Blair Heinke, M.D.
NPI 1366609604 · Family Medicine Physician · Orlando, FL
Enrolled with Medicare as Practitioner - Family Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Blair Heinke, M.D. is a Family Medicine Physician provider in Orlando, FL (NPI 1366609604).
Provider details
- NPI number
- 1366609604
- Entity type
- Individual
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- No
- License
- MD040981 (DC)
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 tenure28% of score
18 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
127 Medicare services, 2024 (ranked within specialty)
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 methodology.
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 Moderate Level of Medical Decision Making, If Using Time, 45 Minutes Or More99204 | 40 | $163 |
| New Patient Office Or Other Outpatient Visit With Low Level of Medical Decision Making, If Using Time, 30 Minutes Or More99203 | 32 | $109 |
| Detection Test By Immunoassay Technique for Severe Acute Respiratory Syndrome Coronavirus87426 | 22 | $35 |
| Detection Test By Immunoassay With Direct Visual Observation for Influenza Virus87804 | 22 | $16 |
| Urinalysis, Manual Test81002 | 11 | $3 |
Typical Medicare-allowed amounts for these services range $3–$163 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 3 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Methylprednisolone | 20 | 17 |
| Albuterol Sulfatebrand: Albuterol Sulfate Hfa | 13 | — |
| Azithromycin | 13 | 13 |
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.
Practice location
Mailing address
Registry dates
- Enumerated
- 2008-05-22
- Last updated
- 2023-07-21
- Certified
- 2023-07-13
Frequently asked questions
- What is Blair Heinke's NPI number?
- Blair Heinke's National Provider Identifier (NPI) is 1366609604, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Blair Heinke's specialty?
- Blair Heinke is listed in the NPPES registry with a primary specialty of Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Blair Heinke located?
- Blair Heinke's practice location on file with NPPES is 12500 S Apopka Vineland Rd, Orlando, FL 32836-6723.
- What is Blair Heinke's phone number?
- The practice phone number listed in the NPPES registry for Blair Heinke is (407) 934-2273.
- Does Blair Heinke accept Medicare?
- Blair Heinke is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Blair Heinke's NPI active?
- Yes — Blair Heinke's NPI (1366609604) is active in the NPPES registry as of the last update on 2023-07-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.