DR. JOHN THOMAS HEINEMAN MD, MPH
NPI 1629414388
Orthopaedic Surgery - Hand Surgery in Des Moines, IA

Active since May 21, 2013PECOS EnrolledAccepts Medicare Assignment
97.58/100
CMS Quality Rating
450 LAUREL ST STE A, DES MOINES, IA 50314(515) 247-8400(515) 248-8888 Get Directions Write a Review

NPPES record last updated: November 14, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 14, 2025, Aug 4, 2022 (2 updates tracked since 2022).

About Dr. John Thomas Heineman Md, Mph NPPES

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

DR. JOHN THOMAS HEINEMAN MD, MPH (NPI 1629414388) is an individual hand surgery provider in Des Moines, Iowa, licensed in Iowa (MD-49720) and active in the NPI registry since May 2013. He is enrolled in Medicare PECOS, is affiliated with Mercyone Newton Medical Center, and is a graduate of Oregon Health Sciences University School Of Medicine (2012).

NPPES Registry Identity

NPI1629414388
Entity TypeIndividualMale
Primary Taxonomy207XS0106X
Provider Legal NameDR. JOHN THOMAS HEINEMANCredential: MD, MPH
Location Address450 LAUREL ST STE ADes Moines, IA 50314-3045
Mailing Address450 Laurel St Ste ADes Moines, IA 50314-3045 · (515) 247-8400 · Fax (515) 248-8888
Fax(515) 248-8888
Sole ProprietorNo
Medical School CMSOregon Health Sciences University School Of MedicineGraduated 2012
Enumeration DateMay 21, 2013
Last NPPES UpdateNovember 14, 20252 updates tracked since enumeration
NPPES CertifiedNovember 14, 2025
NPI 1629414388 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyOrthopaedic Surgery · Hand SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207XS0106X
License Licensed in IA · MD-49720
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.
Also ListedOrthopaedic SurgeryTaxonomy 207X00000X · License MD-49720 (IA)
Also ListedSurgeryTaxonomy 208600000X · License R-9635 (IA)
450 LAUREL ST STE A, Des Moines, IA 50314

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

Dr. John Thomas Heineman Md, Mph 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 ID9234372707
PECOS Enrollment IDI20220608000844
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 17

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.

Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
280 services78 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.
126 services97 patients
X-ray of wrist, minimum of 3 views 73110
An X-ray of the wrist, minimum of 3 views, is a diagnostic procedure that uses radiation to create images of your wrist from different angles. This helps detect fractures, infections, or other abnormalities for accurate diagnosis and treatment planning.
119 services44 patients
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.
90 services78 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.
66 services66 patients
Aspiration and/or injection of fluid from small joint 20600
This procedure involves inserting a thin needle into a small joint to remove (aspirate) or inject fluid. It can help diagnose conditions, relieve discomfort, or administer medication directly into the joint. It's generally safe with minimal discomfort.
61 services44 patients

Hospital Affiliations CMS Care Compare 2

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

Mercyone Newton Medical Center

Acute Care Hospitals · Newton, IA
OwnershipVoluntary non-profit - Private
CMS Certification Number160032
Location204 N 4th Ave ENewton, IA 50208 · Jasper County
Emergency services Birthing friendly

Mercyone Des Moines Medical Center

Acute Care Hospitals · Des Moines, IA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number160083
Location1111 6th AveDes Moines, IA 50314 · Polk County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 50314 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
$81.84 typical visit price
range $52.96 – $161.40
Typical copayment $20.46 (range $13.24 – $40.35)
Most-billed visit code 99203
Established Patient
$66.36 typical visit price
range $16.91 – $131.98
Typical copayment $16.59 (range $4.22 – $32.99)
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.

97.58/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality86.53
Promoting Interoperability100
Improvement Activities40

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.

Physician Assistant
450 LAUREL ST STE A
DES MOINES, IA 50314
Physical Therapist
450 LAUREL ST STE A
DES MOINES, IA 50314
Orthopaedic Surgery (Orthopaedic Trauma)
450 LAUREL ST STE A
DES MOINES, IA 50314
Surgery (Surgery of the Hand)
450 LAUREL ST STE A
DES MOINES, IA 50314
Occupational Therapist
450 LAUREL ST STE A
DES MOINES, IA 50314
Physical Therapist
450 LAUREL ST STE A
DES MOINES, IA 50314
Physical Medicine & Rehabilitation (Pain Medicine)
450 LAUREL ST STE A
DES MOINES, IA 50314
Physical Therapist
450 LAUREL ST STE A
DES MOINES, IA 50314

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 John Heineman's NPI number?

The NPI number for John Heineman is 1629414388. It was assigned to this individual provider in the NPPES registry on May 21, 2013.

Where is John Heineman located?

John Heineman practices at 450 Laurel St Ste A, Des Moines, IA 50314. The listed phone number is (515) 247-8400.

What is John Heineman's specialty?

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

Is John Heineman enrolled in Medicare?

Yes. John 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 John Heineman accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from NH Healthy Families and Ambetter from Sunflower Health Plan and 3 other insurers list John 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 John Heineman affiliated with any hospitals?

According to CMS data, John Heineman is affiliated with Mercyone Newton Medical Center and Mercyone Des Moines Medical Center.

When was this NPI record last updated?

The NPPES record for John Heineman was last updated on November 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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.