Mitchell Heuermann, MD
NPI 1295227783 · Otolaryngology Physician · Springfield, IL
Enrolled with Medicare as Practitioner - Otolaryngology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Mitchell Heuermann, MD is a Otolaryngology Physician provider in Springfield, IL (NPI 1295227783).
Provider details
- NPI number
- 1295227783
- Entity type
- Individual
- Primary specialty
- Otolaryngology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 2023047886 (MO)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
8 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
231 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 | 57 | $121 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 33 | $85 |
| Diagnostic Exam of Voice Box Using a Flexible Endoscope31575 | 30 | $116 |
| Exam of Ear Using a Microscope92504 | 26 | $8 |
| Removal of Impacted Ear Wax69210 | 22 | $30 |
| Exam of Ear Using a Microscope92504 | 13 | $27 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 2 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Pentoxifylline | 24 | — |
| Ciprofloxacin Hcl | 18 | 14 |
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.
$128 across 4 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
- 2018-05-31
- Last updated
- 2026-02-06
- Certified
- 2026-02-06
Frequently asked questions
- What is Mitchell Heuermann's NPI number?
- Mitchell Heuermann's National Provider Identifier (NPI) is 1295227783, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Mitchell Heuermann's specialty?
- Mitchell Heuermann is listed in the NPPES registry with a primary specialty of Otolaryngology Physician (Allopathic & Osteopathic Physicians).
- Where is Mitchell Heuermann located?
- Mitchell Heuermann's practice location on file with NPPES is 720 N Bond St, Springfield, IL 62702-4952.
- What is Mitchell Heuermann's phone number?
- The practice phone number listed in the NPPES registry for Mitchell Heuermann is (309) 265-1942.
- Does Mitchell Heuermann accept Medicare?
- Mitchell Heuermann is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Mitchell Heuermann's NPI active?
- Yes — Mitchell Heuermann's NPI (1295227783) is active in the NPPES registry as of the last update on 2026-02-06.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.