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TIMOTHY M HEILMAN D.O.
NPI 1629021456
Neurological Surgery in East Lansing, MI

Active since May 19, 2006PECOS EnrolledAccepts Medicare Assignment
1575 RAMBLEWOOD DR, SUITE 200, EAST LANSING, MI 48823(517) 827-1800(517) 827-1642 Get Directions Write a Review

NPPES record last updated: October 20, 2016. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Timothy M Heilman D.o. NPPES

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

TIMOTHY M HEILMAN D.O. (NPI 1629021456) is an individual neurological surgery provider in East Lansing, Michigan, licensed in Michigan (5101013202) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Memorial Healthcare, and is a graduate of Michigan State University College Of Osteopathic Medicine (1996).

NPPES Registry Identity

NPI1629021456
Entity TypeIndividualMale
Primary Taxonomy207T00000X
Provider Legal NameTIMOTHY M HEILMANCredential: D.O.
Location Address1575 RAMBLEWOOD DR, SUITE 200East Lansing, MI 48823-6384
Mailing Address1575 Ramblewood Dr, Suite 200East Lansing, MI 48823-6384 · (517) 827-1800 · Fax (517) 827-1642
Phone(517) 827-1800
Fax(517) 827-1642
Sole ProprietorNo
Medical School CMSMichigan State University College Of Osteopathic MedicineGraduated 1996
Enumeration DateMay 19, 2006
Last NPPES UpdateOctober 20, 2016
✔ NPI 1629021456 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNeurological SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207T00000X
License✔ Licensed in MI · 5101013202
Definition
A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution.
1575 RAMBLEWOOD DR, East Lansing, MI 48823
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Other Identifiers 3

Medicaid4505960MI
Medicare PINMI7206015MI
Medicare UPINH70759MI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health 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 and accepts Medicare assignment

Timothy M Heilman D.o. 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 ID3779572060
PECOS Enrollment IDI20040511001038
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

4

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

Compass Healthcare, PLLC
Same address
Neurological Surgery
1575 RAMBLEWOOD DR STE 200
East Lansing, MI 48823
  • Reassigned Medicare billing, Michigan enrollment
  • 13 clinicians in this Medicare group
NPI 1932533692 (517) 827-1800
Mclaren Greater Lansing
1.2 mi
Gynecologic Oncology
1515 LAKE LANSING RD, SUITE O
Lansing, MI 48912
  • Reassigned Medicare billing, Michigan enrollment
  • 167 clinicians in this Medicare group
NPI 1265600902 (517) 372-9967
Eaton Rapids Medical Center
20 mi
Critical Access
1500 S MAIN ST
Eaton Rapids, MI 48827
  • Reassigned Medicare billing, Michigan enrollment
  • 54 clinicians in this Medicare group
NPI 1417044660 (517) 663-2671
Mclaren Central Michigan
60 mi
General Acute Care Hospital
1221 SOUTH DR
Mt Pleasant, MI 48858
  • Reassigned Medicare billing, Michigan enrollment
  • 321 clinicians in this Medicare group
NPI 1245266063 (989) 772-6700

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 8

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.
43 services36 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.
40 services40 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.
32 services23 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
24 services14 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
17 services17 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.
16 services16 patients

Hospital Affiliations CMS Care Compare 4

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

Memorial Healthcare

Acute Care Hospitals · Owosso, MI
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number230121
Location826 West King StreetOwosso, MI 48867 · Shiawassee County
Emergency services Birthing friendly

Mclaren Greater Lansing

Acute Care Hospitals · Lansing, MI
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230167
Location2900 Collins RdLansing, MI 48910 · Ingham County
Emergency services Birthing friendly

Edward W Sparrow Hospital

Acute Care Hospitals · Lansing, MI
2/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number230230
Location1215 E Michigan AvenueLansing, MI 48912 · Ingham County
Emergency services Birthing friendly

Eaton Rapids Medical Center

Critical Access Hospitals · Eaton Rapids, MI
OwnershipVoluntary non-profit - Private
CMS Certification Number231324
Location1500 S Main StreetEaton Rapids, MI 48827 · Eaton County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48823 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
$126.15 typical visit price
range $54.34 – $166.68
Typical copayment $31.53 (range $13.58 – $41.67)
Most-billed visit code 99204
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

