DR. KEVIN J HEINE MD
NPI 1619974292
Internal Medicine - Gastroenterology in Louisville, KY

Q: What is Kevin Heine's NPI number?

The NPI number for Kevin Heine is 1619974292. It was assigned to this individual provider in the NPPES registry on June 28, 2005.

Q: What is Kevin Heine's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Q: When was this NPI record last updated?

The NPPES record for Kevin Heine was last updated on December 4, 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 June 28, 2005PECOS Enrolled

95.5/100

CMS Quality Rating

3950 KRESGE WAY, STE 207, LOUISVILLE, KY 40207(502) 893-0220(502) 893-0563 Get Directions Write a Review

NPPES record last updated: December 4, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

On this page

About Dr. Kevin J Heine Md NPPES

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

DR. KEVIN J HEINE MD (NPI 1619974292) is an individual gastroenterology provider in Louisville, Kentucky, licensed in Kentucky (24687) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1619974292

Entity TypeIndividualMale

Primary Taxonomy207RG0100X

Provider Legal NameDR. KEVIN J HEINECredential: MD

Location Address3950 KRESGE WAY, STE 207Louisville, KY 40207-4637

Mailing AddressPo Box 950296Louisville, KY 40295-0296 · (502) 893-0220 · Fax (502) 893-0563

Phone(502) 893-0220

Fax(502) 893-0563

Sole ProprietorNo

Enumeration DateJune 28, 2005

Last NPPES UpdateDecember 4, 2020

NPPES CertifiedDecember 4, 2020

✔ NPI 1619974292 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians

Taxonomy Code207RG0100X

License✔ Licensed in KY · 24687

Definition

An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.

3950 KRESGE WAY, Louisville, KY 40207

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Other Identifiers 1

Medicaid64246879KY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter of Tennessee 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 (PECOS)

Dr. Kevin J Heine Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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

Baptist Health Medical Group Inc

Same address

Gastroenterology

3950 KRESGE WAY, SUITE 207
Louisville, KY 40207

Reassigned Medicare billing, Kentucky enrollment
1,441 clinicians in this Medicare group

NPI 1093071128 (502) 893-0220

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 13

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 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.

286 services199 patients

Biopsy of large bowel using a flexible endoscope 45380

A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.

216 services211 patients

Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239

This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.

166 services156 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.

139 services122 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

84 services59 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.

63 services63 patients

Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385

This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.

51 services48 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.

31 services31 patients

Colorectal cancer screening; colonoscopy on individual at high risk G0105

Colorectal cancer screening, specifically a colonoscopy, is a preventive measure for those at high risk. A thin, flexible tube with a camera inspects the colon to spot any abnormal growths. This test helps detect potential issues early, enhancing the effectiveness of treatment.

28 services28 patients

Dilation of esophagus 43450

Dilation of the esophagus is a procedure aimed to stretch or open up your esophagus (the tube connecting your mouth to your stomach) when it's narrow. It helps to improve swallowing and alleviate discomfort. It's typically performed using a flexible tube or balloon, under sedation.

25 services25 patients

Injection beneath lining of large bowel using a flexible endoscope 45381

This procedure involves a flexible tube, called an endoscope, being inserted into the large bowel. A small needle is then passed through the tube to inject medication under the bowel lining. This is typically done to treat inflammation or bleeding.

22 services20 patients

Balloon dilation of esophagus, stomach, and/or upper small bowel using a flexible endoscope, less than 3.0 cm 43249

This procedure involves using a flexible tube with a camera, called an endoscope, to gently expand narrowed areas in your esophagus, stomach, or upper small bowel. A small balloon is inflated, making it easier for food and liquid to pass through. It's safe and effective.

18 services15 patients

Diagnostic exam of large bowel using a flexible endoscope 45378

This procedure, known as a colonoscopy, involves using a flexible tube with a light and camera to examine the large intestine. It helps detect any abnormalities such as polyps or inflammation. It's a standard procedure to ensure gut health.

15 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40207 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

$122.77 typical visit price

range $52.76 – $162.27

Typical copayment $30.69 (range $13.19 – $40.56)

Most-billed visit code 99204

Established Patient

$93.94 typical visit price

range $16.53 – $131.99

Typical copayment $23.48 (range $4.13 – $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.

95.5/100

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

Scored through an Alternative Payment Model

Quality

89.59

Promoting Interoperability

100

Improvement Activities

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.

CINDY J CODE M.D.

Internal Medicine

3950 KRESGE WAY, SUITE 303
LOUISVILLE, KY 40207

Jefferson County (502) 896-1880

BAPTIST HEALTH MEDICAL GROUP INC

Internal Medicine (Gastroenterology)

3950 KRESGE WAY, SUITE 207
LOUISVILLE, KY 40207

Jefferson County (502) 893-0220

MR. MICHAEL V. GREENWELL MD

Internal Medicine (Gastroenterology)

3950 KRESGE WAY, STE 207
LOUISVILLE, KY 40207

Jefferson County (502) 893-0220

DR. PATRICK DALTON BAUMANN M.D.

Internal Medicine

3950 KRESGE WAY, #308
LOUISVILLE, KY 40207

Jefferson County (502) 895-8911

MICHAEL WILLIAM DEE MD

Internal Medicine

3950 KRESGE WAY, SUITE 104
LOUISVILLE, KY 40207

Jefferson County (502) 896-8028

STACEY WARING MD

Internal Medicine

3950 KRESGE WAY, SUITE 303
LOUISVILLE, KY 40207

Jefferson County (502) 896-6696

ILDIKO G. MIKOS MD, PSC

Surgery (Plastic and Reconstructive Surgery)

3950 KRESGE WAY, SUITE 103
LOUISVILLE, KY 40207

Jefferson County (502) 899-3511

RAYMOND E. PIERCE,JR.,M.D.,P.S.C.

Colon & Rectal Surgery

3950 KRESGE WAY, SUITE 201
LOUISVILLE, KY 40207

Jefferson County (502) 895-3633

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 Kevin Heine's NPI number?

The NPI number for Kevin Heine is 1619974292. It was assigned to this individual provider in the NPPES registry on June 28, 2005.

Where is Kevin Heine located?

Kevin Heine practices at 3950 Kresge Way Ste 207, Louisville, KY 40207. The listed phone number is (502) 893-0220.

What is Kevin Heine's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Kevin Heine enrolled in Medicare?

Yes. Kevin Heine is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Kevin Heine's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kevin Heine reassigns Medicare benefits to Baptist Health Medical Group Inc (Louisville, KY). 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 Kevin Heine's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kevin Heine accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter of Tennessee and CareSource list Kevin 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.

When was this NPI record last updated?

The NPPES record for Kevin Heine was last updated on December 4, 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.