ERIC M HEINBERG MD, MPH
NPI 1821071648
Surgery in Seattle, WA

Active since November 25, 2005PECOS EnrolledAccepts Medicare Assignment
82.84/100
CMS Quality Rating
801 BROADWAY, STE 300, SEATTLE, WA 98122(206) 215-3500(206) 215-6499 Get Directions Write a Review

NPPES record last updated: May 25, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Eric M Heinberg Md, Mph NPPES

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

ERIC M HEINBERG MD, MPH (NPI 1821071648) is an individual surgery provider in Seattle, Washington, licensed in Washington (MD00046709) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS, is affiliated with Swedish Medical Center / Cherry Hill, and maintains a secondary practice location in Issaquah.

NPPES Registry Identity

NPI1821071648
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameERIC M HEINBERGCredential: MD, MPH
Location Address801 BROADWAY, STE 300Seattle, WA 98122-4396
Mailing AddressPo Box 25608Salt Lake City, UT 84125-0608 · (206) 320-4476 · Fax (206) 568-7043
Fax(206) 215-6499
Sole ProprietorNo
Medical School CMSTulane University School Of MedicineGraduated 1998
Enumeration DateNovember 25, 2005
Last NPPES UpdateMay 25, 2021
NPPES CertifiedMay 25, 2021
✔ NPI 1821071648 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
Licenses✔ Licensed in WA · MD00046709✔ Licensed in LA · 024232✔ Licensed in LA · MD.024232
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.
801 BROADWAY, Seattle, WA 98122

Secondary Practice Location 1

Location 1751 NE Blakely Dr Fl 3Issaquah, WA 98029-6201 · Phone (425) 313-7124 · Fax (425) 313-7057

Other Identifiers 3

Medicaid09633591MS
Medicaid7009911LA
Medicaid1577235LA

Accepted 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

Eric M Heinberg Md, Mph 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 ID5395796874
PECOS Enrollment IDI20131002000506
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 Reassignments

2

Medicare enrollment records show Eric Heinberg reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Internal Medicine
800 5TH AVE, STE 600
Seattle, WA 98104
  • Reassigned Medicare billing, Washington enrollment
  • 1,270 clinicians in this Medicare group
General Practice
1705 SE MEADOWBROOK BLVD, SUITE 2
College Place, WA 99324
  • Reassigned Medicare billing, Washington enrollment
  • 276 clinicians in this Medicare group

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 3

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.

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.
41 services41 patients
Repair of groin hernia using an endoscope 49650
This procedure involves the use of an endoscope, a thin tube with a camera, to repair a hernia in the groin area. The surgeon makes small incisions, inserts the endoscope, and uses special tools to fix the hernia. This minimally invasive technique often results in quicker recovery times.
18 services18 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.
18 services18 patients

Hospital Affiliations CMS Care Compare 2

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

Swedish Medical Center / Cherry Hill

Acute Care Hospitals · Seattle, WA
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number500025
Location500 17th AvenueSeattle, WA 98122 · King County
Emergency services

Swedish Issaquah

Acute Care Hospitals · Issaquah, WA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number500152
Location751 NE Blakely DrIssaquah, WA 98029 · King County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98122 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
$97.43 typical visit price
range $63.67 – $189.37
Typical copayment $24.35 (range $15.91 – $47.34)
Most-billed visit code 99203
Established Patient
$78.74 typical visit price
range $21.12 – $155.00
Typical copayment $19.68 (range $5.28 – $38.75)
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.

82.84/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality82.14
Promoting Interoperability100
Improvement Activities40
Cost60.65

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 (Family)
801 BROADWAY, SUITE 300
SEATTLE, WA 98122
Family Medicine (Obesity Medicine)
801 BROADWAY, STE 800
SEATTLE, WA 98122
Internal Medicine (Cardiovascular Disease)
801 BROADWAY, SUITE 824
SEATTLE, WA 98122
Surgery (Vascular Surgery)
801 BROADWAY, SUITE 500
SEATTLE, WA 98122
Specialist
801 BROADWAY, SUITE 522
SEATTLE, WA 98122
Internal Medicine
801 BROADWAY, STE 701
SEATTLE, WA 98122
Physician Assistant (Surgical)
801 BROADWAY, SUITE 617
SEATTLE, WA 98122
Psychiatry & Neurology (Psychiatry)
801 BROADWAY, STE 925
SEATTLE, WA 98122

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 Eric Heinberg's NPI number?

The NPI number for Eric Heinberg is 1821071648. It was assigned to this individual provider in the NPPES registry on November 25, 2005.

Where is Eric Heinberg located?

Eric Heinberg practices at 801 Broadway Ste 300, Seattle, WA 98122. The listed phone number is (206) 215-3500.

What is Eric Heinberg's specialty?

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

Is Eric Heinberg enrolled in Medicare?

Yes. Eric Heinberg 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 organizations bill Medicare for Eric Heinberg's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Eric Heinberg reassigns Medicare benefits to 2 organizations: Swedish Health Services (Seattle, WA) and Providence Health & Services Washington (College Place, WA). Each 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 Eric Heinberg's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Eric Heinberg accept?

Health plans from Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Eric Heinberg 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 Eric Heinberg affiliated with any hospitals?

According to CMS data, Eric Heinberg is affiliated with Swedish Medical Center / Cherry Hill and Swedish Issaquah.

When was this NPI record last updated?

The NPPES record for Eric Heinberg was last updated on May 25, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.