TIMOTHY DALE HEILENBACH MD
NPI 1679634844
Emergency Medicine in Westmont, IL

Active since December 12, 2006PECOS EnrolledAccepts Medicare Assignment
93.08/100
CMS Quality Rating
303 W OGDEN AVE, WESTMONT, IL 60559(888) 693-6437(630) 432-6660 Get Directions Write a Review

NPPES record last updated: July 2, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Timothy Dale Heilenbach Md NPPES

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

TIMOTHY DALE HEILENBACH MD (NPI 1679634844) is an individual emergency medicine provider in Westmont, Illinois, licensed in Illinois (036-084724) and active in the NPI registry since December 2006. He is enrolled in Medicare PECOS, maintains a secondary practice location in Evanston, and is a graduate of Northwestern University Feinberg Medical School (1990).

NPPES Registry Identity

NPI1679634844
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameTIMOTHY DALE HEILENBACHCredential: MD
Location Address303 W OGDEN AVEWestmont, IL 60559-1419
Mailing AddressPob Po Box 713260Chicago, IL 60677-0001 · (630) 469-9200
Fax(630) 432-6660
Sole ProprietorNo
Medical School CMSNorthwestern University Feinberg Medical SchoolGraduated 1990
Enumeration DateDecember 12, 2006
Last NPPES UpdateJuly 2, 2024
NPPES CertifiedJuly 2, 2024
NPI 1679634844 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License Licensed in IL · 036-084724
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
303 W OGDEN AVE, Westmont, IL 60559

Secondary Practice Location 1

Location 12650 Ridge Ave, Evanston HospitalEvanston, IL 60201 · Phone (847) 570-2114 · Fax (847) 570-1223

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

Timothy Dale Heilenbach 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.

PECOS PAC ID3375575475
PECOS Enrollment IDI20050909000521
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 16

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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
202 services198 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.
129 services116 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.
86 services86 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.
84 services82 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.
66 services66 patients
Respiratory infectious agent detection by rna for severe acute respiratory syndrome coronavirus 2 (covid 19), influenza a, influenza b, and respiratory syncytial virus, upper respiratory specimen, each reported as detected or not detected 0241U
This test detects the RNA of respiratory viruses, including COVID-19, Influenza A, Influenza B, and Respiratory Syncytial Virus, in an upper respiratory specimen. The test result will report if each virus is detected or not, helping in accurate diagnosis.
64 services62 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60559 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
$93.02 typical visit price
range $59.81 – $181.38
Typical copayment $23.25 (range $14.95 – $45.34)
Most-billed visit code 99203
Established Patient
$105.07 typical visit price
range $19.15 – $147.12
Typical copayment $26.26 (range $4.78 – $36.78)
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.

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.

93.08/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality80.79
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.

Nurse Practitioner
303 W OGDEN AVE
WESTMONT, IL 60559
Physician Assistant
303 W OGDEN AVE
WESTMONT, IL 60559
Family Medicine
303 W OGDEN AVE
WESTMONT, IL 60559
Specialist/Technologist (Athletic Trainer)
303 W OGDEN AVE
WESTMONT, IL 60559
Nurse Practitioner
303 W OGDEN AVE
WESTMONT, IL 60559
Physician Assistant
303 W OGDEN AVE
WESTMONT, IL 60559
Physician Assistant
303 W OGDEN AVE
WESTMONT, IL 60559
Physician Assistant
303 W OGDEN AVE
WESTMONT, IL 60559

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 Heilenbach's NPI number?

The NPI number for Timothy Heilenbach is 1679634844. It was assigned to this individual provider in the NPPES registry on December 12, 2006.

Where is Timothy Heilenbach located?

Timothy Heilenbach practices at 303 W Ogden Ave, Westmont, IL 60559. The listed phone number is (888) 693-6437.

What is Timothy Heilenbach's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Timothy Heilenbach enrolled in Medicare?

Yes. Timothy Heilenbach 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.

When was this NPI record last updated?

The NPPES record for Timothy Heilenbach was last updated on July 2, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.