DR. BRIAN D HEERINGA MD
NPI 1497789010
Surgery in Traverse City, MI

Q: What is Brian Heeringa's NPI number?

The NPI number for Brian Heeringa is 1497789010. It was assigned to this individual provider in the NPPES registry on July 10, 2006.

Q: What is Brian Heeringa's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Brian Heeringa was last updated on December 21, 2020. 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.

Active since July 10, 2006PECOS EnrolledAccepts Medicare Assignment

880 MUNSON AVE, SUITE A, TRAVERSE CITY, MI 49686(231) 946-1488(231) 946-1489 Get Directions Write a Review

NPPES record last updated: December 21, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

On this page

About Dr. Brian D Heeringa Md NPPES

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

DR. BRIAN D HEERINGA MD (NPI 1497789010) is an individual surgery provider in Traverse City, Michigan, licensed in Michigan (BH076613) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1999).

NPPES Registry Identity

NPI1497789010

Entity TypeIndividualMale

Primary Taxonomy208600000X

Provider Legal NameDR. BRIAN D HEERINGACredential: MD

Location Address880 MUNSON AVE, SUITE ATraverse City, MI 49686-3661

Mailing Address880 Munson Ave, Suite ATraverse City, MI 49686-3661 · (231) 946-1488 · Fax (231) 946-1489

Phone(231) 946-1488

Fax(231) 946-1489

Sole ProprietorNo

Medical School CMSOtherGraduated 1999

Enumeration DateJuly 10, 2006

Last NPPES UpdateDecember 21, 2020

NPPES CertifiedDecember 21, 2020

✔ NPI 1497789010 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208600000X

License✔ Licensed in MI · BH076613

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.

880 MUNSON AVE, Traverse City, MI 49686

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Other Identifiers 2

Other020H310060Blue Cross

Medicaid4759050MI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Michigan Mutual Insurance Company, Priority Health.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

Dr. Brian D Heeringa 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 ID1759311475

PECOS Enrollment IDI20050812000658

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 Reassignments

Medicare enrollment records show Brian Heeringa reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Brian D. Heeringa PC

Same address

Surgery

880 MUNSON AVE STE A
Traverse City, MI 49686

Reassigned Medicare billing, Michigan enrollment
2 clinicians in this Medicare group

NPI 1023486867 (231) 294-6148

Kalkaska Memorial Health Center

19 mi

End-Stage Renal Disease (ESRD) Treatment

415 2ND ST.
Kalkaska, MI 49646

Reassigned Medicare billing, Michigan enrollment
90 clinicians in this Medicare group

NPI 1891980306 (231) 258-3680

Munson Healthcare Charlevoix Hospital

41 mi

Nurse Anesthetist, Certified Registered

14734 PARK AVE
Charlevoix, MI 49720

Reassigned Medicare billing, Michigan enrollment
96 clinicians in this Medicare group

NPI 1063598845 (231) 547-4024

Munson Healthcare Grayling

42 mi

Family Medicine

1200 W NORTH DOWN RIVER RD., SUITE C
Grayling, MI 49738

Reassigned Medicare billing, Michigan enrollment
123 clinicians in this Medicare group

NPI 1699275750 (989) 344-5910

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 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.

Injection of chemical agent into multiple incompetent veins of leg 36471

This procedure involves injecting a special chemical into problematic veins in the leg. The chemical helps to close off these veins, rerouting blood through healthier veins. This can alleviate discomfort and improve the appearance of the treated area.

153 services80 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.

151 services106 patients

Ultrasonic guidance for needle placement 76942

Ultrasonic guidance for needle placement is a technique where sound waves create images that help accurately position the needle during procedures. This method ensures precision, minimizes discomfort, and increases safety.

148 services79 patients

Ultrasound study of arm or leg veins with compression and maneuvers 93970

An ultrasound study of arm or leg veins with compression and maneuvers is a non-invasive procedure that uses sound waves to create images of your veins. This helps identify blood clots or other vein problems. During the procedure, pressure is applied to the veins and certain movements are performed to assess blood flow.

133 services132 patients

Ultrasound study of one arm or leg veins with compression and maneuvers 93971

This is a non-invasive procedure using sound waves to visualize veins in an arm or leg. It involves applying gentle pressure and performing certain movements. It helps identify any abnormal blood flow or clots, ensuring vascular health.

123 services70 patients

Aspiration of abscess, blood, or cyst 10160

Aspiration is a procedure where a needle is carefully inserted into an area of abnormal growth or swelling (like an abscess, blood clot, or cyst) to remove fluid. This helps in reducing pain, facilitating healing, and testing the fluid if needed.

66 services36 patients

Destruction of first incompetent vein of arm or leg using radiofrequency and imaging guidance 36475

This procedure involves using radiofrequency energy, a type of heat energy, to close off an unhealthy vein in your arm or leg. Imaging guidance helps ensure precise targeting of the vein. This helps improve blood flow by rerouting it through healthier veins.

57 services36 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.

40 services40 patients

Injection of chemical agent into single incompetent vein of leg using ultrasound guidance 36465

This procedure involves injecting a chemical agent into a non-functioning vein in your leg. Ultrasound technology is used to accurately locate the vein. The chemical helps to close off the vein, rerouting blood flow to healthier veins.

35 services31 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.

34 services29 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.

11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49686 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

$84.74 typical visit price

range $54.34 – $166.68

Typical copayment $21.18 (range $13.58 – $41.67)

Most-billed visit code 99203

Established Patient

$68.07 typical visit price

range $17.09 – $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.

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.

Reported Quality Measures

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan

Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…

99%148 patients4/55-star benchmark: 100%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 2

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

SPECTRUM HEALTH PRIMARY CARE PARTNERS

Pediatrics

880 MUNSON AVE
TRAVERSE CITY, MI 49686

Grand Traverse County (616) 267-2100

MS. RACHEL LYNN HOPPE MSW

Social Worker

880 MUNSON AVE
TRAVERSE CITY, MI 49686

Grand Traverse County (616) 647-5021

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 Brian Heeringa's NPI number?

The NPI number for Brian Heeringa is 1497789010. It was assigned to this individual provider in the NPPES registry on July 10, 2006.

Where is Brian Heeringa located?

Brian Heeringa practices at 880 Munson Ave Suite A, Traverse City, MI 49686. The listed phone number is (231) 946-1488.

What is Brian Heeringa's specialty?

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

Is Brian Heeringa enrolled in Medicare?

Yes. Brian Heeringa 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 organizations bill Medicare for Brian Heeringa's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Brian Heeringa reassigns Medicare benefits to 4 organizations: Brian D. Heeringa PC (Traverse City, MI), Kalkaska Memorial Health Center (Kalkaska, MI), Munson Healthcare Charlevoix Hospital (Charlevoix, MI) and Munson Healthcare Grayling (Grayling, MI). Each 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 Brian Heeringa's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Brian Heeringa accept?

Health plans from Blue Cross Blue Shield of Michigan Mutual Insurance Company and Priority Health list Brian Heeringa 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.

When was this NPI record last updated?

The NPPES record for Brian Heeringa was last updated on December 21, 2020. 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.