Thomas Heineman, M.D.
NPI 1881089704 · Otolaryngology Physician · Cedar Rapids, IA
Enrolled with Medicare as Practitioner - Otolaryngology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Thomas Heineman, M.D. is a Otolaryngology Physician provider in Cedar Rapids, IA (NPI 1881089704).
Provider details
- NPI number
- 1881089704
- Entity type
- Individual
- Primary specialty
- Otolaryngology PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- MD-46852 (IA)
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
11 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
1,330 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 Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 316 | $88 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 188 | $123 |
| New Patient Office Or Other Outpatient Visit With Low Level of Medical Decision Making, If Using Time, 30 Minutes Or More99203 | 140 | $106 |
| New Patient Office Or Other Outpatient Visit With Moderate Level of Medical Decision Making, If Using Time, 45 Minutes Or More99204 | 102 | $160 |
| Diagnostic Exam of Nasal Passages Using an Endoscope31231 | 96 | $171 |
| Professional Service for Single Injection of Allergen95115 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 8 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Ipratropium Bromide | 149 | 58 |
| Hydrocodone/Acetaminophenbrand: Hydrocodone-Acetaminophen | 89 | 79 |
| Cephalexin | 86 | 83 |
| Amoxicillin/Potassium Clavbrand: Amoxicillin-Clavulanate Potass | 29 | 25 |
| Omeprazole | 23 | — |
| Prednisone | 22 | 20 |
| Sulfamethoxazole/Trimethoprim |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$120,931 across 41 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
- 2015-03-30
- Last updated
- 2025-08-25
- Certified
- 2025-08-25
Frequently asked questions
- What is Thomas Heineman's NPI number?
- Thomas Heineman's National Provider Identifier (NPI) is 1881089704, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Thomas Heineman's specialty?
- Thomas Heineman is listed in the NPPES registry with a primary specialty of Otolaryngology Physician (Allopathic & Osteopathic Physicians).
- Where is Thomas Heineman located?
- Thomas Heineman's practice location on file with NPPES is 202 10th St Se, Cedar Rapids, IA 52403-2414.
- What is Thomas Heineman's phone number?
- The practice phone number listed in the NPPES registry for Thomas Heineman is (319) 247-3010.
- Does Thomas Heineman accept Medicare?
- Thomas Heineman is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Thomas Heineman's NPI active?
- Yes — Thomas Heineman's NPI (1881089704) is active in the NPPES registry as of the last update on 2025-08-25.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.