Ross Heil, D.O.
NPI 1265669709 · Gastroenterology Physician · Goshen, IN
Enrolled with Medicare as Practitioner - Gastroenterology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Ross Heil, D.O. is a Gastroenterology Physician provider in Goshen, IN (NPI 1265669709).
Provider details
- NPI number
- 1265669709
- Entity type
- Individual
- Primary specialty
- Gastroenterology PhysicianAllopathic & Osteopathic Physicians
- Credential
- D.O.
- Sex
- Male
- Sole proprietor
- Yes
- License
- 02004580A (IN)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
17 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
657 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) |
|---|---|---|
| Removal of Polyps Or Growths of Large Bowel Using an Endoscope With Mechanical Snare45385 | 168 | $229 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 109 | $119 |
| Biopsy of Esophagus, Stomach, And/Or Upper Small Bowel Using a Flexible Endoscope43239 | 104 | $78 |
| Visit Complexity Inherent to Evaluation and Management Associated With Medical Care Services That Serve As the Continuing Focal Point for All Needed Health Care Services And/Or With Medical Care Services That Are Part of Ongoing Care Related to a Patient'SG2211 | 96 | $15 |
| Biopsy of Large Bowel Using a Flexible Endoscope45380 | 53 |
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 |
|---|---|---|
| Omeprazole | 145 | 70 |
| Ustekinumabbrand: Stelara | 66 | — |
| Pantoprazole Sodium | 39 | 17 |
| Linaclotidebrand: Linzess | 31 | — |
| Peg3350/Sod Sulf,bicarb,cl/Kclbrand: Gavilyte-G | 30 | 28 |
| Lipase/Protease/Amylasebrand: Creon | 28 | — |
| Sucralfate | 26 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$659 across 33 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
- 2009-06-11
- Last updated
- 2023-05-03
- Certified
- 2023-05-03
Frequently asked questions
- What is Ross Heil's NPI number?
- Ross Heil's National Provider Identifier (NPI) is 1265669709, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Ross Heil's specialty?
- Ross Heil is listed in the NPPES registry with a primary specialty of Gastroenterology Physician (Allopathic & Osteopathic Physicians).
- Where is Ross Heil located?
- Ross Heil's practice location on file with NPPES is 1615 Winsted Dr, Goshen, IN 46526-4696.
- What is Ross Heil's phone number?
- The practice phone number listed in the NPPES registry for Ross Heil is (574) 537-1625.
- Does Ross Heil accept Medicare?
- Ross Heil is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Ross Heil's NPI active?
- Yes — Ross Heil's NPI (1265669709) is active in the NPPES registry as of the last update on 2023-05-03.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.