NATHAN DAVID HEINEMAN MD
NPI 1568923688
Orthopaedic Surgery - Hand Surgery in Smithfield, NC

Active since March 29, 2019PECOS EnrolledAccepts Medicare Assignment
100 KELLIE DR, SMITHFIELD, NC 27577(919) 220-5255 Get Directions Write a Review

NPPES record last updated: June 4, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 4, 2025, Feb 24, 2025 (2 updates tracked since 2025).

About Nathan David Heineman Md NPPES

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

NATHAN DAVID HEINEMAN MD (NPI 1568923688) is an individual hand surgery provider in Smithfield, North Carolina, licensed in North Carolina (2025-01448) and active in the NPI registry since March 2019. He is enrolled in Medicare PECOS, is affiliated with Johnston Health, and maintains a secondary practice location in Dallas.

NPPES Registry Identity

NPI1568923688
Entity TypeIndividualMale
Primary Taxonomy207XS0106X
Provider Legal NameNATHAN DAVID HEINEMANCredential: MD
Location Address100 KELLIE DRSmithfield, NC 27577-9444
Mailing AddressPo Box 5105Belfast, ME 04915-5100 · (919) 220-5255
Sole ProprietorNo
Medical School CMSUniversity Of Texas Southwestern Medical School At DallasGraduated 2019
Enumeration DateMarch 29, 2019
Last NPPES UpdateJune 4, 20252 updates tracked since enumeration
NPPES CertifiedJune 4, 2025
NPI 1568923688 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyOrthopaedic Surgery · Hand SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207XS0106X
License Licensed in NC · 2025-01448
Definition

An orthopaedic surgeon trained in the investigation, preservation and restoration by medical, surgical and rehabilitative means of all structures of the upper extremity directly affecting the form and function of the hand and wrist.

100 KELLIE DR, Smithfield, NC 27577

Secondary Practice Location 1

Location 11801 Inwood RdDallas, TX 75235-7202 · Phone (214) 648-0253

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

Nathan David Heineman 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 ID7113468141
PECOS Enrollment IDI20250902000140
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.

Hospital Affiliations CMS Care Compare

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

Johnston Health

Acute Care Hospitals · Smithfield, NC
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number340090
Location509 Bright Leaf BlvdSmithfield, NC 27577 · Johnston County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27577 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
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.

Physical Therapist
100 KELLIE DR
SMITHFIELD, NC 27577
Physician Assistant
100 KELLIE DR
SMITHFIELD, NC 27577
Physician Assistant
100 KELLIE DR
SMITHFIELD, NC 27577
Orthopaedic Surgery
100 KELLIE DR
SMITHFIELD, NC 27577
Physician Assistant
100 KELLIE DR
SMITHFIELD, NC 27577
Physical Medicine & Rehabilitation
100 KELLIE DR
SMITHFIELD, NC 27577
Physical Therapist
100 KELLIE DR
SMITHFIELD, NC 27577
Physician Assistant
100 KELLIE DR
SMITHFIELD, NC 27577

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 Nathan Heineman's NPI number?

The NPI number for Nathan Heineman is 1568923688. It was assigned to this individual provider in the NPPES registry on March 29, 2019.

Where is Nathan Heineman located?

Nathan Heineman practices at 100 Kellie Dr, Smithfield, NC 27577. The listed phone number is (919) 220-5255.

What is Nathan Heineman's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Hand Surgery, with taxonomy code 207XS0106X.

Is Nathan Heineman enrolled in Medicare?

Yes. Nathan 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 Nathan Heineman accept?

Health plans from Blue Cross and Blue Shield of NC list Nathan 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 Nathan Heineman affiliated with any hospitals?

According to CMS data, Nathan Heineman is affiliated with Johnston Health.

When was this NPI record last updated?

The NPPES record for Nathan Heineman was last updated on June 4, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.