Breast Cancer Screening
Percentage of women 50-74 years of age who had a mammogram to screen for breast cancer
37%256 patients2/55-star benchmark: 92%
Cervical Cancer Screening
Percentage of women 21-64 years of age who were screened for cervical cancer using either of the following criteria: - Women age 21-64 who had cervical cytology performed every 3 years - Women age 30-64 who had cervical cytology/human papillomavirus (HPV)…
28%230 patients
Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
1%490 patients1/55-star benchmark: 85%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
98%843 patients4/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
97%204 patients4/55-star benchmark: 99%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
95%1,354 patients4/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
72%852 patients3/55-star benchmark: 97%
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
17%319 patients1/55-star benchmark: 90%
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%796 patients5/55-star benchmark: 97%
Preventive Care and Screening: Influenza Immunization
Percentage of patients aged 6 months and older seen for a visit between October 1 and March 31 who received an influenza immunization OR who reported previous receipt of an influenza immunization
21%209 patients1/55-star benchmark: 88%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
Patients screenedForUse: 2% · 43 patients
Patients tobacco: 80% · 199 patients
100%199 patients5/55-star benchmark: 98%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
29%852 patients2/55-star benchmark: 100%
View, Download, or Transmit (VDT)
At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.
1%852 patients
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 11

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

AMBER L LEDBETTER NP
Nurse Practitioner (Family)
1575 RAMBLEWOOD DR
EAST LANSING, MI 48823
Ingham County (517) 827-1800
MOHAMED H ELNABTITY M.D.
Neurological Surgery
1575 RAMBLEWOOD DR, SUITE 200
EAST LANSING, MI 48823
Ingham County (517) 827-1800
SHARON REYNOLDS
Physical Therapist
1575 RAMBLEWOOD DR, SUITE 200
EAST LANSING, MI 48823
Ingham County (517) 827-1800
CENTIS HEALTH
Neurological Surgery
1575 RAMBLEWOOD DR
EAST LANSING, MI 48823
Ingham County (517) 827-1800
CHRISTOPHER J ABOOD M.D.
Neurological Surgery
1575 RAMBLEWOOD DR, SUITE 200
EAST LANSING, MI 48823
Ingham County (517) 827-1800
DR. OMAR QAHWASH D.O.
Neurological Surgery
1575 RAMBLEWOOD DR, STE 200
EAST LANSING, MI 48823
Ingham County (517) 827-1800
HANNAH JOY DEJONG FNP
Nurse Practitioner (Family)
1575 RAMBLEWOOD DR
EAST LANSING, MI 48823
Ingham County (517) 827-1800
EDWARD W. SPARROW HOSPITAL ASSOCIATION
Radiologic Technologist (Bone Densitometry)
1575 RAMBLEWOOD DR
EAST LANSING, MI 48823
Ingham County (517) 332-3500

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 Timothy Heilman's NPI number?

The NPI number for Timothy Heilman is 1629021456. It was assigned to this individual provider in the NPPES registry on May 19, 2006.

Where is Timothy Heilman located?

Timothy Heilman practices at 1575 Ramblewood Dr Suite 200, East Lansing, MI 48823. The listed phone number is (517) 827-1800.

What is Timothy Heilman's specialty?

The primary specialty registered for this NPI is Neurological Surgery with taxonomy code 207T00000X.

Is Timothy Heilman enrolled in Medicare?

Yes. Timothy Heilman 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 Timothy Heilman's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Timothy Heilman reassigns Medicare benefits to 4 organizations: Compass Healthcare, PLLC (East Lansing, MI), Mclaren Greater Lansing (Lansing, MI), Eaton Rapids Medical Center (Eaton Rapids, MI) and Mclaren Central Michigan (Mt Pleasant, 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 Timothy Heilman's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Timothy Heilman accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 1 other insurer list Timothy Heilman 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 Timothy Heilman affiliated with any hospitals?

According to CMS data, Timothy Heilman is affiliated with Memorial Healthcare, Mclaren Greater Lansing, Edward W Sparrow Hospital and Eaton Rapids Medical Center.

When was this NPI record last updated?

The NPPES record for Timothy Heilman was last updated on October 20, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.