BROOKE NICOLE HEYMAN M.D.
NPI 1437509676
Internal Medicine - Critical Care Medicine in Philadelphia, PA

Active since June 19, 2016PECOS EnrolledAccepts Medicare Assignment
85.48/100
CMS Quality Rating
3400 SPRUCE ST., 3 RAVDIN BLDG STE F, PHILADELPHIA, PA 19104(215) 662-3202(215) 349-8432 Get Directions Write a Review

NPPES record last updated: August 11, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 11, 2022, Jun 13, 2019, Jun 19, 2016 (3 updates tracked since 2016).

About Brooke Nicole Heyman M.d. NPPES

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

BROOKE NICOLE HEYMAN M.D. (NPI 1437509676) is an individual critical care medicine provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (MD477802) and active in the NPI registry since June 2016. She is enrolled in Medicare PECOS, is affiliated with Hospital Of Univ Of Pennsylvania, and is a graduate of Temple University School Of Medicine (2016).

NPPES Registry Identity

NPI1437509676
Entity TypeIndividualFemale
Primary Taxonomy207RC0200X
Provider Legal NameBROOKE NICOLE HEYMANCredential: M.D.
Location Address3400 SPRUCE ST., 3 RAVDIN BLDG STE FPhiladelphia, PA 19104-4206
Mailing Address3400 Spruce St., 3 Ravdin Bldg Ste FPhiladelphia, PA 19104-4206 · (215) 662-3202 · Fax (215) 349-8432
Fax(215) 349-8432
Sole ProprietorNo
Medical School CMSTemple University School Of MedicineGraduated 2016
Enumeration DateJune 19, 2016
Last NPPES UpdateAugust 11, 20223 updates tracked since enumeration
NPPES CertifiedAugust 11, 2022
NPI 1437509676 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyInternal Medicine · Critical Care MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RC0200X
License Licensed in PA · MD477802
Definition

An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.

Also ListedInternal MedicineTaxonomy 207R00000X · License MD477802 (PA)
Also ListedInternal Medicine · Pulmonary DiseaseTaxonomy 207RP1001X · License MD477802 (PA)
3400 SPRUCE ST., Philadelphia, PA 19104

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

Brooke Nicole Heyman 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 ID4385022649
PECOS Enrollment IDI20220528000037
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 8

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.

Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
135 services43 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
134 services80 patients
Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or G2212
This service refers to extended doctor visits where your healthcare provider spends additional time evaluating and managing your health beyond the primary procedure's required time. This includes each extra 15 minutes spent by the physician on the same day as the primary service.
78 services26 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
56 services40 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
25 services16 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
23 services23 patients

Hospital Affiliations CMS Care Compare 3

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

Hospital Of Univ Of Pennsylvania

Acute Care Hospitals · Philadelphia, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390111
Location34th & Spruce StsPhiladelphia, PA 19104 · Philadelphia County
Emergency services Birthing friendly

Chester County Hospital

Acute Care Hospitals · West Chester, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390179
Location701 East Marshall StreetWest Chester, PA 19380 · Chester County
Emergency services Birthing friendly

Penn Presbyterian Medical Center

Acute Care Hospitals · Philadelphia, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number390223
Location51 North 39th StreetPhiladelphia, PA 19104 · Philadelphia County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19104 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
$137.17 typical visit price
range $59.88 – $180.99
Typical copayment $34.29 (range $14.97 – $45.24)
Most-billed visit code 99204
Established Patient
$105.21 typical visit price
range $19.30 – $147.29
Typical copayment $26.30 (range $4.82 – $36.82)
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.

85.48/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality73.6
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
4 suppliers15 claims15 services$63.77 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Emergency Medicine
3400 SPRUCE ST., GROUND SILVERSTEIN BUILDING
PHILADELPHIA, PA 19104
Hospitalist
3400 SPRUCE ST., 5 MALONEY
PHILADELPHIA, PA 19104
Nurse Practitioner (Family)
3400 SPRUCE ST., GROUND SILVERSTEIN BUILDING
PHILADELPHIA, PA 19104
Pathology (Anatomic Pathology & Clinical Pathology)
3400 SPRUCE ST., 6 FOUNDERS
PHILADELPHIA, PA 19104
Internal Medicine (Infectious Disease)
3400 SPRUCE ST.
PHILADELPHIA, PA 19104
Surgery (Vascular Surgery)
3400 SPRUCE ST., 4 SILVERSTEIN
PHILADELPHIA, PA 19104
Nurse Practitioner (Adult Health)
3400 SPRUCE ST.
PHILADELPHIA, PA 19104
Radiology (Vascular & Interventional Radiology)
3400 SPRUCE ST., 1 SILVERSTEIN
PHILADELPHIA, PA 19104

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 Brooke Heyman's NPI number?

The NPI number for Brooke Heyman is 1437509676. It was assigned to this individual provider in the NPPES registry on June 19, 2016.

Where is Brooke Heyman located?

Brooke Heyman practices at 3400 Spruce St. 3 Ravdin Bldg Ste F, Philadelphia, PA 19104. The listed phone number is (215) 662-3202.

What is Brooke Heyman's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Critical Care Medicine, with taxonomy code 207RC0200X.

Is Brooke Heyman enrolled in Medicare?

Yes. Brooke Heyman 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 Brooke Heyman accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Brooke Heyman 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 Brooke Heyman affiliated with any hospitals?

According to CMS data, Brooke Heyman is affiliated with Hospital Of Univ Of Pennsylvania, Chester County Hospital and Penn Presbyterian Medical Center.

When was this NPI record last updated?

The NPPES record for Brooke Heyman was last updated on August 11, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.