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SHELLY M HEIDELBAUGH MD
NPI 1972545747
Internal Medicine in Dallas, TX

Active since June 13, 2006PECOS EnrolledAccepts Medicare Assignment
1801 INWOOD RD, DALLAS, TX 75390(214) 645-7995 Get Directions Write a Review

NPPES record last updated: December 12, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Shelly M Heidelbaugh Md NPPES

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

SHELLY M HEIDELBAUGH MD (NPI 1972545747) is an individual internal medicine provider in Dallas, Texas, licensed in Texas (Q8260) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS, is affiliated with Ut Southwestern University Hospital - William P. Clements Jr., and maintains a secondary practice location in Plano.

NPPES Registry Identity

NPI1972545747
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameSHELLY M HEIDELBAUGHCredential: MD
Location Address1801 INWOOD RDDallas, TX 75390
Mailing AddressPo Box 845347Dallas, TX 75284-7208
Phone(214) 645-7995
Sole ProprietorNo
Medical School CMSOhio State University College Of MedicineGraduated 1994
Enumeration DateJune 13, 2006
Last NPPES UpdateDecember 12, 2018
✔ NPI 1972545747 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses✔ Licensed in TX · Q8260✔ Licensed in CA · A66962
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
1801 INWOOD RD, Dallas, TX 75390
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Secondary Practice Location 1

Location 16300 W Parker Rd, Medical Office Building 2, Suite 220Plano, TX 75093-8100 · Phone (972) 981-8215 · Fax (972) 981-8399

Other Identifiers 1

Medicaid00A669620CA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas.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

Shelly M Heidelbaugh Md 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 ID3577525195
PECOS Enrollment IDI20181022000305
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 10

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.
327 services198 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
254 services156 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.
98 services98 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.
54 services47 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.
44 services44 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
27 services26 patients

Hospital Affiliations CMS Care Compare 5

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

5/5 CMS rating
OwnershipGovernment - State
CMS Certification Number450044
Location6201 Harry Hines BlvdDallas, TX 75390 · Dallas County
Emergency services Birthing friendly

Medical Center Of Mckinney

Acute Care Hospitals · Mckinney, TX
3/5 CMS rating
OwnershipProprietary
CMS Certification Number450403
Location4500 Medical Center DriveMckinney, TX 75069 · Collin County
Emergency services Birthing friendly

Medical City Plano

Acute Care Hospitals · Plano, TX
3/5 CMS rating
OwnershipProprietary
CMS Certification Number450651
Location3901 W 15th StPlano, TX 75075 · Collin County
Emergency services Birthing friendly

Texas Health Presbyterian Hospital Plano

Acute Care Hospitals · Plano, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450771
Location6200 W Parker RdPlano, TX 75093 · Collin County
Emergency services Birthing friendly

Texas Health Hospital Frisco

Acute Care Hospitals · Frisco, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number670260
Location12400 N Dallas ParkwayFrisco, TX 75033 · Denton County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75390 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
$131.01 typical visit price
range $57.18 – $172.86
Typical copayment $32.75 (range $14.29 – $43.21)
Most-billed visit code 99204
Established Patient
$100.80 typical visit price
range $18.48 – $141.20
Typical copayment $25.20 (range $4.62 – $35.30)
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.

Referred Medical Equipment & Supplies CMS DME claims 3

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

Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape B4035
Other-Enteral and Parenteral · category OB006N
2 suppliers12 claims332 services$4.39 avg. paid by Medicare
Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit B4150
Other-Enteral and Parenteral · category OB006N
2 suppliers13 claims3,900 services$0.30 avg. paid by Medicare
Patient lift, electric with seat or sling E0635
DME-Other DME · category DE000N
1 supplier11 claims11 services$62.70 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.

DR. EDWARD DAVID ARRINGTON MD
Orthopaedic Surgery (Sports Medicine)
1801 INWOOD RD
DALLAS, TX 75390
Dallas County (214) 645-3340
CARL EDWARD NOE MD
Anesthesiology
1801 INWOOD RD, OUTPATIENT BUILDING WA 7.5
DALLAS, TX 75390
Dallas County (214) 645-8450
DANIEL YOO MD
Surgery (Plastic and Reconstructive Surgery)
1801 INWOOD RD, 4TH FLOOR
DALLAS, TX 75390
Dallas County (214) 645-3163
DR. TRAPPER LALLI MD
Orthopaedic Surgery (Foot and Ankle Surgery)
1801 INWOOD RD
DALLAS, TX 75390
Dallas County (214) 645-3300
THANH LY TRAN M.D.
Internal Medicine
1801 INWOOD RD
DALLAS, TX 75390
Dallas County (214) 645-7995
SHELBY R LIES MD
Surgery (Plastic and Reconstructive Surgery)
1801 INWOOD RD
DALLAS, TX 75390
Dallas County (214) 645-2353
THE UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL CENTER AT DALLAS
Durable Medical Equipment & Medical Supplies
1801 INWOOD RD
DALLAS, TX 75390
Dallas County (214) 645-2080
DR. DANE KENT WUKICH M.D.
Orthopaedic Surgery (Foot and Ankle Surgery)
1801 INWOOD RD
DALLAS, TX 75390
Dallas County (214) 645-3300

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 Shelly Heidelbaugh's NPI number?

The NPI number for Shelly Heidelbaugh is 1972545747. It was assigned to this individual provider in the NPPES registry on June 13, 2006.

Where is Shelly Heidelbaugh located?

Shelly Heidelbaugh practices at 1801 Inwood Rd, Dallas, TX 75390. The listed phone number is (214) 645-7995.

What is Shelly Heidelbaugh's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Shelly Heidelbaugh enrolled in Medicare?

Yes. Shelly Heidelbaugh 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 Shelly Heidelbaugh accept?

Health plans from Blue Cross and Blue Shield of Texas list Shelly Heidelbaugh 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 Shelly Heidelbaugh affiliated with any hospitals?

According to CMS data, Shelly Heidelbaugh is affiliated with Ut Southwestern University Hospital - William P. Clements Jr., Medical Center Of Mckinney, Medical City Plano, Texas Health Presbyterian Hospital Plano and Texas Health Hospital Frisco.

When was this NPI record last updated?

The NPPES record for Shelly Heidelbaugh was last updated on December 12, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.