DAWN HEINBAUGH CNM
NPI 1679237572
Advanced Practice Midwife in Bel Air, MD

Active since October 26, 2021PECOS EnrolledAccepts Medicare Assignment
79/100
CMS Quality Rating
520 UPPER CHESAPEAKE DR, BEL AIR, MD 21014(443) 643-4300 Get Directions Write a Review

NPPES record last updated: October 26, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dawn Heinbaugh Cnm NPPES

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

DAWN HEINBAUGH CNM (NPI 1679237572) is an individual advanced practice midwife in Bel Air, Maryland, licensed in Maryland (R159842) and active in the NPI registry since October 2021. She is enrolled in Medicare PECOS, is affiliated with Johns Hopkins Hospital, The, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1679237572
Entity TypeIndividualFemale
Primary Taxonomy367A00000X
Provider Legal NameDAWN HEINBAUGHCredential: CNM
Location Address520 UPPER CHESAPEAKE DRBel Air, MD 21014-4339
Mailing Address1501 Oakville CtBel Air, MD 21014-1832
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateOctober 26, 2021
NPPES CertifiedOctober 26, 2021
NPI 1679237572 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyAdvanced Practice MidwifePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367A00000X
License Licensed in MD · R159842
Definition
Advanced practice midwifery encompasses the independent provision of care during pregnancy, childbirth, and the postpartum period; sexual and reproductive health; gynecologic health; and family planning services, including preconception care. Midwives also provide primary care for individuals from adolescence throughout the lifespan as well as care for the healthy newborn during the first 28 days of life. Midwives provide initial and ongoing comprehensive assessment, diagnosis, and treatment. Midwifery care includes health promotion, disease prevention, risk assessment and management, and individualized wellness education and counseling. Source: American College of Nurse-Midwives, www.midwife.org Additional Resources: See the American College of Nurse-Midwives, www.midwife.org, for more information on Certified Nurse-Midwives, Certified Midwives, the American Midwifery Certification Board (AMCB), and licensure.
520 UPPER CHESAPEAKE DR, Bel Air, MD 21014

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

Dawn Heinbaugh Cnm 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 ID1153716717
PECOS Enrollment IDI20220317000083
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 3

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.

Cervical or vaginal cancer screening; pelvic and clinical breast examination G0101
This procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.
26 services26 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.
14 services13 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
11 services11 patients

Hospital Affiliations CMS Care Compare

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

Johns Hopkins Hospital, The

Acute Care Hospitals · Baltimore, MD
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number210009
Location600 North Wolfe StreetBaltimore, MD 21287 · Baltimore City County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21014 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
$94.08 typical visit price
range $60.73 – $183.44
Typical copayment $23.52 (range $15.18 – $45.86)
Most-billed visit code 99203
Established Patient
$75.47 typical visit price
range $19.60 – $149.17
Typical copayment $18.86 (range $4.90 – $37.29)
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.

79/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality97.29
Improvement Activities40
Cost29.05

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.

Advanced Practice Midwife
520 UPPER CHESAPEAKE DR, SUITE 301
BEL AIR, MD 21014
Otolaryngology
520 UPPER CHESAPEAKE DR, SUITE 206
BEL AIR, MD 21014
Physician Assistant (Surgical)
520 UPPER CHESAPEAKE DR, SUITE 306
BEL AIR, MD 21014
Orthopaedic Surgery
520 UPPER CHESAPEAKE DR, SUITE 304
BEL AIR, MD 21014
Clinical Exercise Physiologist
520 UPPER CHESAPEAKE DR
BEL AIR, MD 21014
Advanced Practice Midwife
520 UPPER CHESAPEAKE DR, SUITE 301
BEL AIR, MD 21014
Obstetrics & Gynecology
520 UPPER CHESAPEAKE DR, SUITE 301
BEL AIR, MD 21014
Clinic/Center (Radiology)
520 UPPER CHESAPEAKE DR, SUITE 205
BEL AIR, MD 21014

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 Dawn Heinbaugh's NPI number?

The NPI number for Dawn Heinbaugh is 1679237572. It was assigned to this individual provider in the NPPES registry on October 26, 2021.

Where is Dawn Heinbaugh located?

Dawn Heinbaugh practices at 520 Upper Chesapeake Dr, Bel Air, MD 21014. The listed phone number is (443) 643-4300.

What is Dawn Heinbaugh's specialty?

The primary specialty registered for this NPI is Advanced Practice Midwife with taxonomy code 367A00000X.

Is Dawn Heinbaugh enrolled in Medicare?

Yes. Dawn Heinbaugh 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.

Is Dawn Heinbaugh affiliated with any hospitals?

According to CMS data, Dawn Heinbaugh is affiliated with Johns Hopkins Hospital, The.

When was this NPI record last updated?

The NPPES record for Dawn Heinbaugh was last updated on October 26, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.