Mark Heidenreich, M.D.
NPI 1104206838 · Orthopaedic Surgery Physician · Sioux Falls, SD
Enrolled with Medicare as Practitioner - Orthopedic Surgery · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Mark Heidenreich, M.D. is a Orthopaedic Surgery Physician provider in Sioux Falls, SD (NPI 1104206838).
Provider details
- NPI number
- 1104206838
- Entity type
- Individual
- Primary specialty
- Orthopaedic Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Student, Health Care
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
11 yrs in NPPES registry
- Profile completeness25% of score
83% of core fields populated
- Practice footprint15% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)25% of score
462 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 Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 155 | $92 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 115 | $62 |
| New Patient Office Or Other Outpatient Visit With Moderate Level of Medical Decision Making, If Using Time, 45 Minutes Or More99204 | 78 | $125 |
| Replacement of Thigh Bone and Hip Joint With Prosthesis27130 | 39 | $1,184 |
| Replacement of Knee Joint, Both Sides of Knee27447 | 33 | $1,184 |
| Computer-Assisted Surgery for Muscle and Bone Procedure |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 5 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Tramadol Hcl | 49 | 48 |
| Oxycodone Hcl | 48 | 47 |
| Ondansetron Hcl | 45 | 44 |
| Meloxicam | 12 | — |
| Doxycycline Hyclate | 11 | — |
Medicare Part D only. These counts cover prescriptions paid through Medicare Part D in 2024 — they do notinclude cash-pay, commercial-insurance, Medicaid, or Part B–administered drugs, and badly undercount high cash-pay categories (e.g. GLP-1 weight-loss, testosterone, and ED medications). Any drug with 10 or fewer claims is omitted by CMS, and beneficiary counts under 11 are suppressed — so a missing drug means no Part D record, never zero. This is a factual claims summary, not an endorsement, not medical advice, and not a consumer report. Source: CMS Medicare Part D Prescribers — by Provider and Drug.
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$190 across 6 records (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
- 2015-06-08
- Last updated
- 2022-09-27
- Certified
- 2022-09-27
Frequently asked questions
- What is Mark Heidenreich's NPI number?
- Mark Heidenreich's National Provider Identifier (NPI) is 1104206838, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Mark Heidenreich's specialty?
- Mark Heidenreich is listed in the NPPES registry with a primary specialty of Orthopaedic Surgery Physician (Allopathic & Osteopathic Physicians).
- Where is Mark Heidenreich located?
- Mark Heidenreich's practice location on file with NPPES is 1210 W 18th St Ste G01, Sioux Falls, SD 57104-4651.
- What is Mark Heidenreich's phone number?
- The practice phone number listed in the NPPES registry for Mark Heidenreich is (605) 328-2663.
- Does Mark Heidenreich accept Medicare?
- Mark Heidenreich is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Mark Heidenreich's NPI active?
- Yes — Mark Heidenreich's NPI (1104206838) is active in the NPPES registry as of the last update on 2022-09-27.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.