TIMOTHY HEILMANN
NPI 1912968827
Family Medicine in Williamsport, PA

Active since March 30, 2006PECOS EnrolledAccepts Medicare Assignment
81.54/100
CMS Quality Rating
740 HIGH ST, SUITE 4001, WILLIAMSPORT, PA 17701(570) 321-2345 Get Directions Write a Review

NPPES record last updated: April 6, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Timothy Heilmann NPPES

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

TIMOTHY HEILMANN (NPI 1912968827) is an individual family medicine provider in Williamsport, Pennsylvania, licensed in Palau (MD032155E) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS, is affiliated with Upmc Williamsport, and is a graduate of Jefferson Medical College Of Thomas Jefferson University (1983).

NPPES Registry Identity

NPI1912968827
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameTIMOTHY HEILMANN
Location Address740 HIGH ST, SUITE 4001Williamsport, PA 17701-3102
Mailing Address1201 Grampian Blvd, Suite 4001Williamsport, PA 17701-1900
Sole ProprietorNo
Medical School CMSJefferson Medical College Of Thomas Jefferson UniversityGraduated 1983
Enumeration DateMarch 30, 2006
Last NPPES UpdateApril 6, 2021
NPI 1912968827 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in PW · MD032155E
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

740 HIGH ST, Williamsport, PA 17701

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

Timothy Heilmann 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 ID7012052616
PECOS Enrollment IDI20100308000327
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 3

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, 30-39 minutes 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.
70 services48 patients
Established patient office or other outpatient visit, 20-29 minutes 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.
47 services40 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
23 services23 patients

Hospital Affiliations CMS Care Compare

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

Upmc Williamsport

Acute Care Hospitals · Williamsport, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390045
Location700 High StreetWilliamsport, PA 17701 · Lycoming County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 17701 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
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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.

81.54/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality75.04
Promoting Interoperability100
Improvement Activities40
Cost63.42

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.

Obstetrics & Gynecology
740 HIGH ST, SUITE 1004
WILLIAMSPORT, PA 17701
Advanced Practice Midwife
740 HIGH ST, SUITE 1004
WILLIAMSPORT, PA 17701
Social Worker (Clinical)
740 HIGH ST, SUITE 4001
WILLIAMSPORT, PA 17701
Family Medicine
740 HIGH ST, SUITE 4001
WILLIAMSPORT, PA 17701
Internal Medicine (Interventional Cardiology)
740 HIGH ST, SUITE 2001
WILLIAMSPORT, PA 17701
Internal Medicine (Cardiovascular Disease)
740 HIGH ST, SUITE 2001
WILLIAMSPORT, PA 17701
Family Medicine
740 HIGH ST, SUITE 4001
WILLIAMSPORT, PA 17701
Thoracic Surgery (Cardiothoracic Vascular Surgery)
740 HIGH ST, SUITE 2001
WILLIAMSPORT, PA 17701

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 Timothy Heilmann's NPI number?

The NPI number for Timothy Heilmann is 1912968827. It was assigned to this individual provider in the NPPES registry on March 30, 2006.

Where is Timothy Heilmann located?

Timothy Heilmann practices at 740 High St Suite 4001, Williamsport, PA 17701. The listed phone number is (570) 321-2345.

What is Timothy Heilmann's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Timothy Heilmann enrolled in Medicare?

Yes. Timothy Heilmann 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 Timothy Heilmann affiliated with any hospitals?

According to CMS data, Timothy Heilmann is affiliated with Upmc Williamsport.

When was this NPI record last updated?

The NPPES record for Timothy Heilmann was last updated on April 6, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.