HEATHER MCDONAGH TAMEZ MD
NPI 1639597347
Ophthalmology - Retina Specialist in Baltimore, MD
About Heather Mcdonagh Tamez Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
HEATHER MCDONAGH TAMEZ MD (NPI 1639597347) is an individual retina specialist in Baltimore, Maryland, licensed in Maryland (D0089496) and active in the NPI registry since March 2014. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Ohio State University College Of Medicine (2014).
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Locations 2
Accepted 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
Heather Mcdonagh Tamez Md 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.
Medicare Billing Reassignments
2Medicare enrollment records show Heather Tamez reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Greenbelt, MD 20770
- Reassigned Medicare billing, Maryland enrollment
- 54 clinicians in this Medicare group
Newark, DE 19713
- Reassigned Medicare billing, Pennsylvania enrollment
- 22 clinicians in this Medicare group
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 20
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 21209 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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
Other Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Heather Tamez's NPI number?
The NPI number for Heather Tamez is 1639597347. It was assigned to this individual provider in the NPPES registry on March 31, 2014.
Where is Heather Tamez located?
Heather Tamez practices at 6115 Falls Rd Ste 300, Baltimore, MD 21209. The listed phone number is (410) 377-7611.
What is Heather Tamez's specialty?
The primary specialty registered for this NPI is Ophthalmology, specializing in Retina Specialist, with taxonomy code 207WX0107X.
Is Heather Tamez enrolled in Medicare?
Yes. Heather Tamez 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 Heather Tamez's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Heather Tamez reassigns Medicare benefits to 2 organizations: The Retina Group Of Washington, PLLC (Greenbelt, MD) and Associated Retinal Consultants LLC (Newark, DE). 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 Heather Tamez's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Heather Tamez accept?
Health plans from Oscar Health list Heather Tamez 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 Heather Tamez was last updated on September 21, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Heather Mcdonagh Tamez, MD · NPI 1639597347
Retina Specialist physician in Baltimore, Maryland. Individual provider, active in the CMS NPPES registry since March 31, 2014.
## Identity
- **NPI:** 1639597347 (Entity type: Individual)
- **Enumerated:** March 31, 2014
- **Primary specialty:** Ophthalmology - Retina Specialist · taxonomy 207WX0107X
- **State license:** D0089496 (Maryland)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 6115 FALLS RD STE 300, Baltimore, MD 21209-2219
- **Phone:** (410) 377-7611
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): The Retina Group Of Washington, PLLC (NPI 1225001654, Greenbelt, MD); Associated Retinal Consultants LLC (NPI 1164578894, Newark, DE) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Ohio State University College Of Medicine, class of 2014
## Record status
- **NPPES last updated:** September 21, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1639597347) · Data from the CMS NPPES public registry.