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THOMAS A HECK MD
NPI 1710977384
Surgery in Dayton, OH

Active since October 25, 2005PECOS EnrolledAccepts Medicare Assignment
76.79/100
CMS Quality Rating
9000 N MAIN ST, SUITE 233, DAYTON, OH 45415(937) 832-9310(937) 832-8613 Get Directions Write a Review

NPPES record last updated: November 25, 2013. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Thomas A Heck Md NPPES

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

THOMAS A HECK MD (NPI 1710977384) is an individual surgery provider in Dayton, Ohio, licensed in Ohio (35048762) and active in the NPI registry since October 2005. He is enrolled in Medicare PECOS, is affiliated with Miami Valley Hospital, and is a graduate of Georgetown University School Of Medicine (1978).

NPPES Registry Identity

NPI1710977384
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameTHOMAS A HECKCredential: MD
Location Address9000 N MAIN ST, SUITE 233Dayton, OH 45415-1180
Mailing Address9000 N Main St, Suite 233Dayton, OH 45415-1180 · (937) 832-9310 · Fax (937) 832-8613
Phone(937) 832-9310
Fax(937) 832-8613
Sole ProprietorNo
Medical School CMSGeorgetown University School Of MedicineGraduated 1978
Enumeration DateOctober 25, 2005
Last NPPES UpdateNovember 25, 2013
✔ NPI 1710977384 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in OH · 35048762
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
9000 N MAIN ST, Dayton, OH 45415
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Other Identifiers 4

Medicare PIN0533325OH
Medicare PIN0533324OH
Medicaid0516776OH
Medicare UPINA15438OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource, MedMutual.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

Thomas A Heck 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 ID8921041971
PECOS Enrollment IDI20061107000287
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.

Medicare Billing Reassignment

Medicare enrollment records show Thomas Heck reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Premier Health Specialists Inc
0.2 mi
Orthopaedic Surgery
9000 N MAIN ST, STE 227
Dayton, OH 45415
  • Reassigned Medicare billing, Ohio enrollment
  • 812 clinicians in this Medicare group
NPI 1538398078 (937) 832-4773

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 6

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.

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.
61 services55 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
58 services55 patients
Partial removal of breast 19301
A partial removal of the breast, also known as a lumpectomy, involves taking out a portion of the breast tissue to eliminate concerning cells. It's typically performed when the problem area is limited in size. This procedure helps to preserve most of the breast's appearance while aiming to remove all the unhealthy cells.
22 services22 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
20 services20 patients
Injection of radioactive material for x-ray identification of lymph node 38792
This procedure involves injecting a safe radioactive substance into your body. It travels to your lymph nodes, making them visible on X-ray images. This helps in identifying any abnormal nodes for further examination. It's a standard part of many diagnostic processes.
15 services15 patients
Biopsy or removal of deep lymph nodes of underarm 38525
A biopsy or removal of deep underarm lymph nodes is a procedure where a small sample of lymph node tissue is taken for testing. This helps in diagnosing or ruling out conditions like infections or cancers. It involves a small incision and is typically done under local or general anesthesia.
12 services12 patients

Hospital Affiliations CMS Care Compare 3

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

Miami Valley Hospital

Acute Care Hospitals · Dayton, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360051
LocationOne Wyoming StreetDayton, OH 45409 · Montgomery County
Emergency services Birthing friendly

Atrium Medical Center

Acute Care Hospitals · Franklin, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360076
LocationOne Medical Center DriveFranklin, OH 45005 · Warren County
Emergency services Birthing friendly

Upper Valley Medical Center

Acute Care Hospitals · Troy, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360174
Location3130 North County Road 25ATroy, OH 45373 · Miami County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45415 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$68.07 typical visit price
range $17.10 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
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.

76.79/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality64.65
Promoting Interoperability100
Improvement Activities40
Cost57.98

Reported Quality Measures

Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
44%115 patients2/55-star benchmark: 100%
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
59%153 patients3/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
29%164 patients2/55-star benchmark: 100%
Screening for Osteoporosis for Women Aged 65-85 Years of Age
Percentage of female patients aged 65-85 years of age who ever had a central dual-energy X-ray absorptiometry (DXA) to check for osteoporosis
84%133 patients4/55-star benchmark: 98%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

MS. NIKI FRANCES HARRY CST
9000 N MAIN ST
DAYTON, OH 45415
Montgomery County (937) 836-3118
DR. SUSAN M EMMERLING MD
Obstetrics & Gynecology
9000 N MAIN ST, SUITE 232
DAYTON, OH 45415
Montgomery County (937) 277-8988
CARLA RENEE KING CNM
Advanced Practice Midwife
9000 N MAIN ST, SUITE 232
DAYTON, OH 45415
Montgomery County (937) 277-8988
INFECTIOUS DISEASE PHYSICIANS OF DAYTON LLC
Internal Medicine (Infectious Disease)
9000 N MAIN ST, INFUSION SERVICES
DAYTON, OH 45415
Montgomery County (937) 279-5803
NON-INVASIVE INTERPRETATIONS LLC
Internal Medicine (Cardiovascular Disease)
9000 N MAIN ST, STE 101
DAYTON, OH 45415
Montgomery County (938) 832-2425
BENJAMIN DELOSS MISHLER PA-C, AT
Family Medicine
9000 N MAIN ST
ENGLEWOOD, OH 45415
Montgomery County (260) 223-5666
BRIAN D LEWIS MD
Orthopaedic Surgery
9000 N MAIN ST, STE 227
DAYTON, OH 45415
Montgomery County (937) 832-4773
DOUGLAS E MCCAFFERTY PA
Physician Assistant
9000 N MAIN ST, STE 227
DAYTON, OH 45415
Montgomery County (937) 832-4773

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 Thomas Heck's NPI number?

The NPI number for Thomas Heck is 1710977384. It was assigned to this individual provider in the NPPES registry on October 25, 2005.

Where is Thomas Heck located?

Thomas Heck practices at 9000 N Main St Suite 233, Dayton, OH 45415. The listed phone number is (937) 832-9310.

What is Thomas Heck's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Thomas Heck enrolled in Medicare?

Yes. Thomas Heck 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 organization bills Medicare for Thomas Heck's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Thomas Heck reassigns Medicare benefits to Premier Health Specialists Inc (Dayton, OH). The 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 Thomas Heck's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Thomas Heck accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource and MedMutual list Thomas Heck 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 Thomas Heck affiliated with any hospitals?

According to CMS data, Thomas Heck is affiliated with Miami Valley Hospital, Atrium Medical Center and Upper Valley Medical Center.

When was this NPI record last updated?

The NPPES record for Thomas Heck was last updated on November 25, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.