DR. JAMES I. HEALD M.D.
NPI 1619031739
Pathology - Anatomic Pathology & Clinical Pathology in West Chester, PA

Q: What is James Heald's NPI number?

The NPI number for James Heald is 1619031739. It was assigned to this individual provider in the NPPES registry on December 21, 2006.

Q: What is James Heald's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Anatomic Pathology & Clinical Pathology, with taxonomy code 207ZP0102X.

Q: When was this NPI record last updated?

The NPPES record for James Heald was last updated on January 17, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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 December 21, 2006PECOS EnrolledAccepts Medicare Assignment

92.22/100

CMS Quality Rating

701 E MARSHALL ST, WEST CHESTER, PA 19380(610) 431-5182(610) 430-2935 Get Directions Write a Review

NPPES record last updated: January 17, 2012. Verified against the NPPES registry weekly; last sync: November 08, 2026.

On this page

About Dr. James I. Heald M.d. NPPES

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

DR. JAMES I. HEALD M.D. (NPI 1619031739) is an individual anatomic pathology & clinical pathology provider in West Chester, Pennsylvania, licensed in Pennsylvania (MD026320E) and active in the NPI registry since December 2006. He is enrolled in Medicare PECOS, is affiliated with Hospital Of Univ Of Pennsylvania, and is a graduate of Jefferson Medical College Of Thomas Jefferson University (1980).

NPPES Registry Identity

NPI1619031739

Entity TypeIndividualMale

Primary Taxonomy207ZP0102X

Provider Legal NameDR. JAMES I. HEALDCredential: M.D.

Location Address701 E MARSHALL STWest Chester, PA 19380-4412

Mailing Address701 E Marshall StWest Chester, PA 19380-4412 · (610) 431-5182 · Fax (610) 430-2935

Phone(610) 431-5182

Fax(610) 430-2935

Sole ProprietorYes

Medical School CMSJefferson Medical College Of Thomas Jefferson UniversityGraduated 1980

Enumeration DateDecember 21, 2006

Last NPPES UpdateJanuary 17, 2012

✔ NPI 1619031739 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPathology · Anatomic Pathology & Clinical PathologyAllopathic & Osteopathic Physicians

Taxonomy Code207ZP0102X

License✔ Licensed in PA · MD026320E

Definition

A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.

701 E MARSHALL ST, West Chester, PA 19380

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Other Identifiers 3

Medicare UPINE64283

Medicaid07031537PA

Medicare ID-Type Unspecified544397PA

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. James I. Heald 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 ID1951560390

PECOS Enrollment IDI20120305000476

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 James Heald reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Chester County Hospital

0.2 mi

General Acute Care Hospital

701 E MARSHALL ST
West Chester, PA 19380

Reassigned Medicare billing, Pennsylvania enrollment
36 clinicians in this Medicare group

NPI 1356333579 (610) 431-5000

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 14

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.

Pathology examination of tissue using a microscope, intermediate complexity 88305

A pathology examination of tissue with intermediate complexity involves studying a small sample of your body tissue under a microscope. This helps in identifying any abnormal cells or signs of disease. It's a detailed process requiring expert analysis to ensure accurate results.

927 services425 patients

Special stained specimen slides to examine tissue, each additional procedure 88341

Special stained specimen slides are used to analyze tissue in detail. In this process, extra procedures may be needed for a more thorough examination. These involve applying special stains to the tissue on slides, enhancing specific elements for closer study.

183 services52 patients

Preparation of tissue for examination by removing any calcium present 88311

This procedure involves treating tissue samples to remove any calcium, which can interfere with the examination. The tissue is soaked in a special solution that safely dissolves the calcium, leaving the tissue intact for accurate analysis. This helps in making precise diagnoses.

119 services111 patients

Pathology examination of tissue using a microscope, moderately high complexity 88307

A pathology examination of tissue with moderate complexity involves a detailed study of a small tissue sample from your body. Using a microscope, experts analyze the tissue's structure and cells to identify any abnormalities. This helps in diagnosing various health conditions accurately.

113 services79 patients

Cell examination of specimen, selective cellular enhancement technique 88112

Cell examination of a specimen using selective cellular enhancement technique is a lab process that improves the visibility of certain cells in a sample. It helps in identifying abnormalities or diseases. The process is non-invasive, safe, and aids in accurate diagnosis.

107 services88 patients

Pathology examination of tissue using a microscope, moderately low complexity 88304

A pathology examination of tissue, moderately low complexity, involves studying a small sample of your body tissue under a microscope. It helps to identify any abnormal cells or diseases. It's a routine procedure, not complex, and provides crucial insights for your diagnosis.

81 services76 patients

Special stained specimen slides to examine tissue, initial procedure 88342

This procedure involves the use of specially stained slides to examine tissue samples. The initial process involves obtaining a small tissue sample from your body. This sample is then placed on a slide and stained with special dyes to highlight different structures and elements. The stained slide is then examined under a microscope to help diagnose any potential health issues.

78 services68 patients

Evaluation of fine needle aspirate with interpretation and report 88173

This procedure involves using a thin needle to collect a small sample from an abnormal area or lump. The sample is then examined under a microscope to identify any potential issues. A report of the findings is provided for further analysis.

