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DR. HEIDI JANE KREBS M.D.
NPI 1457496663
Family Medicine in Middletown, OH

Active since February 21, 2007PECOS EnrolledAccepts Medicare Assignment
84.95/100
CMS Quality Rating
1036 S VERITY PKWY, MIDDLETOWN, OH 45044(513) 454-1111 Get Directions Write a Review

NPPES record last updated: August 18, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 18, 2021, Apr 1, 2021, Dec 30, 2019 (3 updates tracked since 2019).

About Dr. Heidi Jane Krebs M.d. NPPES

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

DR. HEIDI JANE KREBS M.D. (NPI 1457496663) is an individual family medicine provider in Middletown, Ohio, licensed in Ohio (35-088591) and active in the NPI registry since February 2007. She is enrolled in Medicare PECOS, is affiliated with Atrium Medical Center, and maintains a secondary practice location in Hamilton.

NPPES Registry Identity

NPI1457496663
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. HEIDI JANE KREBSCredential: M.D.
Location Address1036 S VERITY PKWYMiddletown, OH 45044-5513
Mailing Address300 High St Fl 4Hamilton, OH 45011-6078 · (513) 454-1460
Phone(513) 454-1111
Sole ProprietorNo
Medical School CMSOtherGraduated 2003
Enumeration DateFebruary 21, 2007
Last NPPES UpdateAugust 18, 20213 updates tracked since enumeration
NPPES CertifiedAugust 18, 2021
✔ NPI 1457496663 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in OH · 35-088591
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1036 S VERITY PKWY, Middletown, OH 45044
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Secondary Practice Location 1

Location 1210 S 2nd St, 2nd FloorHamilton, OH 45011-2811 · Phone (513) 454-1460 · Fax (513) 454-1484

Other Identifiers 2

Medicaid2722656OH
Other35088591OH · Ohio License Number

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource, MedMutual.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. Heidi Jane Krebs 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 ID3870668064
PECOS Enrollment IDI20080822000399
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

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 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.
28 services24 patients

Hospital Affiliations CMS Care Compare

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

Atrium Medical Center

Acute Care Hospitals · Franklin, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360076
LocationOne Medical Center DriveFranklin, OH 45005 · Warren County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45044 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
$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.

84.95/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality80.68
Promoting Interoperability100
Improvement Activities40
Cost69.16

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.

LISA KAYE MCGUIRE NP
Nurse Practitioner (Family)
1036 S VERITY PKWY
MIDDLETOWN, OH 45044
Butler County (513) 454-1111
STEPHANIE BABB LSW
Social Worker
1036 S VERITY PKWY
MIDDLETOWN, OH 45044
Butler County (513) 454-1460
UJARANNE J ONUORAH IV FNP
Nurse Practitioner (Psychiatric/Mental Health)
1036 S VERITY PKWY
MIDDLETOWN, OH 45044
Butler County (513) 454-1111
BUTLER COUNTY COMMUNITY HEALTH CONSORTIUM INC
Clinic/Center (Primary Care)
1036 S VERITY PKWY
MIDDLETOWN, OH 45044
Butler County (513) 454-1460
MS. SUSAN R FLETCHER MSW LISW
Social Worker (Clinical)
1036 S VERITY PKWY
MIDDLETOWN, OH 45044
Butler County (513) 454-1111
JENNA RIGG MSN, APRN-CNP, FNP-C
Nurse Practitioner (Family)
1036 S VERITY PKWY
MIDDLETOWN, OH 45044
Butler County (513) 454-1111
CRYSTAL ALLEN MSW, LISW
Social Worker (Clinical)
1036 S VERITY PKWY
MIDDLETOWN, OH 45044
Butler County (513) 454-1111
JONATHAN WHEELER
Dentist
1036 S VERITY PKWY
MIDDLETOWN, OH 45044
Butler County (513) 454-1111

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 Heidi Krebs's NPI number?

The NPI number for Heidi Krebs is 1457496663. It was assigned to this individual provider in the NPPES registry on February 21, 2007.

Where is Heidi Krebs located?

Heidi Krebs practices at 1036 S Verity Pkwy, Middletown, OH 45044. The listed phone number is (513) 454-1111.

What is Heidi Krebs's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Heidi Krebs enrolled in Medicare?

Yes. Heidi Krebs 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 Heidi Krebs accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource and MedMutual list Heidi Krebs 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 Heidi Krebs affiliated with any hospitals?

According to CMS data, Heidi Krebs is affiliated with Atrium Medical Center.

When was this NPI record last updated?

The NPPES record for Heidi Krebs was last updated on August 18, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.