THOMAS HEINEMAN M.D.
NPI 1881089704
Otolaryngology in Cedar Rapids, IA

Q: What is Thomas Heineman's NPI number?

The NPI number for Thomas Heineman is 1881089704. It was assigned to this individual provider in the NPPES registry on March 30, 2015.

Q: What is Thomas Heineman's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Q: When was this NPI record last updated?

The NPPES record for Thomas Heineman was last updated on August 25, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since March 30, 2015PECOS EnrolledAccepts Medicare Assignment

75.52/100

CMS Quality Rating

202 10TH ST SE, CEDAR RAPIDS, IA 52403(319) 247-3010 Get Directions Write a Review

NPPES record last updated: August 25, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Oct 13, 2020, Jun 29, 2020 (2 updates tracked since 2020).

On this page

About Thomas Heineman M.d. NPPES

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

THOMAS HEINEMAN M.D. (NPI 1881089704) is an individual otolaryngology provider in Cedar Rapids, Iowa, licensed in Iowa (MD-46852) and active in the NPI registry since March 2015. He is enrolled in Medicare PECOS, is affiliated with St Lukes Hospital, and is a graduate of Js Weill Medical College, Cornell University (2015).

NPPES Registry Identity

NPI1881089704

Entity TypeIndividualMale

Primary Taxonomy207Y00000X

Provider Legal NameTHOMAS HEINEMANCredential: M.D.

Location Address202 10TH ST SECedar Rapids, IA 52403-2414

Mailing Address202 10th St SeCedar Rapids, IA 52403-2414

Phone(319) 247-3010

Sole ProprietorNo

Medical School CMSJs Weill Medical College, Cornell UniversityGraduated 2015

Enumeration DateMarch 30, 2015

Last NPPES UpdateAugust 25, 20252 updates tracked since enumeration

NPPES CertifiedAugust 25, 2025

✔ NPI 1881089704 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians

Taxonomy Code207Y00000X

License✔ Licensed in IA · MD-46852

Definition

An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.

202 10TH ST SE, Cedar Rapids, IA 52403

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter from NH Healthy Families, Ambetter from Sunflower Health Plan and more.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

Thomas Heineman 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 ID6406109099

PECOS Enrollment IDI20200805002044

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 20

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

316 services235 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.

188 services138 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

140 services140 patients

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.

102 services102 patients

Diagnostic exam of nasal passages using an endoscope 31231

A diagnostic exam of nasal passages using an endoscope is a non-invasive procedure. A small, flexible tube with a light and camera at the end, called an endoscope, is inserted into the nose. This allows the doctor to view the nasal passages and sinuses, helping to identify any issues.

96 services63 patients

Professional service for single injection of allergen 95115

A single allergen injection is a procedure where a small amount of a specific allergen is injected into your body. This is done to test your body's reaction to the allergen or to help your immune system become less sensitive to it, reducing allergic symptoms.

60 services19 patients

Diagnostic exam of voice box using a flexible endoscope 31575

This procedure involves a doctor examining your voice box using a flexible endoscope, a thin tube with a light and camera. It's inserted through your nose or mouth to visualize your throat area. It helps detect any abnormalities in your voice box, ensuring optimal vocal health.

55 services44 patients

Professional service for multiple injections of allergen 95117

The professional service for multiple injections of allergens involves administering small doses of specific allergens into your body. This is done to help your immune system become less sensitive to them, reducing your allergic reaction over time. It's a safe, effective way to manage allergies.

47 services15 patients

Removal of impacted ear wax 69210

Impacted ear wax removal is a safe procedure to clear blockages in the ear canal caused by hardened ear wax. A healthcare professional uses specialized tools or a gentle irrigation method to loosen and remove the wax, improving hearing and alleviating discomfort.

46 services31 patients

Exam to assess movement of vocal cord flaps using an endoscope 31579

This procedure involves using a thin, flexible tube called an endoscope to view your vocal cords. The endoscope is gently inserted through your nose or mouth to observe the movement of your vocal cords. This helps identify any abnormalities or issues.

39 services30 patients

Evaluation of sleep-disordered breathing by examination of upper airway using an endoscope 42975

This procedure examines your upper airway for sleep-related breathing issues. An endoscope, a thin tube with a light and camera, is gently inserted through your nose. This allows a detailed view of your airway to identify any abnormalities that could disrupt your sleep.

35 services35 patients

Analysis of voice and resonance production 92524

Analysis of voice and resonance production is a medical procedure that evaluates your voice and the quality of sound produced when you speak. It helps identify any abnormalities or changes in your voice, which could be due to various health conditions.

35 services28 patients

Exam of ear using a microscope 92504

An exam of the ear using a microscope allows a detailed view of the ear structures. This non-invasive procedure helps identify issues such as infections, blockages, or ear damage. It's a safe, quick, and painless way to evaluate ear health.

29 services23 patients

Insertion of hypoglossal nerve neurostimulator electrode and generator and breathing sensor electrode 64582

This procedure involves placing a device that stimulates the hypoglossal nerve, which controls tongue movement. A generator powers the device and a sensor monitors your breathing. This helps keep the airway open during sleep, improving conditions like sleep apnea.

22 services22 patients

Comprehensive hearing and speech recognition test 92557

A comprehensive hearing and speech recognition test assesses your ability to hear and understand spoken words. It includes hearing tests to check for issues with sound perception and speech tests to evaluate your word recognition. It's a crucial step in identifying any hearing or speech problems.

