DR. MARK A HELLER M.D.
NPI 1942268230
Orthopaedic Surgery - Adult Reconstructive Orthopaedic Surgery in Edina, MN

Active since May 03, 2006PECOS EnrolledAccepts Medicare Assignment
83.53/100
CMS Quality Rating
7500 FRANCE AVE S, EDINA, MN 55435(952) 835-1311 Get Directions Write a Review

NPPES record last updated: November 10, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Mark A Heller M.d. NPPES

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

DR. MARK A HELLER M.D. (NPI 1942268230) is an individual adult reconstructive orthopaedic surgery provider in Edina, Minnesota, licensed in Minnesota (38700) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Allina United Hospital, and is a graduate of University Of Minnesota Medical School (1991).

NPPES Registry Identity

NPI1942268230
Entity TypeIndividualMale
Primary Taxonomy207XS0114X
Provider Legal NameDR. MARK A HELLERCredential: M.D.
Location Address7500 FRANCE AVE SEdina, MN 55435-3400
Mailing Address2925 Chicago AveMinneapolis, MN 55407-1321 · (612) 262-5000
Sole ProprietorNo
Medical School CMSUniversity Of Minnesota Medical SchoolGraduated 1991
Enumeration DateMay 3, 2006
Last NPPES UpdateNovember 10, 2020
NPPES CertifiedNovember 10, 2020
NPI 1942268230 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOrthopaedic Surgery · Adult Reconstructive Orthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207XS0114X
License Licensed in MN · 38700
Definition

Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, adult reconstructive orthopaedic surgeons deal with reconstructive procedures such as joint arthroplasty (i.e., hip and knee), osteotomy, arthroscopy, soft-tissue reconstruction, and a variety of other adult reconstructive surgical procedures.

7500 FRANCE AVE S, Edina, MN 55435

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

Dr. Mark A Heller 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 ID8123115094
PECOS Enrollment IDI20090608000330
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 13

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.
273 services190 patients
X-ray of pelvis, 1-2 views 72170
An X-ray of the pelvis, 1-2 views, is a quick and painless imaging test. It uses a small amount of radiation to produce images of the lower part of your torso. These images help to detect any abnormalities or injuries in your hip bones and surrounding structures.
174 services115 patients
Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
136 services11 patients
X-ray of both knees while standing 73565
An X-ray of both knees while standing is a diagnostic procedure that captures images of your knee joints. You'll stand in front of an X-ray machine, and it will take pictures showing the bones and tissues in your knees. This helps doctors identify any abnormalities or injuries.
127 services82 patients
Replacement of thigh bone and hip joint with prosthesis 27130
This procedure, known as hip arthroplasty, involves replacing your damaged thigh bone and hip joint with artificial parts, called a prosthesis. It helps relieve pain, improve mobility, and enhance your quality of life.
87 services84 patients
X-ray of knee, 1-2 views 73560
An X-ray of the knee with 1-2 views is a quick, painless test that produces images of the knee bones. It helps identify fractures, infections, or changes in the knee joint. During the procedure, you'll be asked to stay still while the X-ray machine captures the images.
67 services36 patients

Hospital Affiliations CMS Care Compare 2

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

Allina United Hospital

Acute Care Hospitals · Saint Paul, MN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240038
Location333 North Smith AvenueSaint Paul, MN 55102 · Ramsey County
Emergency services Birthing friendly

Abbott Northwestern Hospital

Acute Care Hospitals · Minneapolis, MN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240057
Location800 East 28th StreetMinneapolis, MN 55407 · Hennepin County
Emergency services Birthing friendly

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.

83.53/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality81.79
Promoting Interoperability100
Improvement Activities40
Cost63.31

Reported Quality Measures

Risk-standardized complication rate (RSCR) following elective primary total hip arthroplasty (THA) and/or total knee arthroplasty (TKA) for Merit-based Incentive Payment System (MIPS)
Lower rates are better for this measure.
0.02%
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.

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.

Walker, folding, wheeled, adjustable or fixed height E0143
DME-Other DME · category DE000N
3 suppliers23 claims23 services$45.87 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 20

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

Psychologist
7500 FRANCE AVE S
EDINA, MN 55435
Dietitian, Registered
7500 FRANCE AVE S
EDINA, MN 55435
Physician Assistant
7500 FRANCE AVE S
EDINA, MN 55435
Urology
7500 FRANCE AVE S
EDINA, MN 55435
Internal Medicine
7500 FRANCE AVE S
EDINA, MN 55435
Internal Medicine (Endocrinology, Diabetes & Metabolism)
7500 FRANCE AVE S
EDINA, MN 55435
Emergency Medicine
7500 FRANCE AVE S
EDINA, MN 55435
Internal Medicine
7500 FRANCE AVE S
EDINA, MN 55435

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 Mark Heller's NPI number?

The NPI number for Mark Heller is 1942268230. It was assigned to this individual provider in the NPPES registry on May 3, 2006.

Where is Mark Heller located?

Mark Heller practices at 7500 France Ave S, Edina, MN 55435. The listed phone number is (952) 835-1311.

What is Mark Heller's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Adult Reconstructive Orthopaedic Surgery, with taxonomy code 207XS0114X.

Is Mark Heller enrolled in Medicare?

Yes. Mark Heller 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 Mark Heller accept?

Health plans from HealthPartners and Medica list Mark Heller 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 Mark Heller affiliated with any hospitals?

According to CMS data, Mark Heller is affiliated with Allina United Hospital and Abbott Northwestern Hospital.

When was this NPI record last updated?

The NPPES record for Mark Heller was last updated on November 10, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.