James Heller, M.D.
NPI 1972546083 · Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician · Edison, NJ
Enrolled with Medicare as Practitioner - Thoracic Surgery · source: CMS PECOS Public Provider Enrollment (2026.04.01)
James Heller, M.D. is a Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician provider in Edison, NJ (NPI 1972546083).
Provider details
- NPI number
- 1972546083
- Entity type
- Individual
- Primary specialty
- Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- Yes
- License
- 25MA05363100 (NJ)
Specialties & taxonomies
- Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianPrimary208G00000XLicense 25MA05363100 (NJ)
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
20 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
150 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) |
|---|---|---|
| Subsequent Hospital Care With Straightforward Or Low Level of Medical Decision Making, Per Day, If Using Time, at Least 25 Minutes99231 | 93 | $52 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 30 | $98 |
| Initial Hospital Care With Straightforward Or Low-Level Medical Decision Making, If Using Time, at Least 55 Minutes99222 | 27 | $138 |
Typical Medicare-allowed amounts for these services range $52–$138 (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.
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$39 across 2 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
- 2006-06-14
- Last updated
- 2013-05-07
Frequently asked questions
- What is James Heller's NPI number?
- James Heller's National Provider Identifier (NPI) is 1972546083, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is James Heller's specialty?
- James Heller is listed in the NPPES registry with a primary specialty of Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician (Allopathic & Osteopathic Physicians).
- Where is James Heller located?
- James Heller's practice location on file with NPPES is 98 James St, Edison, NJ 08820-3902.
- What is James Heller's phone number?
- The practice phone number listed in the NPPES registry for James Heller is (732) 635-9300.
- Does James Heller accept Medicare?
- James Heller is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is James Heller's NPI active?
- Yes — James Heller's NPI (1972546083) is active in the NPPES registry as of the last update on 2013-05-07.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.