JAMES NORMAN HELLER M.D.
NPI 1972546083
Thoracic Surgery (Cardiothoracic Vascular Surgery) in Edison, NJ

Active since June 14, 2006PECOS Enrolled
75.8/100
CMS Quality Rating
98 JAMES ST, SUITE 100, EDISON, NJ 08820(732) 635-9300(973) 921-9644 Get Directions Write a Review

NPPES record last updated: May 7, 2013. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About James Norman Heller M.d. NPPES

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

JAMES NORMAN HELLER M.D. (NPI 1972546083) is an individual thoracic surgery (cardiothoracic vascular surgery) provider in Edison, New Jersey, licensed in New Jersey (25MA05363100) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1972546083
Entity TypeIndividualMale
Primary Taxonomy208G00000X
Provider Legal NameJAMES NORMAN HELLERCredential: M.D.
Location Address98 JAMES ST, SUITE 100Edison, NJ 08820-3902
Mailing AddressPo Box 834Short Hills, NJ 07078-0834 · (973) 921-9696 · Fax (973) 921-9644
Fax(973) 921-9644
Sole ProprietorYes
Enumeration DateJune 14, 2006
Last NPPES UpdateMay 7, 2013
✔ NPI 1972546083 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyThoracic Surgery (Cardiothoracic Vascular Surgery)Allopathic & Osteopathic Physicians
Taxonomy Code208G00000X
License✔ Licensed in NJ · 25MA05363100
Definition
A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty.
98 JAMES ST, Edison, NJ 08820

Other Identifiers 2

Medicare UPINC02095NJ
Medicare ID-Type UnspecifiedHE724979NJ

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

James Norman Heller M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show James Heller reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Surgical Critical Care
331 NEWMAN SPRINGS RD STE 220
Red Bank, NJ 07701
  • Reassigned Medicare billing, New Jersey enrollment
  • 2,844 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
93 services44 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.
30 services28 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
27 services25 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08820 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
$190.92 typical visit price
range $63.84 – $190.92
Typical copayment $47.73 (range $15.96 – $47.73)
Most-billed visit code 99205
Established Patient
$79.09 typical visit price
range $20.97 – $155.92
Typical copayment $19.77 (range $5.24 – $38.98)
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.

75.8/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality68.65
Promoting Interoperability100
Improvement Activities40
Cost50.69

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.

Internal Medicine (Cardiovascular Disease)
98 JAMES ST, SUITE 313
EDISON, NJ 08820
Internal Medicine
98 JAMES ST, SUITE 104
EDISON, NJ 08820
Preventive Medicine (Public Health & General Preventive Medicine)
98 JAMES ST, SUITE 308, MEDIPLEX BUILDING
EDISON, NJ 08820
Ophthalmology
98 JAMES ST, SUITE 210
EDISON, NJ 08820
Physician Assistant
98 JAMES ST
EDISON, NJ 08820
Surgery
98 JAMES ST, SUITE 202
EDISON, NJ 08820
Surgery
98 JAMES ST, SUITE 202
EDISON, NJ 08820
Obstetrics & Gynecology (Maternal & Fetal Medicine)
98 JAMES ST, 4TH FL
EDISON, NJ 08820

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 James Heller's NPI number?

The NPI number for James Heller is 1972546083. It was assigned to this individual provider in the NPPES registry on June 14, 2006.

Where is James Heller located?

James Heller practices at 98 James St Suite 100, Edison, NJ 08820. The listed phone number is (732) 635-9300.

What is James Heller's specialty?

The primary specialty registered for this NPI is Thoracic Surgery (Cardiothoracic Vascular Surgery) with taxonomy code 208G00000X.

Is James Heller enrolled in Medicare?

Yes. James Heller is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for James Heller's services?

According to the CMS Revalidation Reassignment List (October 2026 release), James Heller reassigns Medicare benefits to Hackensack Meridian Health Medical Group - Specialty Care PC (Red Bank, NJ). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for James Heller's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for James Heller was last updated on May 7, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.