DR. THOMAS JAMES HEINITZ M.D.
NPI 1629022397
Family Medicine in Proctor, MN

Q: What is Thomas Heinitz's NPI number?

The NPI number for Thomas Heinitz is 1629022397. It was assigned to this individual provider in the NPPES registry on May 19, 2006.

Q: What is Thomas Heinitz's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Thomas Heinitz was last updated on December 20, 2011. 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 May 19, 2006PECOS EnrolledAccepts Medicare Assignment

211 S BOUNDARY AVE, ESSENTIA HEALTH PROCTOR CLINIC, PROCTOR, MN 55810(218) 576-0200(218) 624-7323 Get Directions Write a Review

NPPES record last updated: December 20, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Dr. Thomas James Heinitz M.d. NPPES

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

DR. THOMAS JAMES HEINITZ M.D. (NPI 1629022397) is an individual family medicine provider in Proctor, Minnesota, licensed in Minnesota (41634) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Essentia Health St Mary's Medical Center, and is a graduate of University Of Minnesota Medical School (1998).

NPPES Registry Identity

NPI1629022397

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameDR. THOMAS JAMES HEINITZCredential: M.D.

Location Address211 S BOUNDARY AVE, ESSENTIA HEALTH PROCTOR CLINICProctor, MN 55810-2306

Mailing Address211 S Boundary Ave, Essentia Health Proctor ClinicProctor, MN 55810-2306 · (218) 576-0200 · Fax (218) 624-7323

Phone(218) 576-0200

Fax(218) 624-7323

Sole ProprietorNo

Medical School CMSUniversity Of Minnesota Medical SchoolGraduated 1998

Enumeration DateMay 19, 2006

Last NPPES UpdateDecember 20, 2011

✔ NPI 1629022397 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in MN · 41634

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

211 S BOUNDARY AVE, Proctor, MN 55810

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Other Identifiers 6

Medicare UPINH04233MN

Medicare PIN080020644MN

Medicaid1629022397MI

Medicaid1629022397MN

Medicaid1629022397WI

Medicare PIN080020643MN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HealthPartners, Medica, Sanford Health Plan and more.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

Dr. Thomas James Heinitz 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 ID7416962923

PECOS Enrollment IDI20060220000297

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 5

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.

298 services170 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.

103 services88 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

66 services66 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.

35 services31 patients

Hemoglobin a1c level 83036

Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.

16 services16 patients

Hospital Affiliations CMS Care Compare 5

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

Essentia Health St Mary's Medical Center

Acute Care Hospitals · Duluth, MN

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number240002

Location402 East Second StreetDuluth, MN 55805 · St. Louis County

Emergency services Birthing friendly

Essentia Health Duluth

Acute Care Hospitals · Duluth, MN

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number240019

Location502 East Second StreetDuluth, MN 55805 · St. Louis County

Birthing friendly

Essentia Health Virginia

Acute Care Hospitals · Virginia, MN

OwnershipGovernment - Local

CMS Certification Number240084

Location901 9th Street NorthVirginia, MN 55792 · St. Louis County

Birthing friendly

Essentia Health Moose Lake

Critical Access Hospitals · Moose Lake, MN

OwnershipGovernment - Hospital District or Authority

CMS Certification Number241350

Location4572 County Road 61Moose Lake, MN 55767 · Carlton County

Emergency services Birthing friendly

St Marys Hospital Superior

Critical Access Hospitals · Superior, WI

OwnershipVoluntary non-profit - Private

CMS Certification Number521329

Location3500 Tower AveSuperior, WI 54880 · Douglas County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55810 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

$85.82 typical visit price

range $56.00 – $168.28

Typical copayment $21.45 (range $14.00 – $42.07)

Most-billed visit code 99203

Established Patient

$98.61 typical visit price

range $18.32 – $138.04

Typical copayment $24.65 (range $4.58 – $34.51)

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.

Referred Medical Equipment & Supplies CMS DME claims 7

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

16 suppliers63 claims149 services$6.31 avg. paid by Medicare

Lancets, per box of 100 A4259

DME-Medical/Surgical Supplies · category DA000N

7 suppliers21 claims29 services$1.10 avg. paid by Medicare

Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466

DME-Other DME · category DE005N

1 supplier11 claims11 services$921.50 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

2 suppliers16 claims16 services$91.53 avg. paid by Medicare

Portable oxygen concentrator, rental E1392

DME-Oxygen and Supplies · category DC002N

2 suppliers11 claims11 services$34.85 avg. paid by Medicare

Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme J7620

DME-Drugs Administered Through DME · category DG006N

4 suppliers22 claims4,316 services$0.08 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 20

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

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Family Medicine