James Heinrich, M.D.
NPI 1053321000 · Plastic Surgery within the Head & Neck (Otolaryngology) Physician · Mission Viejo, CA
Enrolled with Medicare as Practitioner - Otolaryngology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
James Heinrich, M.D. is a Plastic Surgery within the Head & Neck (Otolaryngology) Physician provider in Mission Viejo, CA (NPI 1053321000).
Provider details
- NPI number
- 1053321000
- Entity type
- Individual
- Primary specialty
- Plastic Surgery within the Head & Neck (Otolaryngology) PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- Yes
- License
- G66486 (CA)
Specialties & taxonomies
- Plastic Surgery within the Head & Neck (Otolaryngology) PhysicianPrimary207YX0007XLicense G66486 (CA)
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
19 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)25% of score
1,279 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 567 | $98 |
| Destruction of Precancer Skin Growth, 15 Or More Growths17004 | 86 | $186 |
| Destruction of Precancer Skin Growth, 2-14 Growths17003 | 77 | $8 |
| Complicated Repair of Wound of Forehead, Cheeks, Chin, Mouth, Neck, Underarms, Genitals, Hands, Or Feet, 2.6-7.5 Cm13132 | 64 | $449 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 61 | $138 |
| New Patient Office Or Other Outpatient Visit With Moderate Level of Medical Decision Making, If Using Time, 45 Minutes Or More99204 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 15 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Cephalexin | 153 | 128 |
| Hydrocodone/Acetaminophenbrand: Hydrocodone-Acetaminophen | 127 | 100 |
| Ondansetronbrand: Ondansetron Odt | 100 | 87 |
| Alprazolam | 62 | 52 |
| Mupirocin | 61 | 43 |
| Methylprednisolone | 29 | 23 |
| Amoxicillin/Potassium Clavbrand: Amoxicillin-Clavulanate Potass | 28 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$31 across 1 record (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-08-09
- Last updated
- 2007-07-08
Frequently asked questions
- What is James Heinrich's NPI number?
- James Heinrich's National Provider Identifier (NPI) is 1053321000, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is James Heinrich's specialty?
- James Heinrich is listed in the NPPES registry with a primary specialty of Plastic Surgery within the Head & Neck (Otolaryngology) Physician (Allopathic & Osteopathic Physicians).
- Where is James Heinrich located?
- James Heinrich's practice location on file with NPPES is 26730 Crown Valley Pkwy Ste 250, Mission Viejo, CA 92691-8000.
- What is James Heinrich's phone number?
- The practice phone number listed in the NPPES registry for James Heinrich is (949) 364-2440.
- Does James Heinrich accept Medicare?
- James Heinrich is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is James Heinrich's NPI active?
- Yes — James Heinrich's NPI (1053321000) is active in the NPPES registry as of the last update on 2007-07-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.