Michael Heublum, M.D.
NPI 1336168954 · Neurology Physician · New York, NY
Enrolled with Medicare as Practitioner - Neurology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Michael Heublum, M.D. is a Neurology Physician provider in New York, NY (NPI 1336168954).
Provider details
- NPI number
- 1336168954
- Entity type
- Individual
- Primary specialty
- Neurology PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- Yes
- License
- 171503 (NY)
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
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
592 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) |
|---|---|---|
| New Patient Office Or Other Outpatient Visit With a High Level of Medical Decision Making, If Using Time, 60 Minutes Or More99205 | 241 | $242 |
| Established Patient Office Or Other Outpatient Visit With Straightforward Medical Decision Making, If Using Time, 10 Minutes Or More99212 | 151 | $63 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 88 | $142 |
| Needle Measurement of Electrical Activity in Arm Or Leg Muscles, Complete Study95886 | 66 | $48 |
| Nerve Conduction, 9-10 Studies95911 | 19 | $141 |
| Established Patient Office Or Other Outpatient Visit With High Level of Medical Decision Making, If Using Time, 40 Minutes Or More |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 38 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Donepezil Hcl | 249 | 72 |
| Memantine Hcl | 111 | 24 |
| Carbidopa/Levodopabrand: Carbidopa-Levodopa | 96 | 28 |
| Gabapentin | 90 | 24 |
| Pregabalin | 46 | — |
| Tramadol Hcl | 46 | — |
| Clonazepam | 41 | — |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$4,365 across 145 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
- 2006-07-18
- Last updated
- 2007-07-08
Frequently asked questions
- What is Michael Heublum's NPI number?
- Michael Heublum's National Provider Identifier (NPI) is 1336168954, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Michael Heublum's specialty?
- Michael Heublum is listed in the NPPES registry with a primary specialty of Neurology Physician (Allopathic & Osteopathic Physicians).
- Where is Michael Heublum located?
- Michael Heublum's practice location on file with NPPES is 247 3rd Ave, New York, NY 10010-7457.
- What is Michael Heublum's phone number?
- The practice phone number listed in the NPPES registry for Michael Heublum is (212) 505-9800.
- Does Michael Heublum accept Medicare?
- Michael Heublum is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Michael Heublum's NPI active?
- Yes — Michael Heublum's NPI (1336168954) 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.