DEREK JORDAN HEUSSNER
NPI 1750849949
Radiology - Vascular & Interventional Radiology in Cleveland, OH

Q: What is Derek Heussner's NPI number?

The NPI number for Derek Heussner is 1750849949. It was assigned to this individual provider in the NPPES registry on March 6, 2019.

Q: What is Derek Heussner's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Vascular & Interventional Radiology, with taxonomy code 2085R0204X.

Q: When was this NPI record last updated?

The NPPES record for Derek Heussner was last updated on June 15, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since March 06, 2019PECOS EnrolledAccepts Medicare Assignment

9500 EUCLID AVE # L10, CLEVELAND, OH 44195(216) 444-0617 Get Directions Write a Review

NPPES record last updated: June 15, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 15, 2025, Jun 12, 2019, Mar 6, 2019 (3 updates tracked since 2019).

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About Derek Jordan Heussner NPPES

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

DEREK JORDAN HEUSSNER (NPI 1750849949) is an individual vascular & interventional radiology provider in Cleveland, Ohio, licensed in Ohio (35.152741) and active in the NPI registry since March 2019. He is enrolled in Medicare PECOS, is affiliated with Fairview Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1750849949

Entity TypeIndividualMale

Primary Taxonomy2085R0204X

Provider Legal NameDEREK JORDAN HEUSSNER

Location Address9500 EUCLID AVE # L10Cleveland, OH 44195-6712

Mailing Address9500 Euclid Ave # L10Cleveland, OH 44195-0001

Phone(216) 444-0617

Sole ProprietorNo

Medical School CMSOtherGraduated 2019

Enumeration DateMarch 6, 2019

Last NPPES UpdateJune 15, 20253 updates tracked since enumeration

NPPES CertifiedJune 15, 2025

✔ NPI 1750849949 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Vascular & Interventional RadiologyAllopathic & Osteopathic Physicians

Taxonomy Code2085R0204X

License✔ Licensed in OH · 35.152741

Definition

A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging.

9500 EUCLID AVE # L10, Cleveland, OH 44195

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Secondary Practice Locations 2

Location 13601 W 13 Mile RdRoyal Oak, MI 48073-6712 · Phone (248) 898-2673

Location 2600 S Paulina St Ste 403Chicago, IL 60612-3806 · Phone (312) 942-7100

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

Derek Jordan Heussner 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 ID6709393556

PECOS Enrollment IDI20250728001832

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.

Hospital Affiliations CMS Care Compare 5

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

Fairview Hospital

Acute Care Hospitals · Cleveland, OH

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number360077

Location18101 Lorain AvenueCleveland, OH 44111 · Cuyahoga County

Emergency services Birthing friendly

Marymount Hospital

Acute Care Hospitals · Garfield Heights, OH

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number360143

Location12300 Mccracken RoadGarfield Heights, OH 44125 · Cuyahoga County

Emergency services

South Pointe Hospital

Acute Care Hospitals · Warrensville Heights, OH

4/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number360144

Location20000 Harvard RoadWarrensville Heights, OH 44122 · Cuyahoga County

Cleveland Clinic

Acute Care Hospitals · Cleveland, OH

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number360180

Location9500 Euclid AvenueCleveland, OH 44195 · Cuyahoga County

Emergency services Birthing friendly

Cleveland Clinic Avon Hospital

Acute Care Hospitals · Avon, OH

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number360364

Location33300 Cleveland Clinic BlvdAvon, OH 44011 · Lorain County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 44195 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.

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Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. BRIAN CORWIN M.D.

Radiology (Diagnostic Radiology)