MR. BRIAN J HEINEMAN DO
NPI 1548341035
Family Medicine - Adolescent Medicine in Brooklyn, IA

Active since October 18, 2006PECOS EnrolledAccepts Medicare Assignment
30.88/100
CMS Quality Rating
128 JACKSON STREET, BROOKLYN, IA 52211(641) 522-7221(641) 522-5816 Get Directions Write a Review

NPPES record last updated: November 20, 2009. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mr. Brian J Heineman Do NPPES

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

MR. BRIAN J HEINEMAN DO (NPI 1548341035) is an individual adolescent medicine provider in Brooklyn, Iowa, licensed in Iowa (01662) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS, is affiliated with Grinnell Regional Medical Center, and is a graduate of Other (1976).

NPPES Registry Identity

NPI1548341035
Entity TypeIndividualMale
Primary Taxonomy207QA0000X
Provider Legal NameMR. BRIAN J HEINEMANCredential: DO
Location Address128 JACKSON STREETBrooklyn, IA 52211
Mailing AddressPo Box 527, 128 Jackson StreetBrooklyn, IA 52211-0527 · (641) 522-7221 · Fax (641) 522-5816
Fax(641) 522-5816
Sole ProprietorYes
Medical School CMSOtherGraduated 1976
Enumeration DateOctober 18, 2006
Last NPPES UpdateNovember 20, 2009
NPI 1548341035 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily Medicine · Adolescent MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QA0000X
License Licensed in IA · 01662
Definition
A family medicine physician with multidisciplinary training in the unique physical, psychological and social characteristics of adolescents and their health care problems and needs.
128 JACKSON STREET, Brooklyn, IA 52211

Other Identifiers 5

Other06059IA · Wellmark Blue Cross
Medicare UPINA01355IA
Medicaid0415489IA
Medicare PINI5182IA
Medicare ID-Type UnspecifiedI5182IA

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

Mr. Brian J Heineman Do 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 ID3173415510
PECOS Enrollment IDI20100116000130
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 24

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.

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
816 services146 patients
Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
589 services97 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.
367 services170 patients
Injection, dexamethasone sodium phosphate, 1 mg J1100
Dexamethasone sodium phosphate is a medication given via injection. It is a type of steroid that helps reduce inflammation and immune responses. It can be used to treat a variety of conditions, such as allergies, skin conditions, arthritis, and more.
354 services55 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
247 services174 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.
204 services129 patients

Hospital Affiliations CMS Care Compare 2

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

Grinnell Regional Medical Center

Acute Care Hospitals · Grinnell, IA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number160147
Location210 Fourth AvenueGrinnell, IA 50112 · Poweshiek County
Emergency services Birthing friendly

Compass Memorial Healthcare

Critical Access Hospitals · Marengo, IA
OwnershipGovernment - Local
CMS Certification Number161317
Location300 W May StMarengo, IA 52301 · Iowa County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 52211 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
$81.84 typical visit price
range $52.96 – $161.40
Typical copayment $20.46 (range $13.24 – $40.35)
Most-billed visit code 99203
Established Patient
$94.05 typical visit price
range $16.91 – $131.98
Typical copayment $23.51 (range $4.22 – $32.99)
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.

30.88/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality40
Improvement Activities0
Cost49.6

Referred Medical Equipment & Supplies CMS DME claims 11

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
5 suppliers30 claims54 services$6.28 avg. paid by Medicare
Insertion tray with drainage bag with indwelling catheter, foley type, two-way latex with coating (teflon, silicone, silicone elastomer or hydrophilic, etc.) A4314
DME-Orthotic Devices · category DF000N
1 supplier18 claims18 services$19.36 avg. paid by Medicare
Urinary catheter anchoring device, leg strap, each A4334
DME-Orthotic Devices · category DF000N
1 supplier23 claims23 services$4.34 avg. paid by Medicare
Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each A4357
DME-Orthotic Devices · category DF000N
1 supplier25 claims25 services$7.75 avg. paid by Medicare
Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each A4358
DME-Orthotic Devices · category DF000N
1 supplier12 claims13 services$5.44 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers11 claims11 services$19.35 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

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

Family Medicine
128 JACKSON STREET
BROOKLYN, IA 52211

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 Heineman's NPI number?

The NPI number for Brian Heineman is 1548341035. It was assigned to this individual provider in the NPPES registry on October 18, 2006.

Where is Brian Heineman located?

Brian Heineman practices at 128 Jackson Street, Brooklyn, IA 52211. The listed phone number is (641) 522-7221.

What is Brian Heineman's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Adolescent Medicine, with taxonomy code 207QA0000X.

Is Brian Heineman enrolled in Medicare?

Yes. Brian Heineman 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 Brian Heineman accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from NH Healthy Families and Ambetter from Sunflower Health Plan and 1 other insurer list Brian Heineman 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 Brian Heineman affiliated with any hospitals?

According to CMS data, Brian Heineman is affiliated with Grinnell Regional Medical Center and Compass Memorial Healthcare.

When was this NPI record last updated?

The NPPES record for Brian Heineman was last updated on November 20, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.