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JOSEPH P HEIMBAUER PA
NPI 1881900363
Physician Assistant in Garden City, NY

Active since August 23, 2010PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
1305 FRANKLIN AVE, SUITE 100, GARDEN CITY, NY 11530(516) 746-5550(516) 746-9641 Get Directions Write a Review

NPPES record last updated: August 23, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Joseph P Heimbauer Pa NPPES

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

JOSEPH P HEIMBAUER PA (NPI 1881900363) is an individual physician assistant in Garden City, New York, licensed in New York (005635) and active in the NPI registry since August 2010. He is enrolled in Medicare PECOS, is affiliated with North Shore University Hospital, and is a graduate of Other (1996).

NPPES Registry Identity

NPI1881900363
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameJOSEPH P HEIMBAUERCredential: PA
Location Address1305 FRANKLIN AVE, SUITE 100Garden City, NY 11530-1657
Mailing Address532 Broadhollow Rd, Suite 142Melville, NY 11747-3672 · (516) 931-0041
Phone(516) 746-5550
Fax(516) 746-9641
Sole ProprietorNo
Medical School CMSOtherGraduated 1996
Enumeration DateAugust 23, 2010
✔ NPI 1881900363 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in NY · 005635
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
1305 FRANKLIN AVE, Garden City, NY 11530
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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

Joseph P Heimbauer Pa 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 ID8820054752
PECOS Enrollment IDI20041202000771
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 8

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.

Bacterial colony count, urine 87086
A bacterial colony count, urine, is a laboratory test that checks a urine sample for bacteria. It helps to identify if an infection is present in the urinary system. High numbers of bacteria in the urine can indicate a urinary tract infection (UTI).
185 services160 patients
Telephone medical discussion with physician, 5-10 minutes 99441
A telephone medical discussion with a physician is a brief, 5-10 minute call where you can discuss your health concerns. It's a convenient way to receive medical advice without needing to visit a clinic. It's important to prepare questions in advance to make the most of this time.
88 services84 patients
Evaluation of antimicrobial drug (antibiotic, antifungal, antiviral), microdilution or agar dilution 87186
This process checks how well certain drugs, like antibiotics, can fight against infections. It involves mixing the drug with a microbe (like bacteria or a virus) in a lab. By observing how the microbe reacts, it helps determine the best drug to treat your infection.
63 services32 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.
44 services42 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
42 services42 patients
Bacterial urine culture 87088
A bacterial urine culture is a laboratory test that checks for bacteria in your urine. It helps identify the type of bacteria causing an infection, enabling the selection of the most effective treatment. The test involves collecting a urine sample in a sterile container.
38 services33 patients

Hospital Affiliations CMS Care Compare

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

North Shore University Hospital

Acute Care Hospitals · Manhasset, NY
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330106
Location300 Community DriveManhasset, NY 11030 · Nassau County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11530 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
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$83.44 typical visit price
range $21.66 – $164.45
Typical copayment $20.86 (range $5.41 – $41.11)
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.

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

Referred Medical Equipment & Supplies CMS DME claims

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

Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, silicone elastomeric, or hydrophilic, etc.), each A4352
DME-Orthotic Devices · category DF008N
2 suppliers44 claims7,080 services$6.13 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 7

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

MITCHELL D EFROS MD
Urology
1305 FRANKLIN AVE
GARDEN CITY, NY 11530
Nassau County (516) 742-3200
ANTHONY M BRUNO MD
Urology
1305 FRANKLIN AVE, SUITE 100
GARDEN CITY, NY 11530
Nassau County (516) 746-5550
MRS. CHRISTINE P SULLIVAN LCSW
Social Worker
1305 FRANKLIN AVE, STE 150
GARDEN CITY, NY 11530
Nassau County (516) 456-7804
KERRI K WEINGARD NP
Nurse Practitioner
1305 FRANKLIN AVE, SUITE 100
GARDEN CITY, NY 11530
Nassau County (516) 746-5550
TOBY F HANDLER MD
Urology
1305 FRANKLIN AVE, SUITE 100
GARDEN CITY, NY 11530
Nassau County (516) 746-5550
DR. JOSEPH EDMUND JAMAL M.D.
Urology
1305 FRANKLIN AVE, SUITE 100
GARDEN CITY, NY 11530
Nassau County (516) 746-5550
LOUIS FAIELLA MD
Urology
1305 FRANKLIN AVE
GARDEN CITY, NY 11530
Nassau County (516) 742-3200

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 Joseph Heimbauer's NPI number?

The NPI number for Joseph Heimbauer is 1881900363. It was assigned to this individual provider in the NPPES registry on August 23, 2010.

Where is Joseph Heimbauer located?

Joseph Heimbauer practices at 1305 Franklin Ave Suite 100, Garden City, NY 11530. The listed phone number is (516) 746-5550.

What is Joseph Heimbauer's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Joseph Heimbauer enrolled in Medicare?

Yes. Joseph Heimbauer 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.

Is Joseph Heimbauer affiliated with any hospitals?

According to CMS data, Joseph Heimbauer is affiliated with North Shore University Hospital.

When was this NPI record last updated?

The NPPES record for Joseph Heimbauer was last updated on August 23, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.