DOUGLAS L HEINTZELMAN M.D.
NPI 1811935125
Radiology - Diagnostic Radiology in Columbus, OH

Active since June 02, 2006PECOS EnrolledAccepts Medicare Assignment
83.13/100
CMS Quality Rating
3525 OLENTANGY RIVER RD, STE 5360, COLUMBUS, OH 43214(614) 340-7747(614) 340-7742 Get Directions Write a Review

NPPES record last updated: September 17, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Douglas L Heintzelman M.d. NPPES

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

DOUGLAS L HEINTZELMAN M.D. (NPI 1811935125) is an individual diagnostic radiology provider in Columbus, Ohio, licensed in Massachusetts (219212) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Chi St Luke's Health Baylor College Of Medicine Me, and is a graduate of University Of Texas At Austin Dell Medical School (1998).

NPPES Registry Identity

NPI1811935125
Entity TypeIndividualMale
Primary Taxonomy2085R0202X
Provider Legal NameDOUGLAS L HEINTZELMANCredential: M.D.
Location Address3525 OLENTANGY RIVER RD, STE 5360Columbus, OH 43214-3937
Mailing Address100 E Campus View Blvd Ste 160Columbus, OH 43235-8634 · (614) 396-4750 · Fax (614) 396-4742
Fax(614) 340-7742
Sole ProprietorNo
Medical School CMSUniversity Of Texas At Austin Dell Medical SchoolGraduated 1998
Enumeration DateJune 2, 2006
Last NPPES UpdateSeptember 17, 2025
NPPES CertifiedSeptember 17, 2025
NPI 1811935125 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
Licenses Licensed in MA · 219212 Licensed in TX · T4175
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
3525 OLENTANGY RIVER RD, Columbus, OH 43214

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

Douglas L Heintzelman M.d. 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 ID7517979057
PECOS Enrollment IDI20080714000429, I20221026000345
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 33

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.

X-ray of chest, 1 view 71045
A chest X-ray, 1 view, is a quick, painless test that produces images of the structures within your chest, such as your heart, lungs, and blood vessels. It helps in diagnosing conditions like pneumonia, heart problems, or lung cancer. You'll stand in front of a machine that emits X-rays, which pass through your body to create the image.
769 services718 patients
Ct scan of abdomen and pelvis with contrast 74177
A CT scan of the abdomen and pelvis with contrast is an imaging procedure. A special dye, called contrast, is used to make certain areas more visible. This can help identify issues such as infections, tumors, or other abnormalities. The procedure is painless and usually takes about 30 minutes.
172 services164 patients
Ct scan of abdomen and pelvis without contrast 74176
A CT scan of the abdomen and pelvis is a non-invasive medical test. It uses special X-ray equipment to create detailed images of your abdominal and pelvic areas. This helps doctors examine organs, tissues, and vessels. No contrast dye is used in this procedure.
105 services103 patients
X-ray of chest, 2 views 71046
A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.
104 services103 patients
X-ray of abdomen, 1 view 74018
An X-ray of the abdomen, 1 view, is a quick and painless imaging test. It uses a small amount of radiation to produce images of the structures in your abdomen, such as the stomach, liver, and intestines. This can help identify issues like blockages, infections, or injuries.
98 services88 patients
Ct scan of blood vessels of chest with contrast 71275
A CT scan of the chest with contrast is a non-invasive imaging test. It uses X-rays and a special dye to get detailed images of your blood vessels in the chest. This helps in diagnosing conditions related to heart and lungs.
94 services94 patients

Hospital Affiliations CMS Care Compare 5

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

Chi St Luke's Health Baylor College Of Medicine Me

Acute Care Hospitals · Houston, TX
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number450193
Location6720 Bertner Ave, Ste Mc1-266Houston, TX 77030 · Harris County
Emergency services

St Luke's The Woodlands Hospital

Acute Care Hospitals · The Woodlands, TX
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450862
Location17200 St Luke's WayThe Woodlands, TX 77384 · Montgomery County
Emergency services Birthing friendly

St Luke's Patients Medical Center

Acute Care Hospitals · Pasadena, TX
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number670031
Location4600 East Sam Houston Parkway SouthPasadena, TX 77505 · Harris County
Emergency services

St Luke's Sugar Land Hospital

Acute Care Hospitals · Sugar Land, TX
3/5 CMS rating
OwnershipProprietary
CMS Certification Number670053
Location1317 Lake Pointe ParkwaySugar Land, TX 77478 · Fort Bend County
Emergency services Birthing friendly

St Luke's Hospital At The Vintage

Acute Care Hospitals · Houston, TX
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number670075
Location20171 Chasewood Park DriveHouston, TX 77070 · Harris County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43214 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.

83.13/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality80.16
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.

Emergency Medicine
3525 OLENTANGY RIVER RD, ST 5320
COLUMBUS, OH 43214
Physician Assistant
3525 OLENTANGY RIVER RD
COLUMBUS, OH 43214
Radiology (Radiation Oncology)
3525 OLENTANGY RIVER RD
COLUMBUS, OH 43214
Radiology (Neuroradiology)
3525 OLENTANGY RIVER RD, SUITE 5360
COLUMBUS, OH 43214
Radiology (Diagnostic Radiology)
3525 OLENTANGY RIVER RD, STE 5360
COLUMBUS, OH 43214
Radiology (Diagnostic Radiology)
3525 OLENTANGY RIVER RD, STE 5360
COLUMBUS, OH 43214
Nurse Practitioner (Family)
3525 OLENTANGY RIVER RD, STE,4330
COLUMBUS, OH 43214
Psychiatry & Neurology (Neurology)
3525 OLENTANGY RIVER RD, STE 5360
COLUMBUS, OH 43214

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 Douglas Heintzelman's NPI number?

The NPI number for Douglas Heintzelman is 1811935125. It was assigned to this individual provider in the NPPES registry on June 2, 2006.

Where is Douglas Heintzelman located?

Douglas Heintzelman practices at 3525 Olentangy River Rd Ste 5360, Columbus, OH 43214. The listed phone number is (614) 340-7747.

What is Douglas Heintzelman's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is Douglas Heintzelman enrolled in Medicare?

Yes. Douglas Heintzelman 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 Douglas Heintzelman accept?

Health plans from Blue Cross and Blue Shield of Texas, CareSource and Sendero Health Plans, Local Nonprofit list Douglas Heintzelman 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 Douglas Heintzelman affiliated with any hospitals?

According to CMS data, Douglas Heintzelman is affiliated with Chi St Luke's Health Baylor College Of Medicine Me, St Luke's The Woodlands Hospital, St Luke's Patients Medical Center, St Luke's Sugar Land Hospital and St Luke's Hospital At The Vintage.

When was this NPI record last updated?

The NPPES record for Douglas Heintzelman was last updated on September 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.