NATHAN DAVID HEINEMAN MD
NPI 1568923688
Orthopaedic Surgery - Hand Surgery in Smithfield, NC
NPI Status: Active since March 29, 2019
- Individual
- Male
- Orthopaedic Surgery
- Hand Surgery
- PECOS Enrolled
About NATHAN HEINEMAN
This page provides the complete NPI Profile along with additional information for Nathan Heineman, a provider established in Smithfield, North Carolina with a medical specialization in Orthopaedic Surgery, focusing in hand surgery . The healthcare provider is registered in the NPI registry with number 1568923688 assigned on March 2019. The practitioner's primary taxonomy code is 207XS0106X with license number 2025-01448 (NC). The provider is registered as an individual and his NPI record was last updated June 2025.
- NPI
- 1568923688
- Provider Name
- NATHAN DAVID HEINEMAN MD
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 100 KELLIE DR SMITHFIELD, NC 27577
- Location Phone
- (919) 220-5255
- Mailing Address
- PO BOX 5105 BELFAST, ME 04915
- Mailing Phone
- (919) 220-5255
- Is Sole Proprietor?
- No
- Enumeration Date
- 03-29-2019
- Last Update Date
- 06-04-2025
- Code Navigator
Location Map
Secondary Locations
- 1801 Inwood Rd
Dallas, TX 75235
(214) 648-0253
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Orthopaedic Surgery Hand Surgery
- Taxonomy Code
- 207XS0106X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 2025-01448
- License State
- NC
- Taxonomy Description
- An orthopaedic surgeon trained in the investigation, preservation and restoration by medical, surgical and rehabilitative means of all structures of the upper extremity directly affecting the form and function of the hand and wrist.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 390200000X | Student, Health Care | Student in an Organized Health Care Education/Training Program |
Medicare Participation & PECOS Enrollment Status
Nathan Heineman is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Physician Visit Costs
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 27577 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99203
- Average New Patient Price $83.9
- Minimum New Patient Price $54.12
- Maximum New Patient Price $165.09
- Average New Patient Copayment $20.97
- Minimum New Patient Copayment $13.53
- Maximum New Patient Copayment $41.27
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99213
- Average Established Patient Price $67.72
- Minimum Established Patient Price $17.21
- Maximum Established Patient Price $134.61
- Average Established Patient Copayment $16.93
- Minimum Established Patient Copayment $4.3
- Maximum Established Patient Copayment $33.65
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 5 | 6 | 8 | 9 | 2 | 3 | 6 | 8 | 8 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 5 | 12 | 8 | 18 | 2 | 6 | 6 | 16 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 5 + 1 + 2 + 8 + 1 + 8 + 2 + 6 + 6 + 1 + 6 + 24 = 72 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 80 - 72 = 8 | 8 | ||||||||
The NPI number 1568923688 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 17 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1215372834 | DR. DEREN THOMAS BAGSBY M.D. Individual | Orthopaedic Surgery | 100 KELLIE DR SMITHFIELD, NC 27577 (919) 934-1094 |
| 1356389340 | MS. ANTOINETTE A ALLEN PT, BS, MPT Individual | Physical Therapist | 100 KELLIE DR SMITHFIELD, NC 27577 (919) 934-1094 |
| 1881686590 | BLAINE C ETZEL PA-C Individual | Physician Assistant | 100 KELLIE DR SMITHFIELD, NC 27577 (919) 220-5255 |
| 1841768942 | KAYLA TURCONI PA-C Individual | Physician Assistant | 100 KELLIE DR SMITHFIELD, NC 27577 (919) 934-1094 |
| 1043430911 | MICHAEL WAYNE MADSEN M.D. Individual | Orthopaedic Surgery | 100 KELLIE DR SMITHFIELD, NC 27577 (919) 934-1094 |
| 1912463340 | MARIA ANN TETTIS PA-C Individual | Physician Assistant | 100 KELLIE DR SMITHFIELD, NC 27577 (919) 934-1094 |
| 1730616707 | DR. VARUN GOSWAMI MD Individual | Physical Medicine & Rehabilitation | 100 KELLIE DR SMITHFIELD, NC 27577 (919) 220-5255 |
| 1760105696 | DAVID CHANDLER ENNIS PT Individual | Physical Therapist | 100 KELLIE DR SMITHFIELD, NC 27577 (919) 220-5255 |
| 1841453925 | PATRICIA ELLEN LACY PA Individual | Physician Assistant | 100 KELLIE DR SMITHFIELD, NC 27577 (919) 934-1094 |
| 1912655861 | ALEXA LALIBERTE FAGAN PA-C Individual | Physician Assistant | 100 KELLIE DR SMITHFIELD, NC 27577 (919) 934-1094 |
| 1447828207 | BRADFORD AUSTIN HACKNEY PA-C Individual | Physician Assistant | 100 KELLIE DR SMITHFIELD, NC 27577 (919) 220-5255 |
| 1932813268 | JOHN L COSMIANO PT Individual | Physical Therapist | 100 KELLIE DR SMITHFIELD, NC 27577 (919) 220-5255 |
| 1861182669 | IZABELLE MARLENE THOMPSON PA-C Individual | Physician Assistant | 100 KELLIE DR SMITHFIELD, NC 27577 (919) 220-5255 |
| 1942070230 | HOLDEN CHRISTIAN UPRIGHT Individual | Physician Assistant | 100 KELLIE DR SMITHFIELD, NC 27577 (919) 220-5255 |
| 1578816401 | MICHAEL RAY HOLMES JR. PA-C Individual | Physician Assistant | 100 KELLIE DR SMITHFIELD, NC 27577 (919) 220-5255 |
| 1134961709 | EMILY LOUISE TIEHEN Individual | Physician Assistant | 100 KELLIE DR SMITHFIELD, NC 27577 (919) 220-5255 |
| 1598554164 | CHELSEA DIANN OLSON DPT Individual | Physical Therapist | 100 KELLIE DR SMITHFIELD, NC 27577 (919) 934-1094 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1568923688, enumerated in the NPI registry as an "individual" on March 29, 2019
The provider is located at 100 Kellie Dr Smithfield, Nc 27577 and the phone number is (919) 220-5255
The provider's speciality is Orthopaedic Surgery with taxonomy code 207XS0106X with a focus in Hand Surgery
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
Medicare beneficiaries should expect a typical cost of $83.9 with an average copayment of $20.97 for new patient appointments. Established patients should expect a typical charge of $67.72 and an average copayment of 16.93. Please review your insurance plan or contact the provider directly to determine your specific costs.
This NPI record was last updated on March 29, 2019. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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