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BLAKE ANTHONY HEINZ D.O.
NPI 1871869172
Internal Medicine in Aberdeen, SD

Active since March 30, 2012PECOS EnrolledAccepts Medicare Assignment
815 1ST AVE SE, SUITE 104, ABERDEEN, SD 57401(605) 622-5458(605) 622-5473 Get Directions Write a Review

NPPES record last updated: August 12, 2015. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Blake Anthony Heinz D.o. NPPES

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

BLAKE ANTHONY HEINZ D.O. (NPI 1871869172) is an individual internal medicine provider in Aberdeen, South Dakota, licensed in South Dakota (9584) and active in the NPI registry since March 2012. He is enrolled in Medicare PECOS, is affiliated with Avera St Lukes, and is a graduate of Kansas City University Of Physicians And Surgeons (2012).

NPPES Registry Identity

NPI1871869172
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameBLAKE ANTHONY HEINZCredential: D.O.
Location Address815 1ST AVE SE, SUITE 104Aberdeen, SD 57401-4602
Mailing AddressPo Box 1460Aberdeen, SD 57402-1460 · (605) 622-2857 · Fax (605) 622-2859
Phone(605) 622-5458
Fax(605) 622-5473
Sole ProprietorNo
Medical School CMSKansas City University Of Physicians And SurgeonsGraduated 2012
Enumeration DateMarch 30, 2012
Last NPPES UpdateAugust 12, 2015
✔ NPI 1871869172 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in SD · 9584
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
815 1ST AVE SE, Aberdeen, SD 57401
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Avera Health Plans, Blue Cross Blue Shield of North Dakota, Wellmark of South Dakota, Inc..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

Blake Anthony Heinz D.o. 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 ID9931414596
PECOS Enrollment IDI20150812007020
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

4

Medicare enrollment records show Blake Heinz reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Avera St. Luke's
0.1 mi
Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)
820 1ST AVE SE STE 200
Aberdeen, SD 57401
  • Reassigned Medicare billing, South Dakota enrollment
  • Medicare enrollment name: Avera St Lukes
  • 259 clinicians in this Medicare group
NPI 1083051817 (605) 622-5123
Avera Mckennan
70 mi
Clinic/Center
300 W 5TH ST
Miller, SD 57362
  • Reassigned Medicare billing, South Dakota enrollment
  • 1,277 clinicians in this Medicare group
NPI 1083679625 (605) 853-0158
Avera Queen Of Peace
87 mi
Critical Access
306 PRAIRIE AVE SW
De Smet, SD 57231
  • Reassigned Medicare billing, South Dakota enrollment
  • 227 clinicians in this Medicare group
NPI 1710155460 (605) 854-3329
Avera St. Mary's
119 mi
Physical Therapist
1211 E WELLS AVE
Pierre, SD 57501
  • Reassigned Medicare billing, South Dakota enrollment
  • Medicare enrollment name: Avera St Marys
  • 197 clinicians in this Medicare group
NPI 1972082683 (605) 224-3100

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.

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.
314 services146 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
233 services124 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
139 services136 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
74 services70 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
29 services29 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
20 services20 patients

Hospital Affiliations CMS Care Compare 3

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

Avera St Lukes

Acute Care Hospitals · Aberdeen, SD
5/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number430014
Location305 S State St Post Office Box 4450Aberdeen, SD 57401 · Brown County
Emergency services Birthing friendly

Avera Mckennan Hospital & University Health Center

Acute Care Hospitals · Sioux Falls, SD
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number430016
Location1325 S Cliff AveSioux Falls, SD 57117 · Minnehaha County
Emergency services Birthing friendly

Community Memorial Hospital

Critical Access Hospitals · Redfield, SD
OwnershipGovernment - Local
CMS Certification Number431316
Location111 W 10th Ave Post Office Box 420Redfield, SD 57469 · Spink County

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 57401 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
$126.78 typical visit price
range $55.52 – $167.23
Typical copayment $31.69 (range $13.88 – $41.80)
Most-billed visit code 99204
Established Patient
$97.88 typical visit price
range $18.08 – $137.08
Typical copayment $24.47 (range $4.52 – $34.27)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
3 suppliers21 claims21 services$109.82 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
2 suppliers20 claims20 services$34.56 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 12

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

ARLIN MONROE MYRMOE M.D.
Internal Medicine
815 1ST AVE SE, SUITE E104
ABERDEEN, SD 57401
Brown County (605) 622-5458
ABERDEEN MEDICAL CENTER PHARMACY, INC
Pharmacy (Long Term Care Pharmacy)
815 1ST AVE SE, STE 202
ABERDEEN, SD 57401
Brown County (605) 725-4001
MARIE QUASCHNICK CNP
Nurse Practitioner (Family)
815 1ST AVE SE
ABERDEEN, SD 57401
Brown County (605) 622-2535
RONALD DOUGLAS ROVANG M.D.
Internal Medicine
815 1ST AVE SE, SUITE 104
ABERDEEN, SD 57401
Brown County (605) 622-5458
TIMOTHY ROY WATERMAN MD
Internal Medicine
815 1ST AVE SE, SUITE 104
ABERDEEN, SD 57401
Brown County (605) 622-5458
LISA BETH WURNIG-JOHNSON PA-C
Physician Assistant (Surgical)
815 1ST AVE SE
ABERDEEN, SD 57401
Brown County (605) 622-5123
AVERA ST. LUKE'S
Orthopaedic Surgery
815 1ST AVE SE
ABERDEEN, SD 57401
Brown County (605) 622-2570
MR. KENDALL R. GOETZ R.PH.
Pharmacist
815 1ST AVE SE
ABERDEEN, SD 57401
Brown County (605) 225-1945

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 Blake Heinz's NPI number?

The NPI number for Blake Heinz is 1871869172. It was assigned to this individual provider in the NPPES registry on March 30, 2012.

Where is Blake Heinz located?

Blake Heinz practices at 815 1st Ave SE Suite 104, Aberdeen, SD 57401. The listed phone number is (605) 622-5458.

What is Blake Heinz's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Blake Heinz enrolled in Medicare?

Yes. Blake Heinz 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 Blake Heinz's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Blake Heinz reassigns Medicare benefits to 4 organizations: Avera St. Luke's (Aberdeen, SD), Avera Mckennan (Miller, SD), Avera Queen Of Peace (De Smet, SD) and Avera St. Mary's (Pierre, SD). 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 Blake Heinz's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Blake Heinz accept?

Health plans from Avera Health Plans, Blue Cross Blue Shield of North Dakota and Wellmark of South Dakota, Inc. list Blake Heinz 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 Blake Heinz affiliated with any hospitals?

According to CMS data, Blake Heinz is affiliated with Avera St Lukes, Avera Mckennan Hospital & University Health Center and Community Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Blake Heinz was last updated on August 12, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.