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MARC JEFFREY HEIKENS M.D.
NPI 1871892331
Internal Medicine in San Diego, CA

Active since March 23, 2011Opted out of Medicare · through Jul 27, 2027
15373 INNOVATION DR STE 360, SAN DIEGO, CA 92128(619) 949-3479(619) 625-3958 Get Directions Write a Review

NPPES record last updated: January 9, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 9, 2026, Nov 29, 2021, Mar 30, 2016 (3 updates tracked since 2016).

About Marc Jeffrey Heikens M.d. NPPES

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

MARC JEFFREY HEIKENS M.D. (NPI 1871892331) is an individual internal medicine provider in San Diego, California, licensed in California (A138136) and active in the NPI registry since March 2011. He has opted out of Medicare through July 27, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1871892331
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameMARC JEFFREY HEIKENSCredential: M.D.
Location Address15373 INNOVATION DR STE 360San Diego, CA 92128-3426
Mailing Address15373 Innovation Dr Ste 360San Diego, CA 92128-3426 · (619) 949-3479 · Fax (619) 625-3958
Phone(619) 949-3479
Fax(619) 625-3958
Sole ProprietorNo
Enumeration DateMarch 23, 2011
Last NPPES UpdateJanuary 9, 20263 updates tracked since enumeration
NPPES CertifiedJanuary 9, 2026
✔ NPI 1871892331 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 CA · A138136
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 ListedPediatricsTaxonomy 208000000X · License A138136 (CA)
15373 INNOVATION DR STE 360, San Diego, CA 92128
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Marc Jeffrey Heikens M.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from July 27, 2023 through July 27, 2027.

Opt-Out Effective DateJuly 27, 2023
Opt-Out In Effect ThroughJuly 27, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92128 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
$140.22 typical visit price
range $62.10 – $184.71
Typical copayment $35.05 (range $15.52 – $46.17)
Most-billed visit code 99204
Established Patient
$108.42 typical visit price
range $20.62 – $151.42
Typical copayment $27.10 (range $5.15 – $37.85)
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.

Other Providers at the Same Location NPPES

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

HEALTH MATTERS DIRECT PRIMARY CARE, P.C.
Clinic/Center (Primary Care)
15373 INNOVATION DR STE 360
SAN DIEGO, CA 92128
San Diego County (619) 949-3479

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 Heikens's NPI number?

The NPI number for Marc Heikens is 1871892331. It was assigned to this individual provider in the NPPES registry on March 23, 2011.

Where is Marc Heikens located?

Marc Heikens practices at 15373 Innovation Dr Ste 360, San Diego, CA 92128. The listed phone number is (619) 949-3479.

What is Marc Heikens's specialty?

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

Is Marc Heikens enrolled in Medicare?

No. Marc Heikens has opted out of Medicare through July 27, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Marc Heikens was last updated on January 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.