44 typical visit price
range $21.20 – $160.66
Typical copayment $20.36 (range $5.30 – $40.16)
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.

87.08/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality70.79
Promoting Interoperability100
Improvement Activities40
Cost52.82

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.

Audiologist
1305 YORK AVE
NEW YORK, NY 10021
Obstetrics & Gynecology (Reproductive Endocrinology)
1305 YORK AVE, 6TH FLOOR
NEW YORK, NY 10021
Speech-Language Pathologist
1305 YORK AVE
NEW YORK, NY 10021
Internal Medicine (Gastroenterology)
1305 YORK AVE
NEW YORK, NY 10021
Ophthalmology
1305 YORK AVE
NEW YORK, NY 10021
Nurse Practitioner (Women's Health)
1305 YORK AVE
NEW YORK, NY 10021
Student in an Organized Health Care Education/Training Program
1305 YORK AVE
NEW YORK, NY 10021
Ophthalmology
1305 YORK AVE, 11TH FLOOR
NEW YORK, NY 10021

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 Kevin Heinze's NPI number?

The NPI number for Kevin Heinze is 1427552181. It was assigned to this individual provider in the NPPES registry on March 19, 2018.

Where is Kevin Heinze located?

Kevin Heinze practices at 1305 York Ave, New York, NY 10021. The listed phone number is (646) 962-2020.

What is Kevin Heinze's specialty?

The primary specialty registered for this NPI is Ophthalmology, specializing in Ophthalmic Plastic and Reconstructive Surgery, with taxonomy code 207WX0200X.

Is Kevin Heinze enrolled in Medicare?

Yes. Kevin Heinze 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.

Is Kevin Heinze affiliated with any hospitals?

According to CMS data, Kevin Heinze is affiliated with New York-Presbyterian Hospital.

When was this NPI record last updated?

The NPPES record for Kevin Heinze was last updated on July 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.