77 services66 patients

Pathology examination of tissue using a microscope, limited examination 88300

A pathology examination of tissue using a microscope is a procedure where a small sample of your tissue is observed under a microscope. This limited examination helps identify any abnormal cells or signs of disease, aiding in accurate diagnosis and treatment planning.

39 services36 patients

Surgical pathology consultation and report on referred slides prepared elsewhere 88321

A surgical pathology consultation involves reviewing slides prepared at a different lab to confirm or clarify a diagnosis. It's a second opinion to ensure accuracy. A report with findings and interpretations is then provided for your doctor's reference.

37 services37 patients

Pathology examination of tissue using a microscope, high complexity 88309

A high complexity pathology examination involves studying body tissue under a microscope to identify any abnormalities. This intricate process helps in diagnosing various conditions and deciding on the best treatment plan.

18 services13 patients

Examination of archival tissue for genetic analysis 88363

Examination of archival tissue for genetic analysis involves studying previously collected tissue samples. This process helps detect any genetic alterations that may be linked to certain diseases. It's a crucial step in understanding your health and planning appropriate treatments.

17 services16 patients

Pathology examination of tissue using a microscope 88302

A pathology examination of tissue involves studying a small sample of your body's cells under a microscope. This helps identify any abnormalities or diseases, such as cancer. The process is crucial for accurate diagnosis and treatment planning.

14 services13 patients

Cell examination of body fluid, smears 88104

Cell examination of body fluid, or smear, is a laboratory test where a sample of your body fluid is taken. It's then thinly spread on a glass slide and examined under a microscope to check for abnormalities. This can help diagnose various health conditions.

12 services12 patients

Hospital Affiliations CMS Care Compare 3

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

Hospital Of Univ Of Pennsylvania

Acute Care Hospitals · Philadelphia, PA

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390111

Location34th & Spruce StsPhiladelphia, PA 19104 · Philadelphia County

Emergency services Birthing friendly

Chester County Hospital

Acute Care Hospitals · West Chester, PA

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390179

Location701 East Marshall StreetWest Chester, PA 19380 · Chester County

Emergency services Birthing friendly

Main Line Hospital Lankenau

Acute Care Hospitals · Wynnewood, PA

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390195

Location100 Lancaster AveWynnewood, PA 19096 · Montgomery County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19380 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

$137.17 typical visit price

range $59.88 – $180.99

Typical copayment $34.29 (range $14.97 – $45.24)

Most-billed visit code 99204

Established Patient

$105.21 typical visit price

range $19.30 – $147.29

Typical copayment $26.30 (range $4.82 – $36.82)

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.

92.22/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

95.03

Improvement Activities

Cost

80.69

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.

NINA RUTH MAZZARELLI RN, BSN

Registered Nurse

701 E MARSHALL ST
WEST CHESTER, PA 19380

Chester County (610) 431-5000

CHESTER COUNTY HOSPITAL SPU

General Acute Care Hospital

701 E MARSHALL ST
WEST CHESTER, PA 19380

Chester County (610) 431-5000

ELISABETH ANNE CARTER MHS

Physician Assistant

701 E MARSHALL ST
WEST CHESTER, PA 19380

Chester County (610) 431-5150

JENNIFER M. BINGNEAR CRNA

Nurse Anesthetist, Certified Registered

701 E MARSHALL ST, NRW 141
WEST CHESTER, PA 19380

Chester County (610) 431-5472

PROF. AMANDA BRAUNSTEIN PA-C

Physician Assistant (Medical)

701 E MARSHALL ST
WEST CHESTER, PA 19380

Chester County (610) 431-5000

EMERGENCY CARE SPECIALISTS, PC

Emergency Medicine

701 E MARSHALL ST
WEST CHESTER, PA 19380

Chester County (610) 431-5150

MISS SARA ELIZABETH STERLING DO

Hospitalist

701 E MARSHALL ST
WEST CHESTER, PA 19380

Chester County (610) 431-5000

ANNAMARIE KOLLER D.O.

Pediatrics

701 E MARSHALL ST
WEST CHESTER, PA 19380

Chester County (610) 431-5376

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 James Heald's NPI number?

The NPI number for James Heald is 1619031739. It was assigned to this individual provider in the NPPES registry on December 21, 2006.

Where is James Heald located?

James Heald practices at 701 E Marshall St, West Chester, PA 19380. The listed phone number is (610) 431-5182.

What is James Heald's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Anatomic Pathology & Clinical Pathology, with taxonomy code 207ZP0102X.

Is James Heald enrolled in Medicare?

Yes. James Heald 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 James Heald's services?

According to the CMS Revalidation Reassignment List (October 2026 release), James Heald reassigns Medicare benefits to Chester County Hospital (West Chester, PA). 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 James Heald's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is James Heald affiliated with any hospitals?

According to CMS data, James Heald is affiliated with Hospital Of Univ Of Pennsylvania, Chester County Hospital and Main Line Hospital Lankenau.

When was this NPI record last updated?

The NPPES record for James Heald was last updated on January 17, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.