HEIDI WALLS M.D.
NPI 1902291446
Family Medicine - Sports Medicine in Portland, ME

Active since April 01, 2015PECOS EnrolledAccepts Medicare Assignment
59.93/100
CMS Quality Rating
331 VERANDA ST, PORTLAND, ME 04103(207) 828-2402 Get Directions Write a Review

NPPES record last updated: March 31, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 31, 2021, Jul 15, 2019, Jul 14, 2019 and 1 more (4 updates tracked since 2015).

About Heidi Walls M.d. NPPES

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

HEIDI WALLS M.D. (NPI 1902291446) is an individual sports medicine provider in Portland, Maine, licensed in Maine (MD22437) and active in the NPI registry since April 2015. She is enrolled in Medicare PECOS, is affiliated with Central Maine Medical Center, and is a graduate of Tufts University School Of Medicine (2015).

NPPES Registry Identity

NPI1902291446
Entity TypeIndividualFemale
Primary Taxonomy207QS0010X
Provider Legal NameHEIDI WALLSCredential: M.D.
Location Address331 VERANDA STPortland, ME 04103-5545
Mailing AddressPo Box 9746Portland, ME 04104-5040
Sole ProprietorNo
Medical School CMSTufts University School Of MedicineGraduated 2015
Enumeration DateApril 1, 2015
Last NPPES UpdateMarch 31, 20214 updates tracked since enumeration
NPPES CertifiedMarch 31, 2021
NPI 1902291446 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily Medicine · Sports MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QS0010X
License Licensed in ME · MD22437
Definition

A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation.

331 VERANDA ST, Portland, ME 04103

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

Heidi Walls 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 ID1153635198
PECOS Enrollment IDI20181029001587
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.

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.
43 services38 patients
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.
11 services11 patients

Hospital Affiliations CMS Care Compare

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

Central Maine Medical Center

Acute Care Hospitals · Lewiston, ME
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number200024
Location300 Main StreetLewiston, ME 04240 · Androscoggin County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 04103 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
$86.72 typical visit price
range $56.28 – $169.96
Typical copayment $21.68 (range $14.07 – $42.49)
Most-billed visit code 99203
Established Patient
$99.18 typical visit price
range $18.22 – $138.92
Typical copayment $24.79 (range $4.55 – $34.73)
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.

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.

59.93/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality84.97
Promoting Interoperability0
Improvement Activities40
Cost60.12

Reported Quality Measures

Breast Cancer Screening
82%22 patients4/55-star benchmark: 93%
Cervical Cancer Screening
61%28 patients3/55-star benchmark: 98%
Closing the Referral Loop: Receipt of Specialist Report
14%21 patients1/55-star benchmark: 87%
Colorectal Cancer Screening
74%38 patients4/55-star benchmark: 88%
Controlling High Blood Pressure
87%23 patients4/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
99%77 patients4/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
0%27 patients1/55-star benchmark: 100%
HIV Screening
17%41 patients2/55-star benchmark: 60%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
26%58 patients2/55-star benchmark: 98%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
69%36 patients3/55-star benchmark: 97%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
31%42 patients3/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients screened: 87% · 61 patients
79%61 patients
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
75%20 patients3/55-star benchmark: 91%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 0% · 27 patients
Patients totalRate: 10% · 29 patients
14%29 patients3/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

Ophthalmology
331 VERANDA ST
PORTLAND, ME 04103
Physician Assistant
331 VERANDA ST, MARTINS POINT HEALTH CARE
PORTLAND, ME 04103
Nurse Practitioner
331 VERANDA ST
PORTLAND, ME 04103
Physical Therapist
331 VERANDA ST, BUILDING 6, ROOM 3311
PORTLAND, ME 04103
Family Medicine
331 VERANDA ST
PORTLAND, ME 04103
Internal Medicine (Cardiovascular Disease)
331 VERANDA ST
PORTLAND, ME 04103
Internal Medicine
331 VERANDA ST
PORTLAND, ME 04103
Family Medicine (Geriatric Medicine)
331 VERANDA ST
PORTLAND, ME 04103

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 Heidi Walls's NPI number?

The NPI number for Heidi Walls is 1902291446. It was assigned to this individual provider in the NPPES registry on April 1, 2015.

Where is Heidi Walls located?

Heidi Walls practices at 331 Veranda St, Portland, ME 04103. The listed phone number is (207) 828-2402.

What is Heidi Walls's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Sports Medicine, with taxonomy code 207QS0010X.

Is Heidi Walls enrolled in Medicare?

Yes. Heidi Walls 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 Heidi Walls accept?

Health plans from Anthem Blue Cross and Blue Shield list Heidi Walls 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 Heidi Walls affiliated with any hospitals?

According to CMS data, Heidi Walls is affiliated with Central Maine Medical Center.

When was this NPI record last updated?

The NPPES record for Heidi Walls was last updated on March 31, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.