21 services20 patients

Test to assess middle ear function 92567

A test to assess middle ear function, also known as an impedance audiometry, helps evaluate how well your middle ear works. It measures the movement of your eardrum in response to changes in air pressure. This can help identify issues like fluid build-up, ear infections, or eardrum perforations.

21 services20 patients

Electronic analysis of neurostimulator generator with simple cranial nerve stimulator programming 95976

This procedure involves using electronic devices to analyze and adjust a neurostimulator generator. This device helps regulate nerve activity in the brain, improving certain neurological conditions. The programming is kept simple for easy understanding and management.

20 services15 patients

Biopsy or removal of nasal polyp or tissue using an endoscope 31237

A nasal biopsy or polyp removal is a procedure where an endoscope, a thin tube with a light and camera, is inserted into the nose. This allows the doctor to see and remove abnormal tissues or polyps, which are small growths. This procedure helps diagnose or treat nasal issues.

18 services12 patients

Ct scan of face without contrast 70486

A CT scan of the face without contrast is a non-invasive imaging procedure. It uses X-rays to create detailed pictures of your face, including bones, soft tissues, and blood vessels. It's often used to diagnose diseases, injuries, or abnormalities. No contrast dye is used in this procedure.

18 services18 patients

Repositioning of bone and muscles in neck 21685

This procedure adjusts the position of bones and muscles in your neck to improve alignment and reduce discomfort. It involves careful manipulation by a medical professional to ensure optimal positioning for better neck function and relief from pain.

11 services11 patients

Hospital Affiliations CMS Care Compare 5

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

St Lukes Hospital

Acute Care Hospitals · Cedar Rapids, IA

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number160045

Location1026 A Ave NECedar Rapids, IA 52402 · Linn County

Emergency services Birthing friendly

Mercy Medical Center - Cedar Rapids

Acute Care Hospitals · Cedar Rapids, IA

4/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number160079

Location701 10th Street SECedar Rapids, IA 52403 · Linn County

Emergency services Birthing friendly

Allen Hospital

Acute Care Hospitals · Waterloo, IA

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number160110

Location1825 Logan AvenueWaterloo, IA 50703 · Black Hawk County

Emergency services Birthing friendly

Compass Memorial Healthcare

Critical Access Hospitals · Marengo, IA

OwnershipGovernment - Local

CMS Certification Number161317

Location300 W May StMarengo, IA 52301 · Iowa County

Emergency services

Regional Medical Center

Critical Access Hospitals · Manchester, IA

OwnershipGovernment - Local

CMS Certification Number161343

Location709 W Main StreetManchester, IA 52057 · Delaware County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 52403 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

$122.23 typical visit price

range $52.96 – $161.40

Typical copayment $30.55 (range $13.24 – $40.35)

Most-billed visit code 99204

Established Patient

$66.36 typical visit price

range $16.91 – $131.98

Typical copayment $16.59 (range $4.22 – $32.99)

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.

75.52/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

59.32

Promoting Interoperability

Improvement Activities

Leave this field empty

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.

DR. MELANIE LUCILLE GIESLER-SPELLMAN D.O

Otolaryngology (Otolaryngology/Facial Plastic Surgery)

202 10TH ST SE
CEDAR RAPIDS, IA 52403

Linn County (319) 399-2022

BOOTHAPURI VENKATESH MD

Internal Medicine (Cardiovascular Disease)

202 10TH ST SE, SUITE 225
CEDAR RAPIDS, IA 52403

Linn County (319) 364-7101

DR. LOUIS CHARLES KEILER III M.D.

Radiology (Radiation Oncology)

202 10TH ST SE, SUITE 195
CEDAR RAPIDS, IA 52403

Linn County (319) 558-4876

NICOLE M PRUCHNO ARNP

Nurse Practitioner (Family)

202 10TH ST SE
CEDAR RAPIDS, IA 52403

Linn County (319) 297-2900

HARINDER SINGH MD

Internal Medicine (Rheumatology)

202 10TH ST SE
CEDAR RAPIDS, IA 52403

Linn County (319) 398-1546

HISHAM WAGDY MD

Internal Medicine (Interventional Cardiology)

202 10TH ST SE, SUITE 225
CEDAR RAPIDS, IA 52403

Linn County (319) 364-7101

CARDIOLOGISTS LC

Internal Medicine (Cardiovascular Disease)

202 10TH ST SE, SUITE 225
CEDAR RAPIDS, IA 52403

Linn County (319) 364-7101

BRANDON FORREST BOLDT MD

Internal Medicine (Sports Medicine)

202 10TH ST SE
CEDAR RAPIDS, IA 52403

Linn County (319) 398-1545

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 Thomas Heineman's NPI number?

The NPI number for Thomas Heineman is 1881089704. It was assigned to this individual provider in the NPPES registry on March 30, 2015.

Where is Thomas Heineman located?

Thomas Heineman practices at 202 10th St SE, Cedar Rapids, IA 52403. The listed phone number is (319) 247-3010.

What is Thomas Heineman's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Is Thomas Heineman enrolled in Medicare?

Yes. Thomas Heineman 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 Thomas Heineman accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from NH Healthy Families and Ambetter from Sunflower Health Plan and 1 other insurer list Thomas Heineman 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 Thomas Heineman affiliated with any hospitals?

According to CMS data, Thomas Heineman is affiliated with St Lukes Hospital, Mercy Medical Center - Cedar Rapids, Allen Hospital, Compass Memorial Healthcare and Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Thomas Heineman was last updated on August 25, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.