MARC HERONEMUS MD
NPI 1821594433
Physical Medicine & Rehabilitation in Denver, CO

Active since April 03, 2018PECOS EnrolledAccepts Medicare Assignment
91.11/100
CMS Quality Rating
777 BANNOCK ST, DENVER, CO 80204(303) 436-4949(303) 436-7380 Get Directions Write a Review

NPPES record last updated: February 18, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 18, 2025, Oct 3, 2023, Apr 4, 2023 (3 updates tracked since 2023).

About Marc Heronemus Md NPPES

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

MARC HERONEMUS MD (NPI 1821594433) is an individual physical medicine & rehabilitation provider in Denver, Colorado, licensed in Colorado (DR.0070897) and active in the NPI registry since April 2018. He is enrolled in Medicare PECOS, maintains a secondary practice location in Aurora, and is a graduate of University Of Kansas School Of Med (kc/wich/sal) (2018).

NPPES Registry Identity

NPI1821594433
Entity TypeIndividualMale
Primary Taxonomy208100000X
Provider Legal NameMARC HERONEMUSCredential: MD
Location Address777 BANNOCK STDenver, CO 80204-4597
Mailing Address777 Bannock StDenver, CO 80204-4597 · (303) 436-4949 · Fax (303) 436-7380
Fax(303) 436-7380
Sole ProprietorNo
Medical School CMSUniversity Of Kansas School Of Med (kc/wich/sal)Graduated 2018
Enumeration DateApril 3, 2018
Last NPPES UpdateFebruary 18, 20253 updates tracked since enumeration
NPPES CertifiedFebruary 18, 2025
NPI 1821594433 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysical Medicine & RehabilitationAllopathic & Osteopathic Physicians
Taxonomy Code208100000X
License Licensed in CO · DR.0070897
Definition
Physical medicine and rehabilitation, also referred to as rehabilitation medicine, is the medical specialty concerned with diagnosing, evaluating, and treating patients with physical disabilities. These disabilities may arise from conditions affecting the musculoskeletal system such as neck and back pain, sports injuries, or other painful conditions affecting the limbs, such as carpal tunnel syndrome. Alternatively, the disabilities may result from neurological trauma or disease such as spinal cord injury, head injury or stroke. A physician certified in physical medicine and rehabilitation is often called a physiatrist. The primary goal of the physiatrist is to achieve maximal restoration of physical, psychological, social and vocational function through comprehensive rehabilitation. Pain management is often an important part of the role of the physiatrist. For diagnosis and evaluation, a physiatrist may include the techniques of electromyography to supplement the standard history, physical, x-ray and laboratory examinations. The physiatrist has expertise in the appropriate use of therapeutic exercise, prosthetics (artificial limbs), orthotics and mechanical and electrical devices.
Also ListedPhysical Medicine & Rehabilitation · Sports MedicineTaxonomy 2081S0010X · License DR.0070897 (CO)
777 BANNOCK ST, Denver, CO 80204

Secondary Practice Location 1

Location 112605 E 16th AveAurora, CO 80045-2545 · Phone (720) 848-0000

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

Marc Heronemus 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 ID9234485202
PECOS Enrollment IDI20231018000051
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 2

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 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.
48 services27 patients
Needle measurement of electrical activity in arm or leg muscles, complete study 95886
This procedure, known as an electromyography (EMG), involves inserting a small needle into your arm or leg muscles to measure their electrical activity. This complete study helps diagnose issues with nerves or muscles, providing valuable data for your treatment plan.
18 services14 patients

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.

91.11/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality90.23
Promoting Interoperability88
Improvement Activities40
Cost73.49

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.

Clinical Nurse Specialist (Psychiatric/Mental Health)
777 BANNOCK ST
DENVER, CO 80204
Anesthesiology
777 BANNOCK ST
DENVER, CO 80204
Nurse Practitioner
777 BANNOCK ST
DENVER, CO 80204
Hospitalist
777 BANNOCK ST
DENVER, CO 80204
Social Worker (Clinical)
777 BANNOCK ST
DENVER, CO 80204
Nurse Practitioner
777 BANNOCK ST
DENVER, CO 80204
Physician Assistant
777 BANNOCK ST
DENVER, CO 80204
Family Medicine
777 BANNOCK ST
DENVER, CO 80204

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 Marc Heronemus's NPI number?

The NPI number for Marc Heronemus is 1821594433. It was assigned to this individual provider in the NPPES registry on April 3, 2018.

Where is Marc Heronemus located?

Marc Heronemus practices at 777 Bannock St, Denver, CO 80204. The listed phone number is (303) 436-4949.

What is Marc Heronemus's specialty?

The primary specialty registered for this NPI is Physical Medicine & Rehabilitation with taxonomy code 208100000X.

Is Marc Heronemus enrolled in Medicare?

Yes. Marc Heronemus 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 Marc Heronemus accept?

Health plans from Medica list Marc Heronemus 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.

When was this NPI record last updated?

The NPPES record for Marc Heronemus was last updated on February 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.