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ADAM BENDER-HEINE M.D.
NPI 1457771438
Otolaryngology - Plastic Surgery within the Head & Neck in Harlingen, TX

Active since April 17, 2014PECOS EnrolledAccepts Medicare Assignment
81.44/100
CMS Quality Rating
2121 PEASE ST STE 600, HARLINGEN, TX 78550(956) 215-8520(956) 332-1051 Get Directions Write a Review

NPPES record last updated: June 18, 2025. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Jun 18, 2025, Sep 23, 2024, Oct 12, 2020 and 3 more (6 updates tracked since 2019).

About Adam Bender-heine M.d. NPPES

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

ADAM BENDER-HEINE M.D. (NPI 1457771438) is an individual plastic surgery within the head & neck provider in Harlingen, Texas, licensed in Texas (S7391) and active in the NPI registry since April 2014. He is enrolled in Medicare PECOS, is affiliated with Vhs Harlingen Hospital Company Llc, and maintains a secondary practice location in Harlingen.

NPPES Registry Identity

NPI1457771438
Entity TypeIndividualMale
Primary Taxonomy207YX0007X
Provider Legal NameADAM BENDER-HEINECredential: M.D.
Location Address2121 PEASE ST STE 600Harlingen, TX 78550-8326
Mailing AddressPo Box 5730Belfast, ME 04915-5700
Phone(956) 215-8520
Fax(956) 332-1051
Sole ProprietorNo
Medical School CMSWest Virginia University School Of MedicineGraduated 2014
Enumeration DateApril 17, 2014
Last NPPES UpdateJune 18, 20256 updates tracked since enumeration
NPPES CertifiedJune 18, 2025
✔ NPI 1457771438 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOtolaryngology · Plastic Surgery within the Head & NeckAllopathic & Osteopathic Physicians
Taxonomy Code207YX0007X
License✔ Licensed in TX · S7391
Definition
An otolaryngologist with additional training in plastic and reconstructive procedures within the head, face, neck and associated structures, including cutaneous head and neck oncology and reconstruction, management of maxillofacial trauma, soft tissue repair and neural surgery. The field is diverse and involves a wide age range of patients, from the newborn to the aged. While both cosmetic and reconstructive surgeries are practiced, there are many additional procedures which interface with them.
Also ListedOtolaryngologyTaxonomy 207Y00000X · License S7391 (TX)
2121 PEASE ST STE 600, Harlingen, TX 78550
Open in Google Maps ↗

Secondary Practice Location 1

Location 12222 Vela StreetHarlingen, TX 78550-8472 · Phone (956) 804-5851

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Antidote Health of TX, Blue Cross and Blue Shield of Texas, Imperial Insurance Companies, Inc. and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Adam Bender-heine 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 ID3476855008
PECOS Enrollment IDI20200720002147
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.

Medicare Billing Reassignment

Medicare enrollment records show Adam Bender-heine reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Bhs Physicians Network, Inc
243 mi
Family Medicine
502 MADISON OAK DR STE 310
San Antonio, TX 78258
  • Reassigned Medicare billing, Texas enrollment
  • 964 clinicians in this Medicare group
NPI 1598958431 (210) 483-8883

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 7

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 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.
27 services22 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
26 services15 patients
Diagnostic exam of voice box using a flexible endoscope 31575
This procedure involves a doctor examining your voice box using a flexible endoscope, a thin tube with a light and camera. It's inserted through your nose or mouth to visualize your throat area. It helps detect any abnormalities in your voice box, ensuring optimal vocal health.
19 services13 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.
18 services18 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
14 services14 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.
14 services12 patients

Hospital Affiliations CMS Care Compare

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

Vhs Harlingen Hospital Company LLC

Acute Care Hospitals · Harlingen, TX
2/5 CMS rating
OwnershipProprietary
CMS Certification Number450033
Location2101 Pease StHarlingen, TX 78550 · Cameron County
Emergency services Birthing friendly

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.

81.44/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality65.83
Promoting Interoperability98
Improvement Activities40
Cost49.23

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. HENRY ALFRED REINHART III MD
Surgery
2121 PEASE ST STE 600
HARLINGEN, TX 78550
Cameron County (956) 215-8520
SAVVAS COSTAS POULOS M.D.
Orthopaedic Surgery (Hand Surgery)
2121 PEASE ST STE 600
HARLINGEN, TX 78550
Cameron County (956) 215-8520
DR. DANIEL ALBO
Surgery (Surgical Oncology)
2121 PEASE ST STE 600
HARLINGEN, TX 78550
Cameron County (956) 215-8520
JAIME DONES PA-C
Physician Assistant
2121 PEASE ST STE 600
HARLINGEN, TX 78550
Cameron County (956) 215-8520
DR. DANIEL PAUL BOLTON M.D
Surgery (Trauma Surgery)
2121 PEASE ST STE 600
HARLINGEN, TX 78550
Cameron County (956) 215-8520
TIFFANY MARIE TICER NP-C
Nurse Practitioner
2121 PEASE ST STE 600
HARLINGEN, TX 78550
Cameron County (956) 215-8520

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 Adam Bender-heine's NPI number?

The NPI number for Adam Bender-heine is 1457771438. It was assigned to this individual provider in the NPPES registry on April 17, 2014.

Where is Adam Bender-heine located?

Adam Bender-heine practices at 2121 Pease St Ste 600, Harlingen, TX 78550. The listed phone number is (956) 215-8520.

What is Adam Bender-heine's specialty?

The primary specialty registered for this NPI is Otolaryngology, specializing in Plastic Surgery within the Head & Neck, with taxonomy code 207YX0007X.

Is Adam Bender-heine enrolled in Medicare?

Yes. Adam Bender-heine 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.

Which organization bills Medicare for Adam Bender-heine's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Adam Bender-heine reassigns Medicare benefits to Bhs Physicians Network, Inc (San Antonio, TX). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Adam Bender-heine's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Adam Bender-heine accept?

Health plans from Antidote Health of TX, Blue Cross and Blue Shield of Texas, Imperial Insurance Companies, Inc., UnitedHealthcare and WellPoint list Adam Bender-heine 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 Adam Bender-heine affiliated with any hospitals?

According to CMS data, Adam Bender-heine is affiliated with Vhs Harlingen Hospital Company LLC.

When was this NPI record last updated?

The NPPES record for Adam Bender-heine was last updated on June 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.