DR. MICHAEL DAVID HEUMAN MD
NPI 1457349680
Surgery in Mount Vernon, OH

Active since October 12, 2005PECOS EnrolledAccepts Medicare Assignment
1330 COSHOCTON AVE, MOUNT VERNON, OH 43050(740) 393-9000(740) 392-0167 Get Directions Write a Review

NPPES record last updated: March 17, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Michael David Heuman Md NPPES

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

DR. MICHAEL DAVID HEUMAN MD (NPI 1457349680) is an individual surgery provider in Mount Vernon, Ohio, licensed in Ohio (35123548) and active in the NPI registry since October 2005. He is enrolled in Medicare PECOS, is affiliated with Knox Community Hospital, and is a graduate of Wayne State University School Of Medicine (2000).

NPPES Registry Identity

NPI1457349680
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameDR. MICHAEL DAVID HEUMANCredential: MD
Location Address1330 COSHOCTON AVEMount Vernon, OH 43050-1440
Mailing Address1330 Coshocton AveMount Vernon, OH 43050-1440 · (740) 393-9000 · Fax (740) 392-0167
Fax(740) 392-0167
Sole ProprietorNo
Medical School CMSWayne State University School Of MedicineGraduated 2000
Enumeration DateOctober 12, 2005
Last NPPES UpdateMarch 17, 2021
NPPES CertifiedMarch 17, 2021
NPI 1457349680 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
Licenses Licensed in OH · 35123548 Licensed in GA · 051144 Licensed in TN · 44608
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
1330 COSHOCTON AVE, Mount Vernon, OH 43050

Other Identifiers 5

Other4233685TN · Bcbs
Medicaid7100114270KY
Medicaid1514519TN
Other01307453TN · Amerigroup
Other203500913010TN · Tricare North

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. Michael David Heuman 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 ID2264586296
PECOS Enrollment IDI20140815001126
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 11

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.

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.
99 services99 patients
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.
74 services67 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.
71 services64 patients
Removal of polyps or growths of large bowel using a flexible endoscope with electrical cautery 45384
This procedure involves using a flexible tube with a camera, called an endoscope, to view the large intestine. If any abnormal growths or polyps are found, they are removed with an electrically-heated instrument. This is a common way to prevent bowel issues.
50 services50 patients
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
48 services45 patients
Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385
This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.
43 services43 patients

Hospital Affiliations CMS Care Compare

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

Knox Community Hospital

Acute Care Hospitals · Mount Vernon, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number360040
Location1330 Coshocton RoadMount Vernon, OH 43050 · Knox County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43050 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$68.07 typical visit price
range $17.10 – $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.

Anesthesiology
1330 COSHOCTON AVE
MOUNT VERNON, OH 43050
Clinic/Center
1330 COSHOCTON AVE
MOUNT VERNON, OH 43050
Clinic/Center (Urgent Care)
1330 COSHOCTON AVE
MOUNT VERNON, OH 43050
Anesthesiology (Pain Medicine)
1330 COSHOCTON AVE
MOUNT VERNON, OH 43050
Internal Medicine
1330 COSHOCTON AVE
MOUNT VERNON, OH 43050
Pathology (Anatomic Pathology & Clinical Pathology)
1330 COSHOCTON AVE
MOUNT VERNON, OH 43050
Nurse Practitioner
1330 COSHOCTON AVE
MOUNT VERNON, OH 43050
Thoracic Surgery (Cardiothoracic Vascular Surgery)
1330 COSHOCTON AVE
MOUNT VERNON, OH 43050

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 Michael Heuman's NPI number?

The NPI number for Michael Heuman is 1457349680. It was assigned to this individual provider in the NPPES registry on October 12, 2005.

Where is Michael Heuman located?

Michael Heuman practices at 1330 Coshocton Ave, Mount Vernon, OH 43050. The listed phone number is (740) 393-9000.

What is Michael Heuman's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Michael Heuman enrolled in Medicare?

Yes. Michael Heuman 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 Michael Heuman accept?

Health plans from CareSource and MedMutual list Michael Heuman 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 Michael Heuman affiliated with any hospitals?

According to CMS data, Michael Heuman is affiliated with Knox Community Hospital.

When was this NPI record last updated?

The NPPES record for Michael Heuman was last updated on March 17, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.