Tiara Heisey James, M.D.
NPI 1366821027 · Family Medicine Physician · Lancaster, PA
Enrolled with Medicare as Practitioner - Family Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Tiara Heisey James, M.D. is a Family Medicine Physician provider in Lancaster, PA (NPI 1366821027).
Provider details
- NPI number
- 1366821027
- Entity type
- Individual
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- No
- License
- MD462631 (PA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
11 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
510 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) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 163 | $118 |
| 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 | 147 | $16 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 74 | $85 |
| Annual Wellness Visit, Includes a Personalized Prevention Plan of Service (pps), Subsequent VisitG0439 | 60 | $122 |
| Administration of Influenza Virus VaccineG0008 | 32 | $31 |
| Hemoglobin A1c Level |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 123 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Atorvastatin Calcium | 372 | 95 |
| Levothyroxine Sodium | 261 | 64 |
| Amlodipine Besylate | 250 | 56 |
| Rosuvastatin Calcium | 218 | 62 |
| Lisinopril | 215 | 56 |
| Omeprazole | 155 | 50 |
| Gabapentin |
Practice location
Mailing address
Registry dates
- Enumerated
- 2015-05-27
- Last updated
- 2018-10-10
Frequently asked questions
- What is Tiara Heisey James's NPI number?
- Tiara Heisey James's National Provider Identifier (NPI) is 1366821027, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Tiara Heisey James's specialty?
- Tiara Heisey James is listed in the NPPES registry with a primary specialty of Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Tiara Heisey James located?
- Tiara Heisey James's practice location on file with NPPES is 555 N Duke St, Lancaster, PA 17602-2250.
- What is Tiara Heisey James's phone number?
- The practice phone number listed in the NPPES registry for Tiara Heisey James is (717) 544-4940.
- Does Tiara Heisey James accept Medicare?
- Tiara Heisey James is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Tiara Heisey James's NPI active?
- Yes — Tiara Heisey James's NPI (1366821027) is active in the NPPES registry as of the last update on 2018-10-10.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.