JOEL J HEIDELBAUGH MD
NPI 1689762114
Family Medicine in Ypsilanti, MI

Active since October 10, 2006PECOS EnrolledAccepts Medicare Assignment
200 ARNET ST, SUITE 200, YPSILANTI, MI 48198(734) 482-6221 Get Directions Write a Review

NPPES record last updated: October 24, 2011. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Joel J Heidelbaugh Md NPPES

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

JOEL J HEIDELBAUGH MD (NPI 1689762114) is an individual family medicine provider in Ypsilanti, Michigan, licensed in Michigan (4301074459) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS, is affiliated with University Of Michigan Health System, and is a graduate of Other (1999).

NPPES Registry Identity

NPI1689762114
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameJOEL J HEIDELBAUGHCredential: MD
Location Address200 ARNET ST, SUITE 200Ypsilanti, MI 48198
Mailing Address700 Kms Place, 3621 S State StAnn Arbor, MI 48108 · (734) 936-2047
Sole ProprietorNo
Medical School CMSOtherGraduated 1999
Enumeration DateOctober 10, 2006
Last NPPES UpdateOctober 24, 2011
NPI 1689762114 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in MI · 4301074459
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.

200 ARNET ST, Ypsilanti, MI 48198

Other Identifiers 3

Medicare ID-Type Unspecified0H17630078MI
Medicare UPINH00354MI
Medicaid4138431MI

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

Joel J Heidelbaugh 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 ID7012057037
PECOS Enrollment IDI20091222000501
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 8

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
95 services30 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.
85 services64 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.
41 services40 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
31 services12 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.
30 services30 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
17 services17 patients

Hospital Affiliations CMS Care Compare

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

University Of Michigan Health System

Acute Care Hospitals · Ann Arbor, MI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230046
Location1500 E Medical Center Drive, Spc 5474Ann Arbor, MI 48109 · Washtenaw County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48198 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
$90.76 typical visit price
range $58.04 – $177.36
Typical copayment $22.69 (range $14.51 – $44.34)
Most-billed visit code 99203
Established Patient
$102.35 typical visit price
range $18.32 – $143.49
Typical copayment $25.58 (range $4.58 – $35.87)
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 2

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
7 suppliers28 claims47 services$5.79 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
5 suppliers11 claims20 services$0.94 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.

Pediatrics
200 ARNET ST, SUITE 200
YPSILANTI, MI 48198
Family Medicine
200 ARNET ST
YPSILANTI, MI 48198
Family Medicine
200 ARNET ST
YPSILANTI, MI 48198
Social Worker (Clinical)
200 ARNET ST
YPSILANTI, MI 48198
Family Medicine
200 ARNET ST
YPSILANTI, MI 48198
Surgery (Plastic and Reconstructive Surgery)
200 ARNET ST, STE. 180
YPSILANTI, MI 48198
Family Medicine
200 ARNET ST, SUITE 200
YPSILANTI, MI 48198
Nurse Practitioner (Family)
200 ARNET ST
YPSILANTI, MI 48198

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 Joel Heidelbaugh's NPI number?

The NPI number for Joel Heidelbaugh is 1689762114. It was assigned to this individual provider in the NPPES registry on October 10, 2006.

Where is Joel Heidelbaugh located?

Joel Heidelbaugh practices at 200 Arnet St Suite 200, Ypsilanti, MI 48198. The listed phone number is (734) 482-6221.

What is Joel Heidelbaugh's specialty?

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

Is Joel Heidelbaugh enrolled in Medicare?

Yes. Joel Heidelbaugh 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 Joel Heidelbaugh accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 2 other insurers list Joel Heidelbaugh 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 Joel Heidelbaugh affiliated with any hospitals?

According to CMS data, Joel Heidelbaugh is affiliated with University Of Michigan Health System.

When was this NPI record last updated?

The NPPES record for Joel Heidelbaugh was last updated on October 24, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.